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Signs and symptoms of first-onset TMD and sociodemographic predictors of its development: the OPPERA prospective cohort study.

Publication ,  Journal Article
Slade, GD; Bair, E; Greenspan, JD; Dubner, R; Fillingim, RB; Diatchenko, L; Maixner, W; Knott, C; Ohrbach, R
Published in: J Pain
December 2013

UNLABELLED: Although cross-sectional studies of temporomandibular disorder (TMD) often report elevated prevalence in young women, they do not address the risk of its development. Here we evaluate sociodemographic predictors of TMD incidence in a community-based prospective cohort study of U.S. adults. Symptoms and pain-related disability in TMD cases are also described. People aged 18 to 44 years with no history of TMD were enrolled at 4 study sites when they completed questionnaires about sociodemographic characteristics. During the median 2.8-year follow-up period, 2,737 participants completed quarterly screening questionnaires. Those reporting symptoms were examined clinically and 260 had first-onset TMD. Additional questionnaires asked about severity and impact of their symptoms. Univariate and multivariable Cox regression models quantified associations between sociodemographic characteristics and TMD incidence. First-onset TMD developed in 3.9% of participants per annum, typically producing mild to moderate levels of pain and disability in cases. TMD incidence was positively associated with age, whereas females had only slightly greater incidence than males. Compared to whites, Asians had lower TMD incidence whereas African Americans had greater incidence, although the latter was attenuated somewhat after adjusting for satisfaction with socioeconomic circumstances. PERSPECTIVE: In this study of 18- to 44-year-olds, TMD developed at a higher rate than reported previously for similar age groups. TMD incidence was positively associated with age but weakly associated with gender, thereby differing from demographic patterns of prevalence found in some cross-sectional studies. Experiences related to aging merit investigation as etiologic influences on development of TMD.

Duke Scholars

Published In

J Pain

DOI

EISSN

1528-8447

Publication Date

December 2013

Volume

14

Issue

12 Suppl

Start / End Page

T20-32.e1-3

Location

United States

Related Subject Headings

  • Temporomandibular Joint Disorders
  • Risk Factors
  • Prospective Studies
  • Prevalence
  • Male
  • Incidence
  • Humans
  • Female
  • Anesthesiology
  • Age of Onset
 

Citation

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Slade, G. D., Bair, E., Greenspan, J. D., Dubner, R., Fillingim, R. B., Diatchenko, L., … Ohrbach, R. (2013). Signs and symptoms of first-onset TMD and sociodemographic predictors of its development: the OPPERA prospective cohort study. J Pain, 14(12 Suppl), T20-32.e1-3. https://doi.org/10.1016/j.jpain.2013.07.014
Slade, Gary D., Eric Bair, Joel D. Greenspan, Ronald Dubner, Roger B. Fillingim, Luda Diatchenko, William Maixner, Charles Knott, and Richard Ohrbach. “Signs and symptoms of first-onset TMD and sociodemographic predictors of its development: the OPPERA prospective cohort study.J Pain 14, no. 12 Suppl (December 2013): T20-32.e1-3. https://doi.org/10.1016/j.jpain.2013.07.014.
Slade GD, Bair E, Greenspan JD, Dubner R, Fillingim RB, Diatchenko L, et al. Signs and symptoms of first-onset TMD and sociodemographic predictors of its development: the OPPERA prospective cohort study. J Pain. 2013 Dec;14(12 Suppl):T20-32.e1-3.
Slade, Gary D., et al. “Signs and symptoms of first-onset TMD and sociodemographic predictors of its development: the OPPERA prospective cohort study.J Pain, vol. 14, no. 12 Suppl, Dec. 2013, pp. T20-32.e1-3. Pubmed, doi:10.1016/j.jpain.2013.07.014.
Slade GD, Bair E, Greenspan JD, Dubner R, Fillingim RB, Diatchenko L, Maixner W, Knott C, Ohrbach R. Signs and symptoms of first-onset TMD and sociodemographic predictors of its development: the OPPERA prospective cohort study. J Pain. 2013 Dec;14(12 Suppl):T20-32.e1–3.
Journal cover image

Published In

J Pain

DOI

EISSN

1528-8447

Publication Date

December 2013

Volume

14

Issue

12 Suppl

Start / End Page

T20-32.e1-3

Location

United States

Related Subject Headings

  • Temporomandibular Joint Disorders
  • Risk Factors
  • Prospective Studies
  • Prevalence
  • Male
  • Incidence
  • Humans
  • Female
  • Anesthesiology
  • Age of Onset