AKADEMİSYENLERDE TEMPOROMANDİBULAR DİSFONKSİYONUN VE BRUKSİZMİN BELİRLEYİCİLERİ

Yıl 2022, , 31 - 38, 20.04.2022

Hasan Erkan Kılınç , Banu Ünver , Mustafa Sarı , Azize Reda Tunç Nilgün Bek

https://doi.org/10.21653/tjpr.936817

Cited By: 1

Öz

Amaç: Temporomandibular disfonksiyon ve bruksizm yaygın problemlerdir Akademisyenler aşırı iş yükü ve psikolojik stres nedeniyle temporomandibuler disfonksiyonla ilişkili olabilecek fiziksel ve duygusal risk faktörlerine sahiptirler. Bu çalışmanın amacı, akademisyenlerde temporomandibuler disfonksiyon ve bruksizmin duygusal ve fiziksel belirleyicilerini ortaya koymaktır.
Yöntem: Çalışmaya yükseköğretim kurumlarında görev yapan ortalama yaşları 35,31 ± 9,20 yıl olan 296 (217 kadın, 79 erkek) akademisyen dahil edildi. Katılımcıların günlük bilgisayar kullanım saatleri sorgulandı. Uluslararası Fiziksel Aktivite Anketi Kısa Formu (UFAA), Beck Depresyon Envanteri (BDE), Boyun Özür İndeksi (BÖİ) ve Fonseca Anamnestik İndeksi (FAİ) çevrimiçi anketlerle uygulanmıştır.
Sonuçlar: Katılımcıların %92,9'unun fiziksel olarak inaktif veya minimal aktif olduğu, % 36'sının depresif semptomlar gösterdiği, % 69,2'sinin boyun özürlülüğü olduğu, % 24'ünün orta-şiddetli temporomandibuler disfonksiyonu ve % 44'ünün bruksizmi olduğu görüldü. Bruksizmi olanlarda, olmayanlara göre daha yüksek BDE (p<0.05) ve FAİ (p<0.001) düzeyleri bulundu. FAİ ve BDE (r = 0.316, p <0.001), FAİ ve BÖI (r = 0.526, p <0.001), BDE ve NDI (r = 0.527, p <0.001) arasında anlamlı pozitif korelasyon vardı. Bruksizm varlığı (β = 0.361, p <0.001) ve daha yüksek BÖİ (β = 0.442, p <0.001) bağımsız olarak daha yüksek FAİ skoru ile ilişkiliydi. Günlük bilgisayar kullanım zamanı, UFAA ve BDE, FAİ skoru ile anlamlı derecede ilişkili değildi (p> 0.05).
Tartışma: Akademisyenlerdeki temporomandibular eklem disfonksiyonunun anahtar faktörleri, boyun özür durumu ve bruksizm gibi fiziksel parametreler gibi görünmektedir. Bununla birlikte, psikolojik belirtiler ve fiziksel aktivite düzeyi, temporomandibular disfonksiyonun bağımsız belirleyicileri olarak bulunmamıştır.

Anahtar Kelimeler

Bruksizm, Emosyonel stres, Temporomanbular eklem, Boyun Ağrısı

DETERMINANTS OF TEMPOROMANDIBULAR DYSFUNCTION AND BRUXISM IN ACADEMICIANS

Öz

Purpose: Temporomandibular dysfunction and bruxism are common problems. Academicians have physical and emotional risk factors that may be associated with temporomandibular dysfunction due to excessive workload and psychological stress. The aim of this study was to reveal the emotional and physical determinants of temporomandibular dysfunction and bruxism in academicians.
Methods: Two hundred and ninety-six (217 female and 79 male) academicians working in higher education institutions with a mean age of 35.31 ± 9.20 years, were included in the study. Daily computer time of the participants was questioned. International Physical Activity Questionnaire Short Form (IPAQ), Beck Depression Inventory (BDI), Neck Disability Index (NDI), and Fonseca Anamnestic Index was applied via online surveys.
Results: It was demonstrated that 92.9% of the participants were physically inactive or minimal active, 36% showed depressive symptoms, 69.2% had neck disability, 24 % had and moderate-severe temporomandibular dysfunction symptoms, and 44% had bruxism. Bruxers found to have higher BDI (p<0.05) and FAI (p<0.001) levels compared to non-bruxers. Significant positive correlations between FAI and BDI (r=0.316, p<0.001), FAI and NDI (r=0.526, p<0.001), BDI and NDI (r=0.527, p<0.001) was found. Presence of bruxism (β=0.361, p<0.001) and greater NDI (β=0.442, p<0.001) were each uniquely associated with greater FAI score. Daily computer time, IPAQ, and BDI were not associated with FAI score (p>0.05).
Conclusion: Key factors of temporomandibular joint dysfunction appear to be physical parameters such as neck disability and bruxism in academics. However, psychological symptoms and physical activity level do not seem to be independent determinants of temporomandibular dysfunction.

Anahtar Kelimeler

Bruxism, Emotional Stress, Temporomandibular joint, Neck Pain

Kaynakça

• Referans 1 Laskin DM. Etiology of the pain-dysfunction syndrome. J Am Dent Assoc. 1969;79(1):147-53.
• Referans 2 LeResche L. Epidemiology of temporomandibular disorders: implications for the investigation of etiologic factors. Crit Rev Oral Biol Med. 1997;8(3):291-305.
• Referans 3 Depression W. Other common mental disorders: global health estimates. Geneva: World Health Organization. 2017:1-24.
• Referans 4 Ismail N, Abd Rahman A, Abidin EZ. Organizational factors associated with occupational stress among lecturers in community colleges, Peninsular Malaysia. Iranian Journal of Public Health. 2014;43(Supple 3):125-30.
• Referans 5 Ismail NH, Noor A. Occupational stress and its associated factors among academician in a research university, Malaysia. Malaysian Journal of Public Health Medicine. 2016;16(1):81-91.
• Referans 6 Hamjah SH, Ismail Z, Sham FM, Rasit RM, Ismail A. Spiritual approach in managing work-related stress of academicians. Procedia-Social and Behavioral Sciences. 2015;174:1229-33.
• Referans 7 Mukosolu O, Ibrahim F, Rampal L, Ibrahim N. Prevalence of job stress and its associated factors among Universiti Putra Malaysia staff. Malays J Med Health Sci. 2015;11(1):27-38.
• Referans 8 Yeshaw Y, Mossie A. Depression, anxiety, stress, and their associated factors among Jimma University staff, Jimma, Southwest Ethiopia, 2016: a cross-sectional study. Neuropsychiatric disease and treatment. 2017;13:2803.
• Referans 9 Kuhn M, Turp JC. Risk factors for bruxism. Swiss Dent J. 2018;128(2):118-24.
• Referans 10 Kato T, Thie NM, Huynh N, Miyawaki S, Lavigne GJ. Topical review: sleep bruxism and the role of peripheral sensory influences. J Orofac Pain. 2003;17(3):191-213.
• Referans 11 Tai KL, Ng YG, Lim PY. Systematic review on the prevalence of illness and stress and their associated risk factors among educators in Malaysia. Plos One. 2019;14(5).
• Referans 12 Silveira A, Armijo-Olivo S, Gadotti IC, Magee D. Masticatory and cervical muscle tenderness and pain sensitivity in a remote area in subjects with a temporomandibular disorder and neck disability. J Oral Facial Pain Headache. 2014;28(2):138-46.
• Referans 13 Özdinç S, Kayabınar E, Özen T, Turan FN, Yılmaz S. Musculoskeletal problems in academicians and related factors in Turkey. Journal of back and musculoskeletal rehabilitation. 2019;32(6):833-9.
• Referans 14 Stults-Kolehmainen MA, Sinha R. The effects of stress on physical activity and exercise. Sports Med. 2014;44(1):81-121.
• Referans 15 Saglam M, Arikan H, Savci S, Inal-Ince D, Bosnak-Guclu M, Karabulut E, et al. International physical activity questionnaire: reliability and validity of the Turkish version. Percept Mot Skills. 2010;111(1):278-84.
• Referans 16 Hisli N. The validity and reliability of Beck Depression Inventory for university students. Psikoloji dergisi. 1989;7:3-13.
• Referans 17 Telci EA, Karaduman A, Yakut Y, Aras B, Simsek IE, Yagli N. The Cultural Adaptation, Reliability, and Validity of Neck Disability Index in Patients With Neck Pain A Turkish Version Study. Spine. 2009;34(16):1732-5.
• Referans 18 Kaynak BA, Tas S, Salkin Y. The accuracy and reliability of the Turkish version of the Fonseca anamnestic index in temporomandibular disorders. Cranio-the Journal of Craniomandibular & Sleep Practice. 2020.
• Referans 19 Pingitore G, Chrobak V, Petrie J. The social and psychologic factors of bruxism. J Prosthet Dent. 1991;65(3):443-6.
• Referans 20 Przystanska A, Jasielska A, Ziarko M, Pobudek-Radzikowska M, Maciejewska-Szaniec Z, Prylinska-Czyzewska A, et al. Psychosocial Predictors of Bruxism. Biomed Res Int. 2019;2019:2069716.
• Referans 21 Huang GJ, LeResche L, Critchlow CW, Martin MD, Drangsholt MT. Risk factors for diagnostic subgroups of painful temporomandibular disorders (TMD). J Dent Res. 2002;81(4):284-8.
• Referans 22 Lavigne GJ, Khoury S, Abe S, Yamaguchi T, Raphael K. Bruxism physiology and pathology: an overview for clinicians. J Oral Rehabil. 2008;35(7):476-94.
• Referans 23 Poveda Roda R, Bagan JV, Diaz Fernandez JM, Hernandez Bazan S, Jimenez Soriano Y. Review of temporomandibular joint pathology. Part I: classification, epidemiology and risk factors. Med Oral Patol Oral Cir Bucal. 2007;12(4):E292-8.
• Refarans 24 Rompre PH, Daigle-Landry D, Guitard F, Montplaisir JY, Lavigne GJ. Identification of a sleep bruxism subgroup with a higher risk of pain. J Dent Res. 2007;86(9):837-42.
• Referans 25 Mori H, Horiuchi S, Nishimura S, Nikawa H, Murayama T, Ueda K, et al. Three-dimensional finite element analysis of cartilaginous tissues in human temporomandibular joint during prolonged clenching. Archives of Oral Biology. 2010;55(11):879-86.
• Referans 26 Tanaka E, Hirose M, Koolstra JH, van Eijden TMGJ, Iwabuchi Y, Fujita R, et al. Modeling of the effect of friction in the temporomandibular joint on displacement of its disc during prolonged clenching. Journal of Oral and Maxillofacial Surgery. 2008;66(3):462-8.
• Referans 27 Turk DC, Rudy TE. Towards a Comprehensive Assessment of Chronic Pain Patients. Behaviour Research and Therapy. 1987;25(4):237-49.
• Referans 28 Schwartz LL. Pain associated with the temporomandibular joint. J Am Dent Assoc. 1955;51(4):394-7.
• Referans 29 Olivo SA, Fuentes J, Major PW, Warren S, Thie NMR, Magee DJ. The association between neck disability and jaw disability. Journal of Oral Rehabilitation. 2010;37(9):670-9.
• Referans 30 Fernandez-de-Las-Penas C, Galan-Del-Rio F, Alonso-Blanco C, Jimenez-Garcia R, Arendt-Nielsen L, Svensson P. Referred pain from muscle trigger points in the masticatory and neck-shoulder musculature in women with temporomandibular disoders. J Pain. 2010;11(12):1295-304.
• Referans 31 Silveira A, Gadotti IC, Armijo-Olivo S, Biasotto-Gonzalez D, Magee D. Jaw dysfunction is associated with neck disability and muscle tenderness in subjects with and without chronic temporomandibular disorders. BioMed research international. 2015;2015.
• Referans 32 Tsai CM, Chiang CY, Yu XM, Sessle BJ. Involvement of trigeminal subnucleus caudalis (medullary dorsal horn) in craniofacial nociceptive reflex activity. Pain. 1999;81(1-2):115-28.
• Referans 33 Ambrose KR, Golightly YM. Physical exercise as non-pharmacological treatment of chronic pain: why and when. Best practice & research Clinical rheumatology. 2015;29(1):120-30.
• Referans 34 Kim SY, Park JH, Lee MY, Oh KS, Shin DW, Shin YC. Physical activity and the prevention of depression: A cohort study. General Hospital Psychiatry. 2019;60:90-7.
• Referans 35 Waersted M, Hanvold TN, Veiersted KB. Computer work and musculoskeletal disorders of the neck and upper extremity: A systematic review. Bmc Musculoskeletal Disorders. 2010;11.