Hakan EREN, Nilsun BAĞIŞ, Başak BIYIKOĞLU

Bruksizmi Olan ve Olmayan Genç Bireylerde Çiğneme Kaslarının Klinik ve Ultrasonografik Olarak Değerlendirilmesi

Amaç: Çalışmanın amacı bruksizmi olan ve olmayan genç bireylerde stres seviyeleriile temporomandibuler eklemde (TME) ve ultrasonografik olarak belirlenen çiğnemekas kalınlıklarında meydana gelen değişikliklerin değerlendirilmesidir. Gereç ve Yöntemler: Çalışmaya, dahil edilme kriterlerine uyan toplam 63 bireydahil edilmiştir. Test (n=33) ve kontrol (n=30) gruplarında bruksizm varlığı ve stresseviyeleri sırasıyla Fonseca anketi, Beck Depresyon ölçeği (BDI) ile değerlendirilmiştir.TME’nin klinik muayenesi ve ultrasonografi (USG) ile çiğneme kaslarının kalınlıkölçümleri kaydedilmiştir.Bulgular: Test ve kontrol grupları arasında yaş, cinsiyet dağılımı ve BDI skorlarıaçısından istatistiksel olarak anlamlı fark gözlenmemiştir (p>0,05). Palpasyonda ağrıbulgusu TME’de çift taraflı olarak, masseter kas, temporal kas ve temporal tendondaise tek taraflı olarak test grubunda kontrol grubuna göre anlamlı derecede yüksek bulunmuştur (p0,05).Sonuç: Palpasyonda ağrı bulgusunun aksine, çiğneme kas kalınlıklarının USG ile ölçümü sonucunda her iki grup arasında istatistikselolarak anlamlı fark gözlenmemiştir. Çalışma grubunu oluşturan bireylerin genç bireyler olmaları, bruksizme bağlı olarak gelişen kashipertrofisinin uzun dönemde gerçekleştiğini düşündürmektedir.

Clinical and Ultrasonographic Evaluationof Masticatory Muscles in YoungSubjects with and Without Bruxism

Objective: This study aimed to evaluate the stress levels and alterations in temporomandibular joint (TMJ) and masticatory muscle thickness determined by ultrasonography (USG) in young individuals with and without bruxism.Materials and Methods: A total number of 63 eligible subjects were included. In both test (n=33) and control (n=30) groups, Fonseca Questionnaire, Beck’s Depression inventory (BDI) were used as determinants of the presence of bruxism and stress levels. Clinical examination of TMJ and USG measurements of masticatory muscle thicknesses were recorded. Results: Age, sex distribution, and BDI scores were comparable in the test and control groups (p>0.05). The presence of pain during palpation was significantly higher in TMJ (bilateral) and in masseter, temporal muscles, and temporal tendon (unilateral) of the test group (p0.05). Conclusion: As opposed to pain during palpation, USG evaluation revealed no differences in masticatory muscle thicknesses in young subjects with and without bruxism. Considering the rather young study sample, these results suggest that alterations in the stomatognathic system could occur in the long term.

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