Methods for Evaluating Temporomandibular Joint Sounds

Abstract

Temporomandibular joint sounds are one of the most decisive signs of pathological changes in the temporomandibular joint. Identification and evaluation of joint sounds guides physicians to proper diagnosis and treatment. Subjective and objective approaches are initiated as evaluation methods. Subjective methods are frequently preferred due to their ease of application in the clinic. However, these methods are not reproducible and have disadvantages such as difficulty in making interobserver comparisons. Objective methods often require equipment and technical precision. On the other hand, these methods allow the recording and analysis of joint sounds, providing an objective assessment of treatment efficacy. In this review, the clinical importance of temporomandibular joint sounds, the parameters of the sound and the methods used in the evaluation of joint sounds are discussed.

Keywords

• digital signal processing
• temporomandibular joint
• temporomandibular joint disorders

Temporomandibular Eklem Seslerini Değerlendirme Yöntemleri

Abstract

Temporomandibular eklem sesleri, temporomandibular eklemdeki patolojik değişikliklere işaret eden en önemli bulgulardan biridir. Eklem seslerinin doğru bir şekilde tanımlanması ve değerlendirilmesi, hekimleri uygun tanı ve tedavi seçeneklerine yönlendirmektedir. Eklem seslerinin değerlendirilmesi için öznel ve nesnel yöntemler uygulanmaktadır. Palpasyon, oskültasyon ve stetoskop ile dinleme gibi öznel yöntemler, klinikte uygulama kolaylıkları nedeniyle sıklıkla tercih edilmelerine rağmen bu yöntemlerin tekrarlanabilir olmamaları ve gözlemciler arası karşılaştırmalar yapmaya izin vermemeleri gibi dezavantajları bulunmaktadır. Nesnel yöntemler ise sıklıkla ekipman ve teknik hassasiyet gerektirmektedirler. Bununla birlikte, eklem seslerinin kaydı ve analizine izin veren bu yöntemler, tedavi süreçlerinin nesnel bir şekilde değerlendirilmesine olanak tanımaktadır. Bu derlemede, eklem seslerinin klinik açıdan önemi, sesin parametreleri ve eklem seslerinin değerlendirilmesinde kullanılan öznel ve nesnel yöntemler ele alınmıştır.

Keywords

• dijital sinyal işlenmesi
• temporomandibular eklem
• temporomandibular eklem bozuklukları

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