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DALIŞ SERTİFİKASYONU EĞİTİM PROGRAMINDA SCUBA DALICILARINDA GÖRÜLEN TEMPOROMANDİBULER BOZUKLUKLAR

Year 2012, Volume: 75 Issue: 3, 35 - 40, 03.01.2013

Abstract

Amaç: Bir dalış regülatöründe ağızlık dizaynının SCUBA dalıcılarında temporomandibuler bozukluk (TMB)
riskini arttırdığı bilinmektedir. Dalış regülatörünün tüm ağırlığı artiküler ve periartiküler problemlere sebeb olacak
şekilde temporomandibuler eklem (TME) üzerine yansımaktadır. Çalışmamızda, dalış sertifikası eğitimi alan
SCUBA dalıcılarında TMB prevelansını araştırdık. Aynı zamanda, TMB’ye yol açan faktörleri belirlemek ve dalış
eğitimine bağlı anksiyetenin belirginleştiği tecrübesiz dalıcılarda TMB’nin daha sık görüldüğüne dair gözlemi
aydınlatmayı amaçladık.

Gereç ve yöntem: Çalışmamız, 2006 ve 2011 arasındaki 5,5 yıllık bir süre içinde gerçekleştirildi. 97 dalıcı
temporomandibuler alan etrafında belirginleşen ağrı şikayeti ile refere edildiler. Dalıcılar tecrübe seviyelerine göre
sınıflandırıldılar. TMB’ye ait belirti ve bulgular belirlendi ve sınıflandırıldı.

Bulgular: 14 dalıcıda TMB teşhis edildi. TMB’nun tecrübesiz dalıcılarda tecrübelilerden daha sık görüldüğü
saptandı (p=0.0434). En sık görülen belirti dalışta ağızlığı tutma eforunun artması olarak saptandı. TME hassasiyeti
ve tetik nokta aktivasyonu en sık görülen bulgular olarak saptandılar. 13 dalıcıda tedavi ile iyileşme sağlandı.

Sonuç: Dalış regülatörünün ikinci kademesinin ağızlığını sabitleme eforu TMB gelişiminde bilinen bir faktördür.
Dalış sertifikasyonu eğitiminde artan anksiyete TMB prevelansında artışa neden olmaktadır.

References

  • Aldridge RD, Fenlon MR. Prevalence of temporomandibular dysfunction in a group of scuba divers. Br J Sports Med. 2004;38:69-73.
  • Balestra C, Germonpré P, Marroni A, Snoeck T. Scuba diving can induce stress of the temporomandibular joint leading to headache. Br J Sports Med 2004;38:102.
  • Brandt MT. Oral and maxillofacial aspects of diving medicine. Mil Med. 2004;169:137-41.
  • Clark GT, Seligman DA, Solberg WK, Pullinger AG. Guidelines for the treatment of temporomandibular disorders. J Craniomandib Disord 1990;4:80-8.
  • Dülgeroğlu D, Aybay C, Akyüz M, et al. Temporomandibular eklem disfonksiyonu olan olguların klinik özellikleri. Fiziksel Tıp 2001;4:19-23.
  • Goldstein GR, Katz W. Divers’ mouth syndrome. NY State Dent 1982;10:523-5.
  • Herb K, Cho S, Stiles MA. Temporomandibular joint pain and dysfunction. Curr Pain Headache Rep 2006;10:408-14.
  • Hobson RS. Temporomandibular dysfunction syndrome associated with scuba diving mouthpieces. Br J Sports Med. 1991;25:49-51.
  • Hobson RS. Airway efficiency during the use of SCUBA diving mouthpieces. Br J Sports Med 1996;30:145-7.
  • Hobson RS, Newton JP. Dental evaluation of scuba diving mouthpieces using a subject assessment index and radiological analysis of jaw position. Br J SportsMed 2001;35:84-8.
  • Hurst TL, Tye EA, Byrd C. Snorkel or scuba diver's denture. J Prosthet Dent 1986;55:597-9.
  • Ingervall B, Warfvinge J. Activity of orofacial musculature during use of mouthpiece for diving. J Oral Rehabil 1978;5:269-77.
  • Katzberg RW, Bessette RW, Tallents RH, Plewes DB, Manzione JV, Schenck JF, et al. Normal and abnormal temporomandibular joint: MR imaging with surface coil. Radiology 1986;158:183-9.
  • Koob A, Ohlmann B, Gabbert O, Klingmann C, Rammelsberg disorders in association with scuba diving. Clin J Sport Med 2005;15:359-63. M.Temporomandibular
  • Mack PJ, Hobson RS, Askell J. Dental factors in scuba mouthpiece design. Br Dent J 1985;158:141-2.
  • Matsui R, Ueno T, Ohyama T. Fabrication of a custom diving mouthpiece using a thermoforming material. J Prosthet Dent 2004;92:392-4.
  • Nicolakis P, Erdogmus B, Kopf A, Nicolakis M, Piehslinger E, Fialka-Moser V. Effectiveness of exercise therapy in patients with myofascial pain dysfunction syndrome. J Oral Rehabil 2002;29:362-8.
  • Physical Oceanographic Activities. Office of Navigation, Hydrography and Oceanography (ONHO), web site address http://www.shodb.gov.tr/osinografi/physical.htm
  • Pinto OF. Temporomandibular joint problems in underwater activities. Journal of Prosthetic Dentistry 1966;16:772-81.
  • Roydhouse N. 1001 disorders of the ear, nose and sinuses in scuba divers. Can J Appl Sport Sci. 1985;10:99-103.
  • Speck JE. The temporomandibular joint pain dysfunction syndrome. Can Fam Physician 1988;34:1369-74.
  • Tekel N, Kahraman S. Temporomandibular eklem bozuklarının tedavisinde oklüzal splintlerin kullanımı. Atatürk Üniv Diş Hek Fak Derg 2006;supp:61-9.

TEMPOROMANDIBULAR DISORDERS IN SCUBA DIVERS DURING DIVING CERTIFICATION TRAINING PROGRAMME

Year 2012, Volume: 75 Issue: 3, 35 - 40, 03.01.2013

Abstract

Objective: The design of a diving regulator’s mouth-piece is known to increase the risk of a temporomandibular disorder (TMD) in SCUBA divers. The total weight of a diving regulator is reflected directly on the temporomandibular joint (TMJ) causing articular and periarticular problems. In this study, the prevalence of TMD in SCUBA divers having a training for diving certification is investigated. We also aimed to determine the factors that lead to TMD, and clarify the observation that there is an increased incidence of TMD in inexperienced divers with an anxiety of diving training.

Material and methods: The study was held in a period of 5.5 years, between 2006 and 2011. Ninety-seven divers were referred with the complaint of pain around the temporomandibular area. The divers were classified according to their experince levels. Symptoms and signs of TMD were noted and graded.

Results: 14 divers were diagnosed with TMD. It was found that TMD was seen more frequently in inexperienced divers than in experienced divers (p=0.0434). The most prevalent symptom was an increased effort spent for holding the mouth-piece during a dive. TMJ tenderness and trigger point activation were the mostly seen physical signs. 13 divers had an improvement with therapy.

Conclusion: The effort for stabilizing the mouth-piece of the second stage of a diving regulator is a recognized factor in TMD development. The training for diving certification causes an increase in the prevalence of TMD.

References

  • Aldridge RD, Fenlon MR. Prevalence of temporomandibular dysfunction in a group of scuba divers. Br J Sports Med. 2004;38:69-73.
  • Balestra C, Germonpré P, Marroni A, Snoeck T. Scuba diving can induce stress of the temporomandibular joint leading to headache. Br J Sports Med 2004;38:102.
  • Brandt MT. Oral and maxillofacial aspects of diving medicine. Mil Med. 2004;169:137-41.
  • Clark GT, Seligman DA, Solberg WK, Pullinger AG. Guidelines for the treatment of temporomandibular disorders. J Craniomandib Disord 1990;4:80-8.
  • Dülgeroğlu D, Aybay C, Akyüz M, et al. Temporomandibular eklem disfonksiyonu olan olguların klinik özellikleri. Fiziksel Tıp 2001;4:19-23.
  • Goldstein GR, Katz W. Divers’ mouth syndrome. NY State Dent 1982;10:523-5.
  • Herb K, Cho S, Stiles MA. Temporomandibular joint pain and dysfunction. Curr Pain Headache Rep 2006;10:408-14.
  • Hobson RS. Temporomandibular dysfunction syndrome associated with scuba diving mouthpieces. Br J Sports Med. 1991;25:49-51.
  • Hobson RS. Airway efficiency during the use of SCUBA diving mouthpieces. Br J Sports Med 1996;30:145-7.
  • Hobson RS, Newton JP. Dental evaluation of scuba diving mouthpieces using a subject assessment index and radiological analysis of jaw position. Br J SportsMed 2001;35:84-8.
  • Hurst TL, Tye EA, Byrd C. Snorkel or scuba diver's denture. J Prosthet Dent 1986;55:597-9.
  • Ingervall B, Warfvinge J. Activity of orofacial musculature during use of mouthpiece for diving. J Oral Rehabil 1978;5:269-77.
  • Katzberg RW, Bessette RW, Tallents RH, Plewes DB, Manzione JV, Schenck JF, et al. Normal and abnormal temporomandibular joint: MR imaging with surface coil. Radiology 1986;158:183-9.
  • Koob A, Ohlmann B, Gabbert O, Klingmann C, Rammelsberg disorders in association with scuba diving. Clin J Sport Med 2005;15:359-63. M.Temporomandibular
  • Mack PJ, Hobson RS, Askell J. Dental factors in scuba mouthpiece design. Br Dent J 1985;158:141-2.
  • Matsui R, Ueno T, Ohyama T. Fabrication of a custom diving mouthpiece using a thermoforming material. J Prosthet Dent 2004;92:392-4.
  • Nicolakis P, Erdogmus B, Kopf A, Nicolakis M, Piehslinger E, Fialka-Moser V. Effectiveness of exercise therapy in patients with myofascial pain dysfunction syndrome. J Oral Rehabil 2002;29:362-8.
  • Physical Oceanographic Activities. Office of Navigation, Hydrography and Oceanography (ONHO), web site address http://www.shodb.gov.tr/osinografi/physical.htm
  • Pinto OF. Temporomandibular joint problems in underwater activities. Journal of Prosthetic Dentistry 1966;16:772-81.
  • Roydhouse N. 1001 disorders of the ear, nose and sinuses in scuba divers. Can J Appl Sport Sci. 1985;10:99-103.
  • Speck JE. The temporomandibular joint pain dysfunction syndrome. Can Fam Physician 1988;34:1369-74.
  • Tekel N, Kahraman S. Temporomandibular eklem bozuklarının tedavisinde oklüzal splintlerin kullanımı. Atatürk Üniv Diş Hek Fak Derg 2006;supp:61-9.
There are 22 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Özmen Öztürk

Mustafa Tek This is me

Hüseyin Seven This is me

Publication Date January 3, 2013
Submission Date July 30, 2012
Published in Issue Year 2012 Volume: 75 Issue: 3

Cite

APA Öztürk, Ö., Tek, M., & Seven, H. (2013). TEMPOROMANDIBULAR DISORDERS IN SCUBA DIVERS DURING DIVING CERTIFICATION TRAINING PROGRAMME. Journal of Istanbul Faculty of Medicine, 75(3), 35-40.
AMA Öztürk Ö, Tek M, Seven H. TEMPOROMANDIBULAR DISORDERS IN SCUBA DIVERS DURING DIVING CERTIFICATION TRAINING PROGRAMME. İst Tıp Fak Derg. January 2013;75(3):35-40.
Chicago Öztürk, Özmen, Mustafa Tek, and Hüseyin Seven. “TEMPOROMANDIBULAR DISORDERS IN SCUBA DIVERS DURING DIVING CERTIFICATION TRAINING PROGRAMME”. Journal of Istanbul Faculty of Medicine 75, no. 3 (January 2013): 35-40.
EndNote Öztürk Ö, Tek M, Seven H (January 1, 2013) TEMPOROMANDIBULAR DISORDERS IN SCUBA DIVERS DURING DIVING CERTIFICATION TRAINING PROGRAMME. Journal of Istanbul Faculty of Medicine 75 3 35–40.
IEEE Ö. Öztürk, M. Tek, and H. Seven, “TEMPOROMANDIBULAR DISORDERS IN SCUBA DIVERS DURING DIVING CERTIFICATION TRAINING PROGRAMME”, İst Tıp Fak Derg, vol. 75, no. 3, pp. 35–40, 2013.
ISNAD Öztürk, Özmen et al. “TEMPOROMANDIBULAR DISORDERS IN SCUBA DIVERS DURING DIVING CERTIFICATION TRAINING PROGRAMME”. Journal of Istanbul Faculty of Medicine 75/3 (January 2013), 35-40.
JAMA Öztürk Ö, Tek M, Seven H. TEMPOROMANDIBULAR DISORDERS IN SCUBA DIVERS DURING DIVING CERTIFICATION TRAINING PROGRAMME. İst Tıp Fak Derg. 2013;75:35–40.
MLA Öztürk, Özmen et al. “TEMPOROMANDIBULAR DISORDERS IN SCUBA DIVERS DURING DIVING CERTIFICATION TRAINING PROGRAMME”. Journal of Istanbul Faculty of Medicine, vol. 75, no. 3, 2013, pp. 35-40.
Vancouver Öztürk Ö, Tek M, Seven H. TEMPOROMANDIBULAR DISORDERS IN SCUBA DIVERS DURING DIVING CERTIFICATION TRAINING PROGRAMME. İst Tıp Fak Derg. 2013;75(3):35-40.

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