Predictive Value of Combined Clinically Diagnosed Bruxism and Occlusal Features For TMJ Pain
- 1 April 2010
- journal article
- research article
- Published by Maney Publishing in Cranio®
- Vol. 28 (2), 105-113
- https://doi.org/10.1179/crn.2010.015
Abstract
Several works showed a decreased role for occlusion in the etiology of temporomandibular disorders (TMD). Nonetheless, it may be hypothesized that occlusion acts as a modulator through which bruxism activities may cause damage to the stomatognathic structures. To test this hypothesis, a logistic regression model was created with the inclusion of clinically diagnosed bruxism and eight occlusal features as potential predictors for temporomandibular joint (TMJ) pain in a sample of 276 consecutive TMD patients. The final logit showed that the percentage of the total log likelihood for TMJ pain explained by the significant factors was small and amounted to 13.2%, with unacceptable levels of sensitivity (16.4%). The parameters overbite ≥ 4 mm combined with clinically diagnosed bruxism [OR (odds ratio) 4.62], overjet ≥ 5 mm (OR 2.83), and asymmetrical molar relationship combined with clinically diagnosed bruxism (OR 2.77) were those with the highest odds for disease, even though none of those values was significant with respect to confidence intervals. Thus, the hypothesis under evaluation has to be rejected. It is possible that future studies with a higher discriminatory power for the different bruxism activities might be indicated to get deeper into the analysis of the potential mechanisms through which occlusion may play a role, even if small, in the etiology of the different TMD.Keywords
This publication has 24 references indexed in Scilit:
- Subjective reactions to intervention with artificial interferences in subjects with and without a history of temporomandibular disordersActa Odontologica Scandinavica, 2006
- Review of aetiological concepts of temporomandibular pain disorders: towards a biopsychosocial model for integration of physical disorder factors with psychological and psychosocial illness impact factorsEuropean journal of pain, 2005
- Quantification of the relative risk of multiple occlusal variables for muscle disorders of the stomatognathic systemThe Journal of Prosthetic Dentistry, 2004
- Occlusion and Temporomandibular Disorders (TMD): Still Unsolved Question?Journal of Dental Research, 2002
- Risk Factors for Diagnostic Subgroups of Painful Temporomandibular Disorders (TMD)Journal of Dental Research, 2002
- Quantification and validation of predictive values of occlusal variables in temporomandibular disorders using a multifactorial analysisThe Journal of Prosthetic Dentistry, 2000
- Epidemiology of Temporomandibular Disorders: Implications for the Investigation of Etiologic FactorsCritical Reviews in Oral Biology & Medicine, 1997
- History and evolution of TMD conceptsOral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 1997
- The role of occlusal adjustment in the management of temporomandibular disordersOral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 1997
- A Multiple Logistic Regression Analysis of the Risk and Relative Odds of Temporomandibular Disorders as a Function of Common Occlusal FeaturesJournal of Dental Research, 1993