Asemptomatik temporomandibular düzensizliklerin klinikte Fonseca anamnestik indeksi ile araştırılması

Yıl 2021, , 62 - 67, 01.09.2021

Deniz Yaman , Cansu Alpaslan , Oya Kalaycıoğlu

https://doi.org/10.17214/gaziaot.815831

Cited By: 3

Öz

Amaç: Bu çalışmanın amacı, Fonseca anamnestik indeksi kullanılarak asemptomatik ve sağlıklı bireylerdeki temporomandibular düzensizliklerin saptanması (TMD) ve şiddetinin belirlenmesidir.

Gereç ve Yöntem: Çalışmaya 135 birey (80 kadın ve 55 erkek, ortalama yaş 34.4±10.9) dahil edildi. Bu bireylere Fonseca anamnestik indeksi uygulandı. Verilerin analizi Pearson'un ki-kare testi, Fisher'in kesin testi, tek yönlü ANOVA ve Spearman korelasyonu kullanılarak yapıldı.

Bulgular: Bireylerin %63'ünde TMD olduğu tespit edildi. Çoğunluğu (%40), hafif şiddetteki TMD’ye sahipti. Cinsiyet ve TMD’nin şiddeti arasında istatistiksel olarak anlamlı fark bulundu (p=0.001). Temporomandibular eklem (TME) ağrısı, baş ağrısı ve emosyonel stres ile istatistiksel olarak anlamlı pozitif bir ilişki gösterdi (r=0.312, p˂0.001; r=0.299, p˂0.001, sırasıyla). TME ağrısının en güçlü pozitif korelasyonunun klik sesi ile olduğu saptandı (r=0.443, p˂0.001). Bruksizm, TME ağrısı ve klik sesi ile pozitif korelasyon gösterdi (r=0.197, p=0.022 and r=0.221, p=0.010, sırasıyla).

Sonuç: Fonseca anamnestik indeksi, asemptomatik ve sağlıklı katılımcılarda bile TMD ile ilgili semptomları ve ciddiyeti tespit etmek için kullanılabilen ve klinik uygulamada hızlı sonuçlar sağlayan güvenilir bir tanı aracıdır.

Anahtar Kelimeler

Erken tanı, temporomandibular eklem, temporomandibular eklem bozuklukları

Investigation of asymptomatic temporomandibular disorders with Fonseca anamnestic index in clinical practice

Öz

Objective: The study aims to evaluate the presence of temporomandibular disorders (TMD) and their severity in asymptomatic and healthy individuals using the Fonseca anamnestic index.

Materials and Method: A total of 135 individuals (80 females and 55 males, mean age 34.4±10.9) were involved in the study. The Fonseca anamnestic index was administered to the individuals. The data analysis was conducted by using Pearson's chi-squared test, Fisher's exact test, one-way ANOVA, and Spearman’s correlation.

Results: TMD was detected in 63% of the individuals. Most of them (40%) had mild TMD. The difference between gender and TMD severity was statistically significant (p=0.001). Temporomandibular joint (TMJ) pain showed a statistically significant positive correlation with headache and emotional stress (r=0.312, p˂0.001; r=0.299, p˂0.001, respectively). TMJ pain showed the strongest positive correlation with clicking (r=0.443, p˂0.001). Bruxism showed positive correlations with the TMJ pain and clicking (r=0.197, p=0.022 and r= 0.221, p=0.010, respectively).

Conclusion: The Fonseca anamnestic index is a reliable diagnostic tool that can be used to detect TMD-related symptoms and severity even in asymptomatic and healthy participants, providing rapid results in clinical practice.

Anahtar Kelimeler

Early diagnosis, temporomandibular joint, temporomandibular joint disorders

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