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Characteristics and Treatment of Temporomandibular Disorder in Children and Adolescents: An Analytic Review
J Oral Med Pain 2017;42:89-101
Published online December 30, 2017
© 2017 Korean Academy of Orofacial Pain and Oral Medicine

Hyung-Seok Park1, Yong-Woo Ahn1,2, Sung-Hee Jeong1,2, Hye-Mi Jeon3, Soo-Min Ok1,2

1Department of Oral Medicine, Institute of Translational Dental Sciences, Pusan National University, Yangsan, Korea
2Dental Research Institute, Pusan National University Dental Hospital, Yangsan, Korea
3Dental Clinic Center, Pusan National University Hospital, Busan, Korea
Correspondence to: Soo-Min Ok
Department of Oral Medicine, Pusan National University, School of Dentistry, 49 Busandaehak-ro, Mulgeum-eup, Yangsan 50612, Korea
Tel: +82-55-360-5243
Fax: +82-51-510-8241
E-mail: oksoomin@pusan.ac.kr
Received September 20, 2017; Revised December 19, 2017; Accepted December 20, 2017.
This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Purpose: The purpose of this study is to investigate the prevalence of temporomandibular disorders (TMDs) in children and adolescents, their characteristic contributing factors, the characteristic features of symptoms and symptoms, and the response to treatment.
Methods: We studied the researches, that were the results of the searches for words such as temporomandibular disorder, TMD, children, adolescents, and juvenile through PubMed and DBpia.
Results: According to a study conducted in Busan, the ratio of adolescents increased from 18.3% to 21% in 2008 compared to 2000, and the proportion of boys increased from 38.58% to 45.38%. One of the characteristic contributing factors for adolescents is the macrotrauma such as jaw trauma, vehicle accidents, sports, physical abuse, forceful intubation, and third molar extraction. The second is a microtrauma from parafunctional habit such as bruxism, clenching, hyperextension, wind instrument, and fingernail biting that can cause joint overload, cartilage breakdown, synovial fluid alterations, and other changes within the joint. The diagnosis of TMDs in juvenile adolescents is not significantly different from that of adults. Medical history, clinical examination and radiological examinations are required.
Conclusions: In the temporomandibular joint history and assessment, all comprehensive dental history examination is required, including head and neck pain, mandibular dysfunction, previous orofacial trauma, history of present illness with an account of current symptoms. For the treatment and management of temporomandibular arthritis in juvenile adolescents, understanding the characteristics of TMDs in juvenile adolescents and thoroughly analyzing appropriate diagnosis and possible contributing factors through comprehensive history taking & examination, conservative treatment, including fast and active cautions education, will be essential.
Keywords : Adolescent; Children; Juvenile; Temporomandibular disorder; TMD


September 2018, 43 (3)