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Temporomandibular clinical exploration in Italian adolescents
Authors:Simona Tecco  Alessandro Nota  Silvia Caruso  Jasmina Primozic  Giuseppe Marzo  Alberto Baldini
Institution:1. Dental School, Vita-Salute San Raffaele University , Milan, Italy;2. Dental School, Vita-Salute San Raffaele University , Milan, Italy;3. Department of Health, Life and Environmental Science, University of L’Aquila , L’Aquila, Italy;4. Department of Health, Life and Environmental Science, University of L’Aquila , L’Aquila, Italy;5. Department of Orthodontics, University of Ljubljana , Ljubljana, Slovenia
Abstract:Objective: This study investigated the prevalence of the signs and symptoms of temporomandibular disorders (TMD) among Italian adolescents.

Methods: The data were recorded from 567 subjects (246 males and 321 females; age range 11–19 years), grouped according to age and molar class relationship.

Results: Forty-four point one percent of subjects showed at least one sign or symptom of TMD, which were significantly more frequent in the 16–19 year-old group (52.9%) in respect to the 11–15 year-old group (39.8%) (χ 2 = 8.78; p = 0.003). Signs and/or symptoms were about 1.6 times more frequent in subjects with Class II/1 malocclusion (χ 2 = 13.3, p = 0.0003), mostly for TMJ sounds (χ 2 = 1.444; p = 0.036). Myalgia was more frequent in females than in males (χ 2 = 3.882; p = 0.049).

Conclusion: TMD signs and/or symptoms among Italian adolescents seem diffused (44.1%). Therefore, all adolescents should be screened thorough medical history and clinical examination.

Keywords:Temporomandibular joint disorders  clinical sign  subjective symptom  malocclusion  Angle classification  adolescent
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