Korean J Orthod.  2019 May;49(3):181-187. 10.4041/kjod.2019.49.3.181.

Investigation of the association between orthodontic treatment and temporomandibular joint pain and dysfunction in the South Korean population

• Sim HY
• Kim HS
• Jung DU
• Lee H
• Han YS
• Han K
• Yun KI

• KMID: 2450227
• DOI: http://doi.org/10.4041/kjod.2019.49.3.181

Abstract

OBJECTIVE
This study investigated the relationship between orthodontic treatment and temporomandibular disorders (TMD) in South Korean population.
METHODS
This study obtained data from the 2012 Korean National Health and Nutrition Examination Survey. The final sample size was 5,567 participants who were ≥ 19 years of age. Logistic regression analysis was performed to evaluate the relationship between orthodontic treatment and TMD.
RESULTS
Participants who underwent orthodontic treatment showed higher educational level, lower body mass index, reduced chewing difficulty, and reduced speaking difficulty. The adjusted odds ratios (ORs) and their 95% confidence intervals (CIs) for orthodontic treatment and TMD were 1.614 (1.189-2.190), 1.573 (1.162-2.129) and 1.612 (1.182-2.196) after adjusting for age, sex and psychosocial factors. Adjusted ORs and their 95% CIs for orthodontic treatment and clicking were 1.778 (1.289-2.454), 1.742 (1.265-2.400) and 1.770 (1.280-2.449) after adjusting for confounding factors. However, temporomandibular joint pain and functional impairment was not associated with orthodontic treatment.
CONCLUSIONS
Temporomandibular joint pain and dysfunction was not associated with orthodontic treatment.

Keyword

Cross-sectional study; Orthodontic treatment; Temporomandibular disorders; Clicking

MeSH Terms

Body Mass Index
Cross-Sectional Studies
Logistic Models
Mastication
Nutrition Surveys
Odds Ratio
Psychology
Sample Size
Temporomandibular Joint Disorders
Temporomandibular Joint*

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