Prevalence of Self-Reported Symptoms of TMD in a Population of Rijeka, Croatia

Abstract

Svrha ovog istraživanja bila je ispitati prevalenciju simptoma TMD u stanovništvu Rijeke. Istraživanje je provedeno na uzorku 408 odraslih osoba starih od 18-84 godine, podijeljenih po dobi i spolu. Postojanje TMD simptoma dobili smo upotrebom kliničko- anamnestičkih upitnika koji se sastojao od 11 pitanja tipičnih za TMD simptomatologiju. Okluzalne parametre dobili smo raščlambom RCP, ICP prednjega vođenja i lateralnih kretnji. Kliničke znakove TMD dobili smo palpacijom mišića žvakača i TMJ. Anamnezom smo došli do podatka da je 16 % ispitanika izjavilo kako ima noćni bruksizam, a 33 % dnevni. 26 % ispitanika osjetilo je škljocanje u zglobu. 37 % pacijenata ima uz bruksizam i glavobolju, 35 % ima bolan vrat i ramena, a 33 % ima škljocanje u TMZ. U skupini pacijenata bez bruksizma 41 % ima glavobolju, 29 % bolni vrat i 24 % ima škljocanje. Možemo zaključiti da postoji veza između pojave noćnog bruksizma i bolnosti mišića vrata i ramena te škljocanje TMZ.The aim of this study was to evaluate the prevalence of temporomandibular disorder (TMD) symptoms in a population of Rijeka, Croatia. The study was performed on a sample of 408 adult subjects, aged 18-84 years divided into three groups by age and gender. The presence and severity of TMD was determined by using a self reported anamnestic questionnaire comprised of 11 questions regarding common TMD symptoms. Occlusal evaluation included analyses of RCP, ICP, anterolateral guidance, and nonworking side contacts during mandibular movements. Palpation of the muscles and TMJ was performed to detect clinical signs of TMD. A total of 16 % of the examinees had self-reported nocturnal bruxism and 33 % had daily bruxism. 26 % of the examinees experienced TMJ clicking. 28 % of the examinees experienced tension type headache, more than once a month. 37 % of the patients with bruxism had headaches, 35 % had painful necks and shoulders, and 33 % experienced TMJ clicking. Of those who did not suffer from bruxism, 41 % had headaches, 29 % had painful neck and sholders and 24% had TMJ clicking. It appears that sleep bruxism is related with the presence of painful neck and sholders and TMJ clicking