Farzin Mitra, Taghva Masumeh, Babooie Moslem
Department of Prosthodontics, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.
Postgraduate Student of Orthodontics, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.
J Korean Assoc Oral Maxillofac Surg. 2018 Oct;44(5):232-236. doi: 10.5125/jkaoms.2018.44.5.232. Epub 2018 Oct 26.
Hormonal changes during menopause alter a woman's susceptibility to some disorders. Information regarding the prevalence of temporomandibular disorder (TMD) in menopausal women is limited in the literature. In this study, the prevalence and severity of TMDs were compared between menopausal and non-menopausal women.
The study included 140 women (69 premenopausal and 71 postmenopausal) 45 to 55 years of age that were examined in Shiraz Dental School, Shiraz in Iran. The Helkimo clinical dysfunction index (Di) was used to evaluate temporomandibular joint (TMJ) dysfunction. The data were analyzed using chi-square and Fisher's exact tests.
Occurrence of TMD was significantly higher in menopausal than non-menopausal women (<0.001). All the TMD criteria based on Helkimo Di except range of mandibular movement were significantly more common in menopausal women. The range of mandibular movement was not significantly different between menopausal and non-menopausal women (=0.178).
The results from this study show that TMD can be considered more common and severe in menopausal than non-menopausal women. This finding indicates that, similar to other conditions in menopausal women such as arthritis and osteoporosis, TMD should be taken into consideration by dental and medical professionals.
更年期期间的激素变化会改变女性对某些疾病的易感性。关于更年期女性颞下颌关节紊乱病(TMD)患病率的信息在文献中有限。在本研究中,对更年期女性和非更年期女性的TMD患病率及严重程度进行了比较。
该研究纳入了140名年龄在45至55岁之间的女性(69名绝经前女性和71名绝经后女性),她们在伊朗设拉子的设拉子牙科学院接受检查。使用赫尔基莫临床功能指数(Di)评估颞下颌关节(TMJ)功能障碍。数据采用卡方检验和费舍尔精确检验进行分析。
更年期女性中TMD的发生率显著高于非更年期女性(<0.001)。基于赫尔基莫Di的所有TMD标准,除了下颌运动范围外,在更年期女性中明显更为常见。更年期女性和非更年期女性之间的下颌运动范围没有显著差异(=0.178)。
本研究结果表明,与非更年期女性相比,TMD在更年期女性中更为常见且严重。这一发现表明,与更年期女性的其他疾病如关节炎和骨质疏松症一样,牙科和医学专业人员应考虑到TMD。