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Prediction of deman...
Prediction of demand for treatment of temporomandibular disorders based on a 20-year follow-up study.
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- Carlsson, Gunnar E, 1930 (author)
- Gothenburg University,Göteborgs universitet,Odontologiska institutionen,Institute of Odontology
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- Magnusson, Tomas (author)
- Jönköping University,Gothenburg University,Göteborgs universitet,Odontologiska institutionen,Institute of Odontology,HHJ, Avdelningen för klinisk diagnostik,HHJ. Centrum för odontologi och oral hälsa
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- Egermark, Inger, 1935 (author)
- Gothenburg University,Göteborgs universitet,Odontologiska institutionen, Avdelningen för ortodonti,Institute of Odontology, Department of Orthodontics
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(creator_code:org_t)
- Wiley, 2004
- 2004
- English.
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In: Journal of oral rehabilitation. - : Wiley. - 0305-182X .- 1365-2842. ; 31:6, s. 511-7
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Abstract
Subject headings
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- The purpose was to test the hypothesis that signs and symptoms characteristic of temporomandibular disorders (TMD) at age 15 would predict demand for treatment during a 20-year follow-up period. Of originally 135 examined 15-year-old subjects, 103 completed a questionnaire and 84 were examined clinically at the 10-year follow-up (at age 25). After 20 years (at age 35), 114 completed a questionnaire and 100 were also examined clinically. During the 20-year follow-up period, 21 subjects received some kind of treatment of TMD. At baseline (age 15), the treated group reported tooth grinding at night more often than the non-treated group (P = 0.0042). At the 10-year follow-up (at age 25), the treated group reported more symptoms of TMD and oral parafunctions than the non-treated group. Among the clinical registrations, there was only one significant difference between the groups: anterior tooth wear was more extensive in the treated group. At the 20-year follow-up (at age 35), the treated group reported significantly more symptoms of TMD and oral parafunctions than the non-treated group. The clinical dysfunction index was also higher in the treated group. Logistic regression revealed tooth grinding at night as a significant predictor of received treatment of TMD. However, the positive predictive value was low whereas the negative predictive value was high (90%). The findings indicate that nocturnal tooth grinding is related to demand for treatment of TMD.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Odontologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Dentistry (hsv//eng)
Keyword
- Adolescent
- Adult
- Age Factors
- Bruxism
- diagnosis
- Cuspid
- Female
- Follow-Up Studies
- Forecasting
- Health Services Needs and Demand
- Humans
- Male
- Predictive Value of Tests
- Regression Analysis
- Temporomandibular Joint Disorders
- diagnosis
- therapy
- Tooth Abrasion
- diagnosis
- Adolescent
Publication and Content Type
- ref (subject category)
- art (subject category)
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