Ülkü Şermet Elbay1, Husniye Demirturk Kocasarac2, Mesut Elbay1, Can Kaya1, Ceren Uğurluel1, Canan Baydemir3. 1. Department of Pediatric Dentistry, Faculty of Dentistry, Kocaeli University, Kocaeli, Turkey. 2. Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Kocaeli University, Kocaeli, Turkey. 3. Department of Biostatistics and Medical Informatics, Faculty of Medicine, Kocaeli University, Kocaeli, Turkey.
Abstract
AIM: This study aimed: (i) to identify and compare the prevalence of temporomandibular disorders (TMDs) and oral parafunctions among children living in child-protection institutions (CLCPI) with children living with their parents (CLWP); (ii) to determine whether or not there is an association between oral parafunctions and TMDs; and (iii) to examine the possible impact of stress on TMDs. STUDY DESIGN: The study was conducted on a total of 385 children who were divided into two groups: the CLCPI group (n = 184); and the CLWP group (control, n = 201). All children 8-18 years of age and living in protective-care facilities in Kocaeli, Turkey, were included in this study in the CLCPI group. The CLWP control group comprised children of the same age as those in the CLCPI group, but those in the CLWP group were living with their families and were randomly selected from one primary school, one elementary school and one high school in Kocaeli, Turkey. Each child in the study completed a questionnaire and underwent a clinical examination. RESULTS: The overall prevalence of TMDs and oral parafunctions were higher in the CLCPI group than in the CLWP group (P < 0.05). The vast majority of participants reported at least one parafunction (CLCPI, n = 97.3%; CLWP, n = 93%). Problems related to family or friends were higher in the CLCPI group, whereas problems related to school lessons were higher in the CLWP group (P < 0.05). In both groups, positive associations were found between signs and symptoms of TMDs, oral parafunctions and stressful life events. CONCLUSION: The prevalence of signs and symptoms of TMDs and oral parafunctions differed significantly between CLCPI and CLWP groups, with children of the CLCPI group found to be significantly more prone to TMDs and oral parafunctions than children of the CLWP group.
AIM: This study aimed: (i) to identify and compare the prevalence of temporomandibular disorders (TMDs) and oral parafunctions among children living in child-protection institutions (CLCPI) with children living with their parents (CLWP); (ii) to determine whether or not there is an association between oral parafunctions and TMDs; and (iii) to examine the possible impact of stress on TMDs. STUDY DESIGN: The study was conducted on a total of 385 children who were divided into two groups: the CLCPI group (n = 184); and the CLWP group (control, n = 201). All children 8-18 years of age and living in protective-care facilities in Kocaeli, Turkey, were included in this study in the CLCPI group. The CLWP control group comprised children of the same age as those in the CLCPI group, but those in the CLWP group were living with their families and were randomly selected from one primary school, one elementary school and one high school in Kocaeli, Turkey. Each child in the study completed a questionnaire and underwent a clinical examination. RESULTS: The overall prevalence of TMDs and oral parafunctions were higher in the CLCPI group than in the CLWP group (P < 0.05). The vast majority of participants reported at least one parafunction (CLCPI, n = 97.3%; CLWP, n = 93%). Problems related to family or friends were higher in the CLCPI group, whereas problems related to school lessons were higher in the CLWP group (P < 0.05). In both groups, positive associations were found between signs and symptoms of TMDs, oral parafunctions and stressful life events. CONCLUSION: The prevalence of signs and symptoms of TMDs and oral parafunctions differed significantly between CLCPI and CLWP groups, with children of the CLCPI group found to be significantly more prone to TMDs and oral parafunctions than children of the CLWP group.
Authors: Beatriz Minghelli; Iara Cardoso; Melani Porfírio; Roberta Gonçalves; Sabina Cascalheiro; Vera Barreto; Andreia Soeiro; Leandro Almeida Journal: N Am J Med Sci Date: 2014-03