Santos Jarbas F F, Marchini Leonardo, Campos Marcia S, Damião Carlos F, Cunha Vicente P P, Barbosa Célia M R
School of Dentistry, University of Vale do Paraíba, São José dos Campos, SP, Brazil.
Gerodontology. 2004 Mar;21(1):51-2. doi: 10.1111/j.1741-2358.2004.00004.x.
Investigate the incidence of symptoms of craniomandibular disorder in elderly Brazilian wearers of full dentures.
In this cross-sectional study, a questionnaire based on Helkimo's anamnestic index was applied to a group of 65-year-olds or older individuals who wear a set of full dentures.
Interviews were carried out at the dental clinics of the University of Taubaté and the University of Vale do Paraíba, Brazil.
From a total of 384 patients, 84 elderly wearers of full dentures were interviewed.
The questionnaire identified the most commonly related symptoms of craniomandibular disorders.
The patient's average age was 73.5 years (ranging from 65 to 89 years), 81% of them females. Only 5% reported pain when opening their mouths, and the same percentage complained of temporomandibular joint luxation and a sensation of tired muscles during mastication. Similar rates were found for pain in the temporomandibular joint area (6%), pain in the temporal muscle area (7%), difficulty to move the mandible in the morning (4%) and pain during excursive (protrusive and lateral) movements (8%). The highest rates were found for pain in the masseter muscle area (39%) and articular noises (24%).
The incidence of craniomandibular disorder symptoms was low in this group of elderly wearers of full dentures, except for pain in the masseter (39%) and articular noises (24%).
调查巴西老年全口义齿佩戴者颅下颌紊乱症状的发生率。
在这项横断面研究中，对一组65岁及以上佩戴全口义齿的个体应用了基于赫尔基莫记忆指数的问卷。
在巴西陶巴特大学和巴拉伊巴山谷大学的牙科诊所进行访谈。
在总共384名患者中，对84名老年全口义齿佩戴者进行了访谈。
问卷确定了颅下颌紊乱最常见的相关症状。
患者的平均年龄为73.5岁（65至89岁），其中81%为女性。只有5%的人报告张口时疼痛，同样比例的人抱怨颞下颌关节脱位和咀嚼时肌肉疲劳感。颞下颌关节区域疼痛（6%）、颞肌区域疼痛（7%）、早晨下颌运动困难（4%）和前伸及侧方运动时疼痛（8%）的发生率相似。咬肌区域疼痛（39%）和关节弹响（24%）的发生率最高。
在这组老年全口义齿佩戴者中，颅下颌紊乱症状的发生率较低，咬肌疼痛（39%）和关节弹响（24%）除外。
