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The Prevalence of Clinical Diagnostic Groups in Patients with Temporomandibular Disorders

Luciana Pimenta e Silva Machado, D.D.S.; Cláudio de Góis Nery, D.D.S., M.Sc., Ph.D.; Cláudio Rodrigues Leles, D.D.S., M.Sc., Ph.D.; Marianita Batista de Macedo Nery, D.D.S.; Jeffrey P. Okeson, D.M.D.

Volume 27 Issue 3 July 2009

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Abstract:

The aim of this study was to observe the prevalence of diagnostic groups of temporomandibular disorders (TMD) in patients who were referred or sought treatment for TMD and/or orofacial pain in a private clinic. The clinical records of 357 patients were evaluated and selected based on inclusion/exclusion criteria; the mean age was 32 years. A clinical examination was performed and the diagnosis was based on the American Academy of Orofacial Pain criteria. Results showed that 86.8% of patients were women and 93.3% of the patients presented more than one diagnosis. The most frequent chief complaint (n=216, c2= 30.68, p=0.001) and total diagnosis realized (n= 748, c2=14.14, p=0.001) were muscle related. We concluded that women seek treatment for dysfunction/disorders of orofacial structures more than men do; patients seeking specialized treatment have more than one diagnosis and muscle dysfunction is more prevalent than intra-articular disorders.

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