Journal of Indian Academy of Oral Medicine and Radiology (Jan 2021)

Evaluation of dentition status and temporomandibular joint disorders in patients with chronic neck and/or back pain – A cross-sectional study

  • Pradnya Chandanshive,
  • Avinash Kshar,
  • Raghavendra Byakodi,
  • Arati Paranjpe,
  • Sunil Awale,
  • Manish Kumar Shete

DOI
https://doi.org/10.4103/jiaomr.jiaomr_146_21
Journal volume & issue
Vol. 33, no. 4
pp. 414 – 420

Abstract

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Background: The stomatognathic system (SS) is a functional unit of the body formed by the orofacial structures, together with peripheral sensory and motor neuronal connections to perform different functions like mastication, speech, and deglutition. Stomatognathic system consists of skeletal components (maxilla and mandible), dental both maxillary and mandibular arches, soft tissue (salivary glands, their nervous and vascular supplies), and temporomandibular system, that is, temporomandibular joints (TMJ; which connects the mandible to the base of the skull), muscles of mastication and their ligaments and nerves (III, IV, V, XI) which regulates and co-ordinates all its structures. The stomatognathic system also plays an important role in postural control. In balance of imbalance stomatognathic system components such as occlusion may cause temporomandibular joint disorder (TMD), TMDs may affect neck and back muscles. Aims and Objectives: To evaluate the dentition status and TMDs in patients with chronic neck and/or back pain and to correlate dentition status and TMDs in both neck and back pain patients. Material and Methods: A cross-sectional study was carried out on 300 patients. Patients were selected according to inclusion and exclusion criteria. Findings were noted in specialized case history proforma. Results: Out of 300 patients, 116 (38.67%) were males and 184 (61.33) were females. The mean age of patients referred for the study was 38.09 years. The most common dental finding in both chronic neck and/or back pain patients was flat curve of Wilson's (90%) whereas the least finding found was Grade III tooth mobility (0.04 ± 0.31 teeth). In TMDs most common finding was deviation of jaw (79.3% in neck and 100% in back pain) whereas the least finding found was deflection of jaw (50% in neck and 48.2% in back pain). Statistical analysis: The result was found highly significant (p-value <0.05). Conclusion: There was an association between disturbed dentition status, temporomandibular joint disorders, chronic neck and back pain.

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