Al Hayek Samar O, Al-Thunayan Mashael F, AlGhaihab Amjad M, AlReshaid Reem M, Omair Aamir
College of Dentistry King Saud bin Abdulaziz University for Health Sciences, National Guard Hospital Riyadh Saudi Arabia.
College of Dentistry King Saud bin Abdulaziz University for Health Sciences Riyadh Saudi Arabia.
Clin Exp Dent Res. 2018 Dec 26;5(1):52-58. doi: 10.1002/cre2.157. eCollection 2019 Feb.
The study aims to investigate signs and symptoms of temporomandibular disorders (TMD) among physicians in a tertiary health-care center. It has estimated the level of symptomatology, determined the association with demographic data, and identified the related occupational risk factors. A cross-sectional survey was used, and physicians of genders, all age groups, and nationalities from King Abdulaziz Medical City in Riyadh, Saudi Arabia, were recruited. Subjects who had rheumatic arthritis, osteoarthritis, trigeminal neuralgia, or temporomandibular joint (TMJ) trauma were excluded. The data were collected through a self-administered questionnaire that measured TMD severity and oral parafunctional behaviors. Fonseca's anamnestic index (FAI) and an oral validated behavior checklist were used to assess the signs and symptoms of TMD. A total of 282 physicians participated in the study, and the prevalence of TMD signs among physicians was 37% (106); among them, 88 (83%) were within the light dysfunction category. Female physicians reported significantly higher FAI than males for side-to-side mandibular movement (12% vs. 5%, = 0.04), reporting ear pain (18% vs. 10%, = 0.04), and noticing clicking when chewing or opening the mouth (35% vs. 20%, = 0.006). Younger practitioners (28-31 years old) who reported clicking while chewing or opening the mouth tended to have reported higher TMD dysfunction (35%) than those aged 40 and above (13%; = 0.007). Self-reported signs of TMD were 37% among our population. Information collected from FAI is useful in early diagnosis and prevention of TMD.
该研究旨在调查一家三级医疗保健中心的医生中颞下颌关节紊乱病（TMD）的体征和症状。研究估计了症状学水平，确定了与人口统计学数据的关联，并识别了相关的职业风险因素。采用横断面调查，招募了沙特阿拉伯利雅得阿卜杜勒阿齐兹国王医疗城的所有性别、年龄组和国籍的医生。排除患有风湿性关节炎、骨关节炎、三叉神经痛或颞下颌关节（TMJ）创伤的受试者。通过一份自我管理的问卷收集数据，该问卷测量了TMD严重程度和口腔副功能行为。使用丰塞卡记忆指数（FAI）和一份经过验证的口腔行为清单来评估TMD的体征和症状。共有282名医生参与了该研究，医生中TMD体征的患病率为37%（106人）；其中，88人（83%）属于轻度功能障碍类别。女性医生在左右下颌运动时的FAI显著高于男性（12%对5%，P = 0.04），报告耳部疼痛的比例（18%对10%，P = 0.04），以及在咀嚼或张口时注意到弹响的比例（35%对20%，P = 0.006）。报告在咀嚼或张口时有弹响的年轻从业者（28 - 31岁）的TMD功能障碍报告率（35%）往往高于40岁及以上的从业者（13%；P = 0.007）。在我们的研究人群中，自我报告的TMD体征为37%。从FAI收集的信息有助于TMD的早期诊断和预防。
