Meeting abstract
Prevalence of Temporomandibular Disorder Subtypes in Croatian Patients
Robert Ćelić
Vjekoslav Jerolimov
Dubravka Knezović-Zlatarić
Nikša Dulčić
Josip Pandurić
Abstract
The Research Diagnostic Criteria for Temporomandibular Discorders (RDC/TMD) guidelines, originally developed in the United States, were translated and used to classify TMD patients on physical diagnosis (Axis I) and pain-related disability an psychological status (Axis II) in Croatiana TMD patients. The RDC/TMD Axis I and II findings were compared to those of Swedish , American and Asian TMD patients.
One hundred and fifty-gour consecutive patients (117 female and 37 male) referred to the Department of Prosthodontics and Department of Oral Surgery in Zagreb, Croatia, were enrolled 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 version 10 for Windows (SPSS, Chicago, IL), and chi-square (2-sided) 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 teh right and left joints, respectively. Axis II assessment of psychological 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.
Axis I and II findings of Croatian TMD patients were generally similar to their Swedich, American and Asian cohorts. In all 4 populations, women of child-bearing age represented the majority of patients. Muscle disorders were the most prevalent type of TMD. A substantial portion of TMD patients were depressed and experienced severe somatization. These rezults suggest that the RDC/RMD guidelines are valuable in helping to classify TMD patients and allowing multicenter and cross-cultural comparison of clinical findings.
Keywords
Hrčak ID:
3135
URI
Publication date:
15.9.2003.
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