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Sağlık Bilimleri Öğrencilerinde Temporomandibular Eklem Disfonksiyon Riskinin Araştırılması

Year 2019, , 258 - 265, 28.06.2019
https://doi.org/10.31832/smj.490740

Abstract

Amaç:
Bu çalışmanın amacı, üniversite öğrencilerinde Temporomandibular eklem (TME)
disfonksiyon gelişme riskini değerlendirmek ve risk düzeyinin yaşam kalitesi,
boyun disabilitesi ve psikolojik durum ile ilişkisini incelemektir.



Gereç ve Yöntemler: Dahil edilme ve dışlanma
kriterlerine göre sağlık bilimleri fakültesindeki 197 gönüllü öğrenci değerlendirildi.
Değerlendirmede
disfonksiyon gelişme riski TME ile ilişkili semptomların varlığı, psikolojik
durumu Beck Depresyon ölçeği, yaşam kalitesi SF-36 ve ağrıya dayalı disabilite
durumu Northwick Park Boyun Ağrı anketi ile değerlendirildi. İstatistiksel
analizlerde One-way Anova ve Spearman Korelasyon analizinden yararlanıldı.



Bulgular:
Çalışmaya 197 üniversite öğrencisi (yaş ort: 20,79±2,13 yıl) alındı.
Öğrencilerin %81,7’sinde TME bozuklukları ile ilgili en az bir semptom taşıdığı
saptandı. TME disfonksiyon risk düzeyine göre boyun ağrısına bağlı disabilite
düzeyi, psikolojik durum,  ve yaşam
kalitesi arasında anlamlı fark olduğu saptandı (bütün değerler için p<0,01).
Çalışmamızda öğrencilerin semptom
sayısı ile boyun ağrısına bağlı disabilite şiddeti (r=0,397, p<0,0001) ve psikolojik
durum arasında pozitif (r= 0,279, p<0,0001), SF-36 fiziksel (r= -0,328,
p<0,0001) ve mental komponentleri arasında (r= -0,305, p<0,0001) negatif
ilişki saptandı.



Sonuç: Araştırmamıza göre Sağlık Bilimleri
Öğrencilerinin genel olarak % 80’den fazlası en az bir TME disfonksiyon
belirtisi göstermektedir. Temporomandibular eklem ile ilgili problem riskindeki
bu artış eklemin biyomekanik olarak komşu vücut segmentlerini etkiliyor oluşu,
disfonksiyonun disabilite, yaşam kalitesi ve psikolojik durumundaki bozulma ile
olan yakın ilişkisine bağlanabilir.

References

  • 1. McNeill C. The American Academy of Orofacial Pain. Temporomandibular disorders: guidelines for classification, assessment, and management. Chicago: Quintessence 1993. p.46-55.
  • 2. Di Fabio RP. Physical therapy for patients with TMD: a descriptive study of treatment, disability, and health status. Journal of orofacial pain 1998;12(2).
  • 3. Benoit P. History and physical examination for TMD. Temporomandibular Disorders. 2nd ed. New York, NY: Churchill Livingstone; 1994. p.71-98.
  • 4. Olivo SA, Bravo J, Magee, DJ, Thie NM, Major PW, Flores-Mir C. The association between head and cervical posture and temporomandibular disorders: a systematic review. Journal of Orofacial Pain 2006;20(1).
  • 5. de Wijer A, de Leeuw JRJ, Steenks MH, Bosman F. Temporomandibular and cervical spine disorders: self-reported signs and symptoms. Spine 1996;21(14):1638-1646.
  • 6. Lee W Y, Okeson JP, Lindroth J. The relationship between forward head posture and temporomandibular disorders. Journal of orofacial pain 1995;9(2).
  • 7. Kendall F, McCreary E, Provance P. Muscles, testing and function Baltimore: Williams and Wilkins 1983.
  • 8. Watson DH, Trott PH. Cervical headache: an investigation of natural head posture and upper cervical flexor muscle performance. Cephalalgia 1993;13(4):272-284.
  • 9. Fricton JR, Kroening R, Haley D, Siegert R. Myofascial pain syndrome of the head and neck: a review of clinical characteristics of 164 patients. Oral surgery, oral medicine, oral pathology 1985;60(6):615-623.
  • 10. McNeely ML, Armijo Olivo S, Magee DJ., A systematic review of the effectiveness of physical therapy interventions for temporomandibular disorders. Physical therapy 2006;86(5):710-725.
  • 11. Gallagher RM, Marbach JJ, Raphael KG, Dohrenwend, BP, Cloitre M. Is major depression comorbid with temporomandibular pain and dysfunction syndrome? A pilot study. The Clinical journal of pain 1991;7(3):219-225.
  • 12. Gatchel RJ, Garofalo J P, Ellis E, Holt C. Major psychological disorders in acute and chronic TMD: an initial examination. The Journal of the American Dental Association 1996;127(9):1374.
  • 13. Moss RA, Adams HE. Physiological reactions to stress in subjects with and without myofascial pain dysfunction symptoms. Journal of oral rehabilitation 1984;11(3):219-232.
  • 14. Kulekcioglu S, Sivrioglu K, Ozcan O, Parlak M. Effectiveness of low‐level laser therapy in temporomandibular disorder. Scandinavian journal of rheumatology 2003;32(2):114-118.
  • 15. Hussein SA, Noori AJ, Amen FM. Temporomandibular joint disorders among a group of patients attending the Oral Diagnosis Clinic of the School of Dentistry at University of Sulaimani. Iraq.
  • 16. Knutson GA, Jacob M. Possible manifestation of temporomandibular joint dysfunction on chiropractic cervical X-ray studies. Journal of manipulative and physiological therapeutics, 1999;22(1):32-37.
  • 17. Ware Jr, John E. SF-36 health survey update. Spine, 2000;25(24):3130-3139.
  • 18. Beck AT, Steer RA, Brown GK. Beck depression inventory-II. San Antonio, 1996;78(2):490-8.
  • 19. Leak AM, Cooper J, Dyer S, Williams KA, Turner-Stokes L, Frank AO. The Northwick Park Neck Pain Questionnaire, devised to measure neck pain and disability. Rheumatology 1994; 33(5):469-474.
  • 20. Fillingim RB, Ohrbach R, Greenspan JD, Knott C, Dubner R, Bair E et al. Potential psychosocial risk factors for chronic TMD: descriptive data and empirically identified domains from the OPPERA case-control study. The Journal of Pain 2011;12(11):T46-T60.
  • 21. Oakley, M. and A. Vieira, The many faces of the genetics contribution to temporomandibular joint disorder. Orthodontics & craniofacial research 2008;11(3):125-135.
  • 22. Ohrbach R, Fillingim R B, Mulkey F, Gonzalez Y, Gordon S, Gremillion H, ... Maixner W. Clinical findings and pain symptoms as potential risk factors for chronic TMD: descriptive data and empirically identified domains from the OPPERA case-control study. The Journal of Pain 2011;12(11):T27-T45.
  • 23. Dworkin SF, Massoth DL. Temporomandibular disorders and chronic pain: disease or illness? The Journal of prosthetic dentistry 1994;72(1):29-38.
  • 24. Auerbach SM, Laskin DM, Frantsve LME, Orr T. Depression, pain, exposure to stressful life events, and long-term outcomes in temporomandibular disorder patients. Journal of oral and maxillofacial surgery 2001; 59(6):628-633.
  • 25. Kino K, Sugisaki M, Haketa T, Amemori Y, Ishikawa T, Shibuya T, ... Yoda T. The comparison between pains, difficulties in function, and associating factors of patients in subtypes of temporomandibular disorders. Journal of Oral Rehabilitation 2005;32(5):315-325.
  • 26. Pereira KNF, Andrade LLS, Costa MLG, Portal TF. Sinais e sintomas de pacientes com disfunção temporomandibular. Rev CEFAC 2005;7(2):221-8.
  • 27. Meldolesi GN, Picardi A, Accivile E, di Francia RT, Biondi M. Personality and psychopathology in patients with temporomandibular joint pain-dysfunction syndrome. Psychotherapy and psychosomatics 2000;69(6);322-328.
  • 28. Rugh J, Woods B, Dahlström L. Temporomandibular disorders: assessment of psychological factors. Advances in dental research 1993;7(2):127-136.
  • 29. Jagger RG, Bates JF, Kopp S. Temporomandibular joint dysfunction: the essentials. 1994: Butterworth-Heinemann Medical.
  • 30. Vimpari SS, Knuuttila ML, Sakki TK, Kivela S L. Depressive symptoms associated with symptoms of the temporomandibular joint pain and dysfunction syndrome. Psychosomatic medicine 1995;57(5):439-444.
  • 31. Ciancaglini R, Testa M, Radaelli G. Association of neck pain with symptoms of temporomandibular dysfunction in the general adult population. Scandinavian journal of rehabilitation medicine 1999;31(1):17-22.
  • 32. Resende CMBMD, Alves ACDM, Coelho LT, Alchieri JC, Roncalli, Â, Barbosa GAS. Quality of life and general health in patients with temporomandibular disorders. Brazilian Oral Research 2013;27(2),116-121.
Year 2019, , 258 - 265, 28.06.2019
https://doi.org/10.31832/smj.490740

Abstract

References

  • 1. McNeill C. The American Academy of Orofacial Pain. Temporomandibular disorders: guidelines for classification, assessment, and management. Chicago: Quintessence 1993. p.46-55.
  • 2. Di Fabio RP. Physical therapy for patients with TMD: a descriptive study of treatment, disability, and health status. Journal of orofacial pain 1998;12(2).
  • 3. Benoit P. History and physical examination for TMD. Temporomandibular Disorders. 2nd ed. New York, NY: Churchill Livingstone; 1994. p.71-98.
  • 4. Olivo SA, Bravo J, Magee, DJ, Thie NM, Major PW, Flores-Mir C. The association between head and cervical posture and temporomandibular disorders: a systematic review. Journal of Orofacial Pain 2006;20(1).
  • 5. de Wijer A, de Leeuw JRJ, Steenks MH, Bosman F. Temporomandibular and cervical spine disorders: self-reported signs and symptoms. Spine 1996;21(14):1638-1646.
  • 6. Lee W Y, Okeson JP, Lindroth J. The relationship between forward head posture and temporomandibular disorders. Journal of orofacial pain 1995;9(2).
  • 7. Kendall F, McCreary E, Provance P. Muscles, testing and function Baltimore: Williams and Wilkins 1983.
  • 8. Watson DH, Trott PH. Cervical headache: an investigation of natural head posture and upper cervical flexor muscle performance. Cephalalgia 1993;13(4):272-284.
  • 9. Fricton JR, Kroening R, Haley D, Siegert R. Myofascial pain syndrome of the head and neck: a review of clinical characteristics of 164 patients. Oral surgery, oral medicine, oral pathology 1985;60(6):615-623.
  • 10. McNeely ML, Armijo Olivo S, Magee DJ., A systematic review of the effectiveness of physical therapy interventions for temporomandibular disorders. Physical therapy 2006;86(5):710-725.
  • 11. Gallagher RM, Marbach JJ, Raphael KG, Dohrenwend, BP, Cloitre M. Is major depression comorbid with temporomandibular pain and dysfunction syndrome? A pilot study. The Clinical journal of pain 1991;7(3):219-225.
  • 12. Gatchel RJ, Garofalo J P, Ellis E, Holt C. Major psychological disorders in acute and chronic TMD: an initial examination. The Journal of the American Dental Association 1996;127(9):1374.
  • 13. Moss RA, Adams HE. Physiological reactions to stress in subjects with and without myofascial pain dysfunction symptoms. Journal of oral rehabilitation 1984;11(3):219-232.
  • 14. Kulekcioglu S, Sivrioglu K, Ozcan O, Parlak M. Effectiveness of low‐level laser therapy in temporomandibular disorder. Scandinavian journal of rheumatology 2003;32(2):114-118.
  • 15. Hussein SA, Noori AJ, Amen FM. Temporomandibular joint disorders among a group of patients attending the Oral Diagnosis Clinic of the School of Dentistry at University of Sulaimani. Iraq.
  • 16. Knutson GA, Jacob M. Possible manifestation of temporomandibular joint dysfunction on chiropractic cervical X-ray studies. Journal of manipulative and physiological therapeutics, 1999;22(1):32-37.
  • 17. Ware Jr, John E. SF-36 health survey update. Spine, 2000;25(24):3130-3139.
  • 18. Beck AT, Steer RA, Brown GK. Beck depression inventory-II. San Antonio, 1996;78(2):490-8.
  • 19. Leak AM, Cooper J, Dyer S, Williams KA, Turner-Stokes L, Frank AO. The Northwick Park Neck Pain Questionnaire, devised to measure neck pain and disability. Rheumatology 1994; 33(5):469-474.
  • 20. Fillingim RB, Ohrbach R, Greenspan JD, Knott C, Dubner R, Bair E et al. Potential psychosocial risk factors for chronic TMD: descriptive data and empirically identified domains from the OPPERA case-control study. The Journal of Pain 2011;12(11):T46-T60.
  • 21. Oakley, M. and A. Vieira, The many faces of the genetics contribution to temporomandibular joint disorder. Orthodontics & craniofacial research 2008;11(3):125-135.
  • 22. Ohrbach R, Fillingim R B, Mulkey F, Gonzalez Y, Gordon S, Gremillion H, ... Maixner W. Clinical findings and pain symptoms as potential risk factors for chronic TMD: descriptive data and empirically identified domains from the OPPERA case-control study. The Journal of Pain 2011;12(11):T27-T45.
  • 23. Dworkin SF, Massoth DL. Temporomandibular disorders and chronic pain: disease or illness? The Journal of prosthetic dentistry 1994;72(1):29-38.
  • 24. Auerbach SM, Laskin DM, Frantsve LME, Orr T. Depression, pain, exposure to stressful life events, and long-term outcomes in temporomandibular disorder patients. Journal of oral and maxillofacial surgery 2001; 59(6):628-633.
  • 25. Kino K, Sugisaki M, Haketa T, Amemori Y, Ishikawa T, Shibuya T, ... Yoda T. The comparison between pains, difficulties in function, and associating factors of patients in subtypes of temporomandibular disorders. Journal of Oral Rehabilitation 2005;32(5):315-325.
  • 26. Pereira KNF, Andrade LLS, Costa MLG, Portal TF. Sinais e sintomas de pacientes com disfunção temporomandibular. Rev CEFAC 2005;7(2):221-8.
  • 27. Meldolesi GN, Picardi A, Accivile E, di Francia RT, Biondi M. Personality and psychopathology in patients with temporomandibular joint pain-dysfunction syndrome. Psychotherapy and psychosomatics 2000;69(6);322-328.
  • 28. Rugh J, Woods B, Dahlström L. Temporomandibular disorders: assessment of psychological factors. Advances in dental research 1993;7(2):127-136.
  • 29. Jagger RG, Bates JF, Kopp S. Temporomandibular joint dysfunction: the essentials. 1994: Butterworth-Heinemann Medical.
  • 30. Vimpari SS, Knuuttila ML, Sakki TK, Kivela S L. Depressive symptoms associated with symptoms of the temporomandibular joint pain and dysfunction syndrome. Psychosomatic medicine 1995;57(5):439-444.
  • 31. Ciancaglini R, Testa M, Radaelli G. Association of neck pain with symptoms of temporomandibular dysfunction in the general adult population. Scandinavian journal of rehabilitation medicine 1999;31(1):17-22.
  • 32. Resende CMBMD, Alves ACDM, Coelho LT, Alchieri JC, Roncalli, Â, Barbosa GAS. Quality of life and general health in patients with temporomandibular disorders. Brazilian Oral Research 2013;27(2),116-121.
There are 32 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Articles
Authors

Abdurrahman Tanhan

Aysel Yıldız This is me

İlkşan Demirbüken

Mine Gülden Polat

Publication Date June 28, 2019
Submission Date November 30, 2018
Published in Issue Year 2019

Cite

AMA Tanhan A, Yıldız A, Demirbüken İ, Polat MG. Sağlık Bilimleri Öğrencilerinde Temporomandibular Eklem Disfonksiyon Riskinin Araştırılması. Sakarya Tıp Dergisi. June 2019;9(2):258-265. doi:10.31832/smj.490740

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