hrvatski

Kliničko istraživanje poremećaja čeljusnog zgloba u populaciji mlađih muškaraca

Temporomandibularni poremećaji su heterogena skupina poremećaja čeljusnog zgloba i/ili žvačnih mišića. Svrha rada bila je kliničkim pregledom utvrditi simptome i znakove poremećaja čeljusnih zglobova te pripadnost zubnog statusa po Eichnerovoj klasifikaciji u skupini mlađih muškaraca nepacijenata. Pregledano je 190 mlađih muškaraca u vojnoj stomatološkoj ambulanti u dobi između 19 do 27 godina metodom manualne funkcijske analize. Temeljem utvrđivanja kliničkih znakova postavljene su dijagnoze poremećaja čeljusnog zgloba. Statistička obrada provedena je izračunavanjem Spearmanovog koeficijenta korelacije sa razinom znatnosti 1% i 5%. Škljocanje se pojavilo u 30 (15, 8%) ispitanika, bol u području čeljusnog zgloba u 6 (3, 2%), a smanjena pokretljivost donje čeljusti u 3 (1, 6%) ispitanika. 11, 6% ispitanika imalo je dijagnozu anteriornog pomaka zglobne pločice. Krepitacija se pojavila u 13 (6, 8%) ispitanika. Samo 6% ispitanika imalo je veći gubitak zubnih kontakata po Eichnerovoj klasifikaciji (klasa II/1). Posebno značenje imaju istraživanja o povezanosti kliničkih znakova i simptoma poremećaja čeljusnog zgloba te okluzije. Gubitak dodira u potpornim zonama zubi nije imao utjecaj na pojavu simptoma i znakova poremećaja te postavljenih kliničkih dijagnoza ispitivanoj populaciji. Temporomandibular disorders make a heterogenuous group of disorders, composed of jaw joint and/ or chewing muscles disorders. The purpose of the paper was to determine the symptoms and signs of temporomandibular joint disorders, as well as the dental status of the young non-patient males group, according to the Eichner classification. Using the method of manual functional analysis, 190 younger males, aged between 19 and 27 years were examined in a military dental clinic. Based on the method of determining clinical signs, the temporomandibular joint disorder diagnoses were set. The data was statistically analysed by calculating the Spearman correlation coefficient with the significance level of 1% to 5%. Clicking occurred in 30 (15, 8%) subjects, pain in the temporomandibular joint area in 6 (3, 2 %), and reduced mobility of the mandible in 3 (1, 6%) subjects. 11, 6 % were diagnosed with anterior disc displacement. Crepitation occured in 13 (6, 8%) subjects. Only 6% had a greater loss of teeth contact according to the Eichner classification (Class II/1). The research on the connection between clinical signs and symptoms of the temporomandibular joint disorder and the occlusion was especially significant. Loss of contact in the teeth support areas had no effect on the occurrence of symptoms and signs of the disorders, or on the clinical diagnoses set for the population in question.

temporomandibularni poremećaji; čeljusni zglob; Eichnerova klasifikacija; manuelna funkcijska analiza

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