Üniversite Öğrencilerinde Temporomandibular Eklem Disfonksiyonu Prevalansının Araştırılması

Yıl 2019, Cilt: 6 Sayı: 3, 287 - 298, 30.12.2019

Besime Ahu Kaynak , Serkan Taş , Nezehat Özgül Ünlüer , Ümit Yaşar , Yıldız Erdoğanoğlu

https://doi.org/10.21020/husbfd.594937

Öz

Amaç: Bu çalışmanın
amacı, üniversite öğrencilerinde
temporomandibular eklem disfonksiyonu (TMED) prevalansının araştırılmasıdır.

Gereç ve Yöntem: Bu çalışma, 18-25 yaş
aralığında (20,5±1,5 yıl) 1104 kadın ve 334 erkek olmak üzere 1438 üniversite
öğrencisinin katılımıyla gerçekleşti. Çalışmaya katılan bireylerde TMED varlığı,
Fonseca Anamnestik Anketi kullanılarak değerlendirildi. Fonseca Anamnestik
Anketi 10 sorudan oluşmaktadır. Katılımcıdan her soruya ‘Evet’ (10 puan),
‘Hayır’ (0 puan) ve ‘Bazen’ (5 puan) olmak üzere cevap vermesi istenir. Anket
sonucunda elde edilen skora göre bireyler TMED yok (0-15 puan), hafif TMED’li
(20-40 puan), orta şiddette TMED’li (45-65 puan) ve şiddetli TMED’li (70-100)
olarak sınıflandırıldı.

Bulgular: Değerlendirilen
1438 bireyden 547’sinde (%38) TMED olmadığı bulunurken, bireylerin 891’inde
(%62) TMED olduğu tespit edildi. TMED’li bireylerde TMED şiddeti
incelendiğinde, TMED tespit edilen 891 bireyden 664’ünde (%46,2) hafif şiddette
TMED, 180’ında orta şiddette TMED (%12,5) ve 47’sinde (%3,3) şiddetli TMED
olduğu bulundu. Değerlendirilen 1104 kadın bireyden 730’unda (%66,1) TMED
tespit edilirken, 374 kadın bireyde (%33,9) TMED olmadığı bulundu.
Değerlendirilen 334 erkek bireyden 173’ünde (%51,3) TMED yok iken, 161 erkek
bireyde (%48,7)  TMED olduğu bulundu.

Sonuç: Elde edilen sonuçlar üniversite öğrencilerinde TMED
prevalasının %62 olduğunu göstermektedir. Ayrıca, TMED’li bireylerin önemli bir
kısmının hafif TMED’li bireylerden oluştuğu tespit edildi. Kadınlarda TMED
prevalansının ve şiddetinin erkeklere göre daha fazla olduğu bulundu.

Anahtar Kelimeler

Temporomandibular bozukluk, temporomandibuler eklem disfonksiyon sendromu, prevalans

Destekleyen Kurum

yok

Proje Numarası

-

Teşekkür

Çalışmanın yazarları olarak, anketlerin toplanması ve verilerin girilmesindeki katkılarından dolayı İrem ALTUNTOP’a teşekkür ederiz.

Investigation of Prevalence of Temporomandibular Joint Dysfunction in University Students

Öz

Aim: The purpose
of the study was to investigate the prevalence of temporomandibular joint dysfunction
(TMJD) in university students.

Material and Method: This study was carried out in 1438 university students (1104 females,
334 males) between the ages of 18 and 25 (20.5±1.5 years). The presence of TMJD
was evaluated using the Fonseca’s anamnesis index. The Fonseca Anamnestik Index
consists of 10 questions. The participant is asked to answer each question with
‘Yes’ (10 points), ‘No’ (0 points) or ‘Sometimes’ (5 points). According to the
obtained score from the questionnaire, individuals were classified as having no
TMJD (0-15 points), mild TMJD (20-40 points), moderate TMJD (45-65 points),
severe TMJD (70-100).

Results: Out of 1438 participants, 891 (62%) had TMJD and
547 (38%) did not. In those 891 participants with TMJD, the level of the
condition was mild in 664 participants (46.2%), moderate in 180 participants
(12.5%), and severe in 47 participants (3.3%). In 1104 female participants, TMJD
was found in 730 female participants (66.1%) and 374 female participants did
not have TMJD (33.9%). Of the 334 male participants, 173 did not have TMJD
(51.3%), and 161 had TMJD (48.7%).

Conclusion: The results show that the TMJD prevalence in university students was 62%.
In addition, it was found that a significant number of individuals with TMJD
were mild TMJD. The prevalence and severity of TMJD were found to be higher in
women than in men. 

Anahtar Kelimeler

Temporomandibular Joint Disorders, Temporomandibular Joint Dysfunction Syndrome, prevalance

Proje Numarası

-

Kaynakça

• Al Moaleem MM, Okshah AS, Al-Shahrani AA, Alshadidi AA, Shaabi FI, Mobark AH ve diğerleri. (2017). Prevalence and Severity of Temporomandibular Disorders among Undergraduate Medical Students in Association with Khat Chewing. Journal of Contemporary Dental Practice, 18(1), 23-28.
• Augusto VG, Perina KCB, Penha DSG, Dos Santos DCA, Oliveira VAS. (2016). Temporomandibular dysfunction, stress and common mental disorder in university students. Acta Ortopedica Brasileira, 24(6), 330-333.
• Berger M, Szalewski L, Bakalczuk M, Bakalczuk G, Bakalczuk S, Szkutnik J. (2015). Association between estrogen levels and temporomandibular disorders: a systematic literature review. Przeglad Menopauzalny, 14(4), 260-270.
• Berni KC, Dibai-Filho AV, Rodrigues-Bigaton D. (2015). Accuracy of the Fonseca anamnestic index in the identification of myogenous temporomandibular disorder in female community cases. Journal of Bodywork and Movement Therapies, 19(3), 404-409.
• Bonotto D, Namba EL, Veiga DM, Wandembruck F, Mussi F, Afonso Cunali P ve diğerleri. (2016). Professional karate-do and mixed martial arts fighters present with a high prevalence of temporomandibular disorders. Dental Traumatology, 32(4), 281-285.
• Campos JA, Carrascosa AC, Bonafe FS, Maroco J. (2014). Severity of temporomandibular disorders in women: validity and reliability of the Fonseca Anamnestic Index. Brazilian Oral Research, 28, 16-21.
• Celic R, Jerolimov V, Knezovic Zlataric D. (2004). Relationship of slightly limited mandibular movements to temporomandibular disorders. Brazilian Dental Journal, 15(2), 151-154.
• Durham J, Newton-John TR, Zakrzewska JM. (2015). Temporomandibular disorders. British Medical Journal, 350, h1154.
• Ivkovic N, Racic M, Lecic R, Bozovic D, Kulic M. (2018). Relationship Between Symptoms of Temporomandibular Disorders and Estrogen Levels in Women With Different Menstrual Status. Journal of Oral & Facial Pain Headache, 32(2), 151-158.
• Karthik R, Hafila MIF, Saravanan C, Vivek N, Priyadarsini P, Ashwath B. (2017). Assessing Prevalence of Temporomandibular Disorders among University Students: A Questionnaire Study. Journal of International Society of Preventive & Community Dentistry, 7(Suppl 1), 24-29.
• Lipton JA, Ship JA, Larach-Robinson D. (1993). Estimated prevalence and distribution of reported orofacial pain in the United States. Journal Of The American Dental Association, 124(10), 115-121.
• Minghelli B, Morgado M, Caro T. (2014). Association of temporomandibular disorder symptoms with anxiety and depression in Portuguese college students. Journal of Oral Science, 56(2), 127-133.
• Ozdinc SP, Ata HM, Selçuk H, Can HB, Sermenli N, Turan FN. (2018). Temporomandibular joint disorder determined by Fonseca anamnestic index and associated factors in 18- to 27-year-old university students. Journal of Craniomandibular Practice, 1-6.
• Pedroni CR, De Oliveira AS, Guaratini MI. (2003). Prevalence study of signs and symptoms of temporomandibular disorders in university students. Journal of Oral Rehabilitation, 30(3), 283-289.
• Perrotta S, Bucci R, Simeon V, Martina S, Michelotti A, Valletta R. (2019). Prevalence of malocclusion, oral parafunctions and temporomandibular disorder-pain in Italian school children: an epidemiological study. Journal of Oral Rehabilitation, 46(7), 611-616.
• Sampaio NM, Oliveira MC, Ortega AO, Santos LB, Alves TD. (2017). Temporomandibular disorders in elderly individuals: the influence of institutionalization and sociodemographic factors. Communication Disordes, Audiology and Swallowing, 29(2), e20160114.
• Scrivani SJ, Keith DA, Kaban LB. (2008). Temporomandibular disorders. New England Journal of Medicine, 359(25), 2693-2705.
• Türken R, Büyük SK, Yaşa Y. (2018). Diş Hekimliği Fakültesi Öğrencilerinde Temporomandibular Eklem Rahatsızlıklarının ve Ağız Sağlığı Alışkanlıklarının Değerlendirilmesi. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 2018 doi: https://doi.org/10.31067/0.2018.83 (Erken Baskı).