engleski

The relationship between sports-related orofacial trauma and the development of temporomandibular joint disorder

In the epidemiological study of TMJ disorders, it was determined that 28 patients (aged between 12 and 84, 25% male) had anamnestic history of previous trauma (whiplash neck injury, direct trauma of the stomatognathic system due to a fall or violence). The patients requested treatment at the Department of Removable Prosthodontics at the School of Dental Medicine in Zagreb. They graded the pain intensity in the joints on a visual- analogue scale during the first examination (VAS- T0) ranging from 0 (no pain) to 10 (strongest pain ever experienced). All patients received the definitive diagnosis of TMJ disc displacement by means of magnetic resonance imaging. The patients were also treated (occlusal splint and/or physical therapy) and the effects of the treatment on the pain in the TMJ were determined in a period of at least 6 months (pain on VAS- T1). Magnetic resonance is the gold standard in diagnostics of TMJ disorders and among patients with disc displacement there are more males, particularly in cases of sports-related trauma. This fact is in contrast with the general prevalence of females of reproductive age in the total samples of patients with TMJ disorders (75- 90%). Previously experienced trauma is related to smaller effects of the treatment of TMJ disorders.

temporomandibular joint ; temporomandibular disorders ; stomatognathic system ; magnetic resonance imaging

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