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TITLE:

CLINICAL CHARACTERISTICS OF TEMPOROMANDIBULAR DISORDERS AMONG CHILDREN

AUTHORS:

Dr. Iram Rashid, Dr Bilawal Nawaz, Dr Emaan Kamal

ABSTRACT:

Aim: This study was conducted to record the prevalence of signs and symptoms of temporomandibular disorders (TMD) and to compare the results with the results of other groups. Place and Duration: In the dental department of Punjab Dental Hospital, Lahore for one-year duration from March 2019 to March 2020. Methods: Data obtained from the TMD questionnaire and physical examination of signs and symptoms of TMD on 2,157 randomly selected children who presented to dental department. The sample was divided into three groups: 527 (251 men, 276 women) with primary, 1076 (522 men, 554 women) with mixed and 554 (272 men, 282 women) with permanent dentition. Results: Symptoms of TMD were found (19.1%), and the most common symptom of TMD was shared sounds (12.4%). Limited mouth opening (7.0%) was the second most common symptom. Pain in the muscles and the temporomandibular joint (TMJ), as well as deviations in the opening of the jaw, were rare. The sounds of the temporomandibular joints increased significantly with age (P <0.001). Parent-reported TMD symptoms were evident in (24.3%) of the questionnaires returned (1,338). The most common symptoms were chewing pain (12.4%) and headache (11.9%). The incidence of headache was found to increase from primary to permanent dentition (P <0-001). There was no difference between the sexes in the occurrence of any symptoms. Conclusion: Data obtained from the physical examination and questionnaire showed a high frequency of signs and symptoms of TMD in children. It has been concluded that the importance of screening for symptoms and signs of TMD should not be underestimated in the clinical evaluation of pediatric patients. Key words: signs, symptoms, temporomandibular joint disorders, children.

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