Abstract
Temporomandibular disorders includes abnormalities of the masticatory muscles, temporo-mandibular joints and the surrounding structures. The aim of the study was to carry out a retrospective assessment of the frequency of the pain form of TMD based on the analysis of medical records of patients treated at the Prosthodontics Department at Jagiellonian University in Kraków.
Material and Methods: The study included the results of a medical history and a clinical examina-tion of patients, who came for consultation at the Prosthodontics Department at Jagiellonian University in Kraków, due to pain of the masticatory muscles or/and TMJ and painless symptom of TMD like limitation of the jaw movements and joints’ sounds. Out of all the analyzed results of the examination of treated patients, a group of patients with a painless and painful TMD was selected.
Results: The study involved the results of a detailed specialized functional examination of 334 patients (210 women and 124 men), ranging from 41 to 68 years. Analysis of the results of clinical examinations conducted in all patients revealed that 161 had the painless form — SG (99 women and 62 men) and 173 patients had the pain form of the TMD — CG (111 women and 62 men). In the CG 104 patients reported mostly pain in the masticatory muscles, while the remaining (69 patients) had a history of pain in one or simultaneously two TMJs.
Conclusion: The analysis of the patients forms allows to conclude that more than half of patients seeking help are patients with the painful form of the TMD and these abnormalities occur more frequently in women than in men.
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Bibliography
1. Okeson J.: Management of temporomandibular disorders and occlusion. Elsevier, 2019.
2. Branco L., Santis T., Alfaya T., Goday C., Fraqoso Y., Bussadori S.: Association between headache and temporomandibular joint disorders in children and adolescents. J Oral Scien. 2013; 55 (1): 39–43.
3. Bonjardim L., Gavido M., Pereira L., Castelo P., Garcia R.: Signs and symptoms of temporoman-dibular disorders in adolescents. Braz Oral Res. 2005; 19 (2): 93–98.
4. Echeverii H.: Evaluation of etiological factor in relation to myofascial pain dysfunction syndrome. Clinical study of 100 students of the University of Antioquia Dental School. Revista de la Facultad de Odontologia Universidad de Antioquia. 1991; 2 (2): 75–87.
5. Fillingim R.B., Ohrbach R., Greenspan J.D., Knott C., Diatchenko L., Dubner R., Bair E., Baraian C., Mack N., Slade G.D., Maixner W.: Psychological factors associated with development of TMD: The OPPERA perspective cohort study. J Pain. 2013; 14: 75–90.
6. Kleinrok M.: Temporomandibular joint dysfunctions. Czelej Editor 2012; 5–23.
7. Auerbach S., Laskin D., Frantsve L., Orr T.: Depression, pain, exposure to stressful life events, and long-term outcomes in temporomandibular disorder patients. J Oral Maxillofac Surg. 2001; 59: 628–633.
8. De Leeuw R., Bertoli E., Schmidt J., Carson C.: Prevalence of traumatic stressors in patient with temporomandibular disorder. J Oral Maxillofac Surg. 2005; 63 (1): 42–50.
9. Martins R., Garbin C., Garcia A.R., Garbin A., Miguel N.: Stress levels and quality of sleep in subjects with temporomandibular joint dysfunction. Rev Odonto Scien. 2010; 25: 32–36.
10. Grey R., Davies S., Quayle A.: The clinical guide to temporomandibular disorders. The clinical guide series. British Dental Journal. 2003: 23–30, 55–60.
11. Osiewicz M., et al.: Research diagnostic criteria for temporomandibular disorders (RDC/TMD) — the polish version af a dual-axis system for diagnosis of TMD RDC/TMD form. J Stoma. 2013; 66 (5): 576–649.
12. Ferreira C., Da Silva M., de Fellicio C.: Orofacial myofunctional disorder in subjects with temporo- mandibular disorder. Cranio: the journal of craniomandibular practice. 2009; 27 (4): 268–274.
13. Hirai K., Ikawa T., Shigeta Y., Shigemoto S., Ogawa T.: Evaluation of sleep bruxism with a novel designed occlusal splint. J Prosthodont Res. 2017; 61 (3): 333–343.
14. Liu F., Steinkeler A.: Epidemiology, diagnosis, and treatment of temporomandibular disorders. Dental Clinics of North America. 2013; 57 (3): 465–479.
15. Glaros A., Williams K., Lauste L.: The role of parafunctions, emotions and stress in predicting facial pain. J Am Dent Assoc. 2005; 136: 451–458.
16. Bertolli E., de Leeuw R., Schmidt J.E., Okeson J.P., Carlson C.R.: Prevalence and impact of post- traumatic stress disorder symptoms in patients with masticatory muscle or temporomandibular joint pain: differences and similarities. J Orofac Pain. 2007; 21: 107–119.
17. Fredricson A., Khodabandehlou F., Weiner C., Naimi-Akbar A., Adami J., Resen A.: Are there early signs that predict development of temporomandibular joint disease? J Oral Sci. 2018; 60 (2): 194–200.
18. Glaros A.G., Hanson A.H., Ryen C.: Headache and oral parafunctional behaviors. Appl Psychophysiol Biofeedback. 2014; 39 (1): 59–66.
19. Pełka P., Williams S., Lipski M., Loster B.W.: Quantitation of condylar position in temporomandibular joint — A methodological study. Folia Med Cracov. 2016; 56 (4): 43–50.
20. Piech J., Pihut M., Kulesa-Mrowiecka M.: Physiotherapy in hypomobility of temporomandibular joints. Folia Med Cracov. 2020; 60 (2): 123–134.
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