Naslov
Therapy of temporomandibular joint displaced disc according to anxiety

Autori
Badel, Tomislav ; Pandurić, Josip ; Marotti, Miljenko ; Keros, Jadranka ; Kern, Josipa ; Kocijan Lovko, Sandra ; Rošin Grget, Kata

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

Izvornik
5. hrvatski farmakološki kongres i 2. kongres hrvatskoga društva fiziologa : knjiga sažetaka ; u: Periodicum Biologorum. Supplement (ISSN 0353-9164) 109 (2007) (S2) / Vitale, Branko - Zagreb : Hrvatsko prirodoslovno društvo, 2007, 97-97

Skup
5. hrvatski farmakološki kongres i 2. kongres hrvatskoga društva fiziologa

Mjesto i datum
Osijek, Hrvatska, 19.09.2007. - 22.09.2007

Vrsta sudjelovanja
Poster

Vrsta recenzije
Domaća recenzija

Ključne riječi
disc diplacement; splint therapy; anxiety; temporomandibular joint; magnetic resonance imaging

Sažetak
Disc displacement (DD) of temporomandibular joint (TMJ) is the most frequent form of temporomandibular disorders (TMD) with the aethiopathogenesis not being sufficiently clarified. Occlusal splint is the most frequent reversible and unspecific form of initial treatment of patients with DD, but also of persons with parafunctional oral activity - bruxism. Initial treatment includes various types of supportive therapies, like pharmacologic therapy. The main goal of TMD treatment is directed toward the reduction of pain. The nonsteroidal antiinflammatory drugs are helpful with most temporomandibular pains. The purpose of this study is to determine the success in eliminating clinical symptoms in patients with DD after occlusal splint therapy, possibly depending on a level of anxiety. DD was diagnosed in 40 patients (mean age 35.5, 76% women) using Research Diagnostic Criteria for Temporomandibular Disorders Axis I and was confirmed by magnetic resonance imaging of the TMJs. Pain intensity was rated on a visual-analogue scale (VAS 0-10). The control group consisted of 25 asymptomatic volunteers (mean age 23.4, 72% women). Bruxism was diagnosed based on case history and clinical findings. The anxiety was confirmed by Spielberger&#8217; s State-Trait Anxiety Inventory (STAI). By applying occlusal splint a reduction of pain was achieved in 61% of TMJs. 40% of patients had bruxism and tooth wear was significantly more correlated in patients (p<0.05) than in the asymptomatic volunteers. A higher level of anxiety was determined for all examined patients without statistically significant difference (p>0.05) with respect to the asymptomatic volunteers. Also, success of splint treatment was not dependent on anxiety (p>0.05). Including only patients with determined anxiety resulted in 62.5% of patients with anxiety according to the STAI 1=42.84, and 72.5% of patients with anxiety according to the STAI 2=44.20. Distribution of patients according to diagnosed bruxism, and scores in STAI 1 and STAI 2 test was significant (p<0.001). Statistically significant differences between patients with lower (<5) and higher (&#8805; 5) degree of pain were rated on a VAS for age (p=0.004), passive mouth opening (p=0.013), STAI 2 (p=0.012), and duration of splint therapy (p=0.011). Conclusion. There was no correlation between success of occlusal splint therapy and anxiety. Psychological factors are considered to play key roles for the development of bruxism behaviour and temporomandibular pain. However, patients with DD experience a higher level of anxiety and bruxism behaviour.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti, Dentalna medicina

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