Association of parafunctional habits and TMD class II patients

Authors

  • Fábio Andrey da Costa Araújo Universidade de Pernambuco. Faculdade de Odontologia de Pernambuco. Doutorado em Cirurgia e Traumatologia Bucomaxilofacial. Docente https://orcid.org/0000-0001-5488-9333
  • Fernanda Souto Maior dos Santos Faculdade de Odontologia São Leopoldo Mandic. Doutorado em Clínicas Odontológicas
  • Anna Karolline Cadengue de Siqueira Cirurgiã-dentista
  • João Vitor Gonçalves do Carmo Universidade de Pernambuco. Faculdade de Odontologia de Pernambuco. Curso de Odontologia
  • Matheus Pereira Frazão Universidade de Pernambuco. Faculdade de Odontologia de Pernambuco. Curso de Odontologia
  • Tatiane Fonseca Faro Universidade de Pernambuco. Faculdade de Odontologia de Pernambuco. Mestrado em Cirurgia e Traumatologia Buco-Maxilo Facial
  • Eudes Euler de Souza Lucena Universidade Federal do Rio Grande do Norte. Doutorado em Psicobiologia
  • José Rodrigues Laureano Filho Universidade Estadual de Campinas, UNICAMP. Faculdade de Odontologia de Piracicaba, FOP. Doutorado em Clínica Odontológica https://orcid.org/0000-0002-9645-2057

Keywords:

Dentofacial Deformities, Temporomandibular Joint Disorders, Facial Pain, Malocclusion, Angle Class II, Nail Biting

Abstract

Introduction: Temporomandibular disorder (TMD) is the most common chronic orofacial pain, found by dentists and other health professionals. Its etiology has a multifactorial character, and may involve, from hereditary factors, parafunctional habits, malocclusions, to anxiety and stress. Objective: This study investigated the TMD frequency and its relationship among parafunctional habits in a population of skeletal class II patients. Method: A sample composed by a class II patients was selected in a non probabilistic manner. Seventy-three members agreed to participate in the research, submitting themselves to a physical examination that consists in the application of Axis I (RDC / TMD). Results: Forty-six percent of patients diagnosed with a positive diagnosis. The average age of the patients was 27 years ± 8.73 years, 82% female and 80% white. Thirty-four patients reported some parafunctional activity. Of these, biting nail represented the group most frequently, followed by bruxism, interposition of objects between the teeth and lastly clenching. As variables did not present a statistically significant association with the primary outcome studied. Conclusion: In the sample studied, it is observed that there is no association between TMD occurrence and parafunctional habits in skeletal class II patients.

Published

2026-06-26

How to Cite

Araújo, F. A. da C., Santos, F. S. M. dos, Siqueira, A. K. C. de, Carmo, J. V. G. do, Frazão, M. P., Faro, T. F., Lucena, E. E. de S., & Laureano Filho, J. R. (2026). Association of parafunctional habits and TMD class II patients. Brazilian Journal of Oral and Maxillofacial Surgery, 21(3), 7–11. Retrieved from https://periodicos.upe.br/index.php/rctbmf/article/view/2069

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Original article

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