Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Temporomandibular Eklem Rahatsızlıkları Şiddetinin Fonseca Anamnestik Anketi ile Sınıflandırılarak Hastaların Farkındalıklarının Ölçülmesi
Measuring the Awareness of Patients By Classifying the Severity of Temporomandibular Joint Disorders with the Fonseca Anamnestic Questionnaire
Ümit ERTAŞa, Mert ATAOLb, Yunus Emre AŞÇIa
aAtatürk Üniversitesi Diş Hekimliği Fakültesi, Ağız Diş ve Çene Cerrahisi ABD, Erzurum, TÜRKİYE
bAnkara Medipol Üniversitesi Diş Hekimliği Fakültesi, Ağız Diş ve Çene Cerrahisi ABD, Ankara, TÜRKİYE
Turkiye Klinikleri J Dental Sci. 2021;27(4):545-50
doi: 10.5336/dentalsci.2020-79399
Article Language: TR
Full Text
ÖZET
 Amaç: Temporomandibular eklem (TME) bozukluklarının toplumdaki oranını belirlemek ve sıklığını incelemek zordur. Bu hastalar, kendi rahatsızlıklarının farkında olmadığı için semptomlarının ne ölçüde olduğunu belirlemek zordur. Yaptığımız çalışmayla toplumumuzdaki TME bozukluklarını anketle değerlendirerek sınıflandırmak ve toplumun bu hastalıklar hakkında farkındalığını ölçmektir. Gereç ve Yöntemler: Toplumdaki TME bozukluklarının oranını ve farkındalığını ölçmek için 10 sorudan oluşan Fonseca Anamnestik Anketi kullanılmıştır. Yaptığımız çalışma, toplumun bir kesimini ilgilendirdiği için kesitsel bir analiz olarak ifade edilebilir. İki yüz yetmiş hasta üzerinde yapılan çalışmada, TME bozukluğu tespit edilen hastalarda emosyonel stres varlığı açısından sorular sorulmuştur. Çalışmamızda elde edilen değerlendirmeler, (Windows için SPSS 20.0 versiyonu kullanılarak istatistiksel analiz yapılmıştır. Ki-kare testi kullanılmış ve istatistiksel anlamlılık düzeyi p<0,05 olmuştur. Bulgular: Çalışmamıza katılan toplam hasta sayısı 270, yaş dağılımı 16-65 idi. Çalışmaya katılanların 120'si (%44,4) erkek, 150'si (%55,5) kadın idi. Anket sonucunda tespit edilen TME bozukluğuna sahip kadın hastaların yaş ortalaması 29,8, TME bozukluğuna sahip erkeklerin yaş ortalaması ise 30,1 olarak tespit edildi. Çalışmamıza katılan 270 hastanın 176 (%65,19) hastada hafiften şiddetliye kadar değişen TME bozukluğu gözlenmiştir. Toplamda 94 (%34,81) hastada TME bozukluğu gözlenmemiştir. Sonuç: Toplumumuzda, tedaviye ihtiyaç duyan ve kendisinin TME problemine sahip olduğunu bilmeyen hastaların var olduğu görülmüştür. Kadınların TME problemine daha çok yatkın olduğu ve genç bireylerde yaşlı kesime göre bu problemden daha fazla etkilendiği görülmüştür. Hastaların bir kısmı da başka bölümlerden sevk edilerek gelmesi toplumumuzda TME problemi farkındalığının anlamlı derecede az olduğunu göstermektedir.

Anahtar Kelimeler: Emosyonel stres; epidemiyoloji; temporomandibular eklem
ABSTRACT
 Objective: It is difficult to determine the rate and frequency of temporomandibular joint (TMJ) disorders in the population. It is difficult to determine the extent of their symptoms as these patients are not aware of their own illness. With our study, we aim to classify TMJ disorders in our society by evaluating them with a questionnaire and to measure the awareness of society about these diseases. Material and Methods: The Fonseca Anamnestic Questionnaire consisting of 10 questions was used to measure the rate and awareness of TMJ disorders in the community. Since our study concerns a segment of the society, it can be expressed as a cross-sectional analysis. In a study conducted on 270 patients, questions were asked about the presence of emotional stress in patients with TMJ disorder. Statistical analysis was performed using the evaluations obtained in our study (SPSS version 20.0 for Windows. Chi-square test was used and the statistical significance level was p<0.05. Results: The total number of patients participating in our study was 270, and the age distribution was 16-65. The participants in the study were 120 men (44.4%), 150 women (55.5%). The average age of female patients with TMJ disorder determined as a result of the survey was found to be 29.8, and the average age of males with TMJ disorder was 30.1. TMJ disorders ranging from mild to severe were observed in 176 (65.19%) patients of 270 patients included in our study. In total, 94 (34.81%) patients did not have TMJ disorder. Conclusion: It has been observed that there are patients who need treatment and do not know that they have TMJ problem in our community. It has been observed that women are more prone to TMJ problem and younger individuals are more affected by this problem than the elderly. The fact that some of the patients are referred from other departments shows that there is very little awareness of TMJ problem in our society.

Keywords: Emosyonel stres; epidemiology; temporomandibular joint
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