Abstract
Amaç: Temporomandibular eklem bozukluğu (TMB), ağrı, şişlik, klik veya krepitasyon sesleri, çene hareketlerinde kısıtlılık veya blokaj gibi semptomlar gösterir ve hatta yemek yeme ve konuşma gibi basit işlevleri etkileyebilir. Bu çalışma, disk deplasmanı olan TMB hastalarında disk deplasman tipinin çene işlevi üzerindeki etkisini değerlendirmeyi amaçlamaktadır.
Gereç ve Yöntem: Bu kohort çalışması, temporomandibular eklemde disk deplasmanı olan hastalar üzerinden yapıldı. Bağımsız değişken, disk deplasmanının tipiydi. Sonuç değişkeni, Çene Fonksiyonel Kısıtlama Ölçeği-20(JFLS-20) puanlarıydı. Ortak değişkenler hastanın yaşı ve ağrı skoruydu.
Bulgular: Disk deplasmanı olan 72 hasta ile çalışma grupları, 28 sağlıklı gönüllü ile kontrol grubu oluşturuldu. Kontrol grubu, disk deplasman gruplarına göre daha düşük JFLS-20 puanlarına sahipti (p<0,05). Disk deplasmanlı gruplar arasında JLFS-20 skorları açısından istatistiksel olarak anlamlı bir fark bulunmamakla birlikte, redüksiyonlu disk deplasmanlı grup, redüksiyonsuz disk deplasmanlı gruplara göre anlamlı derecede daha düşük ağrı skorlarına sahipti (p<0,05).
Sonuç: Disk deplasmanı olan bireylerin çene fonksiyonlarında kısıtlılık yaşadıkları ve bu kısıtlılığın disk deplasmanının çeşitli alt tiplerinden farklı şekilde etkilenmediği görülmüştür.
Supporting Institution
Yok
Project Number
Yok
Thanks
Yok
References
- 1. Yildiz S, Tumer MK, Yigit S, Nursal AF, Rustemoglu A, Balel Y. Relation of vitamin d and bsmI variant with temporomandibular diseases in the Turkish population. Br J Oral Maxillofac Surg. 2021; 59: 555–60.
- 2. Ferneini EM. Temporomandibular joint disorders (TMD). J Oral Maxillofac Surg. 2021; 79: 2171–2.
- 3. Yildiz S, Balel Y, Tumer MK. Evaluation of prevalence of temporomandibular disorders based on DC / TMD axis I diagnosis in Turkish population and correlation with axis II. J Stomatol Oral Maxillofac Surg. 2023; 124: 101303.
- 4. Rongo R, Ekberg E, Nilsson IM, Al-Khotani A, Alstergren P, Conti PCR, et al. Diagnostic criteria for temporomandibular disorders (DC/TMD) for children and adolescents: an international Delphi study-part 1-development of axis I. J Oral Rehabil. 2021; 48: 836–45.
- 5. Li DTS, Leung YY. Temporomandibular disorders: current concepts and controversies in diagnosis and management. Diagnostics (Basel, Switzerland). 2021; 11: 3.
- 6. Peck CC, Goulet J-P, Lobbezoo F, Schiffman EL, Alstergren P, Anderson GC, et al. Expanding the taxonomy of the diagnostic criteria for temporomandibular disorders. J Oral Rehabil. 2014; 41: 2–23.
- 7. Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet JP, et al. Diagnostic criteria for temporomandibular disorders (DC/TMD) for clinical and research applications: recommendations of the International RDC/TMD Consortium Network* and Orofacial Pain Special Interest Group†. J Oral Facial Pain Headache. 2014; 28: 6–27.
- 8. Ohrbach R, Larsson P, List T. The jaw functional limitation scale: development, reliability, and validity of 8-item and 20-item versions. J Orofac Pain. 2008; 22: 219–30.
- 9. Gauer RL, Semidey MJ. Diagnosis and treatment of temporomandibular disorders. Am Fam Physician. 2015; 91: 378–86.
- 10. Ohrbach R, Dworkin SF. The Evolution of TMD Diagnosis: Past, Present, Future. J Dent Res. 2016; 95: 1093–101.
- 11. Conti PCR, Costa YM, Gonçalves DA, Svensson P. Headaches and myofascial temporomandibular disorders: overlapping entities, separate managements? J Oral Rehabil. 2016; 43: 702–15.
- 12. Ghurye S, McMillan R. Pain-related temporomandibular disorder - current perspectives and evidence-based management. Dent Update. 2015; 42: 533-536.
- 13. Pu JK-S, Wong SC-S, So KH-T, Tsang AC-O, Li LF. Acupuncture as part of iatrogenic facial nerve palsy rehabilitation-first report. World Neurosurg. 2020; 140: 343–7.
- 14. Valesan LF, Da-Cas CD, Réus JC, Denardin ACS, Garanhani RR, Bonotto D, et al. Prevalence of temporomandibular joint disorders: a systematic review and meta-analysis. Clin Oral Investig. 2021; 25: 441–53.
- 15. Zhang S-H, He K-X, Lin C-J, Liu X-D, Wu L, Chen J, et al. Efficacy of occlusal splints in the treatment of temporomandibular disorders: a systematic review of randomized controlled trials. Acta Odontol Scand. 2020; 78: 580–9.
- 16. Al-Moraissi EA, Conti PCR, Alyahya A, Alkebsi K, Elsharkawy A, Christidis N. The hierarchy of different treatments for myogenous temporomandibular disorders: a systematic review and network meta-analysis of randomized clinical trials. Oral Maxillofac Surg. 2022; 26: 519–33.
- 17. Lövgren A, Österlund C, Ilgunas A, Lampa E, Hellström F. A high prevalence of TMD is related to somatic awareness and pain intensity among healthy dental students. Acta Odontol Scand. 2018; 76: 387–93.
- 18. Kim HK, Kim ME. Disturbed sleep may be a core risk factor for jaw functional limitation in patients with painful temporomandibular disorders. J Oral Rehabil. 2021; 48: 1013–24.
- 19. Kim K, Kim HS, Kim YK, Chung SC. A study on the rotational torque movement of mandible in patients with TMJ closed lock. Cranio. 1999; 17: 189–95.
- 20. Bakke M, Hansdottir R. Mandibular function in patients with temporomandibular joint pain: a 3-year follow-up. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008; 106: 227–34.
- 21. Wang WE, Roy A, Misra G, Archer DB, Ribeiro-Dasilva MC, Fillingim RB, et al. Motor-evoked pain ıncreases force variability in chronic jaw pain. J Pain. 2018; 19: 636–48.
- 22. Dinsdale A, Liang Z, Thomas L, Treleaven J. Are jaw range of motion, muscle function and proprioception impaired in adults with persistent temporomandibular disorders? A systematic review and meta-analysis. J Oral Rehabil. 2020; 47: 1448–78.
Abstract
Aim: Temporomandibular joint disorder(TMD) present symptoms such as pain, swelling, clicking or crepitating sounds, limitations or blockages in jaw movements, and may even affect simple functions such as eating and speaking. This study aims to evaluate the impact of disc displacement type on jaw function in patients with TMD who suffer from disc displacement.
Material and Methods: This cohort study was conducted on patients who had disc displacement in the temporomandibular joint. The independent variable was the type of disc displacement. The outcome variable was the Jaw Functional Limitation Scale-20(JFLS-20) scores. The covariates were the patient's age and pain score.
Results: The study groups were formed by including 72 patients with disc displacement, while the control group was formed by including 28 healthy volunteers. The control group had lower JFLS-20 scores than the disc displacement groups(p<0,05). Although there was no statistically significant difference in JLFS-20 scores between the disc displacement groups, disc displacement with reduction group had significantly lower pain scores than both disc displacement without reduction groups(p<0,05).
Conclusion: It was observed that individuals with disc displacement experience restricted jaw functions, and this limitation is not affected differently by the various subtypes of disc displacement.
Project Number
Yok
References
- 1. Yildiz S, Tumer MK, Yigit S, Nursal AF, Rustemoglu A, Balel Y. Relation of vitamin d and bsmI variant with temporomandibular diseases in the Turkish population. Br J Oral Maxillofac Surg. 2021; 59: 555–60.
- 2. Ferneini EM. Temporomandibular joint disorders (TMD). J Oral Maxillofac Surg. 2021; 79: 2171–2.
- 3. Yildiz S, Balel Y, Tumer MK. Evaluation of prevalence of temporomandibular disorders based on DC / TMD axis I diagnosis in Turkish population and correlation with axis II. J Stomatol Oral Maxillofac Surg. 2023; 124: 101303.
- 4. Rongo R, Ekberg E, Nilsson IM, Al-Khotani A, Alstergren P, Conti PCR, et al. Diagnostic criteria for temporomandibular disorders (DC/TMD) for children and adolescents: an international Delphi study-part 1-development of axis I. J Oral Rehabil. 2021; 48: 836–45.
- 5. Li DTS, Leung YY. Temporomandibular disorders: current concepts and controversies in diagnosis and management. Diagnostics (Basel, Switzerland). 2021; 11: 3.
- 6. Peck CC, Goulet J-P, Lobbezoo F, Schiffman EL, Alstergren P, Anderson GC, et al. Expanding the taxonomy of the diagnostic criteria for temporomandibular disorders. J Oral Rehabil. 2014; 41: 2–23.
- 7. Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet JP, et al. Diagnostic criteria for temporomandibular disorders (DC/TMD) for clinical and research applications: recommendations of the International RDC/TMD Consortium Network* and Orofacial Pain Special Interest Group†. J Oral Facial Pain Headache. 2014; 28: 6–27.
- 8. Ohrbach R, Larsson P, List T. The jaw functional limitation scale: development, reliability, and validity of 8-item and 20-item versions. J Orofac Pain. 2008; 22: 219–30.
- 9. Gauer RL, Semidey MJ. Diagnosis and treatment of temporomandibular disorders. Am Fam Physician. 2015; 91: 378–86.
- 10. Ohrbach R, Dworkin SF. The Evolution of TMD Diagnosis: Past, Present, Future. J Dent Res. 2016; 95: 1093–101.
- 11. Conti PCR, Costa YM, Gonçalves DA, Svensson P. Headaches and myofascial temporomandibular disorders: overlapping entities, separate managements? J Oral Rehabil. 2016; 43: 702–15.
- 12. Ghurye S, McMillan R. Pain-related temporomandibular disorder - current perspectives and evidence-based management. Dent Update. 2015; 42: 533-536.
- 13. Pu JK-S, Wong SC-S, So KH-T, Tsang AC-O, Li LF. Acupuncture as part of iatrogenic facial nerve palsy rehabilitation-first report. World Neurosurg. 2020; 140: 343–7.
- 14. Valesan LF, Da-Cas CD, Réus JC, Denardin ACS, Garanhani RR, Bonotto D, et al. Prevalence of temporomandibular joint disorders: a systematic review and meta-analysis. Clin Oral Investig. 2021; 25: 441–53.
- 15. Zhang S-H, He K-X, Lin C-J, Liu X-D, Wu L, Chen J, et al. Efficacy of occlusal splints in the treatment of temporomandibular disorders: a systematic review of randomized controlled trials. Acta Odontol Scand. 2020; 78: 580–9.
- 16. Al-Moraissi EA, Conti PCR, Alyahya A, Alkebsi K, Elsharkawy A, Christidis N. The hierarchy of different treatments for myogenous temporomandibular disorders: a systematic review and network meta-analysis of randomized clinical trials. Oral Maxillofac Surg. 2022; 26: 519–33.
- 17. Lövgren A, Österlund C, Ilgunas A, Lampa E, Hellström F. A high prevalence of TMD is related to somatic awareness and pain intensity among healthy dental students. Acta Odontol Scand. 2018; 76: 387–93.
- 18. Kim HK, Kim ME. Disturbed sleep may be a core risk factor for jaw functional limitation in patients with painful temporomandibular disorders. J Oral Rehabil. 2021; 48: 1013–24.
- 19. Kim K, Kim HS, Kim YK, Chung SC. A study on the rotational torque movement of mandible in patients with TMJ closed lock. Cranio. 1999; 17: 189–95.
- 20. Bakke M, Hansdottir R. Mandibular function in patients with temporomandibular joint pain: a 3-year follow-up. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008; 106: 227–34.
- 21. Wang WE, Roy A, Misra G, Archer DB, Ribeiro-Dasilva MC, Fillingim RB, et al. Motor-evoked pain ıncreases force variability in chronic jaw pain. J Pain. 2018; 19: 636–48.
- 22. Dinsdale A, Liang Z, Thomas L, Treleaven J. Are jaw range of motion, muscle function and proprioception impaired in adults with persistent temporomandibular disorders? A systematic review and meta-analysis. J Oral Rehabil. 2020; 47: 1448–78.
Details
| Primary Language | English |
|---|---|
| Subjects | Dentistry |
| Journal Section | RESEARCH ARTICLE |
| Authors | |
| Project Number | Yok |
| Publication Date | April 30, 2024 |
| Submission Date | May 17, 2023 |
| Acceptance Date | November 16, 2023 |
| Published in Issue | Year 2024 Volume: 6 Issue: 1 |
Bu eser Creative Commons Atıf-GayriTicari 4.0 Uluslararası Lisansı ile lisanslanmıştır.