The Open Dentistry Journal

ISSN: 1874-2106 ― Volume 14, 2020

Relationship Between Wind Instrument Playing Habits and Symptoms of Temporomandibular Disorders in Non-Professional Musicians

Akira Nishiyama1, *, $, Erisa Tsuchida2, $
1 Orofacial Pain Management, Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
2 Oral-Maxillofacial Surgery, Dentistry and Orthodontics, The University of Tokyo Hospital, Tokyo, Japan



In this study, we focused on the habits of wind instrumentalists as well as the presence of playing instruments, and investigated associations between the risk of temporomandibular disorders (TMD) and playing wind instruments in non-professional musicians.

Material and Methods:

Seventy-two non-professional players of wind instruments (instrument group) (mean(SD), 20.0(1.1) y; 42 women) and 66 non-players (control group) (22.0(2.6) y; 45 women) participated in this study. Factors were investigated using questionnaires (a screening questionnaire for TMD, instrument playing habits, years of experience, and time played per day).


The prevalence of a high risk of TMD was not significantly different between the instrument group (29.2%) and control group (21.2%). In the instrument group, the frequency of subjects who felt mouthpiece pressure in the high risk of TMD group (47.6%) was significantly greater than that in the low risk of TMD group (21.6%). Mouthpiece pressure was found to be a significant factor contributing to a high risk of TMD (odds ratio, 3.31; 95% CI, 1.12–9.79).


This study suggests that pressure from the mouthpiece was one of the contributing factors related to a high risk of TMD in non-professional wind instrument players.

Keywords: Amateur instrumentalists, Embouchure, Screening questionnaire, Wind instruments.

Article Information

Identifiers and Pagination:

Year: 2016
Volume: 10
First Page: 411
Last Page: 416
Publisher Id: TODENTJ-10-411
DOI: 10.2174/1874210601610010411

Article History:

Received Date: 11/11/2015
Revision Received Date: 14/6/2016
Acceptance Date: 13/7/2016
Electronic publication date: 22/08/2016
Collection year: 2016

© Nishiyama and Tsuchida; Licensee Bentham Open

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution-Non-Commercial 4.0 International Public License (CC BY-NC 4.0) (, which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Orofacial Pain Management, Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo 113-8549, Japan; Tel: +81-3-5803-5713; Fax: +81-3-5803-5713; E-mail:

$These authors contributed equally to this study.


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