Temporomandibular Eklem Rahatsızlıklarına Etki Eden Faktörlerin Araştırılması: Kırıkkale Üniversitesi Diş Hekimliği Fakültesi Öğrencileri Örneklemi

Year 2024, Volume: 4 Issue: 2, 734 - 749, 27.08.2024

Ismayil Malıkov , Sevgi Yurt Öncel , Türkan Sezen Erhamza

Abstract

Amaç: Bu çalışmada, Kırıkkale Üniversitesi Diş Hekimliği Fakültesi öğrencileri arasında temporomandibular eklem rahatsızlıklarına (TMDs) etki eden faktörler doğrulayıcı faktör analizi ile araştırılmıştır. Fonseca Anamnestik (FAI) anketi kullanılarak veriler elde edilmiştir. Gereç ve Yöntem: FAI ölçeği ve faktör yapısı öncelikle yamaç grafiği, Kaiser-Meyer-Olkin istatistikleri, Bartlett Küresellik Testi, Cronbach's Alpha ve Guttman's Lamda6 katsayıları kullanılarak analiz edildi. Daha sonra önerilen faktör yapısını doğrulamak için doğrulayıcı faktör analizi yapılmıştır. Bulgular: Tüm ölçek maddelerin FAI üzerinde anlamlı bir etkiye sahip olduğu görülmektedir (p<0,01). FAI ölçeğinin "F1-Fonksiyon-Eşlik Eden Hastalık" alt faktöründe yer alan ve en büyük etkiye sahip olan madde, ağzı geniş açmakta zorlanma ile ilgili olan Madde I1'dir. Gizli faktör tarafından açıklanan varyans %77,9'dur. Bu F1 alt faktörü üzerinde ikinci en yüksek etkiye sahip değişken, kulak ağrısı veya çene ağrısının olup olmadığı hakkında olan Madde I6'dır. Gizil faktör tarafından açıklanan varyansı %65,9'dur. Ayrıca "F2-Oklüzyon-parafonksiyon-psikoloji "alt faktöründe en yüksek etkiye sahip değişken dişleri sıkma veya gıcırdatma alışkanlığı hakkında olan Madde I8’dir. Gizil faktör tarafından açıklanan varyansı %45,6’dır. Sonuç: Elde edilen sonuçlara göre FAI ölçeğinin ölçeğin güvenirlik ve tutarlılığı sağlanmıştır. Tüm uyum kriterleri göz önünde bulundurulduğunda, önerilen modelin örneklem için geçerli olduğu ortaya çıkmıştır. Doğrulayıcı faktör analizi sonuçları, RMSEA, SRMR, GFI, AGFI, CFI, NFI, NNFI, TLI, CR ve AVE indeksleri ile kanıtlandığı üzere, verilerin önerilen modele iyi bir uyum sağladığını göstermiştir. Farklı fizyoterapi tekniklerinin uygulanmasının hastalarda TMD'nin yol açtığı problemleri indirgeyebileceği, ağzı geniş açmakta kolaylık sağlayabileceği, diş sıkma ve çene ağrısını kontrol etmede etkili olabileceği düşünülmektedir.

Keywords

Açıklayıcı Faktör analizi, Doğrulayıcı faktör analizi, Diş hekimliği öğrencileri, Fonseca Anamnestik (FAI) anketi, Temporomandibular eklem bozuklukları.

Ethical Statement

KIRIKKALE ÜNİVERSİTESİ GİRİŞİMSEL OLMAYAN ARAŞTIRMALAR ETİK KURUL KARARI ALINMIŞTIR Toplantı Tarihi: 25/10/2023 , Toplantı Sayısı: 2023/10, Karar No: 2023.10.15

Investigation of Factors Affecting Temporomandibular Joint Disorders: Sampling of The Faculty of Dentistry of Kırıkkale University

Abstract

Objective: In this study, factors affecting temporomandibular joint disorders (TMDs) among Kırıkkale University Faculty of Dentistry students were investigated by confirmatory factor analysis. Data were obtained using the Fonseca Anamnestic Index (FAI). Methods: The FAI scale and its factor structure were first analysed using the scree plot, Kaiser-Meyer-Olkin statistics, Bartlett's Test of Sphericity, Cronbach's Alpha and Guttman's Lamda6 coefficients. Subsequently, confirmatory factor analysis was conducted to verify the proposed factor structure. Results: All scale items appear to have a significant effect on FAI (p<0.01). The item in the "F1-Function-comorbidity" sub-factor of the FAI scale that has the greatest impact is Item I1, which is related to difficulty in opening the mouth wide. The variance explained by the latent factor is 77.9%. The variable with the second highest impact on this F1 factor was Item I6, which was about whether earache or jaw pain was present. The variance explained by the latent factor is 65.9%. In addition, the variable with the highest impact in the "F2-Occlusion-parafunction-psychology " sub-factor is Item I8, which is about the habit of clenching or grinding teeth. The variance explained by the latent factor is 45.6%. Conclusions: According to the results obtained, the reliability and consistency of the FAI scale was ensured. Considering all the fit criteria, it turned out that the proposed model was valid for the sample. The results of the confirmatory factor analysis indicated that the data provided a good fit to the proposed model, as evidenced by the RMSEA, SRMR, GFI, AGFI, CFI, NFI, NNFI, TLI, CR, and AVE indices. It is thought that the application of different physiotherapy techniques can reduce the problems caused by TMD in patients, make it easier to open the mouth wide, and be effective in controlling teeth clenching and jaw pain.

Keywords

Confirmatory factor analysis, Dentistry students, Exploratory Factor analysis, Fonseca Anamnestic (FAI) questionnaire, Temporomandibular Joint Disorders

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