Diş Sıkma Genç Erişkinlerde Dinamik Dengeyi Etkiler mi?

Yıl 2024, Cilt: 4 Sayı: 3, 514 - 523, 31.12.2024

Emre Serdar Atalay , Elif Dilem Ocak

https://doi.org/10.56061/fbujohs.1552397

Öz

Bu çalışmada, diş sıkma sırasında bireylerin dinamik dengesindeki değişimlerin incelenmesi amaçlandı. Çalışmaya 18-24 yaş aralığında 38 sağlıklı birey dahil edildi. Katılımcılara HURsmart denge cihazında dişlerini sıkarak ve sıkmadan olmak üzere iki kez dinamik denge testi uygulandı. Bitiş noktalarındaki maksimum değerler test çıktısı olarak kaydedildi. Tüm yönlerde diş sıkma öncesi ve sonrası arasında anlamlı bir fark saptanmadı (p>0,05). Çalışma bulguları, diş sıkmanın sağlıklı bireylerde denge üzerinde anında bir etkisinin olmadığını göstermektedir. Temporomandibular eklem disfonksiyonu olan olgularda dengenin değerlendirilmesi gelecekteki çalışmalarda farklı sonuçlar verebilir.

Anahtar Kelimeler

Denge, Diş Sıkma, Masseter

Etik Beyan

Çalışma Gülhane Sağlık Bilimleri Üniversitesi Gülhane Bilimsel Araştırmalar Etik Kurulu tarafından onaylandı (46418926-2023/410).

Does Teeth Clenching Affect Dynamic Balance in Young Adults?

Öz

This study aimed to investigate the changes in the dynamic balance of individuals during teeth clenching. Thirty-eight healthy individuals aged between 18 and 24 were included. Participants underwent dynamic balance testing twice on the HURsmart balance device, with clenching and without clenching their teeth. Maximum values at endpoints were recorded as test outcomes. There was no significant difference between pre-and post-teeth clenching in all directions (p>0.05). The study findings suggest that clenching teeth does not have an immediate effect on balance in healthy individuals. Assessing balance in cases with temporomandibular joint dysfunction may yield different results in future studies.

Anahtar Kelimeler

Balance, Masseter, Teeth Clenching

Kaynakça

• Alghadir, A. H., Zafar, H., Ahmed Iqbal, Z., Anwer, S., & Iqbal, A. (2022). Effect of static and dynamic jaw positions on postural stability among people with blindness. Brain and behavior, 12(9), e2645. https://doi.org/10.1002/brb3.2645
• Brocard, D., Laluque, J. F., & Knellesen, C. (2008). La gestion du bruxisme. Quintessence international.
• Fam, A. G., Lawry, G. V., & Kreder, H. J. (2006). Musculoskeletal examination and joint injection techniques. Mosby.
• Faul, F., Erdfelder, E., Buchner, A., & Lang, A. G. (2009). Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behav Res Methods, 41(4), 1149–1160. https://doi.org/10.3758/BRM.41.4.1149
• Garofolini, A., & Svanera, D. (2019). Fascial organisation of motor synergies: a hypothesis. Eur J Transl Myol, 29(3), 8313. https://doi.org/10.4081/ejtm.2019.8313
• Gangloff, P., Louis, J. P., & Perrin, P. P. (2000). Dental occlusion modifies gaze and posture stabilization in human subjects. Neurosci Lett, 293(3), 203–206. https://doi.org/10.1016/s0304-3940(00)01528-7
• Hesse, J. R., & Hansson, T. L. (1988). Factors influencing joint mobility in general and in particular respect of the craniomandibular articulation: a literature review. J Orofac Pain, 2(1), 19–28.
• Hooks TR. (2012) Temporomandibular Joint, Editor(s): James R. Andrews, Gary L. Harrelson, Kevin E. Wilk, Physical Rehabilitation of the Injured Athlete (Fourth Edition). (Pages 282-305) W.B. Saunders.
• Liem, T. (2002). The mandible and temporomandibular joınt. Editor: Liem T. Cranial Osteopathy (p 291-436) Churchill Livingstone.
• Lobbezoo, F., Ahlberg, J., Glaros, A. G., Kato, T., Koyano, K., Lavigne, G. J., … Winocur, E. (2013). Bruxism defined and graded: an international consensus. J Oral Rehabil, 40(1), 2–4. https://doi.org/10.1111/joor.12011
• Mainjot, A. K., Oudkerk, J., Bekaert, S., Dardenne, N., Streel, S., Koenig, V., … Bruyère, O. (2023). Bruxism as a new risk factor of musculo-skeletal disorders?. J Dent, 135, 104555. https://doi.org/10.1016/j.jdent.2023.104555
• Manfredini, D., Fabbri, A., Peretta, R., Guarda-Nardini, L., & Lobbezoo, F. (2011). Influence of psychological symptoms on home-recorded sleep-time masticatory muscle activity in healthy subjects. J Oral Rehabil, 38(12), 902–911. https://doi.org/10.1111/j.1365-2842.2011.02226.x
• Moore, K. L., & Dalley, A. F. (2018). Clinically Oriented Anatomy. Wolters Kluwer India Pvt Ltd.
• Nakamura, T., Yoshida, Y., Churei, H., Aizawa, J., Hirohata, K., Ohmi, T., … Yagishita, K. (2017). The Effect of Teeth Clenching on Dynamic Balance at Jump-Landing: A Pilot Study. J Appl Biomech, 33(3), 211–215. https://doi.org/10.1123/jab.2016-0137
• Nukaga, H., Takeda, T., Nakajima, K., Narimatsu, K., Ozawa, T., Ishigami, K., & Funato, K. (2016). Masseter Muscle Activity in Track and Field Athletes: A Pilot Study. Open Dent J, 10, 474–485. https://doi.org/10.2174/1874210601610010474
• Ogasawara, Y., Yakabi, A., & Kubo, A. (2022). Effects of truncal taping on center of gravity sway: comparison of different trunk muscle masses. J Phys Ther Sci, 34(4), 252–256. https://doi.org/10.1589/jpts.34.252
• Siegrist, M., Schaller, N., Weiß, M., Isaak, J., Schmid, V., Köppel, E., … Halle, M. (2023). Study protocol of a cluster-randomised controlled trial assessing a multimodal machine-based exercise training programme in senior care facilities over 6 months - the bestform study (best function of range of motion). BMC Geriatr, 23(1), 505. https://doi.org/10.1186/s12877-023-04176-7
• Tuncer, A. B., Ergun, N., Tuncer, A. H., & Karahan, S. (2013). Effectiveness of manual therapy and home physical therapy in patients with temporomandibular disorders: A randomized controlled trial. J Bodyw Mov Ther, 17(3), 302–308. https://doi.org/10.1016/j.jbmt.2012.10.006
• Zafar, H., Alghadir, A. H., Iqbal, Z. A., Iqbal, A., Anwer, S., & Alnahdi, A. H. (2020). Influence of different jaw positions on dynamic balance using Y-balance test. Brain Behav, 10(1), e01507. https://doi.org/10.1002/brb3.1507