Izvorni znanstveni članak
Prevalence of Temporomandibular Disorder Diagnoses and Psychologic Status in Croatian patients
Robert Ćelić
Samuel Dworkin
Vjekoslav Jerolimov
Mirela Maver-Bišćanin
Milica Julia Bago
Sažetak
The Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) uses a dual axis system for diagnosing and classifying TMD patients. The objective of the study was to explore the prevalence of different types of TMD, psychologic distress, and psychosocial dysfunction in Croatian TMD patients and to compare data between Croatian and Swedish, American and Asian TMD patients. One hundred and fifty-four consecutive patients (117 female and 37 male) referred to the Department of Prosthodontics and Department of Oral Surgery, School of Dental Medicine in Zagreb, Croatia, were included in the study. The mean age of the Croatian population was 39 ± 14.5 years. Frequency distributions and descriptive statistics were obtained through the use of SPSS statistical programe (version 10), and chisquare statistical analyses were performed (P < 0.05) to evaluate gender differences. Group I (muscle) disorder was found in 64.9% of the patients; Group II (disc displacement) disorder was found in 31.8% and 27.3% of the patients in the right and left joints, respectively; Group III (arthralgia, arthritis, arthrosis) disorder was found in 21.4% and 26% of the patients in the right and left joints, respectively. Axis II assessment of psychologic status showed that 19.5% of patients yielded severe depression scores and 27.3% yielded high nonspecific physical symptom scores (somatization). Psychosocial dysfunction was observed in 21.4% of patients based on graded chronic pain scores (Grade III and IV). Axis I and II findings of Croatian TMD patients were generally similar to their Swedish, American and Asian cohorts. In all 4 populations, women of child-bearing age represented the majority of patients. The most common type of RDC/TMD diagnoses was muscle disorders. A considerable portion of TMD patients were clinically depressed, withelevated levels of nonspecific physical symptoms. These results suggest that the RDC guidelines are valuable in helping to classify TMD patients, support the usefulness of the RDC/TMD for gathering research and clinically relevant data, allowing international and cross-cultural comparison of clinical findings.
Ključne riječi
temporomandibular disorders; RDC/TMD protocol; psychologic distress; psychosocial dysfunction
Hrčak ID:
2347
URI
Datum izdavanja:
15.12.2004.
Posjeta: 2.969 *