Investigation Amount Of Maximum Mouth Opening And Association With Temporomandibular Joint Disorders InTurkish Adult Population

Öz

Objectives: The aims of this study were to estimate the amount of maximum mouth opening in Turkish adult population, and to compare mouth opening in patients with and without symptoms of temporomandibular joint dysfunction syndrome. Material and Methods: Maximum mouth opening was measured and questionnaire data collected from 551 men and 504 women (1055 adults), aged 16–72 years. Age, gender, presence of temporomandibular joint pain on palpation, tenderness of masticatory and neck muscles on palpation, type of bite, presence of temporomandibular joint sound, and a history of attendance of physician or dentist because of trouble with the jaw joint were all recorded. Results: The amount of maximum mouth opening was measured as 50.38 mm for males and 46.35 mm for females. 32 patients had open bite, 594 patients had normal bite, and 429 patients had deep bite, and their mean mouth opening is 52.53mm, 48.62 mm, and 47.09 mm, with respectively. Conclusions: We found relation between reduced tenderness of at least one masticatory or neck muscles, mouth opening with temporomandibular joint pain, and type of bite. However sound from temporomandibular joint was not found an evidence of limited mouth opening. Amount of mouth opening was found significantly different within groups of temporomandibular joint pain on palpation, and attendance to doctor or dentist suffering from jaw joint groups.

Anahtar Kelimeler

• Mouth opening; temporomandibular joint disorders; Turkish adult population

Erişkin Türk Toplumunda Maksimum Ağız Açikliığı Miktarı Ve Temporomandibular Eklem Bozuklukları İle İlişkisinin Araştırılması

Öz

Amaç: Bu çalışmanın amacı, erişkin Türk toplumunda maksimum ağız açıklığını tespit etmek ve bu sonucun varsa temporomandibular eklem bozukluğu ile olan ilişkisini tespit etmekti. Gereç ve Yöntem: Çalışmamızda maksimum ağız açıklığı 16–72 yaş aralığında 551’i erkek, 504’ü kadın olan 1055 erişkinden yapılan ölçümler sonucu elde edilmiştir. Yaş, cinsiyet, palpasyonda temporomandibular eklem ağrısı, palpasyonda çiğneme ve boyun kaslarında hassasiyet, kapanış tipi, temporomandibular eklemde ses varlığı ve çene ekleminde sorun nedeniyle diş hekimi ya da doktora gitme hikayesi kaydedildi. Bulgular: Maksimum ağız açıklığı erkeklerde 50,38 mm kadınlarda ise 46,35 mm olarak tespit edildi. 32 hastada açık kapanış, 594 hastada normal kapanış ve 429 hastada derin kapanış vardı ve hastaların ortalama ağız açıklıkları sırasıyla 52,53 mm, 48,62 mm ve 47,09 mm olarak kaydedildi. Sonuç: Ağız açıklığı ile kapanış tipi, temporoma dibular eklemde ağrı, çiğneme ve boyun kaslarında ağrı olması arasında ilişki bulundu. Bununla beraber çene ekleminden ses gelmesinin ağız açıklığı üzerine belirgin bir etkisinin olmadığı tespit edildi. Palpasyonda temporomandibular eklem ağrısı olan ve çene eklem şikayeti ile hekimine başvuran gruplarda ağız açıklığı miktarında belirgin bir faklılık olduğu tespit edildi.

Anahtar Kelimeler

• Ağız açıklığı; temporomandibular eklem hastalıkları; erişkin Türk nüfusu.

Kaynakça

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