Title	Professional School Students Are Less Likely To Have TMD Pain Than Undergraduate Students Shown in a Study of Saudi Arabian Women
Clinical Question	Are students in college or professional school more likely to have TMD pain than undergraduate students?
Clinical Bottom Line	Are students in college or professional school more likely to have TMD pain than undergraduate students?
Best Evidence
PubMed ID Author / Year Patient Group Study type (level of evidence) 9888230 Zulgamin/1998 705 female university students of Riyadh, Saudi Arabia Meta-analysis Key results Responses showed that professional students had less TMD pain and were clinically significant for jaw noise (P<0.05), pain in the front of the ear (P<0.05), tooth grinding (P<0.05), menstrual periods affecting pain (P<0.001), and chewing habits affecting pain (P<0.001).
Evidence Search	temporomandibular[All Fields] AND ("pain"[MeSH Terms] OR "pain"[All Fields]) AND college[All Fields] AND ("students"[MeSH Terms] OR "students"[All Fields])
Comments on The Evidence	705 female university students were analyzed and their temporomandibular dysfunction symptoms were recorded. The gold standard that was used is acceptable and was measured blind to the target test. I believe an adequate spectrum of disease severity was questioned and the gold standard was used on all patients. There were no competing interests. A meta-analysis of 705 patients was done showing the evidence to be of high quality.
Applicability	This study was done on all female university students in Riyadh, Saudi Arabia. This study shows that undergraduate students should be screened for TMD issues more often than graduate/professional school students because they are more likely to have TMD issues. The applicability of this study is limited by the sample that was used.
Specialty	(General Dentistry) (Dental Hygiene)
Keywords	TMD, Pain, College Students
ID#	2453
Date of submission	03/12/2013
E-mail	fortryanm@gmail.com; fort@livemail.uthscsa.edu
Author	Ryan M. Fort
Co-author(s)
Co-author(s) e-mail
Faculty mentor	Edward F. Wright, DDS, MS
Faculty mentor 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?) None available
Comments and Evidence-Based Updates on the CAT (FOR PRACTICING DENTISTS', FACULTY, RESIDENTS and/or STUDENTS COMMENTS ON PUBLISHED CATs) None available