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Original Research

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Symptoms, Signs, and Clinical Diagnoses According to the Research Diagnostic Criteria for Temporomandibular Disorders Among Finnish Multiprofessional Media Personnel

  • Mikko A. I. Rantala1,2,*,
  • Jari Ahlberg3
  • Tuija I. Suvinen1
  • Aslak Savolainen3
  • Mauno Könönen1,2,4

1Department of Stomatognathic Physiology and Prosthetic Dentistry, Institute of Dentistry, University of Helsinki, Helsinki, Finland

2Department of Oral and Maxillofacial Diseases, Helsinki University Central Hospital, Helsinki, Finland

3Finnish Broadcasting Company, Helsinki, Finland

4Department of Restorative Sciences, Faculty of Dentistry, Kuwait University, Kuwait

DOI: 10.11607/jofph.17311 Vol.17,Issue 4,December 2003 pp.311-316

Published: 30 December 2003

*Corresponding Author(s): Mikko A. I. Rantala E-mail: mikko.rantala@helsinki.fi

Abstract

Aims: To apply the Finnish version of the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) Axis I to assess the occurrence of symptoms, signs, and specific subgroups of TMD, and to study the associations between the most common diagnoses and categoric demographic characteristics (gender, age group, marital status, type of work). Methods: All 30- to 55-year-old employees of the Finnish Broadcasting Company with at least 5 years at their current employment received postal questionnaires (n = 1784). Of the 1339 respondents (75%), a randomly selected one fifth were clinically examined according to the RDC/TMD Axis I (n = 241, males 48%). Results: Pain symptoms in the face or jaw regions were perceived by 14.9% and pain with 1 or more jaw movements by 9.1%. Diagnoses by the RDC/TMD criteria were: Group I: myofascial pain in 12.9%, myofascial pain with limited opening in 0.4%; Group II: disc displacement with reduc-tion in the right temporomandibular joint (TMJ) in 9.1% and in the left TMJ in 10.8%; Group III: arthralgia in 0.4% and 0.8%, osteoarthritis in 0% and 0.4%, and osteoarthrosis in 1.2% and 1.2%, respectively, in the right and left TMJs. The most common diagnoses were found more often among women than among men. No TMD diagnosis based on the RDC/TMD was obtained in 73% of the subjects. Conclusion: The RDC/TMD appear to be of benefit in diagnosing TMD among these multiprofessional media personnel and thus may be suggested for use among nonpatient populations.

Keywords

nonpatient; prevalence; RDC/TMD; temporomandibular disorders; working population

Cite and Share

Mikko A. I. Rantala,Jari Ahlberg,Tuija I. Suvinen,Aslak Savolainen,Mauno Könönen. Symptoms, Signs, and Clinical Diagnoses According to the Research Diagnostic Criteria for Temporomandibular Disorders Among Finnish Multiprofessional Media Personnel. Journal of Oral & Facial Pain and Headache. 2003. 17(4);311-316.

References

1. Okeson JP (ed). Orofacial Pain. Guidelines for Assessment, Diagnosis and Management. Chicago: Quintessence, 1996:116.

2. Rauhala K, Oikarinen K, Järvelin M-R, Raustia AM. Facial pain and temporomandibular disorders: An epidemiological study of the northern Finland 1966 birthcohort. Cranio 2000;18:40–46.

3. Dworkin SF, Huggins KH, LeResche L, et al. Epidemiology of signs and symptoms in temporomandibular disorders: Clinical signs in cases and controls. J Am Dent Assoc 1990;120:273–281.

4. Agerberg G, Carlsson GE. Functional disorders of the masticatory system. I. Distribution of symptoms according to age and sex as judged from investigation by question-naire. Acta Odont Scand 1972;30:597–613.

5. Helkimo M. Studies on function and dysfunction of the masticatory system. I. An epidemiological investigation of symptoms of dysfunction in Lapps in the north of Finland. Proc Finn Dent Soc 1974;70:37–49.

6. Swanljung O, Rantanen T. Functional disorders of the masticatory system in southwest Finland. Community Dent Oral Epidemiol 1979;7:177–182.

7. Alanen P, Kirveskari P. Stomatognathic dysfunction in a male Finnish working population. Proc Finn Dent Assoc 1982;78:184–188.

8. Von Korff M, Dworkin SF, LeResche L, Kruger A. An epi-demiologic comparison of pain complaints. Pain 1988;32:173–183.

9. Agerberg G, Inkapööl I. Craniomandibular disorders in urban Swedish population. J Craniomandib Disord 1990;4:154–164.

10. Goulet JP, Lavigne GJ, Lund JP. Jaw pain prevalence among French-speaking Canadians in Quebec and related symptoms of temporomandibular disorders. J Dent Res 1995;74:1738–1744.

11. De Kanter RJ, Truin GJ, Burgersdijk RC, et al. Prevalence in the Dutch adult population and a meta-analysis of signs and symptoms of temporomandibular disorders. J Dent Res 1993;72:1509–1518.

12. Könönen M, Waltimo A, Nyström M. Does clicking in adolescence lead to painful temporomandibular locking?Lancet 1996;347:1080–1081.

13. Magnusson T, Egermark I, Carlsson GE. A longitudinal epidemiologic study of signs and symptoms of temporo-mandibular disorders from 15 to 35 years of age. J Orofac Pain 2000;14:310–319.

14. Sipilä K. Facial pain and temporomandibular disorders [thesis]. Acta Universitatis Ouluensis Medica, 2002. Available at: http://herkules.oulu.fi/isbn9514266021/.

15. Helkimo M. Studies on function and dysfunction of the masticatory system. II. Index for anamnestic and clinical dysfunction and occlusal state. Svensk Tandläk Tidskr 1974;67:101–121.

16. Eversole LR, Machado L. Temporomandibular joint internal derangements and associated neuromuscular disorders. J Am Dent Assoc 1985;110:69–79.

17. Fricton JR, Schiffmann EL. Reliability of Cranio-mandibular Index. J Dent Res 1986;65:1359–1364.

18. International Association or the Study of Pain, Subcom-mittee on Taxonomy. Classification of chronic pain. Descriptions of chronic pain syndromes and definitions of pain terms. Pain 1986;27(Suppl 3):S1–S226.

19. Dworkin SF, LeResche L. Research Diagnostic Criteria for Temporomandibular Disorders: Review, criteria, examinations and specifications, critique. J Craniomandib Disord Facial Oral Pain 1992;6:301–355.

20. Truelove EL, Sommers EE, LeResche L, Dworkin SF, Von Korff M. Clinical diagnostic criteria for TMD. New classification permits multiple diagnoses. J Am Dent Assoc 1992;123:47–54.

21. List T, Dworkin SF. Comparing TMD diagnoses and clinical findings at Swedish and US TMD centers using Research Diagnostic Criteria for Temporomandibular Disorders. J Orofac Pain 1996;10:240–253.

22. Garofalo JP, Gatchel RJ, Wesley AL, Ellis E III. Predicting chronicity in acute temporomandibular joint disorders using the Research Diagnostic Criteria. J Am Dent Assoc 1998;129:438–447.

23. Plesh O, Wolfe F, Lane N. The relationship between fibromyalgia and temporomandibular disorders: Prevalence and symptom severity. J Rheumatol 1996;23: 1948–1952.

24. Epker J, Gatchel RJ. Prediction of treatment-seeking behavior in acute TMD patients: Practical application in clinical settings. J Orofac Pain 2000;14:303–309.

25. Marcusson A, List T, Paulin G, Dworkin S. Temporo-mandibular disorders in adults with repaired cleft lip and palate: A comparison with controls. Eur J Orthod 2001;23:193–204.

26. Phillips JM, Gatchel RJ, Wesley AL, Ellis E III. Clinical implications of sex in acute temporomandibular disorders. J Am Dent Assoc 2001;132:49–57.

27. Yap AU, Chua EK, Hoe JK. Clinical TMD, pain-related disability and psychosocial status of TMD patients. J Oral Rehabil 2002;29:374–380.

28. List T, Stenström B, Lundström I, Dworkin SF. TMD in patients with primary Sjögren syndrome: A comparison with temporomandibular clinic cases and controls. J Orofac Pain 1999;13:21–28.

29. Carlson CR, Bertrand PM, Ehrlich AD, Maxwell AW, Burton AG. Physical self-regulation training for the management of temporomandibular disorders. J Orofac Pain 2001;15:47–55.

30. List T, Wahlund K, Wenneberg B, Dworkin SF. TMD in children and adolescents: Prevalence of pain, gender differences, and perceived treatment need. J Orofac Pain 1999;13:9–20.

31. Wahlund K, List T, Dworkin SF. Temporomandibular disorders in children and adolescents: Reliability of a questionnaire, clinical examination, and diagnosis. J Orofac Pain 1998;12:42–51.

32. von Onciul J. ABC of work related disorders. Stress at work. BMJ 1996;313:745–748.

33. Ahlberg J, Suvinen T, Rantala M, et al. Distinct biopsychosocial profiles emerge among nonpatients. J Psychosom Res 2002;53:1077–1081.

34. Dworkin SF, LeResche L, DeRoeuen T, Von Korff M. Assessing clinical signs of temporomandibular disorders: Reliability of clinical examiners. J Prosthet Dent 1990;63:574–579.

35. John MT, Zwijnenburg AJ. Interobserver variability in assessment of signs of TMD. Int J Prosthodont 2001;14: 265–270.

36. Dworkin SF, Sherman J, Mancl L, Ohrbach R, LeResche L, Truelove E. Reliability, validity, and clinical utility of the Research Diagnostic Criteria for Temporomandibular Disorders Axis II Scales: Depression, non-specific physical symptoms, and graded chronic pain. J Orofac Pain 2002;16:207–220.

37. LeResche L, Dworkin SF, Sommers EE, Truelove EL. An epidemiologic evaluation of two diagnostic classification schemes for temporomandibular disorders. J Prosthet Dent 1991;65:131–137.

38. Fillingim RB. Sex, gender, and pain: Women and men really are different. Curr Rev Pain 2000;4:24–30.

39. LeResche L. Epidemiology of temporomandibular disorders: Implications for the investigation of etiologic factors. Crit Rev Oral Biol Med 1997;8:291–305.

40. Agerberg G, Bergenholtz A. Craniomandibular disorders in adult populations of West Bothnia, Sweden. Acta Odontol Scand 1989;47:129–140.

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