Quo Vadis Temporomandibular Disorders? By 2050, the Global Prevalence of TMD May Approach 44%
Abstract
1. Introduction
2. Materials and Methods
2.1. Modelling and Estimation of Changes
2.2. Impact of Urbanisation on TMD Prevalence
- For the Americas: −0.023 (i.e., a 0.023 percentage point decrease in TMD prevalence per 1% urbanisation increase);
- For Europe: ~0.000 (negligible effect of urbanisation);
- For Asia: −0.316 (i.e., a 0.316 percentage point decrease per 1% increase in urbanisation);
- Global coefficient: −0.0034. This indicates a negligible and likely clinically insignificant decrease of 0.0034 percentage points in TMD prevalence per 1% increase in urbanisation; yet, this was used in the analysis.
2.3. Annual Growth Model
- = annual change in TMD prevalence (percentage points);
- p2020 = baseline TMD prevalence in the year 2020;
- e = Euler’s number (approx. 2.718) [89].
2.4. Age Adjustment Coefficients
2.5. Model Limitations and Saturation Threshold
2.6. Omission of Gender Factor
2.7. Comparison with INED Data
2.8. Data Analysis
3. Results
4. Discussion
4.1. Geographic Differences in the Prevalence of TMD
4.2. The 44% of the Population with TMD by 2050—What Comes Next?
4.3. Limitations of the Forecast
5. Conclusions
- By the year 2050, the global prevalence of TMDs is projected to reach 44%, which, according to estimates, corresponds to approximately 4,252,160,000 individuals.
- By 2030, 39% of the population is projected to experience TMDs. By 2075, the global TMD prevalence is expected to rise to 47%, and, by 2100, it could increase further to 49% of the global population.
- Urbanisation may exert varying effects on the prevalence of TMDs depending on the geographical region. The strongest association has been observed in Asian countries, where an increase in urbanisation levels correlated with a statistically significant decrease in TMD prevalence. In the Americas and Europe, this relationship was weak or not demonstrated. On a global scale, the analysis did not confirm a significant impact of urbanisation on TMD epidemiology, which may suggest the importance of environmental and cultural determinants in its aetiopathogenaesis.
Supplementary Materials
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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P (Population) | I (Intervention/Exposure) | C (Comparison) | O (Outcome) |
---|---|---|---|
Individuals from urban and rural populations studied for TMD prevalence. | Urbanisation (percentage of population living in urban areas). | Populations with different levels of urbanisation (rural vs urban regions). | Prevalence of temporomandibular disorders. |
Year | Projected Proportion | 95% CI |
---|---|---|
2020 | 0.34 * | [0.29; 0.39] * |
2030 | 0.39 | [0.34; 0.44] |
2040 | 0.41 | [0.36; 0.46] |
2050 | 0.44 | [0.39; 0.49] |
2075 | 0.47 | [0.42; 0.52] |
2100 | 0.49 | [0.44; 0.54] |
Region | Age Group | Projected Proportion | 95% CI | Projected Proportion | 95% CI | Projected Proportion | 95% CI | Projected Proportion | 95% CI |
---|---|---|---|---|---|---|---|---|---|
2030 | 2050 | 2075 | 2100 | ||||||
Africa | 0–18 | 0.31 | [0.26; 0.36] | 0.40 | [0.35; 0.45] | 0.45 | [0.40; 0.50] | 0.49 | [0.44; 0.54] |
Africa | 18–60 | 0.43 | [0.38; 0.48] | 0.49 | [0.44; 0.54] | 0.52 | [0.47; 0.57] | 0.55 | [0.50; 0.60] |
Africa | 60+ | 0.37 | [0.32; 0.42] | 0.42 | [0.37; 0.47] | 0.45 | [0.40; 0.50] | 0.48 | [0.43; 0.53] |
Asia | 0–18 | 0.29 | [0.24; 0.34] | 0.34 | [0.29; 0.39] | 0.37 | [0.32; 0.42] | 0.39 | [0.34; 0.44] |
Asia | 18–60 | 0.42 | [0.37; 0.47] | 0.42 | [0.37; 0.47] | 0.44 | [0.39; 0.49] | 0.45 | [0.40; 0.50] |
Asia | 60+ | 0.36 | [0.31; 0.41] | 0.35 | [0.30; 0.40] | 0.36 | [0.31; 0.41] | 0.37 | [0.32; 0.42] |
Australia | 0–18 | 0.31 | [0.26; 0.36] | 0.40 | [0.35; 0.45] | 0.45 | [0.40; 0.50] | 0.49 | [0.44; 0.54] |
Australia | 18–60 | 0.43 | [0.38; 0.48] | 0.49 | [0.44; 0.54] | 0.52 | [0.47; 0.57] | 0.55 | [0.50; 0.60] |
Australia | 60+ | 0.37 | [0.32; 0.42] | 0.42 | [0.37; 0.47] | 0.45 | [0.40; 0.50] | 0.48 | [0.43; 0.53] |
Europe | 0–18 | 0.25 | [0.20; 0.30] | 0.38 | [0.33; 0.43] | 0.44 | [0.39; 0.49] | 0.48 | [0.43; 0.53] |
Europe | 18–60 | 0.43 | [0.38; 0.48] | 0.49 | [0.44; 0.54] | 0.52 | [0.47; 0.57] | 0.55 | [0.50; 0.60] |
Europe | 60+ | 0.34 | [0.29; 0.39] | 0.40 | [0.35; 0.45] | 0.44 | [0.39; 0.49] | 0.47 | [0.42; 0.52] |
North America | 0–18 | 0.38 | [0.33; 0.43] | 0.43 | [0.38; 0.48] | 0.46 | [0.41; 0.51] | 0.50 | [0.45; 0.55] |
North America | 18–60 | 0.43 | [0.38; 0.48] | 0.48 | [0.43; 0.53] | 0.52 | [0.47; 0.57] | 0.54 | [0.49; 0.59] |
North America | 60+ | 0.37 | [0.32; 0.42] | 0.41 | [0.36; 0.46] | 0.44 | [0.39; 0.49] | 0.47 | [0.42; 0.52] |
South America | 0–18 | 0.35 | [0.30; 0.40] | 0.41 | [0.36; 0.46] | 0.45 | [0.40; 0.50] | 0.49 | [0.44; 0.54] |
South America | 18–60 | 0.56 | [0.51; 0.61] | 0.56 | [0.51; 0.61] | 0.57 | [0.52; 0.62] | 0.57 | [0.52; 0.62] |
South America | 60+ | 0.56 | [0.51; 0.61] | 0.56 | [0.51; 0.61] | 0.56 | [0.51; 0.61] | 0.56 | [0.51; 0.61] |
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Zieliński, G. Quo Vadis Temporomandibular Disorders? By 2050, the Global Prevalence of TMD May Approach 44%. J. Clin. Med. 2025, 14, 4414. https://doi.org/10.3390/jcm14134414
Zieliński G. Quo Vadis Temporomandibular Disorders? By 2050, the Global Prevalence of TMD May Approach 44%. Journal of Clinical Medicine. 2025; 14(13):4414. https://doi.org/10.3390/jcm14134414
Chicago/Turabian StyleZieliński, Grzegorz. 2025. "Quo Vadis Temporomandibular Disorders? By 2050, the Global Prevalence of TMD May Approach 44%" Journal of Clinical Medicine 14, no. 13: 4414. https://doi.org/10.3390/jcm14134414
APA StyleZieliński, G. (2025). Quo Vadis Temporomandibular Disorders? By 2050, the Global Prevalence of TMD May Approach 44%. Journal of Clinical Medicine, 14(13), 4414. https://doi.org/10.3390/jcm14134414