Women are worse off in developing and recovering from temporomandibular disorder symptoms

Abstract Decision-making for temporomandibular disorders (TMDs) is reported being a clinical challenge, partly due to uncertainities in assessment of long-term prognosis. Therefore, our aim was to explore variations over time in TMD symptoms and possible sex or age differences. In this cohort study,...

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Main Authors: Anna Lövgren, Simon Vallin, Birgitta Häggman-Henrikson, Flavia P. Kapos, Christopher C. Peck, Corine M. Visscher, Per Liv
Format: Article
Language:English
Published: Nature Portfolio 2025-02-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-86502-0
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author Anna Lövgren
Simon Vallin
Birgitta Häggman-Henrikson
Flavia P. Kapos
Christopher C. Peck
Corine M. Visscher
Per Liv
author_facet Anna Lövgren
Simon Vallin
Birgitta Häggman-Henrikson
Flavia P. Kapos
Christopher C. Peck
Corine M. Visscher
Per Liv
author_sort Anna Lövgren
collection DOAJ
description Abstract Decision-making for temporomandibular disorders (TMDs) is reported being a clinical challenge, partly due to uncertainities in assessment of long-term prognosis. Therefore, our aim was to explore variations over time in TMD symptoms and possible sex or age differences. In this cohort study, data were prospectively collected 2010–2017 from the general population in Västerbotten, Northern Sweden. Adults were eligible if they had undergone at least two routine dental check-ups that included screening for TMDs (3Q/TMD) from which states were defined as absence or presence of TMD pain and/or jaw catching/locking. The rate of transitions was estimated between TMD states within a time span of one year. A total of 94,769 individuals were included (49.9% women) with 205,684 repeated visits and 9,006 state transitions recorded over the 8-year period. Compared to men, women had higher rates of transitions from no TMDs to any TMD symptoms. Furthermore, women had a lower rate of transition from TMD pain only to no TMDs. The finding of a poorer prognosis in women, as well as previously reported potential gender differences in pain perception and reporting, reinforces that gender differences should be accounted for in the treatment planning stage for patients with onset of TMDs.
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spelling doaj-art-7c86aa5e2d4e47518d4db6607ca030252025-02-09T12:32:34ZengNature PortfolioScientific Reports2045-23222025-02-011511910.1038/s41598-025-86502-0Women are worse off in developing and recovering from temporomandibular disorder symptomsAnna Lövgren0Simon Vallin1Birgitta Häggman-Henrikson2Flavia P. Kapos3Christopher C. Peck4Corine M. Visscher5Per Liv6Department of Odontology/Orofacial Pain and Jaw Function, Faculty of Medicine, Umeå UniversityDepartment of Odontology/Orofacial Pain and Jaw Function, Faculty of Medicine, Umeå UniversityDepartment of Orofacial Pain and Jaw Function, Malmö UniversityDepartment of Orthopaedic Surgery & Duke Clinical Research Institute, Duke University School of MedicineFaculty of Dentistry, National University of SingaporeDepartment of Orofacial Pain and Dysfunction, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit AmsterdamSection of Sustainable Health, Department of Public Health and Clinical Medicine, Umeå UniversityAbstract Decision-making for temporomandibular disorders (TMDs) is reported being a clinical challenge, partly due to uncertainities in assessment of long-term prognosis. Therefore, our aim was to explore variations over time in TMD symptoms and possible sex or age differences. In this cohort study, data were prospectively collected 2010–2017 from the general population in Västerbotten, Northern Sweden. Adults were eligible if they had undergone at least two routine dental check-ups that included screening for TMDs (3Q/TMD) from which states were defined as absence or presence of TMD pain and/or jaw catching/locking. The rate of transitions was estimated between TMD states within a time span of one year. A total of 94,769 individuals were included (49.9% women) with 205,684 repeated visits and 9,006 state transitions recorded over the 8-year period. Compared to men, women had higher rates of transitions from no TMDs to any TMD symptoms. Furthermore, women had a lower rate of transition from TMD pain only to no TMDs. The finding of a poorer prognosis in women, as well as previously reported potential gender differences in pain perception and reporting, reinforces that gender differences should be accounted for in the treatment planning stage for patients with onset of TMDs.https://doi.org/10.1038/s41598-025-86502-0Decision-makingEpidemiologyFacial painTemporomandibular joint dysfunction syndrome
spellingShingle Anna Lövgren
Simon Vallin
Birgitta Häggman-Henrikson
Flavia P. Kapos
Christopher C. Peck
Corine M. Visscher
Per Liv
Women are worse off in developing and recovering from temporomandibular disorder symptoms
Scientific Reports
Decision-making
Epidemiology
Facial pain
Temporomandibular joint dysfunction syndrome
title Women are worse off in developing and recovering from temporomandibular disorder symptoms
title_full Women are worse off in developing and recovering from temporomandibular disorder symptoms
title_fullStr Women are worse off in developing and recovering from temporomandibular disorder symptoms
title_full_unstemmed Women are worse off in developing and recovering from temporomandibular disorder symptoms
title_short Women are worse off in developing and recovering from temporomandibular disorder symptoms
title_sort women are worse off in developing and recovering from temporomandibular disorder symptoms
topic Decision-making
Epidemiology
Facial pain
Temporomandibular joint dysfunction syndrome
url https://doi.org/10.1038/s41598-025-86502-0
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