Jaw Pain Prevalence Among French-speaking Canadians in Quebec and Related Symptoms of Temporomandibular Disorders

Abstract

The purpose of this study was to assess the prevalence and pattern of self-reported TMD jaw pain in a randomized stratified sample from the general population living in the Province of Quebec, Canada. Through a telephone survey, standardized questions were asked to 897 French-speaking respondents, aged 18 years old and over, regarding frequency, severity, daily pattern of jaw pain, presence of difficulty in opening, joint clicking, and sleeping problems. All prevalence estimates were adjusted to the sociodemographic distribution of the non-institutionalized population. The results indicate that TMD jaw pain is self-reported by 30% of the general population; however, the prevalence of cases reporting frequent episodes (quite often or very often) is estimated at 7%, with more than two-thirds (69%) of the respondents in this subgroup experiencing moderate to severe pain. The prevalence rates of frequent difficulty in opening and joint clicking were estimated at 9% and 4%, respectively. Approximately one in four subjects with frequent episodes of jaw pain also reported frequent joint clicking or difficulty in opening, and a strong association (Gamma coefficient > 0.6) was found among all three TMD symptoms. Our data suggest that the prevalence of clinically significant TMDrelated jaw pain (frequent jaw pain of moderate to severe intensity) is approximately 5% in the general population of the Province of Quebec. In the nine months preceding the survey, about 2% of the total population sought treatment for a TMD symptom.

Keywords

jaw pain epidemiologic survey TMD symptoms prevalence

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References

Agerberg G. , Bergenholtz A. (1989). Craniomandibular disorders in adult populations of West Bothnia, Sweden. Acta Odontol Scand 47:129-140.

Agerberg G. , Carlsson GE (1975). Symptoms of functional disturbances of the masticatory system. Acta Odontol Scand 33:183-190.

Agerberg G. , Inkapool I. (1990). Craniomandibular disorders in an urban Swedish population. J Craniomandib Dis Fac Oral Pain 4:154-164.

Agresti A. (1984). Analysis of ordinal categorical data. New York: J. Wiley & Sons, pp. 156-163.

Burch JG (1983). The President's conference on the examination, diagnosis, and management of temporomandibular disorders. Gale EN , Rugh J , Neff P , Alling C , Ayer WA , editors. Chicago: pp. 51-56.

Bush FM , Harkins SW , Harrington WG , Price DD (1993). Analysis of gender effects on pain perception and symptom presentation in temporomandibular pain. Pain 53:73-80. Dao TTT , Lund JP , Lavigne GJ (1994). Comparison of pain and quality of life in bruxers and patients with myofascial pain of the masticatory muscles. J Orofac Pain 8:350-353.

De Kanter Rjam , Truin GJ , Burgersdijk RCW , Van 'T Hof MA , Battistuzzi Pgfcm , Kalsbeek H. , et al. (1993). Prevalence in the Dutch population and a meta-analysis of signs and symptoms of temporomandibular disorder. J Dent Res 72:1509-1518.

Duckro PN , Tait RC , Margolis RB , Deshields TL (1990).

Prevalence of temporomandibular symptoms in a large United States metropolitan area. Cranio 8:131-138.

10.

Dworkin SF , LeResche L. (1992). Research diagnostic criteria for temporomandibular disorders. J Craniomandib Dis 6:301-355. Dworkin SF , LeResche L. (1993). Temporomandibular disorder pain: Epidemiologic data. APS Bull 3(2):12-13.

11.

Dworkin SF , Massoth DL (1994). Temporomandibular disorders and chronic pain: Disease or illness? J Prosthet Dent 72:29-38. Dworkin SF , Huggins KH , LeResche L. , Von Korff M. , Howard J. , Truelove E. , et al. (1990). Epidemiology of signs and symptoms in temporomandibular disorders: Clinical signs in cases and controls. J Am Dent Assoc 120:273-281.

12.

Feine JS , Lavigne GJ (1994). The challenge of measuring the efficacy of treatment of chronic trigeminal myofascial pain. In: Biological and psychological aspects of orofacial pain. Stohler CS , Carlson DS , editors. Ann Arbor, MI: Center for Human Growth and Development, University of Michigan, pp. 113-132.

13.

Glass E. , McGlynn F. , Glaros A. , Melton K. , Romans K. (1993). Prevalence of temporomandibular disorder symptoms in a major metropolitan area. J Craniomandib Pract 11:217-220. Goulet J-P. , Lund JP , Montplaisir J. , Lavigne GJ (1993). Daily clenching, nocturnal bruxism, stress and their association with TMD symptoms. J Orofac Pain 7:120.

14.

Jensen R. , Rasmussen BK , Pedersen B. , Lous I. , Olesen J. (1993). Prevalence of oromandibular dysfunction in a general population. J Orofac Pain 7:175-182.

15.

Lipton JA , Ship JA , Larach-Robinson D. (1993). Estimated prevalence and distribution of reported orofacial pain in the United States. J Am Dent Assoc 124:115-121.

16.

Locker D. , Grushka M. (1987). Prevalence of oral and facial pain and discomfort: preliminary results of a mail survey. Community Dent Oral Epidemiol 15:169-172.

17.

Locker D. , Slade G. (1988). Prevalence of symptoms associated with temporomandibular disorders in a Canadian population. Community Dent Oral Epidemiol 16:310-313. Pöllmann L. (1993). Sounds produced by the mandibular joint in a sample of healthy workers. J Orofac Pain 7:359-361. Salonen L. , Hellden L. , Carlsson GE (1990). Prevalence of signs and symptoms of dysfunction in the masticatory system: An epidemiologic study in an adult Swedish population. J Craniomandib Disord 4:241-250.

18.

Solberg WK (1986). Temporomandibular disorders: Data collection and examination. Br Dent J 160:317-322. Swanljung O. , Rantanen T. (1979). Functional disorders of the masticatory system in Southwest Finland. Community Dent Oral Epidemiol 7:177-182.

19.

Szentpetery A. , Huhn E. , Fazekas A. (1986). Prevalence of mandibular dysfunction in an urban population in Hungary. Community Dent Oral Epidemiol 14:177-180.

20.

Turk DC , Rudy TE ( 1990). The robustness of an empirically derived taxonomy of chronic pain patients. Pain 43:27-35. Von Korff M. , Dworkin SF , LeResche L. , Kruger A. (1988a). An epidemiologic comparison of pain complaints . Pain 32:173-183. Von Korff M. , Dworkin SF , LeResche L. , Kruger A. (1988b). Epidemiology of temporomandibular disorders. II. TMD pain compared to other common pain sites. In: Proceedings of the Vth World Congress on Pain. Dubner R, Gebhart GF, Bond MR, editors. Elsevier Science Publisher BV, pp. 506-511. Von Korff M. , Ormel J. , Keefe FJ , Dworkin SF (1992). Grading the severity of chronic pain. Pain 50:133-149.