Clinical evaluation and classification of patients with temporomandibular disorders using ‘Diagnostic Criteria for Temporomandibular Disorders
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Tarih
2020
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
OBJECTIVE: The aim of the study was to evaluate the frequency of subgroups in a clinical setting of the patientswith temporomandibular disorders (TMD) using ‘Diagnostic Criteria for Temporomandibular Disorders (DC/TMD)’.MATERIALS AND METHOD: A total of 128 patients with TMD(92 females and 36 males, mean age 33.5 ± 8.28) were involved in the study. DC/TMD Axis I diagnosis criteria wasused for the clinical examination of pain disorders andtemporomandibular joint (TMJ) disorders. Also, in DC/TMD Axis I, The TMD Pain Screener, focusing on painwithin the last 30 days, was used. In DC/TMD Axis II evaluation, the Jaw Functional Limitation Scale-8 (JFLS-8) waspreferred to detect symptom severity and functional limitations. The data analysis was conducted by using theChi-square, Kruskal Wallis test, and the Bonferroni correction for the Mann-Whitney U test.RESULTS: Out of 128 patients, 120 patients (93.75%) hadTMJ disorders that were accompanied by muscle pain disorders. The effect of gender and age on TMJ/muscle paindisorders was not significant (TMJ disorders; p=0.123,p=0.263; Muscle pain disorders; p=0.145, p=0.100, respectively). According to JFLS-8, the limitation in mastication(item 1 and 2) and joint mobility (item 4) were major complaints in the group of patients with ‘disc displacementwithout reduction with limited opening’ compared to theother TMJ disorders (p=0.001, p=0.004, p=0.007, p<0.008).CONCLUSION: DC/TMD Axis I is a significant reference toclinicians in the diagnosis and evaluation of TMD. In DC/TMD Axis II, JFLS-8 is an efficient instrument for the measurement of functional limitation associated with temporomandibular disorders.
Açıklama
Anahtar Kelimeler
Kaynak
Acta Odontologica Turcica
WoS Q Değeri
Scopus Q Değeri
Cilt
37
Sayı
1
