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Prevalence of temporomandibular disorders and bruxism in seniors


Rauch, Angelika; Nitschke, Ina; Hahnel, Sebastian; Weber, Sophia; Zenthöfer, Andreas; Schierz, Oliver (2023). Prevalence of temporomandibular disorders and bruxism in seniors. Journal of Oral Rehabilitation, 50(7):531-536.

Abstract

Background
Information on the prevalence of temporomandibular disorders (TMD) or possible/probable bruxism in seniors is heterogeneous and sparse.

Objectives
To elucidate the prevalence of TMD and possible/probable bruxism in German adults aged 60 years and older.

Methods
Participants of the Interdisciplinary Longitudinal Study of Adult Development and Aging (ILSE) born between 1950–1952 (C1) and 1930–1932 (C2) were examined in 2014–2016 (fourth wave). The participants were surveyed and clinically examined by one calibrated examiner. Two questions of the Patient Health Questionnaire (PHQ) were utilised to evaluate self‐reported bruxism. The clinical examination included signs of probable bruxism and the RDC/TMD examination protocol.

Results
Data from 191 participants were available. No RDC/TMD diagnosis was made in 83.2%. Of the participants, 15.2% received a single diagnosis and 1.6% multiple diagnoses that included disc displacements (9.4%) and degenerative joint diseases (8.9%). A total of 24.7% reported bruxism that included self‐reported awake bruxism in 11.9% and sleep bruxism in 16.2%. Wear was clinically identified in 27.2% of the participants. No sex‐related differences were observed. Significant differences were detected for probable bruxism between C1 (14.1%) and C2 (54.3%).

Conclusion
In the German population aged 60 years and older, the prevalence of TMD is 16.8%. TMD is characterised by temporomandibular joint disorders, including disc displacements and degenerative joint disorders. Bruxism was observed in a quarter of the old population.

Abstract

Background
Information on the prevalence of temporomandibular disorders (TMD) or possible/probable bruxism in seniors is heterogeneous and sparse.

Objectives
To elucidate the prevalence of TMD and possible/probable bruxism in German adults aged 60 years and older.

Methods
Participants of the Interdisciplinary Longitudinal Study of Adult Development and Aging (ILSE) born between 1950–1952 (C1) and 1930–1932 (C2) were examined in 2014–2016 (fourth wave). The participants were surveyed and clinically examined by one calibrated examiner. Two questions of the Patient Health Questionnaire (PHQ) were utilised to evaluate self‐reported bruxism. The clinical examination included signs of probable bruxism and the RDC/TMD examination protocol.

Results
Data from 191 participants were available. No RDC/TMD diagnosis was made in 83.2%. Of the participants, 15.2% received a single diagnosis and 1.6% multiple diagnoses that included disc displacements (9.4%) and degenerative joint diseases (8.9%). A total of 24.7% reported bruxism that included self‐reported awake bruxism in 11.9% and sleep bruxism in 16.2%. Wear was clinically identified in 27.2% of the participants. No sex‐related differences were observed. Significant differences were detected for probable bruxism between C1 (14.1%) and C2 (54.3%).

Conclusion
In the German population aged 60 years and older, the prevalence of TMD is 16.8%. TMD is characterised by temporomandibular joint disorders, including disc displacements and degenerative joint disorders. Bruxism was observed in a quarter of the old population.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Center for Dental Medicine > Klinik für Allgemein-, Behinderten- und Seniorenzahnmedizin
Dewey Decimal Classification:610 Medicine & health
Scopus Subject Areas:Health Sciences > General Dentistry
Uncontrolled Keywords:General Dentistry
Language:English
Date:July 2023
Deposited On:10 Jan 2024 16:38
Last Modified:30 Apr 2024 01:46
Publisher:Wiley-Blackwell Publishing, Inc.
ISSN:0305-182X
Additional Information:This is the peer reviewed version of the following article: [Rauch, Angelika; Nitschke, Ina; Hahnel, Sebastian; Weber, Sophia; Zenthöfer, Andreas; Schierz, Oliver (2023). Prevalence of temporomandibular disorders and bruxism in seniors. Journal of Oral Rehabilitation, 50(7):531-536, which has been published in final form at https://doi.org/ 10.1111/joor.13450. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. (http://www.wileyauthors.com/self-archiving)
OA Status:Hybrid
Free access at:Publisher DOI. An embargo period may apply.
Publisher DOI:https://doi.org/10.1111/joor.13450
PubMed ID:36939428
Project Information:
  • : FunderBundesministerium für Familie, Senioren, Frauen und Jugend
  • : Grant ID
  • : Project Title
  • : FunderDietmar Hopp Stiftung
  • : Grant ID
  • : Project Title
  • Content: Published Version
  • Language: English
  • Licence: Creative Commons: Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)