Clinical Findings of Temporomandibular Joint Disc Displacement with Reduction in Children and Adolescents

Abstract

Objective: Recent studies have shown that temporomandibular joint (TMJ) disc displacement with reduction (DDwR) frequently affects children and adolescents. Although it is noted that the incidence of TMJ disorders increases with age in young individuals, there is no study comparing symptoms across different age groups. This study aims to evaluate whether there is a difference in symptoms observed in the childhood and adolescent periods in terms of TMJ DDwR. Materials and Methods: The study included 43 individuals with TMJ DDwR aged 9-16 . Patients were divided into two groups, consisting of ages 9-12 (n:14) and 13-16 (n:29). The diagnosis of DDwR was made using a combination of clinical examination and, when necessary, imaging methods. Demographic data, diseased joints, sleep bruxism (SB), pain (Visual analog scale (VAS), and maximum mouth opening (MMO) were assessed in clinical examination findings. Results: Between the groups; the gender distribution is similar, and there is no statistical difference (p= 0.058). There is no difference in terms of the DDwR side (p= 0.287) and SB between the groups (p= 0.058). No relationship was found between age and pain scores (r= 0.083). When VAS and MMO values were compared between the groups, no statistically significant difference was found (p=0.127 and p=0.062) Conclusion: TMJ DDwR symptoms appear to be similar in children and adolescents. Early diagnosis of symptoms in children and adolescents will help prevent the progression of the condition.

Keywords

• Adolescents
• children
• prevalence
• temporomandibular disorders

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