Fariz SALİMOV, Volkan CİFTCİ, Katibe TEMUR

Çocuklarda erken daimi 1. molar diş çekimiyle ilişkili temporomandibular eklem hastalıkları

Amaç: Bu çalışmanın amacı, çocuklarda daimi birinci azı dişin (FPM) erken kaybı ile temporomandibular eklem hastalıkları (TMD) semptomları arasındaki ilişkiyi değerlendirmektir. Gereç ve Yöntem: En az iki yıl ve daha öncesinde FPM çekilmiş 99 çocuk (8 ile 16 yaş arası) çalışmaya dahil edildi. Hastaların oral muayenesi ve temporomandibular eklem (TMJ) klinik muayenesi yapıldı. TMD semptomları ile Manyetik rezonans görüntüleme (MRG) bulguları da değerlendirildi. Kayıp FPM sayısı ve TMD semptomları arasındaki korelesyon istatistiksel olarak analiz edildi. Bulgular: 59 çocukta sadece bir FPM çekimi, 34'ünde iki FPM çekimi ve 7'sinde üç veya dört FPM çekimi yapıldığı kayıt edildi. Bu çocukların 10'unda (% 10.1) en az bir TMD semptomu görüldü. FPM çekim sayısı ile en az bir TMD semptomu arasında pozitif korelasyon bulundu Sonuç: Bu çalışmanın sonuçları erken FPM kaybının TMD üzerinde önemli bir etkisi olduğunu göstermiştir. Erüpsiyon sekansı ile ilişkili oklüzyon varyasyonlar ve erken FPM kaybı TMD'yi önlemek için dikkatle takip edilmelidir.

Temporomandibular joint disorders in children associated with early loss of first permanent molar

Purpose: The aim of this study was to evaluate the correlation between early loss of first permanent molar (FPM) and temporomandibular joint disorder (TMD) symptoms in the children. Materials and Methods: 99 children (aged between 8 and 16) who had their FPM/s extracted at least two years ago were included in this study. The patients had clinical examination of oral status and temporomandibular joint (TMJ). Magnetic resonance imaging (MRI) findings were also evaluated with TMD symptoms. The correlation between the number of FPM loss and TMD symptoms was statistically analyzed. Results: Only one FPM loss was recorded in 59 children, while 34 had two FPM loss and 7 had three or four FPM extracted. 10 of these children (10.1%) had at least one TMD symptoms. A positive correlation was found between the number of FPM loss and at least one TMD symptom. Conclusion: The results of this study have shown the early loss of FPM has significant impact on TMD. The occlusion variations associated with eruption sequence and early FPM loss should be carefully followed to prevent TMD.

Keywords:

temporomandibular joint disrder, first molar tooth, children,

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