Suprajith T, Wali Abeer, Jain Anushtha, Patil Konark, Mahale Priyanka, Niranjan Vani
Department of Prosthodontics, Crown and Bridge, Sri Dharmasthala Manjunatheshwara College of Dental Sciences and Hospital, SDM University, Dharwad, Karnataka, India.
Oral Health Sciences Centre, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, Punjab, India.
J Pharm Bioallied Sci. 2022 Jul;14(Suppl 1):S483-S485. doi: 10.4103/jpbs.jpbs_867_21. Epub 2022 Jul 13.
Temporomandibular disorders (TMDs) are a group of symptoms concerning the temporomandibular joints, masticatory muscles, and occlusion, which include pain, restricted mouth opening and movement, joint tenderness, and intermittent joint noises. Women are more likely to suffer from temporomandibular problems than men. Patients with TMDs show a wide range of behavioral and psychosocial symptoms, including increased stress, anxiety, sadness, and somatization.
The patient group in this case-control research comprised 60 patients from the Department of Prosthodontics at Shri Dharmasthala Manjunatheswara College of Dental Sciences in Dharwad. Female subjects aged between 33 and 45 years, who were educated, had two children, and were housewives were included in the study. Only 96 individuals of those screened met the inclusion criteria, and these 96 patients were given a hair cortisol test. After 1, 2, and 3 months, cortisol testing was performed.
There were no significant differences between the groups at the start of the study; but after 30 min of the modified trier test, there was a statistically significant main effect across groups, as well as a significant main effect of salivary cortisol over time.
The etiopathogenesis of TMD is complicated by psychosocial stress. When compared to men, women have a higher risk of TMD.
颞下颌关节紊乱病（TMDs）是一组涉及颞下颌关节、咀嚼肌和咬合的症状，包括疼痛、张口和运动受限、关节压痛以及间歇性关节弹响。女性比男性更易患颞下颌关节问题。TMDs患者表现出广泛的行为和心理社会症状，包括压力增加、焦虑、悲伤和躯体化。
本病例对照研究中的患者组包括来自达尔瓦德市什里·达摩斯塔拉·曼朱纳特斯瓦拉牙科学院口腔修复科的60名患者。纳入研究的是年龄在33至45岁之间、受过教育、育有两个孩子且为家庭主妇的女性受试者。在筛查的人群中，只有96人符合纳入标准，对这96名患者进行了头发皮质醇检测。在1、2和3个月后进行皮质醇检测。
研究开始时两组之间无显著差异；但在改良的 trier 试验30分钟后，各组之间存在统计学上显著的主效应，唾液皮质醇随时间也有显著的主效应。
TMD的病因发病机制因心理社会压力而复杂化。与男性相比，女性患TMD的风险更高。
