Deshmukh Shivani Shivajirao, Kulkarni Manisha Mangesh, Bhatia Amrita Pandita, Assiri Khalil Ibrahim, Suleman Ghazala, Chaturvedi Mudita, Alshahrani Abdulrahman Yahya, Yaqoob Ashfaq, Baig Fawaz Abdul Hamid, Khader Mohasin Abdul
Department of Prosthodontics, Crown & Bridge and Implantology, YCMM and RDF's Dental College and Hospital, Ahmednagar, Maharashtra, India.
Department of Diagnostic Sciences and Oral Biology, College of Dentistry, King Khalid University, Abha, Saudi Arabia.
Technol Health Care. 2025 May;33(3):1408-1420. doi: 10.1177/09287329241301651. Epub 2024 Dec 22.
BackgroundTMJ disorders often involve a multidisciplinary approach, clear understanding is a must for the treatment of TMDs. This study aimed to assess the behaviour, perspective and treatment approach of Dental Practitioners towards the management of TMJ Disorders. This would help in developing the census about the knowledge level and attitude towards TMD among dental practitioners.MethodsA comprehensive cross-sectional investigation involving 1030 dentists was conducted through the implementation of a meticulously designed survey instrument created using Google Forms. The questionnaire contained 17 closed-ended questions with the ability to mark more than one option in a few questions. the first 5 questions (Q1-Q5) determined the behaviour of Dental practitioners when they initially face TMD patients, (Q6-Q8) were asked to determine the perspective regarding cause-effect relationship in TMD disorder,(Q10-Q17) determined the treatment approach of Dental practitioners. Dichotomic answers were compared using a binomial test and multiple answers were evaluated using a Clopper-Pearson test with significance set at p < 0.05.Results77.7% of participants reported that they receive potential TMD patients in their office most frequently found aetiology for the pain was occlusal discrepancy (48.5%) followed by trauma (39.8%). The most commonly referred specialities were maxillofacial surgery (57.3%) and Prosthodontics (29.1%). The majority of the Practitioners treated their TMD patients with occlusal splints.ConclusionThe management of TMJ disorders requires a comprehensive and interdisciplinary approach. Practitioners clarified that TMD patients were mostly treated with conservative measures using occlusal splints. However, the dentist should have cooperative behaviour and a clear perspective for the proper management of TMDs.
背景
颞下颌关节紊乱病的治疗通常需要多学科方法,因此对于颞下颌关节紊乱病的治疗,清晰的认识是必不可少的。本研究旨在评估牙科医生对颞下颌关节紊乱病管理的行为、观点和治疗方法。这将有助于开展关于牙科医生对颞下颌关节紊乱病的知识水平和态度的普查。
方法
通过使用谷歌表单创建的精心设计的调查问卷,对1030名牙医进行了全面的横断面调查。问卷包含17个封闭式问题,部分问题可选择多个选项。前5个问题(Q1 - Q5)确定牙科医生最初面对颞下颌关节紊乱病患者时的行为,(Q6 - Q8)用于确定对颞下颌关节紊乱病因果关系的观点,(Q10 - Q17)确定牙科医生的治疗方法。二分法答案使用二项式检验进行比较,多个答案使用克洛珀 - 皮尔逊检验进行评估,显著性设定为p < 0.05。
结果
77.7%的参与者报告称他们在诊所经常接待潜在的颞下颌关节紊乱病患者,最常见的疼痛病因是咬合差异(48.5%),其次是创伤(39.8%)。最常转诊的专科是颌面外科(57.3%)和口腔修复学(29.1%)。大多数从业者使用咬合板治疗颞下颌关节紊乱病患者。
结论
颞下颌关节紊乱病的管理需要全面的跨学科方法。从业者明确表示,颞下颌关节紊乱病患者大多采用咬合板等保守措施进行治疗。然而,牙医应具备合作行为并对颞下颌关节紊乱病的正确管理有清晰的认识。