Deniz YAMAN, Cansu ALPASLAN, Oya KALAYCIOĞLU

5732

Asemptomatik temporomandibular düzensizliklerin klinikte Fonseca anamnestik indeksi ile araştırılması

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

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.
Keywords:

Early diagnosis, temporomandibular joint, temporomandibular joint disorders,

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Acta Odontologica Turcica-Cover
  • Yayın Aralığı: Yılda 3 Sayı
  • Başlangıç: 1984
  • Yayıncı: Gazi Üniversitesi Diş Hekimliği Fakültesi Dergisi
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