TEMPOROMANDİBULAR EKLEM RAHATSIZLIKLARINDA OKLUZAL FAKTÖRLERİN DEĞERLENDİRİLMESİ

Yıl 2019, Cilt: 29 Sayı: 2, 295 - 301, 22.03.2019

Neslihan Tınastepe , İpek İşcan

https://doi.org/10.17567/ataunidfd.395391

Öz

Amaç: Bu araştırmanın amacı okluzal faktörler ile temporomandibular eklem
(TME) rahatsızlıkların ilişkisinin incelenmesidir.

Materyal ve Metod: Çene yüz ağrıları kliniğine art arda gelen hastaların
kayıtları retrospektif olarak incelendi. TME rahatsızlıkları için araştırma
tanı  kriterleri (ATK/TME) kullanılarak
TME rahatsızlığı tanısı konuldu. Angle sınıflaması, anterior ve lateral rehberlik
faktörleri belirlendi. Ki- kare ve Continuity Yates düzeltmesi kullanılarak
verilerin niteliksel karşılaştırması yapıldı.

Bulgular: TME rahatsızlığı teşhisi konulan bireylerde kanin
koruyuculu okluzal rehberliğine eklem rahatsızlığı bulunmayanlardan daha fazla
oranda rastlanıldı. Myofasiyal ağrı teşhisi konulan bireylerde anterior
rehberlik varlığı, disk deplasmanı teşhisi konulan bireylerde Angle Sınıf I
molar ilişkisi, artraljisi bulunanlarda ise kanin koruyuculu okluzyon diğer alt
gruplardan daha fazla oranda tespit edildi.

Sonuç: Sonuç olarak seçilmiş okluzal faktörlerle
temporomandibular eklem rahatsızlıkları arasında ilişki
bulunmuştur.Temporomandibular eklem rahatsızlıkları değerlendirilirken bu
faktörler göz önünde bulundurul- malıdır ancak temporomandibular
rahatsızlıkların etyolojisinin multifaktöriyel olduğu unutulmamalıdır

Anahtar Kelimeler: Okluzyon, Malokluzyon,  Temporomandibular eklem

EVALUATION OF
OCCLUSAL FACTORS IN TEMPOROMANDIBULAR JOINT 
DISORDERS

ABSTRACT

Aim: The aim of the study was to investigate the relation between main
occlusal factors and temporomandibular disorders.

Material and Methods: Records of patients attending orofacial pain  clinic 
were screened retrospectively.The diagnosis of temporomandibular
disorders were made according to research diagnostic criteria for
temporomandibular disorders (RDC/TMD). Angle classification, the type of
occlusal guiding pattern were determined. Chi-square and Yates’s continuity
correction were used to compare qualitative data.

Results: Canine guided occlusion were found more frequently in
subjects with temporomandibular disorders than in subjects without
temporomandibular disorders. It was also observed that prevalance of anterior
guidance in subjects with  myofacial
pain, Angle Class I molar relation in subjects with disc displacement, canine
guidance occlusion in subjects with artraljia was higher than other subgroups
of temporomandibular disorders. 

Conclusion: In conclusion, it was found that there is an
association between selected occlusal factors and temporomandibular disorders.
Meanwhile, multifac- torial etiology should be kept in mind while evaluating
impact of occlusal factors on temporomandibular disorders.

Keywords: Occlusion, Malocclusion, Temporo- mandibular joint.

Anahtar Kelimeler

Okluzyon, Malokluzyon

Kaynakça

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