Asemptomatik temporomandibular düzensizliklerin klinikte Fonseca anamnestik indeksi ile araştırılması

Yıl 2021, Cilt: 38 Sayı: 3, 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

Kaynakça

• Liu F, Steinkeler A. Epidemiology, diagnosis, and treatment of temporomandibular disorders. Dent Clin North Am 2013;57:465-79.
• Conti PCR, Costa YM, Gonçalves DA, Svensson P. Headaches and myofascial temporomandibular disorders: overlapping entities, separate managements? J Oral Rehabil 2016;43:702-15.
• Liu HX, Liang QJ, Xiao P, Jiao HX, Gao Y, Ahmetjiang A. The effectiveness of cognitive‐behavioural therapy for temporomandibular disorders: a systematic review. J Oral Rehabil 2012;39:55-62.
• Chantaracherd P, John MT, Hodges JS, Schiffman EL. Temporomandibular joint disorders’ impact on pain, function, and disability. J Dent Res 2015;94:79-86.
• Schiffman EL, Fricton JR, Haley DP, Shapiro BL. The prevalence and treatment needs of subjects with temporomandibular disorders. J Am Dent Assoc 1990;120:295-303.
• Solberg WK, Woo MW, Houston JB. Prevalence of mandibular dysfunction in young adults. J Am Dent Assoc 1979;98:25-34.
• Lövgren A, Österlund C, Ilgunas A, Lampa E, Hellström F. A high prevalence of TMD is related to somatic awareness and pain intensity among healthy dental students. Acta Odontol Scand 2018;76:387-93.
• Campos JADB, Carrascosa AC, Bonafé FSS, Maroco J. Severity of temporomandibular disorders in women: validity and reliability of the Fonseca Anamnestic Index. Braz Oral Res 2014;28:16-21.
• Bevilaqua-Grossi D, Chaves TC, De Oliveira AS, Monteiro-Pedro V. Anamnestic index severity and signs and symptoms of TMD. Cranio 2006;24:112-8.
• Pedroni CR, De Oliveira AS, Guaratini MI. Prevalence study of signs and symptoms of temporomandibular disorders in university students. J Oral Rehabil 2003;30:283-9.
• Nomura K, Vitti M, Oliveira ASD, Chaves TC, Semprini M, Siéssere S, et al. Use of the Fonseca's questionnaire to assess the prevalence and severity of temporomandibular disorders in Brazilian dental undergraduates. Braz Dent J 2007;18:163-7.
• De Godoi Gonçalves DA, Dal Fabbro AL, Campos JADB, Bigal ME, Speciali JG. Symptoms of temporomandibular disorders in the population: an epidemiological study. J Orofac Pain 2010;24:270-8.
• De Boever JA, Carlsson GE, Klineberg IJ. Need for occlusal therapy and prosthodontic treatment in the management of temporomandibular disorders. Part I. Occlusal interferences and occlusal adjustment. J Oral Rehabil 2000;27:367-79.
• Suvinen TI, Reade PC, Kemppainen P, Könönen M, Dworkin SF. Review of aetiological concepts of temporomandibular pain disorders: towards a biopsychosocial model for integration of physical disorder factors with psychological and psychosocial illness impact factors. Eur J Pain 2005;9:613-33.
• Barrera-Mora JM, Escalona EE, Labruzzi CA, Carrera JML, Ballesteros EJC, Reina ES, et al. The relationship between malocclusion, benign joint hypermobility syndrome, condylar position and TMD symptoms. Cranio 2012;30:121-30.
• Bendtsen L. Central sensitization in tension-type headache-possible pathophysiological mechanisms. Cephalalgia 2000;20:486-508.
• Fernandes G, Franco AL, Aparecida de Godoi Gonçalves D, Geraldo- Speciali J, Bigal ME, Camparis CM. Temporomandibular disorders, sleep bruxism, and primary headaches are mutually associated. J Orofac Pain 2013;27:14-20.
• Gonçalves DA, Bigal ME, Jales LC, Camparis CM, Speciali JG. Headache and symptoms of temporomandibular disorder: an epidemiological study. Headache 2010;50:231-41.
• Vazquez-Delgado E, Schmidt JE, Carlson CR, DeLeeuw R, Okeson JP. Psychological and sleep quality differences between chronic daily headache and temporomandibular disorders patients. Cephalalgia 2004;24:446-54.
• Kampe T. Function and dysfunction of the masticatory system in individuals with intact and restored dentitions. A clinical, psychological and physiological study. Swed Dent J 1987;42:1-68.
• Özdinç S, Ata H, Selçuk H, Can HB, Sermenli N, Turan FN. Temporomandibular joint disorder determined by Fonseca anamnestic index and associated factors in 18-to 27-year-old university students. Cranio 2020;38:327-32.
• Warren MP, Fried JL. Temporomandibular disorders and hormones in women. Cells Tissues Organs 2001;169:187-92.
• Bruguiere F, Sciote JJ, Roland‐Billecart T, Raoul G, Machuron F, Ferri J, et al. Pre‐operative parafunctional or dysfunctional oral habits are associated with the temporomandibular disorders after orthognathic surgery: an observational cohort study. J Oral Rehabil 2019;46:321-9.
• Okeson JP. Long-term treatment of disk-interference disorders of the temporomandibular joint with anterior repositioning occlusal splints. J Prosthet Dent 1988;60:611-6.
• Lobbezoo F, Ahlberg J, Raphael KG, Wetselaar P, Glaros AG, Kato T, et al. International consensus on the assessment of bruxism: Report of a work in progress. J Oral Rehabil 2018;45:837-44.
• De Wijer A, Steenks MH, De Leeuw JRJ, Bosman F, Helders PJM. Symptoms of the cervical spine in temporomandibular and cervical spine disorders. J Oral Rehabil 1996;23:742-50.
• Jiménez-Silva A, Peña-Durán C, Tobar-Reyes J, Frugone-Zambra R. Sleep and awake bruxism in adults and its relationship with temporomandibular disorders: A systematic review from 2003 to 2014. Acta Odontol Scand 2017;75:36-58.
• Soares LG, Costa IR, Brum Júnior JDS, Cerqueira WSB, Oliveira ESD, Douglas de Oliveira DW, et al. Prevalence of bruxism in undergraduate students. Cranio 2017;35:298-303.
• Kovero O, Könönen M. Signs and symptoms of temporomandibular disorders in adolescent violin players. Acta Odontol Scand 1996;54:271-4.
• Álvarez-Melcón AC, Valero-Alcaide R, Atín-Arratibel MA, Melcon-Alvarez A, Beneit-Montesinos JV. Effects of physical therapy and relaxation techniques on the parameters of pain in university students with tension-type headache: A randomised controlled clinical trial. Neurologia 2018;33:233-43.
• LeResche L. Epidemiology of temporomandibular disorders: implications for the investigation of etiologic factors. Crit Rev Oral Biol Med 1997;8:291-305.