Prevalence and Associated Factors of Signs and Symptoms of Temporomandibular Disorders in Students, Sirindhorn College of Public Health Chonburi.
Main Article Content
Abstract
Objective: To evaluate the prevalence and associated factors of signs and symptoms of temporomandibular disorders in students at Sirindhorn College of Public Health Chonburi
Materials and Methods: The participants consisted of 255 students aged 18 to 30 years from Sirindhorn College of Public Health Chonburi, from January to October 2024. The tools consisted of general information, a self-assessment of stress (ST-5), and a 10-item temporomandibular disorders questionnaire. Descriptive statistics, including frequency, percentage, mean, and standard deviation. The multiple logistic regression was used to determine the correlations between the variables with a significance level of 0.05.
Results: The majority of the students were female, accounting for 84.30%, with an average age of 19.67±1.48 years. We found that 36.10% of students had signs and symptoms of temporomandibular disorders. The top three most commonly reported problems were hearing clicking or grinding sounds in the jaw joint (15.70%), followed by frequent headaches, neck pain, or toothaches (14.50%), and a feeling of changes in the occlusion (12.90%), respectively. In terms of related factors, it was found that academic program, bruxism, clenching, and stress levels were significantly associated with signs and symptoms of temporomandibular disorders in students (p<0.05). Dental public health students are 2.57 times more likely to have temporomandibular disorders than students in other programs. Students with bruxism, clenching, and high stress are 2.40, 3.05, and 2.56 times more likely to have temporomandibular disorders, respectively. However, gender, consuming hard or chewy foods, unilateral chewing, and a history of orthodontics were not associated with signs and symptoms of temporomandibular disorders in students.
Conclusion: Academic program, bruxism, clenching, and stress levels were significantly associated with signs and symptoms of temporomandibular disorders in students. Dental professionals should prioritize providing appropriate education regarding temporomandibular disorders to the student population, including prevention strategies that may be implemented from the early stages.
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการลงตีพิมพ์ในวิทยาสารทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นถือเป็นลิขสิทธิ์เฉพาะของคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่น หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด ๆ จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษร จากคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นก่อนเท่านั้น
References
Chinthakanan S. Temporomandibular Joint Osteoarthritis. CM Dent J. 2017;38(3):13-28.
Chuinsiri N, Jitprasertwong P. Prevalence of self-reported pain-related temporomandibular disorders and association with psychological distress in a dental clinic setting. J Int Med Res.2020;48(9):1-12.
Vichiennet S, Vichaichalermvong S. Prevalence of mandibular dysfunction in young adults. J Health Res. 1988;2(1):11-21.
Vanichanon P, Anantvoranich T, Sanharati T, Manaspaibool S. Prevalence and factors associated with symptoms of temporomandibular disorders in a group of Thai scuba divers.CU Dent J. 2012;35:15-26.
Minervini G, Franco R, Marrapodi M, Fiorillo L, Cervino G, Cicciù M. Prevalence of temporomandibular disorders in children and adolescents evaluated with Diagnostic Criteria for Temporomandibular Disorders. J Oral Rehabil. 2023;2:522-8.
Boonlub J, Huaihongthong N, Tubpung S, Karaket S. Effects of Dental Health Care Program applied Self-Efficacy Theory among Undergoing orthodontic treatment students, Sirindhorn College of Public Health Chonburi[dissertation].Chonburi: Sirindhorn College of Public Health Chonburi;2018.
Chebu O, Kongchaiyaphun N, Siana H. Factors related to stress among 2nd-4th year undergraduate students of Public Health Program in Dental Public Health at Sirindhorn College of Public Health, Chonburi[dissertation].Chonburi: Sirindhorn College of Public Health Chonburi;2023.
Mitiruttanakul S, Sitthisomwong P. Screening history and examination. In:Sitthisomwong P, editors. Temporomandibular disorders (TMD). 2nd ed. Bangkok: Misterkopy (Thailand) Company Limited; 2010. 27.
Pumklin J, Taechasubamorn P, Luehong A, Pramot S, Panyasoet C, Sowithayasakul T. Relationship between Temporomandibular Disorder and Risk Factors in Health Science Students: A Cross-sectional Study. World J Dent. 2020;11(6):494–500.
Viriyajirakul S, Vanichanon P, Chaiyaraksa P. Prevalence and Associated Factors of Signs of Temporomandibular Disorders (TMD) in Dental Patients, Taksin Hospital. SWU Dent J. 2024;17(1):115-34.
Østensjø V, Moen K, Storesund T, Rosén A. Prevalence of Painful Temporomandibular Disorders and Correlation to Lifestyle Factors among Adolescents in Norway. Pain Res Manag. 2017;2017:2164825.
Abe S, Kawano F, Matsuka Y, Masuda T, Okawa T, Tanaka E. Relationship between Oral Parafunctional and Postural Habits and the Symptoms of Temporomandibular Disorders: A Survey-Based Cross-Sectional Cohort Study Using Propensity Score Matching Analysis. J Clin Med. 2022;11:1-13.
Sitta Jirakulsomchok S. Frequency of Temporomandibular joint pain opposite to the chewing side in patients with unilateral chewing habit. MKHJ. 2010;7(2),:61-98.
Ahuja V, Ranjan V, Passi1 D, Jaiswal R. Study of stress-induced temporomandibular disorders among dental students: An institutional study. Natl J Maxillofac Surg. 2018;9(2):147-54.
www.tmjplus.com[homepage on the Internet]. Texas: TMJ Wellness Center [updated 2018 Nov 21; cited 2024 Sep 30]. Available from: https://www.tmjplus.com/the-truth-about stress-and-tmj-disorder/.
Sim H, Kim H, Jung D, Lee H, Han Y, Han K, et al. Investigation of the association between orthodontic treatment and temporomandibular joint pain and dysfunction in the South Korean population. Korean J Orthod. 2019;49(3):181-7.