Temporamandibuler Eklem Bozukluğu Olan Hastalarda Antidepresan İlaç Kullanım Öyküsü

Öz

Amaç Temporamandibular eklem rahatsızlıkları, toplumun büyük bir bölümünde görülen ve çeşitli etiyolojik faktörlere bağlı olarak gelişen bir sorundur. Stres ve anksiyete gibi ruhsal bozukluklar da bu faktörler arasındadır. Bu çalışmada, temporamandibular eklem problemi olan hastalarda antidepresan ilaç kullanım öyküsünün değerlendirilmesi ve stres, depresyon ve bu problem arasındaki olası ilişkinin araştırılması amaçlanmıştır. Gereç ve Yöntemler Bu çalışma, Kahramanmaraş Sütçü İmam Üniversitesi Diş Hekimliği Fakültesi Ağız Radyolojisi Anabilim Dalı'na başvuran hastalar üzerinde yürütülmüştür. Çalışmaya, kliniğimize TME şikayeti ile başvuran, 18-65 yaşları arasında toplam 200 hasta dahil edilmiştir. Bu hastalar yaş, cinsiyet ve antidepresan ilaç kullanıp kullanmadıklarına göre değerlendirilmiştir. İlaç kullanıcıları, aktif olarak kullananlar ve son 1 yıldır antidepresan ilaç kullanmayan ancak geçmişte bir dönem kullanmış olanlar olarak gruplandırılmıştır. Bulgular TME şikayeti ile başvuran toplam 200 hastanın 147'si (%73,5) kadın, 53'ü (%26,5) erkekti. 59 hasta (%29,5) (48 kadın, 11 erkek) aktif olarak antidepresan kullanıyordu ve 35 hasta (%17,5) (25 kadın, 10 erkek) geçmişte bir süredir antidepresan kullanmıştı. 106 hasta (%53) ise geçmişte hiç antidepresan kullanmamıştı. Sonuç TME sorunları olan hastaların önemli bir kısmında antidepresan ilaç kullanım öyküsü vardı. Eklem şikayeti ile başvuran hastaların çoğunluğu kadındı. TME semptomları olan hastaların çoğunda stres ve anksiyete ana yatkınlık faktörleri olarak düşünülmelidir.

Anahtar Kelimeler

• Temporomandibular eklem bozukluğu
• antidepresan ilaç
• stres
• anksiyete

History of Antidepressant Drug Use in Patients with Temporomandibular Joint Disorder

Abstract

Objectives Temporomandibular joint disorders are a problem seen in a large part of the population and develop due to various etiological factors. Mental disorders such as stress and anxiety are also among these factors. This study aimed to evaluate the history of antidepressant medication use in patients with temporomandibular joint problems and to investigate the possible relationship between stress and depression and this problem. Material and Methods This study was conducted on patients admitted to the Department of Oral Radiology, Faculty of Dentistry, Kahramanmaraş Sütçü Imam University. A total of 200 patients between the ages of 18-65 years and presenting to our clinic with any symptom of TMJ complaints were included in the study. These patients were evaluated according to age, gender and whether or not they were taking antidepressant medication. Drug users were grouped as current active users and those who had not used antidepressant drugs for the last 1 year but had used them at some time in the past. Results Of a total of 200 patients presenting with TMJ complaints, 147 (73.5%) were female and 53 (26.5%) were male. Fifty nine (29.5%) patients (48 females, 11 males) were actively using antidepressants and 35 (17.5%) patients (25 females, 10 males) had used antidepressants for some time in the past. One hundred six (53%) patients had never used antidepressants in the past. Conclusion A significant proportion of patients with TMJ problems had a history of antidepressant medication use. The majority of the patients presenting with joint complaints were women. Stress and anxiety should be considered as the main predisposing factors in the majority of patients with TMJ symptoms.

Keywords

• Temporamandibular joint disorder
• antidepressant drug
• stress
• anxiety

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