Prevalence and Types of Temporomandibular Disorders in Mexican Children Aged 7 to 11 Years

Main Article Content

Irene Aurora Espinosa-de-Santillana
https://orcid.org/0000-0002-9055-2460
Nancy Paloma Navarrete-Flores
https://orcid.org/0009-0003-4087-4167
Gerardo Aragón-Villalba
https://orcid.org/0009-0008-8103-0389
Gabriel Muñoz-Quintana
https://orcid.org/0000-0001-7606-4359
Adriana María Martínez-Hernández
https://orcid.org/0000-0002-1593-0599
Gisela Nataly Rubín-de-Celis-Quintana
https://orcid.org/0000-0001-6906-5388

Abstract

Introduction: The prevalence of Temporomandibular Disorders (TMD) in children and adolescents, diagnosed according to the DC/TMD, ranges globally from 7.3% to 30.4%. Objective: To determine the prevalence and types of temporomandibular disorders using a validated and adapted instrument for the pediatric population in Mexican patients. Material and Methods: A descriptive observational study was conducted with 26 children aged between 7 and 11 years who attended the pediatric dentistry teaching clinic in Mexico. After obtaining informed consent and assent, participants were evaluated using the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) modified by Restrepo et al. in 2020. A standardized investigator (Kappa = 0.72) performed the evaluation. The obtained results were analyzed using descriptive statistics with SPSS. Additionally, a comparison was made with the literature reports. Results: A prevalence of TMDs of 27% was found, with a predominance in males (27.8%). Regarding the types of TMDs, 85.7% were muscular. Moreover, the presence of both types of joint sounds was reported, with 38.5% of clicks versus 3.8% of crepitus. Conclusions: The prevalence and types of TMDs are similar to those reported in previous literature. These findings highlight the importance of early diagnosis using a validated instrument for TMDs by pediatric dentists. It is crucial to implement educational measures aimed at parents and pediatric patients to prevent future complications.

Article Details

How to Cite
Espinosa-de-Santillana, I. A., Navarrete-Flores, N. P., Aragón-Villalba, G. ., Muñoz-Quintana, G., Martínez-Hernández, A. M. ., & Rubín-de-Celis-Quintana, G. N. (2025). Prevalence and Types of Temporomandibular Disorders in Mexican Children Aged 7 to 11 Years. Revista Odontológica Mexicana, 29(2). https://doi.org/10.22201/fo.1870199xp.2025.29.2.90689

Citas en Dimensions Service

Author Biographies

Irene Aurora Espinosa-de-Santillana, Docente investigadora de tiempo completo. Facultad de Estomatología de la Benemérita Universidad Autónoma de Puebla

Full-time research professor at the Faculty of Stomatology of the BUAP in undergraduate and graduate studies. Level 1 of the National System of Researchers. Recognition of the PRODEP profile since 2010. Guest speaker at national and international congresses with various distinctions. Author and co-author of around 60 articles published in journals of national and international circulation. Editor of the Revista Investigación Científica (Cuba) and co-author of several book chapters. Evaluator of scientific articles for Francis Taylor and Spring Nature. Director of undergraduate and graduate theses at prestigious institutions in Mexico. Line of research; temporomandibular disorders and social appropriation of knowledge. 

Gabriel Muñoz-Quintana, Docente investigador de tiempo completo. Facultad de Estomatología, Benemérita Universidad Autónoma de Puebla

Odontopediatra y profesor investigador de tiempo completo de la Maestría en Estomatología con terminal en Pediatría de la Benemérita Universidad Autónoma de Puebla.

Adriana María Martínez-Hernández, Docente investigadora de tiempo completo. Facultad de Estomatología, Benemérita Universidad Autónoma de Puebla

Patóloga bucal y profesora investigadora de tiempo completo de la Facultad de Estomatología de la Benemérita Universidad Autónoma de Puebla

Gisela Nataly Rubín-de-Celis-Quintana, Docente investigadora de tiempo completo. Facultad de Estomatología, Benemérita Universidad Autónoma de Puebla

Odontopediatra y profesora investigadora de tiempo completo de Maestría en Pediatría de la Benemérita Universidad Autónoma de Puebla

References

American Association of Pediatric Dentistry. The reference manual of pediatric dentistry. Overview. [Internet. Accessed December 8, 2024]. Available at: https://www.aapd.org/research/oral-health-policies--recommendations/overview/

Mélou C, Sixou JL, Sinquin C, Chauvel-Lebret D. Temporomandibular disorders in children and adolescents: A review. Arch Pediatr. 2023; 30(5): 335-342. DOI: 10.1016/j.arcped.2023.03.005

Visholm T, Saeed N. Current thinking in the management of temporomandibular disorders in children: A narrative review. Br J Oral Maxillofac Surg. 2024; 62(10): 929-936. DOI: 10.1016/j.bjoms.2024.09.004

Chang CL, Wang DH, Yang MC, Hsu WE, Hsu ML. Functional disorders of the temporomandibular joints: Internal derangement of the temporomandibular joint. Kaohsiung J Med Sci. 2018; 34(4): 223-230. DOI: 10.1016/j.kjms.2018.01.004

Howard JA. Temporomandibular joint disorders in children. Dent Clin North Am. 2013; 57(1): 99-127. DOI: 10.1016/j.cden.2012.10.001

Valesan LF, Da-Cas CD, Réus JC, Denardin ACS, Garanhani RR, Bonotto D, et al. Prevalence of temporomandibular joint disorders: a systematic review and meta-analysis. Clin Oral Investig. 2021; 25(2): 441-453. DOI: 10.1007/s00784-020-03710-w

Jung W, Lee DW, Yang YM. Clinical diagnosis and treatment of temporomandibular disorders in children and adolescents: a case series. J Clin Pediatr Dent. 2022; 46(6): 63-67. DOI: 10.22514/jocpd.2022.029

Christidis N, Lindström-Ndanshau E, Sandberg A, Tsilingaridis G. Prevalence and treatment strategies regarding temporomandibular disorders in children and adolescents – a systematic review. J Oral Rehabil. 2019; 46(3): 291-301. DOI: 10.1111/joor.12759

Restrepo CC, Suarez N, Moratto N, Manrique R. Content and construct validity of the Diagnostic Criteria for Temporomandibular Disorders Axis I for children. J Oral Rehabil. 2020; 47(7): 809-819. DOI: 10.1111/joor.12957

Minervini G, Franco R, Marrapodi MM, Fiorillo L, Cervino G, Cicciù M. Prevalence of temporomandibular disorders in children and adolescents evaluated with Diagnostic Criteria for Temporomandibular Disorders: A systematic review with meta-analysis. J Oral Rehabil. 2023; 50(6): 522-530. DOI: 10.1111/joor.13446

Ramirez-Caro SN, Espinosa de Santillana IA, Muñoz-Quintana G. Prevalencia de trastornos temporomandibulares en niños mexicanos con dentición mixta. Rev Salud Pública (Bogotá). 2015; 17(2): 289-299. DOI: 10.15446/rsap.v17n2.27958

Arenas Carreño MA, Bloise Triana A, Carvajal Pabón ME, Forero Santamaría CE, Rodríguez Ciódaro A, Herrera Vivas MC. Signos y síntomas de trastornos temporomandibulares en niños entre los 6 y los 13 años de edad. Serie de 50 casos. Univ Odontol. 2013; 32(69): 161-168. Available at: https://www.redalyc.org/pdf/2312/231240434013.pdf

Moyaho-Bernal A, Lara-Muñoz MC, Espinosa-De Santillana I, Etchegoyen G. Prevalence of signs and symptoms of temporomandibular disorders in children in the state of Puebla, Mexico, evaluated with the research diagnostic criteria for temporomandibular disorders (RDC/TMD). Acta Odontol Latinoam. 2010; 23(3): 228-233. Available at https://actaodontologicalat.com/wp-content/uploads/2017/07/aol_2010_23_3_228.pdf

Murphy MK, MacBarb RF, Wong ME, Athanasiou KA. Temporomandibular joint disorders: a review of etiology, clinical management, and tissue engineering strategies. Int J Oral Maxillofac Implants. 2013; 28(6): e393-e414. DOI: 10.11607/jomi.te20

Rauch A, Schierz O, Körner A, Kiess W, Hirsch C. Prevalence of anamnestic symptoms and clinical signs of temporomandibular disorders in adolescents – results of the epidemiologic LIFE Child Study. J Oral Rehabil. 2020; 47(4): 425-431. DOI: 10.1111/joor.12926