Lila-Krasniqi Zana, Shala Kujtim, Krasniqi Teuta Pustina, Bicaj Teuta, Ahmedi Enis, Dula Linda, Dragusha Arlinda Tmava, Guguvcevski Ljuben
University Clinical Center Prishtina - QKSUK, Prosthodontics, Prishtina, Kosovo.
Med Uni Graz, Dental School, Prosthodontics, Graz, Austria.
Open Access Maced J Med Sci. 2017 Aug 8;5(5):667-672. doi: 10.3889/oamjms.2017.094. eCollection 2017 Aug 15.
The aetiology of Temporomandibular disorder is multifactorial, and numerous studies have addressed that occlusion may be of great importance in the pathogenesis of Temporomandibular disorder.
The aim of this study is to determine if any direct relationship exists between balanced occlusion and Temporomandibular disorder and to evaluate the differences between subjective balanced occlusion and measurements reported with T-scan III electronic system.
A total of 54 subjects were divided into three groups, selection based on anamnesis-responded to a Fonseca questionnaire and clinical measurements analysed with electronic system T-scan III. In the I study group were participants with fixed dentures with prosthetic ceramic restorations. In the II study group were symptomatic participants with TMD. In the third control group were healthy participants with full arch dentition that completed a subjective questionnaire that documented the absence of jaw pain, joint noise, locking and subjects without a history of TMD. The occlusal balance was reported subjectively through Fonseca questionnaire and compared with occlusion analysed with electronic system T-scan III.
For attributive data were used percentage of the structure. Differences in P < 0.05 were considered significant. After distributing attributive data of occlusal balance subjectively reported and compared with measurements analysed with electronic system T-scan III were found significant difference P < 0.001 in all three groups.
In our study, it was concluded that there were statistically significant differences of balanced occlusion in all three groups. Also it was concluded that subjective data are not exact with measurements reported with electronic device T-scan III.
颞下颌关节紊乱病的病因是多因素的,许多研究表明咬合在颞下颌关节紊乱病的发病机制中可能具有重要意义。
本研究的目的是确定平衡咬合与颞下颌关节紊乱病之间是否存在直接关系,并评估主观平衡咬合与T-scan III电子系统报告的测量结果之间的差异。
总共54名受试者被分为三组,根据病史选择——对Fonseca问卷做出回应,并使用电子系统T-scan III分析临床测量结果。第一研究组是佩戴烤瓷修复体固定义齿的参与者。第二研究组是患有颞下颌关节紊乱病症状的参与者。第三对照组是全牙列健康的参与者,他们完成了一份主观问卷,记录了无颌痛、关节弹响、绞锁情况,且无颞下颌关节紊乱病史。通过Fonseca问卷主观报告咬合平衡情况,并与使用电子系统T-scan III分析的咬合情况进行比较。
对于属性数据,使用结构百分比。P < 0.05的差异被认为具有统计学意义。在主观报告的咬合平衡属性数据分布后,与使用电子系统T-scan III分析的测量结果进行比较,发现三组中均存在P < 0.001的显著差异。
在我们的研究中,得出的结论是三组中平衡咬合均存在统计学显著差异。还得出结论,主观数据与电子设备T-scan III报告的测量结果不一致。