School of Dentistry, West University of Santa Catarina, Santa Catarina, Brazil.
Gerodontology. 2012 Jun;29(2):e865-9. doi: 10.1111/j.1741-2358.2011.00574.x. Epub 2011 Nov 2.
Complete tooth loss among the elderly is still frequent in developing countries and the incidence of temporomandibular disorders (TMD) is a common finding in complete denture wearers.
The aim of this study was to evaluate the prevalence of temporomandibular disorders (TMD) in a population of complete denture wearers.
The data were collected by four examiners for the diagnosis of use and need for complete dentures followed by the World Health Organization standards and interviews for TMD signs and symptoms evaluation. Exploratory variables included demographic, socio-economic status and TMD prevalence.
The prevalence of TMD among denture wearers was 55.12%. Chi-squared test showed no statistical difference between subjects with or without TMD for gender, geographical location and skin colour (p < 0.05). The number of subjects with TMD increased as the period of complete denture wear increased, although no statistical difference between groups were found (p < 0.05).
There is a need of educational programmes aiming at the importance of health care and periodical change of a complete denture, and strategies with a preventive approach to quality general dental care.
在发展中国家,老年人完全失牙仍然很常见,而颞下颌关节紊乱(TMD)的发病率在全口义齿佩戴者中也很常见。
本研究旨在评估全口义齿佩戴者中颞下颌关节紊乱(TMD)的患病率。
数据由四名检查者收集,用于诊断全口义齿的使用和需求,然后根据世界卫生组织的标准以及 TMD 体征和症状评估进行访谈。探索性变量包括人口统计学、社会经济状况和 TMD 患病率。
全口义齿佩戴者中 TMD 的患病率为 55.12%。卡方检验显示,在性别、地理位置和肤色方面,有无 TMD 的受试者之间无统计学差异(p<0.05)。虽然各组之间没有发现统计学差异(p<0.05),但 TMD 患者的数量随着全口义齿佩戴时间的增加而增加。
需要开展针对口腔保健重要性和全口义齿定期更换的教育计划,并制定以预防为导向的策略,提供优质的一般牙科护理。