Assessment of Temporomandibular Disorders in Medical and Dental Students: Prevalence and Severity

Authors

  • Varqa Faraid Senior Registrar, Department of Oral Medicine, School of Dentistry, Shaheed Zulfiqar Ali Bhutto Medical University (SZABMU), Islamabad, Pakistan.
  • Nida Fatima Department of Oral Medicine, School of Dentistry, Shaheed Zulfiqar Ali Bhutto Medical University (SZABMU), Islamabad, Pakistan.
  • Asad Nawaz Department of Oral Medicine, School of Dentistry, Shaheed Zulfiqar Ali Bhutto Medical University (SZABMU), Islamabad, Pakistan.
  • Fazli Hamid Hazara institute of health and management sciences, Hazara, Pakistan
  • Arbab Mukhtar Department of Prosthodontics, School of Dentistry, Shaheed Zulfiqar Ali Bhutto Medical University (SZABMU), Islamabad, Pakistan.

DOI:

https://doi.org/10.65293/jbkcd.v1i01.9

Keywords:

Temporomandibular disorders, TMD, medical students, dental students, bruxism, stress, risk factor

Abstract

Objective: This study is to evaluate the prevalence, severity, and related risk factors of temporomandibular disorders (TMD) among medical and dental undergraduates.

Study Design: Cross-sectional study

Place and Duration of Study: Department of Oral Medicine, School of Dentistry, Shaheed Zulfiqar Ali Bhutto Medical University (SZABMU), Islamabad, Pakistan; from February 2021 to July 2022.

Methodology: The study was conducted with 700 undergraduate students (400 from medicine and 300 from dentistry), employing the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD). Demographic data, together with information on symptoms and risk factors (such as bruxism, stress, posture, and habits), were collected. A logistic regression analysis was performed to identify the primary determinants of TMD.

Results: The overall prevalence of TMD was 45.7%, with 12.9% displaying moderate symptoms and 5.7% displaying severe symptoms. The most frequently reported symptoms included jaw pain (78.1%), clicking sounds (56.3%), and limited mouth opening (37.5%). Regression analysis identified bruxism (OR = 2.85, p < 0.001), heightened stress (OR = 2.21, p < 0.001), previous jaw trauma (OR = 2.67, p < 0.001), and female gender (OR = 1.78, p = 0.003) as significant predictors of temporomandibular disorder (TMD). Suboptimal posture and regular gum chewing demonstrated fewer relationships.

Conclusion: TMD is prevalent among medical and dental students, with stress and bruxism as major contributing factors. Preventive strategies, including stress management and awareness programs, may mitigate the impact of TMD in this population.

Author Biography

Nida Fatima, Department of Oral Medicine, School of Dentistry, Shaheed Zulfiqar Ali Bhutto Medical University (SZABMU), Islamabad, Pakistan.

Corresponding Author: dr.nida2125@gmail.com

References

1. Nazir MA, Izhar F, Hassan S, Tanvir M, Nemat F, Ashraf MW, et al. Temporomandibular disorders among dental students in Pakistan: Assessment of prevalence, severity, and associated factors based on questionnaire. Scientifica (Cairo) [Internet]. 2023;2023:8895544. Available from: http://dx.doi.org/10.1155/2023/8895544

2. Khan MW, Zaigham AM. Prevalence and severity of temporomandibular disorders in medical/dental undergraduate students. J Pak Dent Assoc [Internet]. 2021;30(02):94–8. Available from: http://dx.doi.org/10.25301/jpda.302.94

3. Shamala A, Al-Dailami A, Al-Badany N, Al-Jawfi K, Hadi Y, Al-Hudaid A. Clinical evaluation of temporomandibular joint disorders among dental students at the University of science and technology, Sana’a, Yemen. Ind J Multidiscip Dent [Internet]. 2019;9(2):94. Available from: http://dx.doi.org/10.4103/ijmd.ijmd_52_19

4. Ghadirian H, Khami MR, Tabatabaei SN, Mirhashemi AH, Bahrami R. COVID-19 vaccination and psychological status of Iranian dental students. Front Public Health [Internet]. 2022;10:946408. Available from: http://dx.doi.org/10.3389/fpubh.2022.946408

5. Karthik R, Hafila MIF, Saravanan C, Vivek N, Priyadarsini P, Ashwath B. Assessing prevalence of temporomandibular disorders among university students: A questionnaire study. J Int Soc Prev Community Dent [Internet]. 2017;7(Suppl 1):S24–9. Available from: http://dx.doi.org/10.4103/jispcd.JISPCD_146_17

6. Alfawzan AA. An assessment of the prevalence and severity of temporomandibular disorders among undergraduate dental students at Qassim university. World J Dent [Internet]. 2020;11(2):134–8. Available from: http://dx.doi.org/10.5005/jp-journals-10015-1715

7. Zafar MS, Fareed WM, Taymour N, Khurshid Z, Khan AH. Self-reported frequency of temporomandibular disorders among undergraduate students at Taibah University. J Taibah Univ Med Sci [Internet]. 2017;12(6):517–22. Available from: http://dx.doi.org/10.1016/j.jtumed.2016.12.004

8. Al-Khotani A, Naimi-Akbar A, Albadawi E, Ernberg M, Hedenberg-Magnusson B, Christidis N. Prevalence of diagnosed temporomandibular disorders among Saudi Arabian children and adolescents. J Headache Pain [Internet]. 2016;17(1). Available from: http://dx.doi.org/10.1186/s10194-016-0642-9

9. Habib SR, Al Rifaiy MQ, Awan KH, Alsaif A, Alshalan A, Altokais Y. Prevalence and severity of temporomandibular disorders among university students in Riyadh. Saudi Dent J [Internet]. 2015;27(3):125–30. Available from: http://dx.doi.org/10.1016/j.sdentj.2014.11.009

10. Leissner O, Maulén-Yáñez M, Meeder-Bella W, León-Morales C, Vergara-Bruna E, González-Arriagada WA. Assessment of mandibular kinematics values and its relevance for the diagnosis of temporomandibular joint disorders. J Dent Sci [Internet]. 2021;16(1):241–8. Available from: http://dx.doi.org/10.1016/j.jds.2020.05.015

11. Umniyati H. The prevalence of Temporomandibular Disorder (TMD) and its severity among YARSI University Employees. J Dentomaxillofacial Sci [Internet]. 2020;5(2):82. Available from: http://dx.doi.org/10.15562/jdmfs.v5i2.1074

12. Shivamurthy PG, Kumari N, Sadaf A, Meghana MB, Azhar H, Sabrish S. Use of Fonseca’s Questionnaire to assess the prevalence and severity of Temporomandibular disorders among university students - a cross-sectional study. Dent. 2022;3000(1).

13. Ahmed H, Yasmeen S, Ishaque F, Naz A, Khan F, Iqbal S. Prevalence and associated factors of temporomandibular joint dysfunction among young adults in Karachi. Journal of Rawalpindi Medical College [Internet]. 2021;25(2):224–8. Available from: http://dx.doi.org/10.37939/jrmc.v25i2.1570

14. Rehman A, Raja IM, Ahmed S, Azeem SA, Iqbal S, Khan MI. Prevalence of Temporomandibular Disorders among Undergraduate Dental Students Using the Fonseca Questionnaire. Liaquat National Journal of Primary Care. 2023;5(2):87–91.

15. Jain S, Chourse S, Jain D. Prevalence and severity of temporomandibular disorders among the orthodontic patients using Fonseca’s questionnaire. Contemp Clin Dent [Internet]. 2018;9(1):31–4. Available from: http://dx.doi.org/10.4103/ccd.ccd_689_17

16. Görüş Z Ü. Evaluation of the relation between TMJ disorders and oral habits in the 1st year students at a faculty of dentistry: A questionnaire study. Harran Üniversitesi Tıp Fakültesi Dergisi. 2019;16:202–6.

17. Gulzar K, Islam F, Thakur AR, Shahzad S. Prevalence of TMJ pain associated with stress in undergraduate university students-A Cross sectional study: TMJ Pain Associated with Stress. Pakistan BioMedical Journal [Internet]. 2022; Available from: http://dx.doi.org/10.54393/pbmj.v5i4.315

18. Wallan Alahmary A. Association of temporomandibular disorder symptoms with anxiety and depression in saudi dental students. Open Access Maced. J Med Sci. 2019;7(23):4116–9.

19. Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet J-P, et al. Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for clinical and research applications: Recommendations of the international RDC/TMD consortium network* and orofacial pain special interest group. J Oral Facial Pain Headache [Internet]. 2014 Winter;28(1):6–27. Available from: http://dx.doi.org/10.11607/jop.1151

20. Shiau YY, Chang C. An epidemiological study of temporomandibular disorders in university students of Taiwan. Community Dent Oral Epidemiol [Internet]. 1992;20(1):43–7. Available from: http://dx.doi.org/10.1111/j.1600-0528.1992.tb00672.x

21. Vojdani M, Bahrani F, Ghadiri P. The study of relationship between reported temporomandibular symptoms and clinical dysfunction index among university students in Shiraz. Dent Res J (Isfahan) [Internet]. 2012;9(2):221–5. Available from: http://dx.doi.org/10.4103/1735-3327.95240

22. Pallegama RW, Ranasinghe AW, Weerasinghe VS, Sitheeque MAM. Anxiety and personality traits in patients with muscle related temporomandibular disorders. J Oral Rehabil [Internet]. 2005;32(10):701–7. Available from: http://dx.doi.org/10.1111/j.1365-2842.2005.01503.x

23. Lee J-Y, Kim Y-K, Kim S-G, Yun P-Y. Evaluation of Korean teenagers with temporomandibular joint disorders. J Korean Assoc Oral Maxillofac Surg [Internet]. 2013;39(5):231–7. Available from: http://dx.doi.org/10.5125/jkaoms.2013.39.5.231

24. Hiz O, Ediz L, Ozkan Y, Bora A. Clinical and magnetic resonance imaging findings of the temporomandibular joint in patients with rheumatoid arthritis. J Clin Med Res [Internet]. 2012;4(5):323–31. Available from: http://dx.doi.org/10.4021/jocmr1084w

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Published

2023-06-30

How to Cite

1.
Faraid V, Fatima N, Nawaz A, Fazli Hamid, Mukhtar A. Assessment of Temporomandibular Disorders in Medical and Dental Students: Prevalence and Severity. JBKCD [Internet]. 2023 Jun. 30 [cited 2026 May 20];1(01):40-6. Available from: https://jbkcd.bkcd.edu.pk/index.php/website/article/view/9

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