Clinical and Ultrasonographic Evaluation of Masticatory Muscles in Young Subjects 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.

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

Amaç: Çalışmanın amacı bruksizmi olan ve olmayan genç bireylerde stres seviyeleri ile temporomandibuler eklemde (TME) ve ultrasonografik olarak belirlenen çiğneme kas kalınlıklarında meydana gelen değişikliklerin değerlendirilmesidir. Gereç ve Yöntemler: Çalışmaya, dahil edilme kriterlerine uyan toplam 63 birey dahil edilmiştir. Test (n=33) ve kontrol (n=30) gruplarında bruksizm varlığı ve stres seviyeleri sırasıyla Fonseca anketi, Beck Depresyon ölçeği (BDI) ile değerlendirilmiştir. TME’nin klinik muayenesi ve ultrasonografi (USG) ile çiğneme kaslarının kalınlık ölçümleri kaydedilmiştir. Bulgular: Test ve kontrol grupları arasında yaş, cinsiyet dağılımı ve BDI skorları açısından istatistiksel olarak anlamlı fark gözlenmemiştir (p>0,05). Palpasyonda ağrı bulgusu TME’de çift taraflı olarak, masseter kas, temporal kas ve temporal tendonda ise 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 istatistiksel olarak anlamlı fark gözlenmemiştir. Çalışma grubunu oluşturan bireylerin genç bireyler olmaları, bruksizme bağlı olarak gelişen kas hipertrofisinin uzun dönemde gerçekleştiğini düşündürmektedir.

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Meandros Medical And Dental Journal-Cover
  • ISSN: 2149-9063
  • Başlangıç: 2000
  • Yayıncı: Erkan Mor
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