Nasal Deviation Associated With Temporomandibular Disorders, finds study

Written By :  Dr. Shravani Dali
Published On 2026-03-06 14:30 GMT   |   Update On 2026-03-06 14:31 GMT

Researchers have found in a new study that presence of nasal deviation (ND), particularly nasal septal deviation (NSD), is associated with temporomandibular disorders (TMD), especially internal articular derangements (IAD), as well as joint clicking. These findings suggest that individuals with nasal deformities should be carefully screened for TMD and referred for further evaluation when appropriate. Further research is needed to confirm these associations.

The aim of this study was to evaluate the potential association between common nasal deformities (ND) and temporomandibular disorders (TMD) according to the diagnostic criteria (DC/TMD). Enrolled subjects were initially screened using the diagnostic criteria and then evaluated by an otorhinolaryngologist (ENT specialist) for the presence of nasal deformities, relative severity of these, as well as the signs and symptoms. The identified nasal deformities were categorized into four major groups: nasal septal deviation (NSD), inferior turbinate hypertrophy (ITH), a combination of both nasal septal deviation and ITH, and other deformities. The relationships between variables and differences between groups were analyzed using Χ[2] test and the Mann-Whitney U test. To identify the contribution of nasal deformity towards temporomandibular disorders diagnosis, hierarchical logistic regression analysis was conducted.

The study population comprised 368 participants (185 females and 183 males). A total of 98 (26.7%) patients were diagnosed with temporomandibular disorders, while 152 (41.3%) participants had one or more types of nasal deviation. The presence of nasal deformities was associated with an increased incidence of intra-articular disorders (IAD; p = 0.05) and joint clicking (p = 0.027). Nasal signs and symptoms were significantly associated with clicking (p = 0.025). Nasal septal deviation was associated with a 1.77 increase in the odds of having a temporomandibular disorder diagnosis (p = 0.020), a 2.45 increase in the odds of having internal articular derangements (p = 0.005), and a 1.62 increase in the odds of having joint clicking (p = 0.044).
The presence of nasal deformities, especially nasal septal deviation, appears to be associated with temporomandibular disorders, most notably with internal articular derangements, in addition to joint clicking. Therefore, individuals with nasal deformities should be carefully screened for temporomandibular disorders and referred for further evaluation whenever indicated. Further studies are required to validate these findings.
Reference:

Alrashdan, Mohammad S., et al. "Potential Association Between Nasal Deformities and Temporomandibular Disorders : a Cross-sectional Study." Journal of Orofacial Orthopedics = Fortschritte Der Kieferorthopadie : Organ/official Journal Deutsche Gesellschaft Fur Kieferorthopadie, 2026.

Keywords:

Nasal, Deviation, Associated, Temporomandibular, Disorders, finds, study,Alrashdan, Mohammad S



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Article Source : Journal of Orofacial Orthopedics

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