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Malocclusion and caries prevalence: is there a connection in the primary and mixed dentitions?

The purpose of this epidemiological cross-sectional study was to determine the prevalence of malocclusion and caries in children and to investigate whether a relationship exists between prevalence of caries and studied malocclusion. The study consisted of 8,864 preschool and schoolchildren with primary dentitions (mean age 4.5 years) and mixed dentitions (mean age 8.9 years). 1997 WHO dental caries criteria were applied to both groups. The existence of an increased caries risk was deducted from the dmft and DMFT indices related to age. Malocclusion in primary and mixed dentitions was classified into seven types. Fifty-seven percent of all children had some form of malocclusion. Prevalence of malocclusion increased and was significantly greater in the mixed dentition sample (p < 0.001) than in the primary dentition sample. Seventy-four percent of children with primary dentitions and 23% of children with mixed dentitions had zero dmft and DMFT scores. Mean dmft indices in subjects with primary and mixed dentitions were 1.02 and 1.53, respectively. No positive correlation between prevalence of caries and malocclusion could be established in the sub sample with primary teeth only. However, statistically significant parallelism in prevalence of malocclusion and caries were found for posterior cross-bite (p= 0.050) and mandibular overjet (p= 0.013) in children with mixed dentitions.

Child↗

Investigation of the relationship between oral parafunctions and temporomandibular joint dysfunction in Turkish children with mixed and permanent dentition.

The purpose of this study was to investigate the relationship between temporomandibular joint (TMJ) dysfunction, bruxism and oral parafunctions in the permanent and mixed dentition of Turkish children. Examinations were performed on 59 children (26 girls and 33 boys) without TMJ dysfunction and 123 children (54 boys and 69 girls) with TMJ dysfunction in the mixed dentition. In the permanent dentition 89 children without TMJ dysfunction (45 girls and 44 boys) and 123 children with TMJ dysfunction (69 girls and 54 boys) were inducted into this study. The children with oral parafunctions (bruxism, nail biting and thumb/finger sucking) were determined through questionnaires. The Z-test was used for the analyses of the correlation between variables and differences between the groups. Generally a significant correlation was found between finger/thumb sucking and nail biting and TMJ dysfunction in the mixed dentition and bruxism was observed significantly to be associated with TMJ dysfunction in the permanent dentition (P < 0.05). The evaluation of the results showed that in the mixed dentition groups nail biting was significantly higher in the girls with TMJ dysfunction and finger or thumb sucking was significantly higher in the boys with TMJ dysfunction compared with those without TMJ dysfunction (P < 0.01). In the permanent dentition; bruxism and thumb/finger sucking were significantly higher in girls with TMJ dysfunction higher than those without TMJ dysfunction (P < 0.05). However, thumb/finger sucking was significantly higher in boys without TMJ dysfunction than with TMJ dysfunction (P < 0.05). The results of this study showed that the association of parafunctions and TMJ dysfunction is present in the mixed (thumb/finger sucking and nail biting) and the permanent dentitions (bruxism).

Adolescent↗

Plaque and gingivitis in the deciduous and permanent dentition.

The aim of the present investigation was to monitor de novo plaque formation and associated alterations of the gingival conditions in the deciduous, mixed and permanent dentition in man. 31 volunteers, divided into 3 study groups participated in the trial. Group 1 was made up of 11 subjects, 4-6 years of age (deciduous dentition), group 2 comprised of 10 subjects, 8-9 years of age (mixed dentition) and group 3 included 10 subjects, 14-16 years of age (permanent dentition). After a screening examination, each participant received detailed instruction in a proper oral hygiene technique and was subjected to professional tooth cleaning. The professional debridement and the oral hygiene instruction were repeated after 1 week. After another week, a given day was termed Day 0 and a baseline examination was performed. This examination included assessments of plaque and gingivitis. Each subject received an additional, comprehensive professional tooth cleaning and was asked to abstain from all mechanical oral hygiene measures. Re-examinations were performed after 3 and 7 days. The findings demonstrated that: (i) during a 7-day period of no active oral hygiene, subjects with a mixed or a permanent dentition formed visible amounts of plaque and developed modest signs of gingivitis; (ii) during the 7 days of the trial, young subjects with a fully erupted deciduous dentition formed less plaque than the older subjects, and failed to respond to de novo plaque formation with enhanced signs of gingivitis; (iii) in subjects with a mixed dentition, the amount of plaque formed during the 7 days of experiment and the matching gingivitis development were similar in the deciduous and permanent tooth segments of the dentition.

Adolescent↗

Digital dental radiographic identification in the pediatric, mixed and permanent dentitions.

The purpose of this paper is to investigate the utility of digital dental radiographic superimposition in the various stages of development of the human dentition. Digital, computer assisted dental identification is a means of identification which allows the spatial relationships of the root and support structures of the teeth to be compared one to the other. The technique has not been tested in patients with developing dentitions. Dental radiographs from patients in the pediatric, mixed and permanent dentition stages of development, simulating "antemortem" and "postmortem" radiographs, were digitized using a flat field radiograph scanner. Anatomic features were used as points of comparison utilizing image editing software whereby anatomic sections were digitally cut from the antemortem image and compared to the same anatomic locations on the postmortem image to assess for points of concordance. The technique was applied to 25 cases within the primary dentition, 25 cases within the mixed dentition and 25 cases within the permanent dentition. Results showed that this was a viable technique within both the pediatric and permanent dentition although it was of little value within the mixed dentition.

Adult↗

Early dentofacial features of Class II malocclusion: a longitudinal study from the deciduous through the mixed dentition.

A group of 25 untreated subjects with Class II malocclusion in the deciduous dentition (featuring the concomitant presence of distal step, Class II deciduous canine relationship, and excessive overjet) was compared with a control group of 22 untreated subjects with ideal occlusion (flush terminal plane, Class I deciduous canine relationship, minimal overbite, and overjet) at the same dentitional stage. The subjects were monitored during a 2 1/2-year period in the transition from the deciduous to the mixed dentition, during which time no orthodontic treatment was provided. Occlusal analysis of the Class II group in the deciduous dentition revealed an average interarch transverse discrepancy due to a narrow maxillary arch relative to the mandible. All occlusal Class II features were maintained or became exaggerated during the transition to the mixed dentition. The skeletal pattern of Class II malocclusion in the deciduous dentition typically was characterized by significant mandibular skeletal retrusion and mandibular size deficiency. During the period examined, cephalometric changes consisted of significantly greater maxillary growth increments and smaller increments in mandibular dimensions in the Class II sample. Moreover, a greater downward and backward inclination of the condylar axis relative to the mandibular line, with consequent smaller decrements in the gonial angle, were found in the Class II group, an indication of posterior morphogenetic rotation of the mandible in patients with Class II malocclusion occurring during the period examined. The results of this study indicate that the clinical signs of Class II malocclusion are evident in the deciduous dentition and persist into the mixed dentition. Whereas treatment to correct the Class II problem can be initiated in all three planes of space (e.g., RME, extraoral traction, functional jaw orthopedics), other factors such as patient cooperation and management must also be taken into consideration before early treatment is started.

Cephalometry↗

Class II malocclusion with maxillary protrusion from the deciduous through the mixed dentition: a longitudinal study.

The aim of this study was to analyze the skeletal characteristics of Class II malocclusion with maxillary protrusion in the deciduous dentition and to describe the growth features of this type of skeletal imbalance during the transition from the deciduous through the mixed dentition. A group of 17 subjects having skeletal Class II malocclusions in the deciduous dentition due to maxillary protrusion was compared with a control group of 30 untreated subjects with ideal occlusion at the same stage of development. Both groups were observed for the first time in the deciduous dentition (T(1)) and followed during the transition from the deciduous to the mixed dentition (T(2)). During this time no orthodontic treatment was provided. Lateral cephalograms were taken for all subjects at T(1) and T(2). A cephalometric analysis was performed based on a reference system that consisted of two perpendicular lines traced through stable basicranical structures. The results indicate that a Class II skeletal pattern due to a maxillary protrusion is established early in the deciduous dentition and remains unmodified in the transition to the mixed dentition. The maxilla appeared to be displaced forward in Class II subjects, whereas the mandibles of the Class I and Class II subjects did not show any significant differences at this stage of growth. In the passage from the deciduous through the mixed dentition, Class I and Class II subjects showed growth increments that were not significantly different from each other. Sucking habits appeared to be correlated with the skeletal maxillary protrusion.

Cephalometry↗

Malocclusion in the deciduous dentition of Caucasian children.

In this study the occlusal characteristics of the deciduous dentition in a sample of young children were investigated to determine whether consensual trends exists, and if the occlusal characteristics in the primary dentition may be considered as acceptable predictors for occlusal relationships in the permanent dentition. Four hundred and seven boys and three hundred and eighty-two girls aged 4-6 years participated in the epidemiological study. Recording of the occlusal traits was made according to the method described by the Fédération Dentaire Internationale in 1973, adapted to the primary dentition. Lack of space was frequent (24 per cent in the upper anterior segments), as well as lateral crossbites (16 per cent), excessive overjet of 6 mm or more (6 per cent), Class II relationships (26 per cent) and anterior open bites (37.4 per cent). Obvious similarities could be seen with other investigations on occlusal traits of the primary dentition of Caucasian children. Cross-comparison with available data suggest that the development of the occlusion is a continuum for many aspects, with most of the major occlusal trends characterizing the permanent dentition in Europoid populations detectable at early stages. The striking difference in the primary dentition was the much higher prevalence of anterior open bites: this is the only figure expected to decrease dramatically in the permanent dentition. With due reservation inherent to the nature of epidemiological data on malocclusion and their interpretation, it is concluded that, provided the patient's cooperation is satisfactory, early attention may be given to malocclusion, but should mainly be focused on lateral crossbites and sagittal malrelationships.

Chi-Square Distribution↗

The genetic basis of modularity in the development and evolution of the vertebrate dentition.

The construction of organisms from units that develop under semi-autonomous genetic control (modules) has been proposed to be an important component of their ability to undergo adaptive phenotypic evolution. The organization of the vertebrate dentition as a system of repeated parts provides an opportunity to study the extent to which phenotypic modules, identified by their evolutionary independence from other such units, are related to modularity in the genetic control of development. The evolutionary history of vertebrates provides numerous examples of both correlated and independent evolution of groups of teeth. The dentition itself appears to be a module of the dermal exoskeleton, from which it has long been under independent genetic control. Region-specific tooth loss has been a common trend in vertebrate evolution. Novel deployment of teeth and reacquisition of lost teeth have also occurred, although less frequently. Tooth shape differences within the dentition may be discontinuous (referred to as heterodonty) or graded. The occurrence of homeotic changes in tooth shape provides evidence for the decoupling of tooth shape and location in the course of evolution. Potential mechanisms for region-specific evolutionary tooth loss are suggested by a number of mouse gene knockouts and human genetic dental anomalies, as well as a comparison between fully-developed and rudimentary teeth in the dentition of rodents. These mechanisms include loss of a tooth-type-specific initiation signal, alterations of the relative strength of inductive and inhibitory signals acting at the time of tooth initiation and the overall reduction in levels of proteins required for the development of all teeth. Ectopic expression of tooth initiation signals provides a potential mechanism for the novel deployment or reacquisition of teeth; a single instance is known of a gene whose ectopic expression in transgenic mice can lead to ectopic teeth. Differences in shape between incisor and molar teeth in the mouse have been proposed to be controlled by the region-specific expression of signalling molecules in the oral epithelium. These molecules induce the expression of transcription factors in the underlying jaw mesenchyme that may act as selectors of tooth type. It is speculated that shifts in the expression domains of the epithelial signalling molecules might be responsible for homeotic changes in tooth shape. The observation that these molecules are regionally restricted in the chicken, whose ancestors were not heterodont, suggests that mammalian heterodonty may have evolved through the use of patterning mechanisms already acting on skeletal elements of the jaws. In general, genetic and morphological approaches identify similar types of modules in the dentition, but the data are not yet sufficient to identify exact correspondences. It is speculated that modularity may be achieved by gene expression differences between teeth or by differences in the time of their development, causing mutations to have cumulative effects on later-developing teeth. The mammalian dentition, for which virtually all of the available developmental genetic data have been collected, represents a small subset of the dental diversity present in vertebrates as a whole. In particular, teleost fishes may have a much more extensive dentition. Extension of research on the genetic control of tooth development to this and other vertebrate groups has great potential to further the understanding of modularity in the dentition.

Animals↗

High-resolution 3-D shape integration of dentition and face measured by new laser scanner.

Face and dentition were measured using a high-resolution three-dimensional laser scanner to circumvent problems of radiation exposure and metal-streak artifacts associated with X-ray computed tomography. The resulting range data were integrated in order to visualize the dentition relative to the face. The acquisition interval for dentition by laser scanner was 0.18 mm, and complicated morphologies of the occlusal surface could be sufficiently reproduced. Reproduction of occlusal condition of upper and lower dentitions was conducted by matching the surface of the occlusal impression record with upper dentition data. To integrate dentition and face, a marker plate interface was devised and adopted on the lower dental cast or by the subject directly. Integration was performed by matching both sets of interface data. Reproduction of the occlusal condition and integration of the dentition and face were accomplished and visualized satisfactorily by computer graphics. The integration accuracy was examined by changing the attachment angle of the marker plate, and the marker plate attached at 45 degrees showed the smallest error of 0.2 mm. The current noninvasive method is applicable to clinical examination, diagnosis and explanation to the patient when dealing with the physical relationship between face and dentition.

Adult↗

Aetiology, diagnosis and treatment of posterior cross-bites in the primary dentition.

INTRODUCTION: Children who present with a posterior cross-bite in the primary dentition may be predisposed to long-term detrimental consequences if the condition is left untreated. Controversy exists in the literature as to the most appropriate time to treat this condition. OBJECTIVES: The aim of this review is to evaluate the need for correcting posterior cross-bites in the primary dentition based on the current understanding of the aetiology, likelihood of self-correction, and consequences of various forms of this malocclusion persisting into the mixed and permanent dentitions. A review of the reported treatment options for management of this condition is also presented. METHODS: Literature pertaining to the epidemiology and management of posterior cross-bites in the primary dentition are reviewed. CONCLUSION: Posterior cross-bites in the primary dentition are relatively common and their causes are numerous. Because a significant proportion of posterior cross-bites self-correct beyond the primary dentition, routine correction in the primary dentition phase cannot be advocated. A unilateral posterior cross-bite as a result of a functional displacement of the mandible is one of the few malocclusions which should be considered for correction in the primary dentition. Further research is needed in the management of this condition.

Child↗

Effects of age and removable artificial dentition on taste.

Sodium chloride and sucrose gustatory recognition thresholds, suprathreshold taste intensity function, and sucrose suprathreshold taste preference in healthy adult males with removable artificial dentition were compared with persons having natural dentition. In addition, several inorganic salivary constituents were evaluated for their possible relationship with these modalities. The 75 participants studied were divided into two age and two dentition groups: less than 65 years versus 65 years and older; and natural dentition only versus either removable partial dentures or complete artificial dentition. Recognition threshold and suprathreshold psychophysical functions were assessed using aqueous solutions of sodium chloride and sucrose. Suprathreshold hedonic judgments were also determined for sucrose. Samples of stimulated parotid saliva were analyzed for sodium, potassium, and bicarbonate. As age increased, a statistically significant decrease was noted in the exponent of the psychophysical function for sodium chloride. A similar, but nonsignificant, trend was observed for sucrose, which was complicated by an interaction between age and dentition status. For sodium chloride, recognition thresholds tended to be higher for older persons with removable partial and complete dentures. However, no statistically significant effect was observed on the sucrose threshold or hedonic response as a result of dentition status. Analysis of several parotid saliva constituents showed no statistically significant effect caused by age or dentition status and correlations noted among the psychophysical measures appeared to be fortuitous.

Adult↗

Individual variation in tooth-size/ arch-length changes from the primary to permanent dentitions.

AIM: To determine the individual variation in the maxillary and mandibular tooth-size/arch-length relationships after the complete eruption of the primary dentition (mean age, 4.0 years) and at the time of eruption of the second permanent molars (mean age, 13.3 years). METHODS: Records of 32 males and 27 females were evaluated. Each subject had a clinically acceptable occlusion; that is, a normal molar and canine relationship at the time of eruption of the primary and permanent teeth. In addition, each subject had a complete set of data at the 2 stages of dental development. These selection criteria limited the number of subjects in this investigation to 59. The mesiodistal diameter of all primary teeth and their permanent successors, as well as various dental arch length parameters were measured in the primary and permanent dentitions. A total of 60 parameters were measured or calculated. RESULTS: The findings from the present investigation indicated that of the total sample of 59 male and female subjects observed on a longitudinal basis, 29 (49%) maintained their relative tooth-size/arch-length relationship ranking in the 2 dentitions, while 30 (51%) changed to either a more favorable or less favorable relationship in the permanent dentition. CONCLUSIONS: The cases with the lower ranking of tooth-size/arch-length relationship in the primary dentition, 50% maintained their relatively lower rank in the permanent dentition, while the other 50% changed to a relatively more favorable rank in the permanent dentition. There is a similar probability for maintaining the same ranking in the primary and permanent dentitions in the mandibular arch (51%), as in the maxillary arch (49%). The clinical implications of the findings are discussed.

Adolescent↗

[Fluorosis in primary dentition in a region with endemic water fluoride].

OBJECTIVE: The aim of the present study was to estimate the prevalence of dental fluorosis in primary dentition of a San Luis Potosi children population, and its association to fluoride concentration in drinking water and urine. An additional objective was, to develop, validate, and test a specific index for dental fluorosis in primary dentition. MATERIAL AND METHODS: From May 1997, to January 1999, we conducted a cross-sectional study to assess the prevalence of dental fluorosis in primary dentition. Study subjects were 100 children aged 3-6 years, selected at random from three kindergartens in three risk areas of San Luis Potosi. The specific index of dental fluorosis for primary dentition (Dental Fluorosis for Primary Dentition Index--DFPDI) was validated by estimating fluoride concentrations in enamel of teeth with and without dental fluorosis. The Kruskal-Wallis test was used to assess the association between fluoride concentrations in drinking water and urine, with dental fluorosis; the association between risk area and dental fluorosis was assessed with the Mantel-Haenszel chi 2 test. RESULTS: The prevalence of dental fluorosis in primary dentition was 78%; primary molars were most affected in both maxillae and the predominant color was a non-glossy white appearance. We found a strong direct correlation (r = 0.93) between fluoride concentrations in primary teeth and the DFPDI. Associations were found between fluoride concentrations of drinking water and urine, with dental fluorosis (Kruskal-Wallis p = 0.00001), and between risk area and dental fluorosis (Mantel-Haenszel chi 2 p = 0.00001). CONCLUSIONS: DFPDI allowed adequate identification and grading of dental fluorosis in primary dentition. It is important to detect the initial toxic effects of fluoride exposure to predict dental fluorosis in permanent dentition and skeletal fluorosis.

Child↗

Dental treatment of the primary dentition in 7-12 year-old Swedish children in relation to caries experience at 6 years of age.

In most Swedish counties, epidemiological data on the permanent dentition are collected on patients between 7 and 19 years of age. However, for the primary dentition, epidemiological data are only available for the 3-6-year-old age groups. As far as we know, no studies have investigated the relation between caries prevalence in the early primary dentition and caries prevalence or treatment performed in the late primary dentition. Thus, the purpose of the present study was to investigate the relationship between dental treatment in the primary dentition of Swedish children 7-12 years of age and caries experience in the primary dentition at 6 years of age. This retrospective study is based on record data from a randomly selected sample comprising 10% of all children born in 1987 in Jönköping County (n=433). Of these children, 381 had been treated regularly at the Public Dental Service clinics between 7 and 12 years of age and were included in the study. It was found that children with previous caries experience at 6 years of age received significantly more treatment during the studied period compared to children who were caries free at the same age. The children with caries experience required a mean of 3.5 times more treatments compared to caries-free children. The present study underlines the importance of early detection and prevention of caries in the primary dentition if optimal dental health is to be expected in the late primary dentition.

Age Factors↗

[Anomalies of deciduous teeth and findings in permanent dentition].

Prevalence of anomalies of deciduous teeth has been analyzed in the general population of Zagreb preschool children. The sample comprised 2,987 children from 3 to 6 years of age (1,582 boys and 1,405 girls). Hypodontia was found in 0.47%, hyperdontia in 0.10%, and double teeth in 0.43% of total sample. Total prevalence of all anomalies in the sample was 1.0%. The sample for the analysis of permanent dentition has been enlarged with the clinical sample of children having the same anomalies and comprised 48 children. In all children with anomalies of primary teeth the orthopantomograms were taken and the status of permanent dentition was analyzed. In children with hypodontia in primary dentition hypodontia of permanent teeth was found in 100% of cases. Patients with hyperdontia of primary teeth displayed anomalies in permanent dentition in 85.7%, while in children with primary double teeth, anomalies of permanent teeth were present in 61.1% of cases. Missing deciduous teeth were found in both jaws in only 8.7% of cases, and in 34.8% in permanent dentition. Symmetrical occurrence of hypodontia of primary teeth (i.e. in both sides of jaws) was significantly higher in boys (56.3%) than in girls (28.6%). In permanent dentition symmetrical occurrence of hypodontia was significantly higher than in primary dentition (81.3% in boys and 57.1% in girls). The most frequently missing primary teeth were maxillary lateral incisors (48.8%) followed by mandibular central incisors (34.9%). Hyperdontia of primary teeth has been found only in boys, and it related only to the maxillary lateral incisors. Anomalies of deciduous teeth show a high degree of association with the finding in the permanent dentition.(ABSTRACT TRUNCATED AT 250 WORDS)

Anodontia↗

Replacements of restorations in the primary and young permanent dentition.

The present study focused on the type of restorative material used and the reasons for replacements of restorations in the primary and the young permanent dentition. All patients with restorations and who were 8 and 19 years of age in 1995 and were regularly treated at 11 Public Dental Health clinics in Jönköping County, Sweden, participated in the study. Data were extracted from the records for all types of restorations in canines and molars for the preceeding of 5 years for the 8-year-olds (i.e. from 3 to 8 years of age; n = 546) and for approximal restorations in premolars and molars for the preceeding 13 years for the 19-year-olds (i.e. from 6 to 19 years of age; n = 606). In all, 6012 restorations were evaluated. The two most common restorative materials used in the primary dentition were compomer and glass ionomer cement and in the young permanent dentition composite and amalgam. In the primary dentition, 29% of the restorations had been replaced and 4% of the teeth with restorations had been extracted. Thus, 33% of the restorations in the primary dentition failed. The corresponding figure for the young permanent dentition was 13%. The most common reason for replacements in the permanent dentition was secondary caries. That restorations often fail because of caries and that the development of secondary caries is not prevented by replacement of an old restoration indicate that more attention should be paid to preventive dental care for patients with restorations in the primary as well as in the young permanent dentition.

Adolescent↗

Rapid maxillary expansion. Is it better in the mixed or in the permanent dentition?

The aim of this study was to compare the dentoskeletal effects of a modified acrylic-bonded rapid maxillary expansion (RME) device when it is used in the mixed and permanent dentitions. The study group consisted of 51 patients in the mixed and permanent dentition (26 girls and 25 boys) who underwent RME treatment. Group 1 was composed of 34 subjects in the mixed dentition (19 girls and 15 boys; mean age, 9.2 +/- 1.3 years). Group 2 consisted of 17 subjects in the permanent dentition (seven girls and 10 boys; mean age 12.7 +/- 1.2 years). Lateral and frontal cephalograms and upper dental casts were collected before treatment (T1), after treatment (T2), and after retention (T3). Intragroup and intergroup changes were evaluated by paired t-test and Student's t-test, respectively. In both groups after RME, the maxilla moved forward; mandible rotated posteriorly; facial height increased; nasal, maxillary, and maxillary intercanine and first molar widths increased; and the upper molars tipped buccally. Almost all these significant changes were stable at follow-up (T3). When overall (T1 - T3) differences were considered, upper molars tipped more, and the ANB angle increased less in the mixed dentition group compared with the permanent dentition group (P < .01). Within the limits of this study, the results suggest that the orthopedic effects of RME are not as great as expected at early ages, and it might be a better alternative to delay RME to early permanent dentition.

Cephalometry↗

Prevalence of temporomandibular dysfunction in Turkish children with mixed and permanent dentition.

This study was carried out to determine the prevalence of temporomandibular joint (TMJ) dysfunction in mixed and permanent dentition and to evaluate the sex distribution in Turkish children. One hundred and eighty-two children with mixed dentition and 212 with permanent dentition were selected for the study, which used a questionnaire and clinical examination. Children with one or more signs (TMJ sounds, TMJ tenderness, muscle tenderness, restricted mouth opening) and/or symptoms (TMJ pain during mastication and mouth opening, restriction of the jaw opening and TMJ sounds) met the criterion of TMJ dysfunction. The total prevalence of signs and symptoms of TMJ dysfunction in the studied population was 68% (68% in girls and 68% in boys) in mixed dentition and 58% (61% in girls and 56% in boys) in permanent dentition. The Z-test and analysis of variance (ANOVA) were used for statistical analysis of the difference between the results. The total prevalence of signs and symptoms of TMJ dysfunction in mixed dentition was found to be higher than in permanent dentition (P < 0.05). No statistically significant difference was found in the total prevalence of TMJ dysfunction between girls and boys.

Adolescent↗