Estimates of TMD incidence and prevalence vary widely. One prospective cohort study reported an incidence rate of 4% per year among US adults.[13]Slade GD, Fillingim RB, Sanders AE, et al. Summary of findings from the OPPERA prospective cohort study of incidence of first-onset temporomandibular disorder: implications and future directions. J Pain. 2013 Dec;14(7 suppl):T116-24.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3857103
http://www.ncbi.nlm.nih.gov/pubmed/24275219?tool=bestpractice.com
Other studies provide incidence estimates in adults in developed countries ranging from 3.2% to 10.0% in males and from 9% to 15% in females. Incidence peaks between ages 20 and 40 years.[12]Kapur N, Kamel IR, Herlich A. Oral and craniofacial pain: diagnosis, pathophysiology and treatment. Int Anesthesiol Clin. 2003;41:115-50.
http://www.ncbi.nlm.nih.gov/pubmed/12872029?tool=bestpractice.com
TMDs are more common in women than in men.[4]Busse JW, Casassus R, Carrasco-Labra A, et al. Management of chronic pain associated with temporomandibular disorders: a clinical practice guideline. BMJ. 2023 Dec 15;383:e076227.
https://www.bmj.com/content/383/bmj-2023-076227.long
http://www.ncbi.nlm.nih.gov/pubmed/38101929?tool=bestpractice.com
[14]Warren MP, Fried JL. Temporomandibular disorders and hormones in women. Cells Tissues Organs. 2001;169:187-92.
http://www.ncbi.nlm.nih.gov/pubmed/11455113?tool=bestpractice.com
[15]Bagis B, Ayaz EA, Turgut S, et al. Gender difference in prevalence of signs and symptoms of temporomandibular joint disorders: a retrospective study on 243 consecutive patients. Int J Med Sci. 2012;9(7):539-44.
https://www.medsci.org/v09p0539.htm
http://www.ncbi.nlm.nih.gov/pubmed/22991492?tool=bestpractice.com
In the general US population, it is estimated that 17.4% of women have some form of this disorder, compared with 9.3% of men.[16]Lund JP, Widmer CG, Feine JS. Validity of diagnostic and monitoring tests used for temporomandibular disorders. J Dent Res. 1995;74:1133-43.
http://www.ncbi.nlm.nih.gov/pubmed/7782545?tool=bestpractice.com
Prevalence is similar throughout the US, Canada, and Europe.[16]Lund JP, Widmer CG, Feine JS. Validity of diagnostic and monitoring tests used for temporomandibular disorders. J Dent Res. 1995;74:1133-43.
http://www.ncbi.nlm.nih.gov/pubmed/7782545?tool=bestpractice.com
Studies have found that 32.5% of female adolescents ages 16-19 years reported school absences and analgesic consumption because of pain related to TMDs, compared with 9.7% of male adolescents.[17]Acquired temporomandibular disorders in infants, children, and adolescents. American Academy of Pediatric Dentistry. 2019 [internet publication].
https://www.aapd.org/research/oral-health-policies--recommendations
While up to 70% of the population may have at least one of the symptoms associated with TMDs at some point, only 1 in 4 patients with symptoms and signs of this condition seek treatment, most of whom are women.[11]Dimitroulis G. Temporomandibular disorders: a clinical update. BMJ. 1998;317:190-4.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1113540/?tool=pubmed
http://www.ncbi.nlm.nih.gov/pubmed/9665905?tool=bestpractice.com
TMD is rare in children ages <6 years and in older adults.[18]LeResche L. Epidemiology of temporomandibular disorders: implications for the investigation of etiologic factors. Crit Rev Oral Biol Med. 1997;8:291-305.
http://journals.sagepub.com/doi/pdf/10.1177/10454411970080030401
http://www.ncbi.nlm.nih.gov/pubmed/9260045?tool=bestpractice.com
[19]Köhler AA, Helkimo AN, Magnusson T, et al. Prevalence of symptoms and signs indicative of temporomandibular disorders in children and adolescents. A cross-sectional epidemiological investigation covering two decades. Eur Arch Paediatr Dent. 2009 Nov;10(1 suppl):16-25.
http://www.ncbi.nlm.nih.gov/pubmed/19863894?tool=bestpractice.com
[20]Yadav S, Yang Y, Dutra EH, et al. Temporomandibular joint disorders in older adults. J Am Geriatr Soc. 2018 Jul;66(6):1213-7.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6699643
http://www.ncbi.nlm.nih.gov/pubmed/29719041?tool=bestpractice.com
The incidence of TMDs increases with age in children.[17]Acquired temporomandibular disorders in infants, children, and adolescents. American Academy of Pediatric Dentistry. 2019 [internet publication].
https://www.aapd.org/research/oral-health-policies--recommendations