Temporomandibular Dysfunction
Conditions
Keywords
temporomandibular dysfunction, bruxism, chewing functionality
Brief summary
The aim of the study was to investigate the effect of bruxism on Temporomanbular joint functionality and dysfunction severity in individuals with Temporomandibular Dysfunction (TMD).
Detailed description
The study included 91 individuals aged 20-55 years with TMD. Participants who volunteered to participate in the study signed the Informed Consent Form and completed the Descriptive Data Form including demographic characteristics. The presence of bruxism in individuals with TMD was questioned and the maximum mouth opening measurement was recorded. TMD severity was assessed by Fonseca's Anamnestic Questionnaire (FAQ), pain severity was assessed by Numeric Pain Scale (NPS), and masticatory and TMJ functioning was assessed by JAW Functional Limitation Scale-20 (JFLS-20). The evaluations of the participants were performed only once.
Interventions
OTHERFonseca's Anamnestic Questionnaire
The questionnaire includes 10 questions about joint, head and neck pain, pain during masticatory activity, parafunctional habits, decreased joint motion, impaired occlusion and emotional stress.
OTHERNumeric Pain Scale
It is a simple, reliable and short-term method that is frequently used to measure pain intensity in the clinic.
OTHERJaw Functionality Limitation Scale-20
It includes a total of 20 items, with 0 indicating no limitation and 10 indicating severe limitation in each item, about the function of the TMJ during different activities, difficulty in chewing and jaw limitation.
Sponsors
Bandırma Onyedi Eylül University
Study design
Observational model
CASE_ONLY
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
20 Years to 55 Years
Healthy volunteers
No
Inclusion criteria
* Aged between 20 and 55 years, * Diagnosed with TMD, * volunteer to participate in the study
Exclusion criteria
* having a non-reduced disc problem, * surgical operation due to spine, abdomen and/or TMJ problem, * trauma, cancer, neurological problems, congenital anomalies, musculoskeletal system problems, * systemic disease, * facial paralysis * Less than 6 months of receiving any treatment related to the spine and TMJ
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Bruxism evaluation | April 2023- September 2023 | Sleep bruxism reported by the individual was recorded. As clinical diagnostic criteria for bruxism; the presence of regular or frequent teeth clenching and grinding sounds followed by pain or fatigue in the jaw muscles on waking up in the morning, temporal headache, masseter muscle hypertrophy, abnormal tooth abrasion and/or jaw locking were questioned and the presence of one or more clinical findings was recorded as bruxism. |
| Maximum mouth opening | April 2023- September 2023 | Maximum pain-free mouth opening was measured with a 15 cm ruler |
| Severity of Temporomandibular dysfunction | April 2023- September 2023 | Fonseca's Anamnestic Questionnaire (FAQ) was used. The questionnaire includes 10 questions about joint, head and neck pain, pain during masticatory activity, parafunctional habits, decreased joint motion, impaired occlusion and emotional stress. As a result of the questionnaire, the presence of TMD is accepted in patients with a score of 25 and above, and the severity can be classified as mild TMJ disorder (25-45), moderate TMJ disorder (50-65) and severe TMJ disorder (70-100). |
| Pain intensity | April 2023- September 2023 | Numeric Pain Scale (NAS): It is a simple, reliable and short-term method commonly used in the clinic to measure pain intensity. The patient is told that the most severe pain he/she feels in the TMJ region is 10, and if there is no pain, the pain intensity is 0. The participant was asked to say a number between 0 and 10 corresponding to the intensity of pain felt in the TMJ region. |
| Jaw Functionality | April 2023- September 2023 | Jaw Functionality Limitation Scale-20 was used. It includes a total of 20 items, with 0 indicating no limitation and 10 indicating severe limitation in each item, about the function of the TMJ during different activities, difficulty in chewing and jaw limitation. As a result of the questionnaire, it was reported that TMJ function was limited in individuals with a score of 5 and above. |
Countries
Turkey (Türkiye)
Outcome results
None listed