Temporomandibular Eklem Disk Deplasman Türünün Çene Fonksiyon Kısıtlılığı Üzerine Etkisi

Yıl 2024, Cilt: 6 Sayı: 1, 31 - 38, 30.04.2024

Yunus Balel

https://doi.org/10.51122/neudentj.2024.86

Öz

Amaç: Temporomandibular eklem bozukluğu (TMB), ağrı, şişlik, klik veya krepitasyon sesleri, çene hareketlerinde kısıtlılık veya blokaj gibi semptomlar gösterir ve hatta yemek yeme ve konuşma gibi basit işlevleri etkileyebilir. Bu çalışma, disk deplasmanı olan TMB hastalarında disk deplasman tipinin çene işlevi üzerindeki etkisini değerlendirmeyi amaçlamaktadır.
Gereç ve Yöntem: Bu kohort çalışması, temporomandibular eklemde disk deplasmanı olan hastalar üzerinden yapıldı. Bağımsız değişken, disk deplasmanının tipiydi. Sonuç değişkeni, Çene Fonksiyonel Kısıtlama Ölçeği-20(JFLS-20) puanlarıydı. Ortak değişkenler hastanın yaşı ve ağrı skoruydu.
Bulgular: Disk deplasmanı olan 72 hasta ile çalışma grupları, 28 sağlıklı gönüllü ile kontrol grubu oluşturuldu. Kontrol grubu, disk deplasman gruplarına göre daha düşük JFLS-20 puanlarına sahipti (p<0,05). Disk deplasmanlı gruplar arasında JLFS-20 skorları açısından istatistiksel olarak anlamlı bir fark bulunmamakla birlikte, redüksiyonlu disk deplasmanlı grup, redüksiyonsuz disk deplasmanlı gruplara göre anlamlı derecede daha düşük ağrı skorlarına sahipti (p<0,05).
Sonuç: Disk deplasmanı olan bireylerin çene fonksiyonlarında kısıtlılık yaşadıkları ve bu kısıtlılığın disk deplasmanının çeşitli alt tiplerinden farklı şekilde etkilenmediği görülmüştür.

Anahtar Kelimeler

Çene bozuklukları, Fonksiyonel durum, Temporomandibular eklem

Destekleyen Kurum

Yok

Proje Numarası

Yok

Teşekkür

Yok

The Effect of Temporomandibular Joint Disc Displacement Type on Jaw Function Limitation

Öz

Aim: Temporomandibular joint disorder(TMD) present symptoms such as pain, swelling, clicking or crepitating sounds, limitations or blockages in jaw movements, and may even affect simple functions such as eating and speaking. This study aims to evaluate the impact of disc displacement type on jaw function in patients with TMD who suffer from disc displacement.
Material and Methods: This cohort study was conducted on patients who had disc displacement in the temporomandibular joint. The independent variable was the type of disc displacement. The outcome variable was the Jaw Functional Limitation Scale-20(JFLS-20) scores. The covariates were the patient's age and pain score.
Results: The study groups were formed by including 72 patients with disc displacement, while the control group was formed by including 28 healthy volunteers. The control group had lower JFLS-20 scores than the disc displacement groups(p<0,05). Although there was no statistically significant difference in JLFS-20 scores between the disc displacement groups, disc displacement with reduction group had significantly lower pain scores than both disc displacement without reduction groups(p<0,05).
Conclusion: It was observed that individuals with disc displacement experience restricted jaw functions, and this limitation is not affected differently by the various subtypes of disc displacement.

Anahtar Kelimeler

Functional status, Jaw abnormalities, Temporomandibular joint

Proje Numarası

Yok

Kaynakça

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