Naslov
Klinički znaci i razina anksioznosti u pacijenata s osteoartritisom temporomandibularnog zgloba potvrđenog cone beame CT-om
(Clinical signs and anxiety-level in patients with osteoarthritis of temporomandibular joint validated by cone beam CT)

Autori
Badel, Tomislav ; Zadravec, Dijana ; Kocijan Lovko, Sandra ; Anić Milošević, Sandra ; Savić Pavičin, Ivana ; Krapac, Ladislav ; Jerolimov, Vjekoslav

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
Acta Stomatologica Croatica / Jurić, Hrvoje ; Vidović Juras, Danica ; Škrinjar, Ivana - Zagreb : Hrvatsko stomatološko društvo, 2021, 102-102

Skup
7. Međunarodni kongres Hrvatskog stomatološkog društva HLZ-a Simpozij Hrvatskog društva za hospitalnu stomatologiju HLZ-a

Mjesto i datum
Zagreb, Hrvatska, 13.11.2020. - 15.11.2020

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
temporomandibularni zglob ; anksioznost ; osteoartritis ; CBCT
(temporomandibular joint ; anxiety ; osteoarthritis ; CBCT)

Sažetak
The purpose of the study was to determine the association of clinical signs of TMJ osteoarthritis with patients' anxiety and with the duration of pain before the first examination. This study included patients (n = 53, mean age 47.7 ± 17.2 years ; 96.2% female) with further confirmed osteoarthritis using cone beam CT (CBCT). All patients had painful symptoms of TMJ, with or without sounds and with limited mouth opening. The clinical diagnostics included RDC / TMD Axis I and manual functional analysis of the stomatognathic system. The psychological assessment was carried out by Spielberger’s STAI. The radiological analysis by CBCT included an assessment of bone changes of cortical and subchondral bone of TMJ joint surfaces. The control group included the students of the School of Dental Medicine (n = 50, mean age 23.8 ± 2.0 years ; 76% female) without asymptomatic disc displacement and OA changes (confirmed by MRI) for anxiety variables and mouth opening measurements. The mean pain on the VAS scale was 6.2 ± 1.3. Radiological signs of osteoarthritis of painful joints independent of the body side (njoints = 62) included deformities caused by: generalized sclerosis and hypertrophy of bone surfaces, erosion of cortical bone, formation of subchondral cysts, osteophyte formation and bone particle findings within the joint. A significantly higher anxiety on STAI 2 (p = 0.029 was found in patients with bruxism. These patients suffered pain before the first examination, on average / median 26 ± 67.1 / 10 (range: 0.2-456) months, thus showing a significant association with higher levels of anxiety on STAI 1 (p = 0.045) and STAI 2 (p = 0.034). CT diagnosis is considered the gold standard for detection of bone deformities because the interpretation of the variable finding implies the identification of osteoarthritic changes in the TMJ with an unclear clinical finding.

Izvorni jezik
Hrvatski, engleski

Znanstvena područja
Kliničke medicinske znanosti, Dentalna medicina

POVEZANOST RADA