MENSTRUAL DÖNEMDE VE ÖNCESİNDE TEMPOROMANDİBULAR EKLEM, BAŞBOYUN, YÜZ-KULAK BÖLGESİ AĞRILARININ GÖRÜLME SIKLIĞININ ARAŞTIRILMASI: PİLOT ÇALIŞMA

THE INCIDENCE OF PAIN IN THE TEMPOROMANDIBULAR JOINT, HEAD-NECK REGION AND FACE-EAR REGION BEFORE AND DURING MENSTRUAL PERIOD: A PILOT STUDY

Özet

Amaç: Kadınlarda menstrual dönemde östrojen seviyesinin düşmesine bağlı olarak ağrı hassasiyetinde değişimler olduğu savunulmaktadır. Bu çalışmada menstrual dönemi ve öncesinde temporomandibular eklem (TME), baş-boyun, yüz-kulak ağrılarının görülme sıklığının araştırılması amaçlanmıştır. Gereç ve Yöntem: Menstrual periotları sorunsuz ve düzenli olan kadın bireyler çalışmaya dahil edildi. Hastalar, menstrual dönemde olan ve olmayan olarak iki gruba ayrıldı. Tüm hastalara TME hastalıkları için TMR/ATK (Temporomandibular Rahatsızlık/ Araştırma Teşhis Kriterleri) muayene anket formu uygulandı. Ek olarak TME, yüz-kulak, baş-boyun bölgesinde ağrı varlığı değerlendirildi. Bulgular: Gruplar arasında istatistiksel olarak anlamlı bir farklılık bulunmadı. Tüm hastaların % 50’si tek bölge ağrısı bildirmişlerdir. Hastaların % 23.5’inde TME ağrısı mevcuttur. TME şikayeti bulunan hastaların % 73.5’i menstrual dönemde değildir. Sonuç: Kadınlar menstruasyon döneminde daha çok baş-boyun ağrılarından, menstrual dönem öncesinde TME ağrılarından etkilenmektedirler. Anahtar Kelimeler: Menstruasyon, Tempromandibular eklem, baş boyun, yüz, kulak, ağrı THE INCIDENCE OF PAIN IN THE TEMPOROMANDIBULAR JOINT, HEAD-NECK REGION AND FACE-EAR REGION BEFORE AND DURING MENSTRUAL PERIOD: A PILOT STUDY ABSTRACT Aim: It is defended that pain sensation changes during menstrual period due to decreased estrogen level. The present study aimed to investigate the incidence of pain in the temporomandibular joint (TMJ), head-neck region and face-ear region before and during menstrual period.Materials and Methods: Female subjects with regular and problem-free menstrual period were enrolled in the study. Patients were grouped as the women who were in the menstrual period and the women who were not. All patients completed RDC / TMD (Research Diagnostic Criteria for Temporoman- dibular Disorder) questionnaire form for the symptoms of TMJ disorders. In addition, presence of pain in the TMJ, head-neck region and face-ear region was also assessed. Results: There was no statistically significant difference between the groups. Half of (50%) overall patients reported pain in a single region. TMJ pain was present in 23.5% of the patients. Of the patients having TMJ pain, 73.5% were not in the menstrual period. Conclusion: Women usually suffer from head-neck pain during menstrual period but from TMJ pain before menstrual period. Keywords: Menstruation, temporomandibular joint, head-neck, face, ear, pain.

Abstract

Aim: It is defended that pain sensation changesduring menstrual period due to decreased estrogenlevel. The present study aimed to investigate theincidence of pain in the temporomandibular joint(TMJ), head-neck region and face-ear region beforeand during menstrual period.Materials and Methods: Female subjects withregular and problem-free menstrual period wereenrolled in the study. Patients were grouped as thewomen who were in the menstrual period and thewomen who were not. All patients completed RDC /TMD (Research Diagnostic Criteria for Temporomandibular Disorder) questionnaire form for the symptomsof TMJ disorders. In addition, presence of pain in theTMJ, head-neck region and face-ear region was alsoassessed.Results: There was no statistically significantdifference between the groups. Half of (50%) overallpatients reported pain in a single region. TMJ pain waspresent in 23.5% of the patients. Of the patientshaving TMJ pain, 73.5% were not in the menstrualperiod.Conclusion: Women usually suffer from head-neckpain during menstrual period but from TMJ painbefore menstrual period.

Anahtar kelimeler: Menstruasyon, Tempromandibular eklem, baş boyun, yüz, kulak