Prevalence of the Signs and Symptoms of TMD in Adolescents

Study Overview
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Brief Summary
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the Prevalence of the Signs and Symptoms of Tempro-mandibular Joint Disorder in a sample of Egyptian adolescents

Detailed Description
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Our study is observational cross sectional study to evaluate the prevalence ofTempro-mandibular Joint Disorder( TMDs) in Egyptian adolescents based on Diagnostic Criteria for Tempro-mandibular Disorders(DC/TMD) .The following examinationwill be done for each patient and recorded in his/her chart: Include maximal mandibular opening capacity, joint noises, deviation of mandible during opening and closing, tenderness of the TMJ and masticatory muscles, headache and pain in TMJ area. All clinical examinations will be carried out by one investigator. Examination of TMJ disorders include the following aspects: I) Examination of TMJ sounds (clicking and crepitus) using a stethoscope over the TMJ area and by having the patient open and close the mouth. II) Associated muscle disorders will be determined by: palpation of TMJ area. digital palpation and functional manipulation of the masticatory muscles according to Okeson.

Official Title
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Prevalence of the Signs and Symptoms of Tempro-mandibular Joint Disorder in a Sample of Egyptian Adolescents According to Diagnostic Criteria for Tempro-mandibular Disorders(DC/TMD):A Cross Sectional Study

Conditions
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TMJ Disorder, TMD

Intervention / Treatment
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* Diagnostic Test: Diagnostic Criteria for Tempro-mandibular Disorders(DC/TMD)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adolescents(age range10-18 years old). A well-defined dentalCl I, Cl II/1, Cl II/2, and Cl III relationship (Angle Classification). Mixed and permanent dentition. Both sexes. Normal skeletal pattern Exclusion Criteria: Adolescents with syndromes. Systemic diseases affecting bones. Adolescents with rheumatoid arthritis. Previous trauma in the face. Neurological disorders. Psychiatric disorders. Neoplasia. Adolescents who had received orthodontic treatment.

Ages Eligible for Study
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Minimum Age: 10 Years
Maximum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Diagnostic Test: Diagnostic Criteria for Tempro-mandibular Disorders(DC/TMD)|diagnostic sheet include questions to be answered by the patients and others include examinations will be done by the investigator|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| TMD | adolescents diagnosed positively for any TMD subtype (overall TMD) by DC/TMD. | at the time of examination of each participant | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Myofacial pain | pain in each muscle of mastication will be recorded | at the time of examination of each participant | 
| mouth opening | limitation of mouth opening and pain during such movement | at the time of examination of each participant | 
| TMJ noises | Clicking and crepitus in tempro-mandibular joint | at the time of examination of each participant |