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TEMPOROMANDİBULAR EKLEM RAHATSIZLIKLARINDA OKLUZAL FAKTÖRLERİN DEĞERLENDİRİLMESİ

Year 2019, Volume: 29 Issue: 2, 295 - 301, 22.03.2019
https://doi.org/10.17567/ataunidfd.395391

Abstract













Amaç: Bu araştırmanın amacı okluzal faktörler ile temporomandibular eklem
(TME) rahatsızlıkların ilişkisinin incelenmesidir.



Materyal ve Metod: Çene yüz ağrıları kliniğine art arda gelen hastaların
kayıtları retrospektif olarak incelendi. TME rahatsızlıkları için araştırma
tanı  kriterleri (ATK/TME) kullanılarak
TME rahatsızlığı tanısı konuldu. Angle sınıflaması, anterior ve lateral rehberlik
faktörleri belirlendi. Ki- kare ve Continuity Yates düzeltmesi kullanılarak
verilerin niteliksel karşılaştırması yapıldı.



Bulgular: TME rahatsızlığı teşhisi konulan bireylerde kanin
koruyuculu okluzal rehberliğine eklem rahatsızlığı bulunmayanlardan daha fazla
oranda rastlanıldı. Myofasiyal ağrı teşhisi konulan bireylerde anterior
rehberlik varlığı, disk deplasmanı teşhisi konulan bireylerde Angle Sınıf I
molar ilişkisi, artraljisi bulunanlarda ise kanin koruyuculu okluzyon diğer alt
gruplardan daha fazla oranda tespit edildi.



Sonuç: Sonuç olarak seçilmiş okluzal faktörlerle
temporomandibular eklem rahatsızlıkları arasında ilişki
bulunmuştur.Temporomandibular eklem rahatsızlıkları değerlendirilirken bu
faktörler göz önünde bulundurul- malıdır ancak temporomandibular
rahatsızlıkların etyolojisinin multifaktöriyel olduğu unutulmamalıdır



Anahtar Kelimeler: Okluzyon, Malokluzyon,  Temporomandibular eklem

EVALUATION OF
OCCLUSAL FACTORS IN TEMPOROMANDIBULAR JOINT 
DISORDERS




ABSTRACT



Aim: The aim of the study was to investigate the relation between main
occlusal factors and temporomandibular disorders.



Material and Methods: Records of patients attending orofacial pain  clinic 
were screened retrospectively.The diagnosis of temporomandibular
disorders were made according to research diagnostic criteria for
temporomandibular disorders (RDC/TMD). Angle classification, the type of
occlusal guiding pattern were determined. Chi-square and Yates’s continuity
correction were used to compare qualitative data.



Results: Canine guided occlusion were found more frequently in
subjects with temporomandibular disorders than in subjects without
temporomandibular disorders. It was also observed that prevalance of anterior
guidance in subjects with  myofacial
pain, Angle Class I molar relation in subjects with disc displacement, canine
guidance occlusion in subjects with artraljia was higher than other subgroups
of temporomandibular disorders. 



Conclusion: In conclusion, it was found that there is an
association between selected occlusal factors and temporomandibular disorders.
Meanwhile, multifac- torial etiology should be kept in mind while evaluating
impact of occlusal factors on temporomandibular disorders.



Keywords: Occlusion, Malocclusion, Temporo- mandibular joint.

References

  • 1-Okeson JP. Management of temporomandibular disorder and occlusion. Mosby Elsevier. Sixth Edition. 2008:7-9,26,164.
  • 2-Clark GT., Delcanho RE, Goulet JP. The utility and validity of current diagnostic procedures for defining temporomandibular disorder patients. Adv Dent Res 1993; 7(2):97-11.
  • 3-De Boever JA., Carlsson GE.,Klineberg IJ. Need for occlusal therapy and prosthodontic treatment in the management of temporomandibular disorders. Part I.Occlusal interferences and occlusal adjustment J Oral Rehabil 2000;27: 367-379.
  • 4-Suvinen TI, Reade PJ,Kemppainen P., Könönen M.,Dworkin SF. Review of aetiological concepts of temporomandibular pain disorders.towards a biopsychosocial model for integration of physical disorder factors with psychological and psychosocial illness impact factors. Eur j pain 2005;9:613-33.
  • 5-Houston W.J.B., Stephens C.D.,Tulley W.J.The scope of orthodontic practice.In Houston WJB,Stephens CD,Tulley WJ,eds.A textbook of Orthodontics.Oxford: Butterworth-Heinemann,1-13,1992.
  • 6-Ahlgren J, Posselt O.,Need of functional analysis and selective grinding in orthodontics: A clinical and electromyographic study. Acta Odontol Scand 1963;21:187-217.
  • 7-Celi´c R, Jerolimov V, Panduri´c J: A study of the influence of occlusal factors and parafunctional habits on the prevalence of signs and symptoms of TMD. Int J Prosthodont 2002;15:43-48.
  • 8-Perry HT Jr. Relation of occlusion to the temporomandibular joint dysfunction:the orthodontic viewpoint. J Am Dent Assoc 1969;79:137-41.
  • 9-Loiselle RJ. Relation of occlusion to the temporomandibular joint dysfunction:the prosthodontic viewpoint. J Am Dent Assoc 1969;79:145-6.
  • 10-Pullinger AG, Seligman DA. Overbite and overjet characteristics of refined diagnostic groups of temporomandibular disorder patients.Am J Orthod Dentofacial Orthop.1991; 100:401–415.
  • 11-Tsolka P., Walter J.D., Wılson R.F. Preiskel H.W. Occlusal variables, bruxism and temporomandibular disorders: a clinical and kinesiographic assessment. Journal of Oral Rehabilitation 1995;22, 849.
  • 12-Selaimen CMP., Jeronymo JCM., Brilhante DP., Lima EM., Grossi Márcio L. Grossi P. K.Occlusal Risk Factors for Temporomandibular Disorders. Angle Orthod. 2007; 77(3),471-477. 13- Minagi S., Watanabe H., Sato T. Tsuru H. The relationship between balancing-side occlusal contact patterns and temporomandibular joint sounds in humans: propositionof the concept of balancing side protection. J Craniomandib Disord 1990:4:251-6.
  • 14-Minagi S., Ohtsuki H., Soto,T.,Ishii A. Effect ofbalancing-side occlusion on the ipsilateral TMJ dynamics under clenching Journal of Oral Rehabilitation. 1997;1, 57–62.
  • 15- Rinchuse DJ, Kandasamy S, Sciote J. A contemporary and evidence-based view of canine protected occlusion. Am J Orthod Dentofacial Orthop. 2007;132(1):90-102.
  • 16- Costa MD, Froes Junior GRT, Santos CN. Evaluation of occlusal factors in patients with temporomandibular joint disorder. Dental Press J Orthod. 2012;17(6):61-8.
  • 17-Pullinger AG., Seligman DA., Solberg WK. Temporomandibular disorders. Part III:Occlusalfactors associated with temporomandibular jointtenderness and dysfunction . J Prosthet Dent 1988;59(4): 483-489.
  • 18-Roberts CA, Katzberg RW, Tallents RH, Espeland MA, Handelman SU. Correlation of clinical parameters to the arthrographic depiction of temporomandibular joint internal derangements. Oral Surg Oral Med Oral Pathol 1988;66:32-6.
  • 19-Runge ME, Sadowsky C, Sakols E.I., BeGole A. The relationship between temporomandibular joint sounds and malocclusion. American Journal of Orthodontics and Dentofacial Orthopedics.1989; 96(1):36-42.
  • 20-al-Hadi LA. Prevalence of temporomandibular disorders in relation to some occlusal parameters. J Prosthet Dent 1993;70:345-50.
  • 21- Yılmaz AB, Yeşil Durmuş Z. Tme düzensizlikleri semptomlarına dişhekimliği fakültesi öğrencileri arasında rastlanma sıklığı ile cinsiyet, maloklüzyon ve parafonksiyonel alışkanlıkların ilişkisinin tespit edilmesi. Atatürk Diş. Fak. Der.2002;12(2),14-19
  • 22-Donegan SJ, Christensen LV, McKay DC. Canine tooth guidance and temporomandibular joint sounds in non-patients and patients. J Oral Rehabil 1996;23:799-804.
  • 23-Butler JH, Folke LE, Bandt CL. A descriptive survey of signs and symptoms associated with myofascial pain—dysfunction syndrome. J Am Dent Assoc 1975;90:635-9.
  • 24- Dworkin SF, LeResche L: Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J Craniomandib Disord 1992;6:301-355.
  • 25-Huang GJ, Leresche L, Critchlow CW, Martin MD, Drangsholt MT. Risk factors for diagnostic subgroups of painful temporomandibular disorders (TMD). J Dent Res. 2002;81(4):284-8.
  • 26-John MT, Dworkin SF, Mancl LA. Reliability of clinical temporomandibular disorder diagnoses. Pain. 2005;118(1-2):61-9.
  • 27-Luther F. TMD and occlusion part II. Damned if we don’t? Functional occlusal problems: TMD epidemiology in a wider context. Br Dent J. 2007;202(1):38-9.
  • 28-Belser UC, Hannam AG. The influence of altered working-side occlusal guidance on masticatory muscles and related jaw movement. J Prosthet Dent 1985;53:406-13.
Year 2019, Volume: 29 Issue: 2, 295 - 301, 22.03.2019
https://doi.org/10.17567/ataunidfd.395391

Abstract

References

  • 1-Okeson JP. Management of temporomandibular disorder and occlusion. Mosby Elsevier. Sixth Edition. 2008:7-9,26,164.
  • 2-Clark GT., Delcanho RE, Goulet JP. The utility and validity of current diagnostic procedures for defining temporomandibular disorder patients. Adv Dent Res 1993; 7(2):97-11.
  • 3-De Boever JA., Carlsson GE.,Klineberg IJ. Need for occlusal therapy and prosthodontic treatment in the management of temporomandibular disorders. Part I.Occlusal interferences and occlusal adjustment J Oral Rehabil 2000;27: 367-379.
  • 4-Suvinen TI, Reade PJ,Kemppainen P., Könönen M.,Dworkin SF. Review of aetiological concepts of temporomandibular pain disorders.towards a biopsychosocial model for integration of physical disorder factors with psychological and psychosocial illness impact factors. Eur j pain 2005;9:613-33.
  • 5-Houston W.J.B., Stephens C.D.,Tulley W.J.The scope of orthodontic practice.In Houston WJB,Stephens CD,Tulley WJ,eds.A textbook of Orthodontics.Oxford: Butterworth-Heinemann,1-13,1992.
  • 6-Ahlgren J, Posselt O.,Need of functional analysis and selective grinding in orthodontics: A clinical and electromyographic study. Acta Odontol Scand 1963;21:187-217.
  • 7-Celi´c R, Jerolimov V, Panduri´c J: A study of the influence of occlusal factors and parafunctional habits on the prevalence of signs and symptoms of TMD. Int J Prosthodont 2002;15:43-48.
  • 8-Perry HT Jr. Relation of occlusion to the temporomandibular joint dysfunction:the orthodontic viewpoint. J Am Dent Assoc 1969;79:137-41.
  • 9-Loiselle RJ. Relation of occlusion to the temporomandibular joint dysfunction:the prosthodontic viewpoint. J Am Dent Assoc 1969;79:145-6.
  • 10-Pullinger AG, Seligman DA. Overbite and overjet characteristics of refined diagnostic groups of temporomandibular disorder patients.Am J Orthod Dentofacial Orthop.1991; 100:401–415.
  • 11-Tsolka P., Walter J.D., Wılson R.F. Preiskel H.W. Occlusal variables, bruxism and temporomandibular disorders: a clinical and kinesiographic assessment. Journal of Oral Rehabilitation 1995;22, 849.
  • 12-Selaimen CMP., Jeronymo JCM., Brilhante DP., Lima EM., Grossi Márcio L. Grossi P. K.Occlusal Risk Factors for Temporomandibular Disorders. Angle Orthod. 2007; 77(3),471-477. 13- Minagi S., Watanabe H., Sato T. Tsuru H. The relationship between balancing-side occlusal contact patterns and temporomandibular joint sounds in humans: propositionof the concept of balancing side protection. J Craniomandib Disord 1990:4:251-6.
  • 14-Minagi S., Ohtsuki H., Soto,T.,Ishii A. Effect ofbalancing-side occlusion on the ipsilateral TMJ dynamics under clenching Journal of Oral Rehabilitation. 1997;1, 57–62.
  • 15- Rinchuse DJ, Kandasamy S, Sciote J. A contemporary and evidence-based view of canine protected occlusion. Am J Orthod Dentofacial Orthop. 2007;132(1):90-102.
  • 16- Costa MD, Froes Junior GRT, Santos CN. Evaluation of occlusal factors in patients with temporomandibular joint disorder. Dental Press J Orthod. 2012;17(6):61-8.
  • 17-Pullinger AG., Seligman DA., Solberg WK. Temporomandibular disorders. Part III:Occlusalfactors associated with temporomandibular jointtenderness and dysfunction . J Prosthet Dent 1988;59(4): 483-489.
  • 18-Roberts CA, Katzberg RW, Tallents RH, Espeland MA, Handelman SU. Correlation of clinical parameters to the arthrographic depiction of temporomandibular joint internal derangements. Oral Surg Oral Med Oral Pathol 1988;66:32-6.
  • 19-Runge ME, Sadowsky C, Sakols E.I., BeGole A. The relationship between temporomandibular joint sounds and malocclusion. American Journal of Orthodontics and Dentofacial Orthopedics.1989; 96(1):36-42.
  • 20-al-Hadi LA. Prevalence of temporomandibular disorders in relation to some occlusal parameters. J Prosthet Dent 1993;70:345-50.
  • 21- Yılmaz AB, Yeşil Durmuş Z. Tme düzensizlikleri semptomlarına dişhekimliği fakültesi öğrencileri arasında rastlanma sıklığı ile cinsiyet, maloklüzyon ve parafonksiyonel alışkanlıkların ilişkisinin tespit edilmesi. Atatürk Diş. Fak. Der.2002;12(2),14-19
  • 22-Donegan SJ, Christensen LV, McKay DC. Canine tooth guidance and temporomandibular joint sounds in non-patients and patients. J Oral Rehabil 1996;23:799-804.
  • 23-Butler JH, Folke LE, Bandt CL. A descriptive survey of signs and symptoms associated with myofascial pain—dysfunction syndrome. J Am Dent Assoc 1975;90:635-9.
  • 24- Dworkin SF, LeResche L: Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J Craniomandib Disord 1992;6:301-355.
  • 25-Huang GJ, Leresche L, Critchlow CW, Martin MD, Drangsholt MT. Risk factors for diagnostic subgroups of painful temporomandibular disorders (TMD). J Dent Res. 2002;81(4):284-8.
  • 26-John MT, Dworkin SF, Mancl LA. Reliability of clinical temporomandibular disorder diagnoses. Pain. 2005;118(1-2):61-9.
  • 27-Luther F. TMD and occlusion part II. Damned if we don’t? Functional occlusal problems: TMD epidemiology in a wider context. Br Dent J. 2007;202(1):38-9.
  • 28-Belser UC, Hannam AG. The influence of altered working-side occlusal guidance on masticatory muscles and related jaw movement. J Prosthet Dent 1985;53:406-13.
There are 27 citations in total.

Details

Primary Language Turkish
Subjects Dentistry
Journal Section Araştırma Makalesi
Authors

Neslihan Tınastepe 0000-0002-4688-8653

İpek İşcan This is me 0000-0002-5728-9971

Publication Date March 22, 2019
Published in Issue Year 2019 Volume: 29 Issue: 2

Cite

APA Tınastepe, N., & İşcan, İ. (2019). TEMPOROMANDİBULAR EKLEM RAHATSIZLIKLARINDA OKLUZAL FAKTÖRLERİN DEĞERLENDİRİLMESİ. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, 29(2), 295-301. https://doi.org/10.17567/ataunidfd.395391
AMA Tınastepe N, İşcan İ. TEMPOROMANDİBULAR EKLEM RAHATSIZLIKLARINDA OKLUZAL FAKTÖRLERİN DEĞERLENDİRİLMESİ. Ata Diş Hek Fak Derg. March 2019;29(2):295-301. doi:10.17567/ataunidfd.395391
Chicago Tınastepe, Neslihan, and İpek İşcan. “TEMPOROMANDİBULAR EKLEM RAHATSIZLIKLARINDA OKLUZAL FAKTÖRLERİN DEĞERLENDİRİLMESİ”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 29, no. 2 (March 2019): 295-301. https://doi.org/10.17567/ataunidfd.395391.
EndNote Tınastepe N, İşcan İ (March 1, 2019) TEMPOROMANDİBULAR EKLEM RAHATSIZLIKLARINDA OKLUZAL FAKTÖRLERİN DEĞERLENDİRİLMESİ. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 29 2 295–301.
IEEE N. Tınastepe and İ. İşcan, “TEMPOROMANDİBULAR EKLEM RAHATSIZLIKLARINDA OKLUZAL FAKTÖRLERİN DEĞERLENDİRİLMESİ”, Ata Diş Hek Fak Derg, vol. 29, no. 2, pp. 295–301, 2019, doi: 10.17567/ataunidfd.395391.
ISNAD Tınastepe, Neslihan - İşcan, İpek. “TEMPOROMANDİBULAR EKLEM RAHATSIZLIKLARINDA OKLUZAL FAKTÖRLERİN DEĞERLENDİRİLMESİ”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 29/2 (March 2019), 295-301. https://doi.org/10.17567/ataunidfd.395391.
JAMA Tınastepe N, İşcan İ. TEMPOROMANDİBULAR EKLEM RAHATSIZLIKLARINDA OKLUZAL FAKTÖRLERİN DEĞERLENDİRİLMESİ. Ata Diş Hek Fak Derg. 2019;29:295–301.
MLA Tınastepe, Neslihan and İpek İşcan. “TEMPOROMANDİBULAR EKLEM RAHATSIZLIKLARINDA OKLUZAL FAKTÖRLERİN DEĞERLENDİRİLMESİ”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, vol. 29, no. 2, 2019, pp. 295-01, doi:10.17567/ataunidfd.395391.
Vancouver Tınastepe N, İşcan İ. TEMPOROMANDİBULAR EKLEM RAHATSIZLIKLARINDA OKLUZAL FAKTÖRLERİN DEĞERLENDİRİLMESİ. Ata Diş Hek Fak Derg. 2019;29(2):295-301.

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