Distúrbios craniomandibulares em pacientes edentados unilaterais inferiores com e sem próteses parciais removíveis (PPR): um estudo transversal utilizando o índice craniomandibular
Abstract:No presente trabalho, foi feito um estudo clínico em 102 pacientes, 78 mulheres e 24 homens, com idade variando entre 18 e 61 anos, com a finalidade de analisar comparativamente a severidade de sinais e sintomas das desordens craniomandibulares (DCM). Procedeu-se a anamnese, o exame clínico e as moldagens e estabeleceu-se um método de escores, através do qual se avaliou o grau de severidade das DCM. Os pacientes foram divididos em três grupos de 34 pessoas, assim constituídos: a) portadores de prótese parcial … Show more
“…In analyzing the craniomandibular index and its components, we observed mean values that were statistically higher in the group of patients with Rheumatoid Arthritis, who had more severe joint involvement when compared to the values attained from the disease-free patients; thus corroborating Gil and Nakamae' study 19 , in which they proved the safety of using the craniomandibular index when assessing craniomandibular signs and symptoms. Since the literature is not very abundant in references as to the use of such index, the values hereby attained could not be compared to those from other studies; we were only able to compare the large value differences among patients with (0.12) and those without Rheumatoid Arthritis (0.02).…”
Section: Discussionsupporting
confidence: 83%
“…Later studies showed that the use of these indexes allowed for a safe evaluation of the signs and symptoms of temporomandibular disorders in the patients investigated 18,19 .…”
Section: Introduction and Literature Reviewmentioning
OBJETIVO: O estudo teve como finalidade avaliar a utilização de dois índices (Helkimo e craniomandibular) para o diagnóstico da desordem temporomandibular (DTM) em pacientes com Artrite Reumatóide (AR). MATERIAIS E MÉTODOS: A amostra foi de 80 pacientes divididos em dois grupos: pacientes com AR e pacientes sem AR. Em ambos os grupos os dois índices foram utilizados. No diagnóstico da DTM foram avaliados os seguintes sinais e sintomas: dor na ATM; limitação de abertura de boca e ruídos articulares. RESULTADOS: Os resultados mostram que dos pacientes com AR 87,1% eram do gênero feminino e 12,9% do masculino. Entre os pacientes sem AR, 70% eram do gênero feminino e 30% do masculino. A idade dos pacientes com AR variou de 24 a 78 anos. Entre os pacientes sem AR, a idade variou de 22 a 72 anos. Foi verificado que a prevalência de DTM foi mais elevada no grupo de pacientes com AR (98,6% - Helkimo e 87,1% - craniomandibular) do que no grupo sem a doença (80% - Helkimo e 50% - craniomandibular). CONCLUSÃO: Em resumo, temos que ambos os índices são capazes de diagnosticar a desordem temporomandibular em pacientes com AR, entretanto o Índice de Helkimo é menos preciso.
“…In analyzing the craniomandibular index and its components, we observed mean values that were statistically higher in the group of patients with Rheumatoid Arthritis, who had more severe joint involvement when compared to the values attained from the disease-free patients; thus corroborating Gil and Nakamae' study 19 , in which they proved the safety of using the craniomandibular index when assessing craniomandibular signs and symptoms. Since the literature is not very abundant in references as to the use of such index, the values hereby attained could not be compared to those from other studies; we were only able to compare the large value differences among patients with (0.12) and those without Rheumatoid Arthritis (0.02).…”
Section: Discussionsupporting
confidence: 83%
“…Later studies showed that the use of these indexes allowed for a safe evaluation of the signs and symptoms of temporomandibular disorders in the patients investigated 18,19 .…”
Section: Introduction and Literature Reviewmentioning
OBJETIVO: O estudo teve como finalidade avaliar a utilização de dois índices (Helkimo e craniomandibular) para o diagnóstico da desordem temporomandibular (DTM) em pacientes com Artrite Reumatóide (AR). MATERIAIS E MÉTODOS: A amostra foi de 80 pacientes divididos em dois grupos: pacientes com AR e pacientes sem AR. Em ambos os grupos os dois índices foram utilizados. No diagnóstico da DTM foram avaliados os seguintes sinais e sintomas: dor na ATM; limitação de abertura de boca e ruídos articulares. RESULTADOS: Os resultados mostram que dos pacientes com AR 87,1% eram do gênero feminino e 12,9% do masculino. Entre os pacientes sem AR, 70% eram do gênero feminino e 30% do masculino. A idade dos pacientes com AR variou de 24 a 78 anos. Entre os pacientes sem AR, a idade variou de 22 a 72 anos. Foi verificado que a prevalência de DTM foi mais elevada no grupo de pacientes com AR (98,6% - Helkimo e 87,1% - craniomandibular) do que no grupo sem a doença (80% - Helkimo e 50% - craniomandibular). CONCLUSÃO: Em resumo, temos que ambos os índices são capazes de diagnosticar a desordem temporomandibular em pacientes com AR, entretanto o Índice de Helkimo é menos preciso.
“…Later studies showed that the use of these indices allowed for a safe evaluation of the signs and symptoms of temporomandibular disorders in the patients investigated. [29][30] So, in the current study, we used Helkimo index to measure the prevalence and severity of TMD among students. Some studies in nonpatient population indicate a high prevalence of TMD in both the general and nonpatient populations.…”
Aim
The aim of this study was to define the prevalence and severity of temporomandibular disorders (TMD) among Iranian dental and nondental students who attended Shiraz University of Medical Sciences.
Materials and methods
The samples consisted of 200 subjects, 100 dental and 100 nondental students (equal distribution between males and females). Subjects ages ranged from 18 to 30 years (24.07 ± 2.93). A functional evaluation was performed using the Helkimo dysfunction index (Di). Data were evaluated by the Chi-square test.
Results
Among the total study population, 71% showed some degree of dysfunction. Prevalence ratio in dental students was 80%, while in nondental students was 62% (p < 0.05, odds ratio = 0.679). With respect to gender, women (80%) were more affected than men (62%). A significant relationship was found between gender and the occurrence of TMD (p < 0.05).
Conclusion
A high prevalence of signs of TMD in Iranian university students was seen which was greater in dental students and women.
Clinical significance
The results of this study showed that the prevalence of TMD among dental students and women was significantly higher than nondental students and men. These findings might be due to poor postural style or emotional stress during dental practice.
How to cite this article
Bahrani F, Ghadiri P, Vojdani M. Comparison of Temporomandibular Disorders in Iranian Dental and Nondental Students. J Contemp Dent Pract 2012;13(2): 173-177.
“…The study developed by Fricton and Schiffman 18 aimed at developing a craniomandibular index and test it as to its reliability. Later studies showed that the use of these indexes allowed for a safe evaluation of the signs and symptoms of temporomandibular disorders in the patients investigated 18 , 19 .…”
Section: Introduction and Literature Reviewmentioning
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