Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Association of Malocclusion, Parafunctional Habits and Quality of Life in Patients with Temporomandibular Joint Disorder
Temporomandibular Eklem Bozukluğu Olan Hastalarda Maloklüzyon, Parafonksiyonel Alışkanlıklar ve Yaşam Kalitesi ile İlişkisi
Ömer EKİCİa
aDepartment of Oral and Maxillofacial Surgery, Afyonkarahisar Health Sciences University Faculty of Dentistry, Afyonkarahisar, TURKEY
Turkiye Klinikleri J Dental Sci. 2021;27(4):551-8
doi: 10.5336/dentalsci.2020-79483
Article Language: EN
Full Text
ABSTRACT
 Objective: The aim of this study is to investigate the relationship between malocclusion, parafunctional habits and quality of life in patients with the temporomandibular joint disorder (TMD). Material and Methods: This cross-sectional study included 482 TMD patients who sought treatment at the oral and maxillofacial surgery clinic of a faculty of dentistry. While the malocclusion status of participants was evaluated with The Dental Aesthetic Index, bruxism, chewing side preference and parafunctional habits were evaluated with Oral Behavior Checklist. Quality of life was assessed by Oral Health-Related Quality of Life-United Kingdom (OHRQoL-UK). The data were analyzed with the SPSS 20 program. Results: The mean OHRQoL-UK score of the participants was 46.46±11.64. There was a significant difference in both OHRQoL-UK total scores and OHRQoL-UK domain scores between those with and without bruxism (p<0.005). The total quality of life scores of those without bruxism (49.29±10.629) were found significantly higher than those with bruxism (45.54±11.82). There was no significant difference between OHRQoL-UK total scores and OHRQoL-UK domain scores between those with and without malocclusion (p=0.254). Similarly, there was no significant difference in OHRQoL of TMD patients in terms of parafunctional habits and chewing side preference (p=0.300, p=0.548 respectively). Conclusion: In the present study, OHRQoL in TMD patients with bruxism was significantly lower than in TMD patients without bruxism. Malocclusion, chewing side preference, and parafunctional habits did not have a significant effect on OHRQoL in TMD patients.

Keywords: Malocclusion; parafunctional habit; bruxism; temporomandibular disorder; quality of life
ÖZET
 Amaç: Bu çalışmanın amacı, temporomandibular eklem bozukluğu [temporomandibular joint disorder (TMD)] olan hastalarda maloklüzyon, parafonksiyonel alışkanlıklar ve yaşam kalitesi ile ilişkisini araştırmaktır. Gereç ve Yöntemler: Bu kesitsel çalışmaya, bir diş hekimliği fakültesinin oral ve maksillofasiyal cerrahi kliniğinde tedavi görmek isteyen 482 TMD hastası dâhil edildi. Katılımcıların maloklüzyon durumları Dental Estetik İndeksi ile değerlendirilirken, bruksizm, çiğneme tarafı tercihi ve parafonksiyonel alışkanlıklar Oral Davranış Kontrol Listesi ile değerlendirildi. Yaşam kalitesi, Ağız Sağlığıyla İlgili Yaşam Kalitesi-Birleşik Krallık [Oral Health-Related Quality of Life-United Kingdom (OHRQoL-UK)] ölçeği ile değerlendirildi. Veriler, SPSS 20 programı ile analiz edildi. Bulgular: Katılımcıların ortalama OHRQoL-UK skoru 46,46±11,64 idi. Bruksizmi olan ve olmayanlar arasında, hem OHRQoL-UK toplam puanları hem de OHRQoL-UK alan puanları açısından anlamlı fark vardı (p<0,005). Bruksizmi olmayanların toplam yaşam kalitesi puanları (49,29±10,629), bruksizmi olanlara göre (45,54±11,82) anlamlı olarak daha yüksek bulundu. Maloklüzyonu olanlar ve olmayanlar arasında OHRQoL-UK toplam puanları ile OHRQoL-UK alan puanları arasında anlamlı bir fark yoktu (p=0,254). Benzer şekilde, TMD hastalarının ağız sağlığı ile ilgili yaşam kalitelerinde parafonksiyonel alışkanlıklar ve çiğneme tarafı tercihi açısından anlamlı bir farklılık yoktu (sırasıyla p=0,300, p=0,548). Sonuç: Bu çalışmada, bruksizmi olan TMD hastalarında ağız sağlığı ile ilişkili yaşam kalitesi, bruksizmi olmayan TMD hastalarına göre anlamlı derecede düşüktü. TMD hastalarında maloklüzyon, çiğneme tarafı tercihi ve parafonksiyonel alışkanlıklar ağız sağlığı ile ilgili yaşam kalitesi üzerinde anlamlı bir etkiye sahip değildi.

Anahtar Kelimeler: Maloklüzyon; parafonksiyonel alışkanlık; bruksizm; temporomandibular bozukluk; yaşam kalitesi
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