TY - JOUR
AU1 - Yap, Adrian Ujin
AU2 - Lei, Jie
AU3 - Fu, Kai Yan
AU4 - Kim, Seong Hae
AU5 - Lee, Byeong-min
AU6 - Park, Ji Woon
AB - ObjectivesThis study proposed a conceptual framework for reporting Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) Axis I conditions and investigated the prevalence of TMD subtypes/categories in patients from Confucian heritage cultures. Variances in gender, age, and TMD chronicity between Chinese (CN) and Korean (KR) patients were also explored.Materials and methodsSubjects were recruited from consecutive patients seeking care at two University-based centers in Beijing and Seoul. Eligible patients completed a demographic survey as well as the DC/TMD Symptom Questionnaire and were clinically examined according to the DC/TMD methodology. Axis I diagnoses were subsequently rendered with the DC/TMD algorithms and documented using the stratified reporting framework. Statistical evaluations were performed with chi-square, Mann–Whitney U tests, and logistic regression analysis (α = 0.05).ResultsData of 2008 TMD patients (mean age 34.8 ± 16.2 years) were appraised. Substantial differences in female-to-male ratio (CN > KR), age (KR > CN), and TMD duration (KR > CN) were observed. Ranked frequencies of the most common Axis I diagnoses were: CN – disc displacements (69.7%) > arthralgia (39.9%) > degenerative joint disease (36.7%); KR – disc displacements (81.0%) > myalgia (60.2%) > arthralgia (56.1%). Concerning TMD categories, notable differences in the prevalence of intra-articular (CN 55.1% > KR 15.4%) and combined (KR 71.8% > CN 33.4%) TMDs were discerned.ConclusionsThough culturally similar, the two countries require disparate TMD care planning/prioritization. While TMJ disorders in children/adolescents and young adults should be emphasized in China, the focus in Korea would be on TMD pain in young and middle-aged adults.Clinical relevanceBesides culture, other variables including socioeconomic, environmental, and psychosocial factors can influence the clinical presentation of TMDs. Chinese and Korean TMD patients exhibited significantly more intra-articular and combined TMDs respectively.
TI - DC/TMD Axis I diagnostic subtypes in TMD patients from Confucian heritage cultures: a stratified reporting framework
JF - Clinical Oral Investigations
DO - 10.1007/s00784-023-05067-2
DA - 2023-08-01
UR - https://www.deepdyve.com/lp/springer-journals/dc-tmd-axis-i-diagnostic-subtypes-in-tmd-patients-from-confucian-jt0xz1Z31A
SP - 4459
EP - 4470
VL - 27
IS - 8
DP - DeepDyve
ER -