ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM
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| Title |
Young Patients Showing Signs And Symptoms Of Bruxism Are More Likely To Demand TMD Treatment In Adulthood |
| Clinical Question |
Will children with severe bruxism tend to become adults with TMD? |
| Clinical Bottom Line |
Those who report tooth grinding when they are young are more likely to demand TMD treatment in the next 20 years. (See Comments on the CAT below) |
| Best Evidence |
(you may view more info by clicking on the PubMed ID link) |
| PubMed ID |
Author / Year |
Patient Group |
Study type
(level of evidence) |
| #1) 15189306 | Carlsson/2004 | 135 15-year old patients with TMD, of which 103 were followed up on after 10 years, and 114 after 20 years | Cohort Study | | Key results | Subjects were five times more likely to demand TMD treatment if they reported tooth grinding at age 15. | |
| Evidence Search |
"Bruxism"[Mesh] AND predictor |
Comments on
The Evidence |
"the positive predictive value was low whereas the negative predictive value was high (90%)." |
| Applicability |
Children that show signs and symptoms of bruxism. |
| Specialty/Discipline |
(General Dentistry) |
| Keywords |
Bruxism, temporomandibular joint disorders, children, adolescent, predictor, TMD
|
| ID# |
492 |
| Date of submission: |
01/07/2010 |
| E-mail |
riggsc@livemail.uthscsa.edu |
| Author |
Steven Garlick |
| Co-author(s) |
Chad Riggs |
| Co-author(s) e-mail |
|
| Faculty mentor/Co-author |
Edward F. Wright, DDS, MS |
| Faculty mentor/Co-author e-mail |
WrightE2@uthscsa.edu |
Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?) |
post a rationale |
| None available | |
|
Comments and Evidence-Based Updates on the CAT
(FOR PRACTICING DENTISTS', FACULTY, RESIDENTS and/or STUDENTS COMMENTS ON PUBLISHED CATs) |
post a comment |
by Kyle Halberstadt (San Antonio, Texas) on 04/13/2012
There are a series of articles published by Carlsson on this 20-year study. This is not the most recent of the publications, but it does appear to be the most accurate in addressing bruxism specifically as a predictor of TMD. | |
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