对颞下颌关节紊乱病的认知与态度：伊斯坦布尔的一项调查
Knowledge and Attitude Toward Temporomandibular Disorders: A Survey in İstanbul.
作者信息
Celakil Tamer, Saruhanoğlu Alp
机构信息
Department of Prosthodontics, İstanbul University Faculty of Dentistry, İstanbul, Turkey.
Department of Oral and Maxillofacial Surgery, İstanbul University Faculty of Dentistry, İstanbul, Turkey.
出版信息
Turk J Orthod. 2022 Mar;35(1):39-45. doi: 10.5152/TurkJOrthod.2022.21170.
OBJECTIVE
The aim of this study was to identify the strategies used for the diagnosis and treatment of patients with temporomandibular disorders (TMDs) by general dental practitioners (GDPs) in the city of Istanbul.
METHODS
A total of 154 GDPs were assessed by a single examiner in this questionnaire-based study. Descriptive statistics were calculated for all variables, and the results were analyzed at a 95% CI and statistical power of 80% with the significance level set at P < .05.
RESULTS
The most frequently employed strategies for obtaining a diagnosis were patients' medical history (33.1%), physical examination (37.7%), and a combination of diagnostic methods (29.2%). The most commonly referred specialties were prosthodontics (62.2%) and maxillofacial surgery (36.9%). All GDPs treated their TMD patients with occlusal splints, and the majority of the occlusal splints were hard occlusal splints (62.8%). Half of the GDPs considered the etiology of TMD to involve stress, whereas 49.4% believed that TMD is of a multifactorial etiology.
CONCLUSION
The GDPs clarified that TMD patients were mostly treated with occlusal splints and this datum is consistent with the suggestions of previous consensus papers.
目的
本研究旨在确定伊斯坦布尔市普通牙科医生（GDPs）用于诊断和治疗颞下颌关节紊乱病（TMDs）患者的策略。
方法
在这项基于问卷的研究中，由一名检查者对总共154名普通牙科医生进行评估。计算所有变量的描述性统计量，并在95%置信区间和80%的统计功效下进行结果分析，显著性水平设定为P <.05。
结果
用于诊断的最常用策略是患者病史（33.1%）、体格检查（37.7%）以及诊断方法的组合（29.2%）。最常转诊的专科是口腔修复学（62.2%）和颌面外科（36.9%）。所有普通牙科医生都用咬合板治疗他们的TMD患者，并且大多数咬合板是硬质咬合板（62.8%）。一半的普通牙科医生认为TMD的病因涉及压力，而49.4%的人认为TMD是多因素病因。
结论
普通牙科医生明确表示，TMD患者大多接受咬合板治疗，这一数据与先前共识文件的建议一致。
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