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Journals / Pamukkale Tıp Dergisi / 2021 / Cilt: 14 - Sayı: 1

In terms of temporomandibular joint dysfunction, according to Helkimo dysfunction index, comparison of bone changes determined in cone-beam computed tomography in symptomatic and asymptomatic patients and the relationship of this clinical index with

In terms of temporomandibular joint dysfunction, according to Helkimo dysfunction index, comparison of bone changes determined in cone-beam computed tomography in symptomatic and asymptomatic patients and the relationship of this clinical index with bone changes on radiography

Umut PAMUKÇU
BÜLENT ALTUNKAYNAK
İLKAY PEKER
Pages
155–165
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Conclusion: In TMJD patients, bone changes in the TMJ region are observed more but this is not related to the severity of the disease, so clinical examination is important as well as radiological findings when making diagnosis and planning treatment.

📌 3 Key Takeaways

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Objective & Hypothesis:Purpose: Temporomandibular joint dysfunction (TMJD), is an umbrella term that affects TMJ and associated muscle, soft tissue, and bone components.
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Key Findings & Data:Materials and methods: In terms of TMJD, 34 symptomatic and 34 asymptomatic, a total of 68 patients were included in the study.
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Conclusion & Impact:Conclusion: In TMJD patients, bone changes in the TMJ region are observed more but this is not related to the severity of the disease, so clinical examination is important as well as radiological findings when making diagnosis and planning treatment.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Purpose: Temporomandibular joint dysfunction (TMJD), is an umbrella term that affects TMJ and associated muscle, soft tissue, and bone components. In this study, it was aimed to compare the bone changes in the TMJ region of symptomatic and asymptomatic patients in terms of TMJD and also to investigate Helkimo Di's (dysfunction index) relationship with bone changes and age. Materials and methods: In terms of TMJD, 34 symptomatic and 34 asymptomatic, a total of 68 patients were included in the study. Within the scope of the clinical examination in order to determine the severity of TMJD, Helkimo Di was used. In the radiological examination, by cone-beam computed tomography (CBCT), bone changes in the TMJ region were determined. Results: The mean age of the study group was 30.35, and 76.5% were females. For the control group, these values were 38.5 and 44.1% (p 0,05). Conclusion: In TMJD patients, bone changes in the TMJ region are observed more but this is not related to the severity of the disease, so clinical examination is important as well as radiological findings when making diagnosis and planning treatment.

Özet

Amaç: Temporomandibular eklem disfonksiyonu (TMED), TME’i ve ilişkili olduğu kas, yumuşak doku ve kemik bileşenlerini etkileyen, bir şemsiye terimdir. Bu çalışmada, TMED açısından semptomatik ve asemptomatik hastaların, TME bölgesindeki kemik değişikliklerini karşılaştırmak ve ayrıca Helkimo Di’nin (disfonksiyon indeksi) kemik değişiklikleri ve yaşla ilişkisinin araştırılması amaçlandı. Gereç ve yöntem: Çalışmaya, TMED açısından, 34 semptomatik ve 34 asemptomatik toplam 68 hasta dahil edildi. TMED’nun şiddetini belirlemek amacıyla yapılan klinik muayene kapsamında, Helkimo Di kullanıldı. Radyolojik muayenede, konik-ışınlı bilgisayarlı tomografi (KIBT) ile TME bölgesindeki kemik değişiklikleri belirlendi. Bulgular: Çalışma grubunun yaş ortalaması 30,35'ti ve %76,5’i kadındı. Kontrol grubu için bu değerler, 38,5 ve %44,1 idi (p 0,05). Sonuç: TMED hastalarında, TME bölgesindeki kemik değişiklerinin daha fazla gözlendiğini ancak bunun hastalığın şiddeti ile ilişkili olmadığı söylenebilir, bundan dolayı teşhis ve tedavi planlaması yaparken radyolojik bulgular kadar klinik muayene de önemlidir.

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Cite This Article

PAMUKÇU, U., ALTUNKAYNAK, B., PEKER, İ. (2021). In terms of temporomandibular joint dysfunction, according to Helkimo dysfunction index, comparison of bone changes determined in cone-beam computed tomography in symptomatic and asymptomatic patients and the relationship of this clinical index with. Pamukkale Tıp Dergisi, Cilt: 14 - Sayı: 1, 155–165. https://ajindex.com/articles/286011

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References (11)

  1. Mujakperuo HR, Watson M, Morrison R, Macfarlane TV. Pharmacological interventions for pain in patients with temporomandibular disorders. Cochrane Database Syst Rev 2010:CD004715. https://doi. org/10.1002/14651858.CD004715.pub2 2. dos Anjos Pontual ML, Freire JSL, Barbosa JMN, Frazão MAG, dos Anjos Pontual A, Fonseca da Silveira MM. Evaluation of bone changes in the temporomandibular joint using cone beam CT. Dentomaxillofac Radiol 2012
  2. https://doi.org/10.1259/dmfr/17815139 3. Pihut M, Ferendiuk E, Szewczyk M, Kasprzyk K, Wieckiewicz M. The efficiency of botulinum toxin type A for the treatment of masseter muscle pain in patients with temporomandibular joint dysfunction and tensiontype headache. J Headache Pain 2016
  3. https:// doi.org/10.1186/s10194-016-0621-1 4. Peck CC, Murray GM, Gerzina TM. How does pain affect jaw muscle activity? The integrated pain adaptation model. Aust Dent J 2008
  4. https://doi.org/10.1111/j.1834-7819.2008.00050.x 5. Mapelli A, Zanandrea Machado BC, Giglio Master LD, Sforza C, De Felicio CM. Reorganization of muscle activity in patients with chronic temporomandibular disorders. Arch Oral Biol 2016
  5. https://doi. org/10.1016/j.archoralbio.2016.08.022 6. Hiraba K, Hibino K, Hiranuma K, Negoro T. EMG activities of two heads of the human lateral pterygoid muscle in relation to mandibular condyle movement and biting force. J Neurophysiol 2000
  6. https://doi.org/10.1152/jn.2000.83.4.2120 7. De Leeuw R, Klasser GD. Orofacial pain: guidelines for assessment, diagnosis, and management. Am J Orthod Dentofacial Orthop 2008
  7. https://doi. org/10.1016/j.ajodo.2008.05.001 8. Rao VM, Bacelar MT. MR imaging of the temporomandibular joint. Magn Reson Imaging Clin N Am 2002
  8. https://doi.org/10.1016/s1064- 9689(02)00011-9 9. Dworkin SF, LeResche L. Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J Craniomandib Disord 1992
  9. Dijkgraaf LC, Liem RS, de Bont LG. Ultrastructural characteristics of the synovial membrane in osteoarthritic temporomandibular joints. J Oral Maxillofac Surg 1997
  10. https://doi. org/10.1016/s0278-2391(97)90183-x 11. Kalladka M, Quek S, Heir G, Eliav E, Mupparapu M, Viswanath A. Temporomandibular joint osteoarthritis: diagnosis and long-term conservative management: a topic review. J Indian Prosthodont Soc 2014
  11. https://doi.org/10.1007/s13191-013-0321-3 12. H