Temporomandibular Disorders (TMD)
Conditions
Keywords
Temporomandibular disorders, TMD, Orofacial pain, Embouchure Disorders, Bruxism, Mandibular Mobility, Jaw diseases
Brief summary
This study aims to analyze the prevalence of temporomandibular joint disorders (TMD) in wind musicians, differentiating the impact by instrument type (woodwind vs. brass) and identifying potential risk factors (embouchure, posture, practice time). A cross-sectional observational design will be used, including professional and student musicians from orchestras and conservatories.
Detailed description
This observational cross-sectional study aims to assess the prevalence of temporomandibular joint disorders (TMD) in wind musicians and analyze the impact of instrument type (woodwind vs. brass) on TMD prevalence. Additionally, the study will explore potential risk factors such as embouchure, posture, and practice time. The study will recruit professional and student wind musicians from orchestras and conservatories. Participants will complete a validated questionnaire (DC/TMD) and undergo a clinical assessment to evaluate mandibular mobility, the presence of joint sounds (clicking, crepitus), and symptoms related to TMD. The data collection will take place in a single session per participant, estimated between March 1, 2025, and April 15, 2025. The collected data will be analyzed to compare TMD prevalence between different instrument groups and assess correlations with practice habits and postural factors. All data will be anonymized and stored securely according to applicable data protection regulations (LOPD 3/2018, GDPR 2016/679). Participation in the study is voluntary, and written informed consent will be obtained from all participants, or from their legal guardians in the case of minors.
Interventions
Not applicable (Observational Study)
Sponsors
University of Oviedo
Study design
Observational model
CASE_CONTROL
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Wind musicians (professional or student). * Any age (if under 18, parental/legal guardian consent is required). * Signed informed consent.
Exclusion criteria
* History of maxillofacial surgery. * Presence of neurological disorders affecting mandibular function. * Recent treatment for TMD. * Severe bruxism diagnosis.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Prevalence of Temporomandibular Joint Disorders (TMD) in Wind Musicians | Data will be collected in a single session per participant during the study period, estimated from March 1, 2025, to April 15, 2025. | Percentage of musicians diagnosed with TMD based on the DC/TMD questionnaire and clinical examination. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Comparison of TMD prevalence between woodwind and brass musicians | Data will be collected in a single session per participant during the study period, estimated from March 1, 2025, to April 15, 2025. | Analysis of differences in TMD prevalence between musicians playing woodwind vs. brass instruments. |
| Association between practice hours per week and TMD symptoms | Data will be collected in a single session per participant during the study period, estimated from March 1, 2025, to April 15, 2025. | Exploration of the correlation between weekly practice time and severity of TMD symptoms based on questionnaire responses. |
| Mandibular Mobility Comparison in Musicians with and without TMD | Data will be collected in a single session per participant during the study period, estimated from March 1, 2025, to April 15, 2025. | Assessment of differences in maximal mouth opening and mandibular deviation between musicians with and without TMD. Mandibular mobility will be measured using a digital caliper to assess maximal mouth opening (in millimeters) and mandibular deviation. These measurements will be compared between participants diagnosed with TMD and those without TMD |
Contacts
Primary ContactMaría Blanco Díaz, PhD.
Outcome results
None listed