A retrospective analysis of temporomandibular findings among Israeli-born patients based on the RDC/TMD

E. Winocur, M. Steinkeller-Dekel, S. Reiter, I. Eli

Research output: Contribution to journalArticlepeer-review

Abstract

The purpose of this study was to evaluate temporomandibular disorders (TMD) Axis I and II among Israeli-Jewish patients using the Hebrew version of the Research Diagnostic Criteria (RDC) for TMD and to compare the results with Swedish, United States, Asian and Israeli-Arab populations. The study consisted of 298 Israeli-born, Jewish patients (male/female ratio 3·5:1), arriving at an Orofacial Pain Clinic during the year 2001-2004. A complete clinical examination was carried out according to the RDC/TMD protocol. Axis I diagnoses: 65% of the Israeli-Jewish patients exhibited myofacial pain (Group I disorder), 38% disc displacement (Group II disorder) and 18% arthralgia, osteoarthritis or osteoarthrosis (Group III disorder). Axis II diagnoses: 20% of the patients scored severe depression and 35% scored somatization. Pain was reported in 82% of the patients (mean pain duration 35·7-33·8 months for women, 44·1 for men). Patients had an average disability score of 30·0 ± 30·2. Chronic pain grade IV was present in 4% of the patients. Israeli-Jewish temporomandibular disorder patients showed results similar to those reported for other countries, further supporting the use of the RDC/TMD internationally as a reliable epidemiological tool. Globally, Axis I scores were similar, while Axis II scores were more susceptible to geographic/ethnic differences. Gender can influence Axis I and Axis II as well as possible gender specific association with socio-economic status. In future comparisons, men and women should be considered separately.

Original languageEnglish
Pages (from-to)11-17
Number of pages7
JournalJournal of Oral Rehabilitation
Volume36
Issue number1
DOIs
StatePublished - Jan 2009

Keywords

  • Clinical epidemiology
  • Cross-cultural adaptation
  • Psychosocial
  • Research diagnostic criteria for temporomandibular disorders
  • Socio-economic status

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