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) 15189306Carlsson/2004135 15-year old patients with TMD, of which 103 were followed up on after 10 years, and 114 after 20 yearsCohort Study
Key resultsSubjects 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: 01/07/2010spacer
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
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Comments on the CAT
(FOR PRACTICING DENTISTS' and/or FACULTY 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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