Correlations between occlusal changes and musculoskeletal manifestations in pa-tients with temporo-mandibular dysfunction versus patients without temporo-mandibular dysfunction
Aims. The aim of this paper was to assess the occlusal characteristics of a sample of pa-tients with temporomandibular dysfunction. Materials and methods. 40 patients were included in this study, divided into two groups: in the first group, 20 patients were recruited from a private clinic in Cluj-N...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Amaltea Medical Publishing House
2020-06-01
|
| Series: | Romanian Journal of Stomatology |
| Subjects: | |
| Online Access: | https://rjs.com.ro/articles/2020.2/RJS_2020_2_Art-07.pdf |
| _version_ | 1818903830748725248 |
|---|---|
| author | Smaranda Buduru Andreea Kui Daphni Doukaki Loredana Mitariu Manuela Manziuc Cristian Olteanu Oana Almăşan |
| author_facet | Smaranda Buduru Andreea Kui Daphni Doukaki Loredana Mitariu Manuela Manziuc Cristian Olteanu Oana Almăşan |
| author_sort | Smaranda Buduru |
| collection | DOAJ |
| description | Aims. The aim of this paper was to assess the occlusal characteristics of a sample of pa-tients with temporomandibular dysfunction.
Materials and methods. 40 patients were included in this study, divided into two groups: in the first group, 20 patients were recruited from a private clinic in Cluj-Napoca all of them being diagnosed with temporomandibular dysfunction (TMD); the second group – the control group – included 20 subjects, chosen randomly, in the Department of Pros-thodontics, Faculty of Dentistry. The inclusion criteria for the first group were: patients with TMD signs and symptoms, no history of trauma, no other organic sources of pain, no associated neuro-muscular diseases.
The inclusion criteria for the control group were: clinically healthy patients, no history of trauma, no general history of disease with interest in the structures of the dento-maxillary apparatus, no orthognathic surgery and no ongo-ing orthodontic or prosthodontic treatment. Patients were examined clinically and the data obtained were statistically analyzed.
Results. Statistical analysis revealed several significant results, such as the fact that sub-jects with TMDs had more frequent muscle pain (p = 0.018) and joint pain (p = 0.004). Al-so, for patients suffering from disc displacements without reduction, the presence of pas-sive interference in protrusion was observed more often (p = 0.049), and for those with disc displacements with reduction, passive interference in laterality was more frequent (p = 0.010).
Discussion. In the present study, interferences in maximum intercuspation (MI) and pas-sive interferences in protrusion were found more frequently in the group of subjects with TMDs, which is consistent with the results in the literature. For subjects with disc dis-placements, significant differences were found between those disc displacements with reduction and, respectively, without reduction, regarding the passive interference in later-ality and passive interference in protrusion, which may be due to the change of position of the articular disc and the trajectory of condylar movement during performing mandibu-lar movements.
Conclusions. No correlation has been shown between a certain type of occlusal dys-function and a certain symptom of temporomandibular dysfunction. There are subjects who have occlusal dysfunctions without showing dysfunctional symptoms. Malocclu-sions may be correlated with dysfunctional signs. |
| first_indexed | 2024-12-19T20:57:47Z |
| format | Article |
| id | doaj.art-36c330b5341041168e62a6284d9f38bb |
| institution | Directory Open Access Journal |
| issn | 1843-0805 2069-6078 |
| language | English |
| last_indexed | 2024-12-19T20:57:47Z |
| publishDate | 2020-06-01 |
| publisher | Amaltea Medical Publishing House |
| record_format | Article |
| series | Romanian Journal of Stomatology |
| spelling | doaj.art-36c330b5341041168e62a6284d9f38bb2022-12-21T20:05:54ZengAmaltea Medical Publishing HouseRomanian Journal of Stomatology1843-08052069-60782020-06-0166210310910.37897/RJS.2020.2.7Correlations between occlusal changes and musculoskeletal manifestations in pa-tients with temporo-mandibular dysfunction versus patients without temporo-mandibular dysfunctionSmaranda Buduru0Andreea Kui1Daphni Doukaki2Loredana Mitariu3Manuela Manziuc4Cristian Olteanu5Oana Almăşan6Catedra de Protetică Dentară, Universitatea de Medicină şi Farmacie „Iuliu Haţieganu“, Cluj-Napoca, RomâniaCatedra de Protetică Dentară, Universitatea de Medicină şi Farmacie „Iuliu Haţieganu“, Cluj-Napoca, RomâniaPractică privată, Cluj-Napoca, RomâniaUniversitatea „Lucian Blaga“, Sibiu, RomâniaCatedra de Protetică Dentară, Universitatea de Medicină şi Farmacie „Iuliu Haţieganu“, Cluj-Napoca, RomâniaCatedra de Ortodonţie, Universitatea de Medicină şi Farmacie „Iuliu Haţieganu“, Cluj-Napoca, RomâniaCatedra de Ortodonţie, Universitatea de Medicină şi Farmacie „Iuliu Haţieganu“, Cluj-Napoca, RomâniaAims. The aim of this paper was to assess the occlusal characteristics of a sample of pa-tients with temporomandibular dysfunction. Materials and methods. 40 patients were included in this study, divided into two groups: in the first group, 20 patients were recruited from a private clinic in Cluj-Napoca all of them being diagnosed with temporomandibular dysfunction (TMD); the second group – the control group – included 20 subjects, chosen randomly, in the Department of Pros-thodontics, Faculty of Dentistry. The inclusion criteria for the first group were: patients with TMD signs and symptoms, no history of trauma, no other organic sources of pain, no associated neuro-muscular diseases. The inclusion criteria for the control group were: clinically healthy patients, no history of trauma, no general history of disease with interest in the structures of the dento-maxillary apparatus, no orthognathic surgery and no ongo-ing orthodontic or prosthodontic treatment. Patients were examined clinically and the data obtained were statistically analyzed. Results. Statistical analysis revealed several significant results, such as the fact that sub-jects with TMDs had more frequent muscle pain (p = 0.018) and joint pain (p = 0.004). Al-so, for patients suffering from disc displacements without reduction, the presence of pas-sive interference in protrusion was observed more often (p = 0.049), and for those with disc displacements with reduction, passive interference in laterality was more frequent (p = 0.010). Discussion. In the present study, interferences in maximum intercuspation (MI) and pas-sive interferences in protrusion were found more frequently in the group of subjects with TMDs, which is consistent with the results in the literature. For subjects with disc dis-placements, significant differences were found between those disc displacements with reduction and, respectively, without reduction, regarding the passive interference in later-ality and passive interference in protrusion, which may be due to the change of position of the articular disc and the trajectory of condylar movement during performing mandibu-lar movements. Conclusions. No correlation has been shown between a certain type of occlusal dys-function and a certain symptom of temporomandibular dysfunction. There are subjects who have occlusal dysfunctions without showing dysfunctional symptoms. Malocclu-sions may be correlated with dysfunctional signs.https://rjs.com.ro/articles/2020.2/RJS_2020_2_Art-07.pdftemporo-mandibular disfunctiondisc displacement with reductiondisc displacement without reduction |
| spellingShingle | Smaranda Buduru Andreea Kui Daphni Doukaki Loredana Mitariu Manuela Manziuc Cristian Olteanu Oana Almăşan Correlations between occlusal changes and musculoskeletal manifestations in pa-tients with temporo-mandibular dysfunction versus patients without temporo-mandibular dysfunction Romanian Journal of Stomatology temporo-mandibular disfunction disc displacement with reduction disc displacement without reduction |
| title | Correlations between occlusal changes and musculoskeletal manifestations in pa-tients with temporo-mandibular dysfunction versus patients without temporo-mandibular dysfunction |
| title_full | Correlations between occlusal changes and musculoskeletal manifestations in pa-tients with temporo-mandibular dysfunction versus patients without temporo-mandibular dysfunction |
| title_fullStr | Correlations between occlusal changes and musculoskeletal manifestations in pa-tients with temporo-mandibular dysfunction versus patients without temporo-mandibular dysfunction |
| title_full_unstemmed | Correlations between occlusal changes and musculoskeletal manifestations in pa-tients with temporo-mandibular dysfunction versus patients without temporo-mandibular dysfunction |
| title_short | Correlations between occlusal changes and musculoskeletal manifestations in pa-tients with temporo-mandibular dysfunction versus patients without temporo-mandibular dysfunction |
| title_sort | correlations between occlusal changes and musculoskeletal manifestations in pa tients with temporo mandibular dysfunction versus patients without temporo mandibular dysfunction |
| topic | temporo-mandibular disfunction disc displacement with reduction disc displacement without reduction |
| url | https://rjs.com.ro/articles/2020.2/RJS_2020_2_Art-07.pdf |
| work_keys_str_mv | AT smarandabuduru correlationsbetweenocclusalchangesandmusculoskeletalmanifestationsinpatientswithtemporomandibulardysfunctionversuspatientswithouttemporomandibulardysfunction AT andreeakui correlationsbetweenocclusalchangesandmusculoskeletalmanifestationsinpatientswithtemporomandibulardysfunctionversuspatientswithouttemporomandibulardysfunction AT daphnidoukaki correlationsbetweenocclusalchangesandmusculoskeletalmanifestationsinpatientswithtemporomandibulardysfunctionversuspatientswithouttemporomandibulardysfunction AT loredanamitariu correlationsbetweenocclusalchangesandmusculoskeletalmanifestationsinpatientswithtemporomandibulardysfunctionversuspatientswithouttemporomandibulardysfunction AT manuelamanziuc correlationsbetweenocclusalchangesandmusculoskeletalmanifestationsinpatientswithtemporomandibulardysfunctionversuspatientswithouttemporomandibulardysfunction AT cristianolteanu correlationsbetweenocclusalchangesandmusculoskeletalmanifestationsinpatientswithtemporomandibulardysfunctionversuspatientswithouttemporomandibulardysfunction AT oanaalmasan correlationsbetweenocclusalchangesandmusculoskeletalmanifestationsinpatientswithtemporomandibulardysfunctionversuspatientswithouttemporomandibulardysfunction |