Impact Of Education And Occupational Status On Temporomandibular Joint Disorders Among Dental Patients - A Retrospective Study

Abstract Aim The aim of this retrospective study was to assess the treatment outcome of arthroscopy and open-joint surgery in the management of internal derangement of the temporomandibular joint (TMJ). Background Apart from pain being the major complaint in patients with temporomandibular joint disorders (TMDs), a variety of function-related symptoms are reported including joint noises, locking, limited movement, and alterations in occlusion. Surgical management procedures of internal derangement of the TMJ vary widely at present. The criteria for the assessment of successful outcome of the treatment are also variable. Methods and Materials The retrospective study was carried out at two centers in Paris and Beirut. Sixty-two female patients with an age range of 35.1 years (28 had arthroscopy and 34 had open surgery) were included in the study. The patients were followed-up for 12 months. A standardized questionnaire and visual analogue scale (VAS) was developed and used for the assessment of pain and mandibular range of motion. A chi-square test was used to observe the significance of difference among both groups. Conclusion Within the limitations of this study, it was concluded arthroscopic surgery appeared to be safe with pain reduction and increased mandibular range of motion for 80% of the patients. Further research is needed on a larger prospective sample to assess the comparison of both techniques in terms of enhanced quality of life among the study population. Clinical significance Arthroscopic surgery appears to be a safe, minimally invasive, and effective method for treating internal derangements of the TMJ. Citation Hobeiche J, Salameh Z, Tashkandi E, Almas K. Arthroscopy vs. Open-joint Surgery for the Management of Internal Derangement of the Temporomandibular Joint: A Retrospective Study Comparing Female Subjects from Two Centers. J Contemp Dent Pract 2008 March; (9)3:048-055.

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Prevalence of Temporomandibular Joint Disorders Among Dental Patients in A Private Institution

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v11ispl3.3383 ◽

2020 ◽

Vol 11 (SPL3) ◽

pp. 1309-1315

Author(s):

Nor Masitah Mohamed Shukri ◽

Santhosh Kumar M P ◽

Arthi Balasubramaniam

Keyword(s):

Temporomandibular Joint ◽

Temporomandibular Disorders ◽

Temporomandibular Joint Disorders ◽

Dental Patients ◽

Gum Chewing ◽

Temporomandibular Joints ◽

Age And Gender Differences ◽

Inflammatory Drugs ◽

Male Patients ◽

And Gender

Temporomandibular joints (TMJ) are the bilateral synovial articulation between temporal bone and lower jaw, seen on each side of the jaws. Temporomandibular joint disorders (TMD) can be defined as the tenderness of the jaws and dysfunction of the associated muscles of mastication and the temporomandibular joints, which connect the mandible to the skull. The exact cause of TMD still remains mysterious and unclear. However, the possible attributes of TMD are arthritis, trauma or blow to the TMJ, excessive gum chewing and bruxism. Patients are usually treated with ice packs, gentle massage at the jaw area and prescription of nonsteroidal anti-inflammatory drugs (NSAIDs). This study sought to evaluate the incidence rate, age and gender differences of TMD among patients reporting to Saveetha Dental College and Hospital. The following parameters were evaluated based on the dental records; age, gender and types of TMD. Excel tabulation and SPSS version 23 was used for data analysis. The prevalence of temporomandibular disorders was higher in female patients (51.9%) than male patients (48.1%). The most frequent age group affected by temporomandibular disorders was 31-40 years (36.7%). Disc-condyle disorder (75.9%) is the most frequent sub-type of temporomandibular disorders present in the patients. There was no statistically significant correlation between age and TMD (p=0.847); and gender and TMD (p=0.365). It can be concluded that within the limits of study, TMD was present in adulthood and was more common in women, with disc-condyle disorder being the most prevalent type.

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