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Association of malocclusion with temporomandibular disorders:a cross-sectional study

dc.contributor.authorÂngelo, David Faustino
dc.contributor.authorTeixeira, Maria Cristina Faria
dc.contributor.authorMaffia, Francesco
dc.contributor.authorSanz, David
dc.contributor.authorSarkis, Marcella
dc.contributor.authorMarques, Rute
dc.contributor.authorMota, Beatriz
dc.contributor.authorSão João, Ricardo
dc.contributor.authorCardoso, Henrique José
dc.date.accessioned2024-09-16T12:35:35Z
dc.date.available2024-09-16T12:35:35Z
dc.date.issued2024
dc.description.abstractBackground/Objectives: Temporomandibular disorders (TMD) encompass a range of musculoskeletal and neuromuscular conditions affecting the temporomandibular joint (TMJ) and associated structures. This cross-sectional study, conducted in a Portuguese TMD department, aimed to assess the relationship between malocclusion and TMD severity. Methods: Data on demographic variables, TMD clinical symptoms, and malocclusion classes were collected using the EUROTMJ database. The Chi-square test (χ2) identified associations, with their intensity measured by Cramér’s V (φc). Results: The study included 1170 patients (932 females and 238 males), with a mean age of 41.73 ± 16.80 years. Most patients exhibited Angle Class I malocclusion (85.5%), followed by Angle Class II (13.5%) and Angle Class III (1.1%). Class II malocclusion was associated with increased TMD severity (p < 0.001), higher myalgia levels (p = 0.002), more frequent disc displacement without reduction (p = 0.002) and lower maximum mouth opening values (Class II: 38.13 ± 7.78 mm, Class I: 39.93 ± 8.67 mm). Significant associations were also found between malocclusion type and arthralgia (p = 0.021), mouth-opening limitation (p = 0.016), and TMJ crepitus (p = 0.017). In cases of malocclusion, the presence of oral signs of bruxism explained the degree of myalgia, disc displacement, and severity (p = 0.003; p = 0.048; p = 0.045). Conclusions: This study highlights that (1) the most common type of dental malocclusion in TMD patients was Class I; (2) Class II malocclusion was associated with increased TMD severity and oral signs of bruxism; and (3) Class III was rarely observed in TMD consultation. The findings suggest that bruxism behavior in cases of malocclusion may be significant in TMD.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationÂngelo, D. F., Teixeira, M. C. F., Maffia,F., Sanz, D., Sarkis, M., Marques, R., Mota, B., São João, R. & Cardoso, H. J. (2024). Association of malocclusion with temporomandibular disorders:a cross-sectional study. Journal of Clinical Medicine 13 (16). https://doi.org/10.3390/jcm13164909pt_PT
dc.identifier.doi10.3390/jcm13164909pt_PT
dc.identifier.issn2077-0383
dc.identifier.urihttp://hdl.handle.net/10400.15/4944
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherMDPIpt_PT
dc.relation.publisherversionhttps://www.mdpi.com/2077-0383/13/16/4909pt_PT
dc.subjectTemporomandibular disorderspt_PT
dc.subjectDental occlusionpt_PT
dc.subjectBruxismpt_PT
dc.subjectMalocclusionpt_PT
dc.titleAssociation of malocclusion with temporomandibular disorders:a cross-sectional studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue16pt_PT
oaire.citation.titleJournal of Clinical Medicinept_PT
oaire.citation.volume13pt_PT
person.familyNameSão João
person.givenNameRicardo
person.identifier.ciencia-id8E1B-AFBF-E940
person.identifier.orcid0000-0003-3137-0891
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication7501922f-cbe1-4a1b-8bd6-21c777f269e2
relation.isAuthorOfPublication.latestForDiscovery7501922f-cbe1-4a1b-8bd6-21c777f269e2

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