Öz
Amaç: Bu çalışmada farklı cinsiyet ve eğitim durumu olan hastaların temporomandibular eklem şikayetlerini tanımlamaları ve bu şikayetlerin manyetik rezonans görüntüleme (MRG) ile temporomandibular eklem (TME) bozukluğu tanısının doğruluğunu araştırmak amaçlamaktadır.
Gereç ve Yöntem: Çene ağrısı ve sınırlı ağız açıklığı şikâyeti ile 2011-2018 arasında diş kliniğine başvurmuş olan 18 yaşından büyük 99 hastanın Temporomandibular eklem MRG ve klinik muayene bulguları ve panoramik radyografileri değerlendirildi. MRG sonucunda TME belirlenmişse MRG (+) olarak kabul edildi. TME şikayetleri varsa, ancak MRG sonucuna göre, eklem normal sınırlardaysa, MRG (-) olarak kaydedildi.
Bulgular: MRG sonuçları ile cinsiyet değişkeni arasında anlamlı ilişki bulunurken, diş eksikliği parametresi arasında anlamlı bir ilişki bulunmadı. Eğitim düzeyinin ise Temporomandibuler eklem şikayetleri ve MRG (+) bulguları üzerinde anlamlı etkisinin olmadığı belirlendi.
Sonuç: Kadınların temporomandibular eklem problemlerini erkeklere göre daha iyi tarif ettikleri gözlendi. Eğitim seviyesi yüksek olsa bile eklem şikayetlerini hastalar hekime doğru bir şekilde aktaramayabilir. Bu hastalığın tanısını koyabilmek için mutlaka klinik bulgular MRG sonuçları ile desteklenmelidir.
Anahtar Kelimeler
Temporomandibular bozukluk Anksiyete Eğitim Manyetik rezonans Görüntüleme
Destekleyen Kurum
Başkent Üniversitesi Araştırma Fonu
Proje Numarası
D-KA19/19
Kaynakça
- Referans 1. Poveda Roda R, Bagán JV, Díaz Fernández JM, Hernández Bazán S, Jiménez Soriano Y. Review of temporomandibular joint pathology: Part I: Classification, epidemiology and risk factors. Med Oral Patol Oral Cir Bucal. 2007;12(4):292-8.
- Referans 2. Okeson JP. Management of Temporomandibular Disorders and Occlusion-E-Book: Mosby; 2019. p.103-110
- Referans 3. Cooper BC, Kleinberg I. Examination of a large patient population for the presence of symptoms and signs of temporomandibular disorders. CRANIO. 2007;25(2):114-26.
- Referans 4. Lopez- Friaz FJ, Gil-Flores J, Bonilla- Represa V, Abaloz- Labruzzi C, Herrera-Martinez M. Knowledge and management of temporomandibularfoint disorders by general dentists in Spain. J Clin Exp Dent 2019 Aug 1;11(8): e680-e685.
- Referans 5. Egermark I, Carlsson GE, Magnusson T. A 20-year longitudinal study of subjective symptoms of temporomandibular disorders from childhood to adulthood. Acta Odontol Scand. 2001;59(1):40-8.
- Referans 6. Kirmayer LJ. Culture and the metaphoric mediation of pain. Transcult Psychiatry. 2008;45(2):318-38.
- Referans 7. Manfredini D, Bucci MB, Nardini LG. The diagnostic process for temporomandibular disorders. Stomatologija. 2007;9(2):35-9.
- Referans 8. Bertoli E, de Leeuw R. Prevalence of Suicidal Ideation, Depression, and Anxiety in Chronic Temporomandibular Disorder Patients. J Oral Facial Pain Headache. 2016;30(4):296-301.
- Referans 9. Rugh JD, Woods BJ, Dahlström L. Temporomandibular disorders: assessment of psychological factors. Adv Dent Res. 1993;7(2):127-36.
- Referans 10. Visscher CM, Ligthart L, Schuller AA, Lobbezoo F, de Jongh A, van Houtem CM, et al. Comorbid disorders and sociodemographic variables in temporomandibular pain in the general Dutch population. J Oral Facial Pain Headache. 2015;29(1):51-9.
- Referans 11. Dworkin SF, LeResche L, DeRouen T, Von Korff M. Assessing clinical signs of temporomandibular disorders: reliability of clinical examiners. J Prosthet Dent. 1990;63(5):574-9.
- Referans 12. Østensjø V, Moen K, Storesund T, Rosén A. Prevalence of painful temporomandibular disorders and correlation to lifestyle factors among adolescents in Norway. Pain Res Manag. 2017;2017:2164825. doi: 10.1155/2017/2164825. Referans 13. Robinson JL, Johnson PM, Kister K, Yin MT, Chen J, Wadhwa S. Estrogen signaling impacts temporomandibular joint and periodontal disease pathology. Odontology. 2019 Jul 3. doi: 10.1007/s10266-019-00439-1.
- Referans 14. Simangwa LD, Åstrøm AN, Johansson A, Minja IK, Johansson AK. Oral diseases and socio-demographic factors in adolescents living in Maasai population areas of Tanzania: a cross-sectional study. BMC Oral Health. 2018;18(1):200.
- Referans 15. Shetty R. Prevalence of Signs of Temporomandibular Joint Dysfunction in Asymptomatic Edentulous Subjects: A Cross-Sectional Study. J Indian Prosthodont Soc. 2010;10:96–101.
- Referans 16. Wang MQ, Xue F, He JJ, Chen JH, Chen CS, Raustia A. Missing posterior teeth and risk of temporomandibular disorders. J Dent Res. 2009;88(10):942-45.
- Referans 17. Nazeri M,Ghahrechahi HR, Pourzare A, Abareghi F, Samiee-Rad S, Shabani M et al. Role of anxiety and depression in association with migrane and myofascial pain temporomandibular disorder. Indian J Dent. Res 2018; 29(5):583-87.
- Referans 18. Winocur E, Hermesh H, Littner D, Shiloh R, Peleg L, Eli I. Signs of bruxism and temporomandibular disorders among psychiatric patients. Oral surg Oral Med Oral Pathol Oral Radiol Oral Endod 2007;103(1):60-3.
- Referans 19. Dıraçoğlu D, Yıldırım NK, Saral İ, Özkan M, Karan A, Özkan S, et al. Temporomandibular dysfunction and risk factors for anxiety and depression. J Back Musculoskelet Rehabil. 2016;29(3):487–91.
- Referans 20. Slade GD, Bair E, Greenspan JD, Dubner R, Fillingim RB, Diatchenko L, et al. Signs and symptoms of first-onset TMD and sociodemographic predictors of its development: the OPPERA prospective cohort study. J Pain. 2013;14(12 Suppl):T20-32e1-3.
- Referans 21. Aggarwal VR, Macfarlane GJ, Farragher TM, McBeth J. Risk factors for onset of chronic oro-facial pain–results of the North Cheshire oro-facial pain prospective population study. Pain. 2010;149(2):354-9.
- Referans 22. Schwartz L, Chayes CM. The examination of the patient with fascial pain and/or with mandibular dysfunction. Dent Clin North Am. 1966 Nov; 537-44.
Öz
Purpose: The aim of this study was to define the temporomandibular joint complaints of patients with different genders and educational levels and to investigate the accuracy of these complaints with the diagnosis of temporomandibular joint disorder (TJD) with magnetic resonance imaging (MRII).
Material and Methods: Temporomandibular joint MRI and clinical examination findings and panoramic radiographs of 99 patients over 18 years of age who applied to the dental clinic between 2011-2018 with the complaint of jaw pain and limited mouth opening are evaluated. The cases which TJD was determined as a result of MRI, are accepted as MRI (+). The ones with the complaints of TJD, but the joint was within normal limits in the MRI, MRI is recorded as (-).
Results: There is significant correlation between MRI results and gender but no correlation between MRI results and tooth loss. It is found education level did not have significant effect on the described joint complaints and MRI (+) findings.
Conclusion: Women describe temporomandibular joint problems better than men. Even if the level of education is high, patients may not be able to convey their complaints correctly to the physician. Clinical findings should be supported by MRI results in order to diagnose this disease.
Anahtar Kelimeler
temporomandibular joint disorder magnetic resonance imaging diagnosis
Proje Numarası
D-KA19/19
Kaynakça
- Referans 1. Poveda Roda R, Bagán JV, Díaz Fernández JM, Hernández Bazán S, Jiménez Soriano Y. Review of temporomandibular joint pathology: Part I: Classification, epidemiology and risk factors. Med Oral Patol Oral Cir Bucal. 2007;12(4):292-8.
- Referans 2. Okeson JP. Management of Temporomandibular Disorders and Occlusion-E-Book: Mosby; 2019. p.103-110
- Referans 3. Cooper BC, Kleinberg I. Examination of a large patient population for the presence of symptoms and signs of temporomandibular disorders. CRANIO. 2007;25(2):114-26.
- Referans 4. Lopez- Friaz FJ, Gil-Flores J, Bonilla- Represa V, Abaloz- Labruzzi C, Herrera-Martinez M. Knowledge and management of temporomandibularfoint disorders by general dentists in Spain. J Clin Exp Dent 2019 Aug 1;11(8): e680-e685.
- Referans 5. Egermark I, Carlsson GE, Magnusson T. A 20-year longitudinal study of subjective symptoms of temporomandibular disorders from childhood to adulthood. Acta Odontol Scand. 2001;59(1):40-8.
- Referans 6. Kirmayer LJ. Culture and the metaphoric mediation of pain. Transcult Psychiatry. 2008;45(2):318-38.
- Referans 7. Manfredini D, Bucci MB, Nardini LG. The diagnostic process for temporomandibular disorders. Stomatologija. 2007;9(2):35-9.
- Referans 8. Bertoli E, de Leeuw R. Prevalence of Suicidal Ideation, Depression, and Anxiety in Chronic Temporomandibular Disorder Patients. J Oral Facial Pain Headache. 2016;30(4):296-301.
- Referans 9. Rugh JD, Woods BJ, Dahlström L. Temporomandibular disorders: assessment of psychological factors. Adv Dent Res. 1993;7(2):127-36.
- Referans 10. Visscher CM, Ligthart L, Schuller AA, Lobbezoo F, de Jongh A, van Houtem CM, et al. Comorbid disorders and sociodemographic variables in temporomandibular pain in the general Dutch population. J Oral Facial Pain Headache. 2015;29(1):51-9.
- Referans 11. Dworkin SF, LeResche L, DeRouen T, Von Korff M. Assessing clinical signs of temporomandibular disorders: reliability of clinical examiners. J Prosthet Dent. 1990;63(5):574-9.
- Referans 12. Østensjø V, Moen K, Storesund T, Rosén A. Prevalence of painful temporomandibular disorders and correlation to lifestyle factors among adolescents in Norway. Pain Res Manag. 2017;2017:2164825. doi: 10.1155/2017/2164825. Referans 13. Robinson JL, Johnson PM, Kister K, Yin MT, Chen J, Wadhwa S. Estrogen signaling impacts temporomandibular joint and periodontal disease pathology. Odontology. 2019 Jul 3. doi: 10.1007/s10266-019-00439-1.
- Referans 14. Simangwa LD, Åstrøm AN, Johansson A, Minja IK, Johansson AK. Oral diseases and socio-demographic factors in adolescents living in Maasai population areas of Tanzania: a cross-sectional study. BMC Oral Health. 2018;18(1):200.
- Referans 15. Shetty R. Prevalence of Signs of Temporomandibular Joint Dysfunction in Asymptomatic Edentulous Subjects: A Cross-Sectional Study. J Indian Prosthodont Soc. 2010;10:96–101.
- Referans 16. Wang MQ, Xue F, He JJ, Chen JH, Chen CS, Raustia A. Missing posterior teeth and risk of temporomandibular disorders. J Dent Res. 2009;88(10):942-45.
- Referans 17. Nazeri M,Ghahrechahi HR, Pourzare A, Abareghi F, Samiee-Rad S, Shabani M et al. Role of anxiety and depression in association with migrane and myofascial pain temporomandibular disorder. Indian J Dent. Res 2018; 29(5):583-87.
- Referans 18. Winocur E, Hermesh H, Littner D, Shiloh R, Peleg L, Eli I. Signs of bruxism and temporomandibular disorders among psychiatric patients. Oral surg Oral Med Oral Pathol Oral Radiol Oral Endod 2007;103(1):60-3.
- Referans 19. Dıraçoğlu D, Yıldırım NK, Saral İ, Özkan M, Karan A, Özkan S, et al. Temporomandibular dysfunction and risk factors for anxiety and depression. J Back Musculoskelet Rehabil. 2016;29(3):487–91.
- Referans 20. Slade GD, Bair E, Greenspan JD, Dubner R, Fillingim RB, Diatchenko L, et al. Signs and symptoms of first-onset TMD and sociodemographic predictors of its development: the OPPERA prospective cohort study. J Pain. 2013;14(12 Suppl):T20-32e1-3.
- Referans 21. Aggarwal VR, Macfarlane GJ, Farragher TM, McBeth J. Risk factors for onset of chronic oro-facial pain–results of the North Cheshire oro-facial pain prospective population study. Pain. 2010;149(2):354-9.
- Referans 22. Schwartz L, Chayes CM. The examination of the patient with fascial pain and/or with mandibular dysfunction. Dent Clin North Am. 1966 Nov; 537-44.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Klinik Tıp Bilimleri |
| Bölüm | Araştırma |
| Yazarlar | |
| Proje Numarası | D-KA19/19 |
| Yayımlanma Tarihi | 30 Eylül 2020 |
| Kabul Tarihi | 8 Mayıs 2020 |
| Yayımlandığı Sayı | Yıl 2020 Cilt: 45 Sayı: 3 |
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