PREVALENCE OF TEMPOROMANDIBULAR DISORDERS AMONG PATIENTS WITH TOTAL AND PARTIAL DENTURES
Keywords:partial denture, prevalence, temporomandibular disorders, temporomandibular joint, total denture
The temporomandibular joint, also known as the jaw joint is a differentiated joint that differs from the other joints in the human body due to its specificity. Under temporomandibular disorders implied term that defines a subset of patients’ orofacial disorders involving many different complains of pain that can occur in patients. These include pain in the temporomandibular joint, fatigue of the craniofacial muscles, especially the masticatory muscles, then limitation of the mandibular movement and the presence of the articular movement. Temporomandibular joint disorder is a common health problem. The etiology of temporomandibular disorders is multifactorial. The most common factors are occlusal obstruction, tooth loss, emotional stress, dysfunction of the masticatory muscles as well as adjacent structures, and internal and external changes in the structure of the temporomandibular joint or a combination of such factors.
The main purpose of this study was to determine the prevalence of temporomandibular disorders in patients with total and partial toothless, as well as to estimate the time of use and the reason for wearing the partial and total denture, to determine the prevalence of temporomandibular disorders in correlation with age, gender, nationality and degree of education of patients and to determine if there is pain and clicks in the temporomandibular joint.
The study included 30 patients from Skopje aged 46 to 85 years, 17 women and 13 men. All the respondents in this study met the following criteria: the presence of any type of prosthetic device in the oral cavity; patients in need of renewal or replacement of the prosthetic appliance for aesthetic and/or functional reasons; patients who need to make prosthetic devices in the oral cavity. The presented data were obtained from the research conducted in the period from 15.11.2019 to 28.01.2020 in which the following procedures were performed: anamnestic data, clinical examination and filling in a specially created questionnaire for patients.
Based on the obtained data, their analysis and the obtained results from our research, we can give the following conclusions: we registered a higher prevalence of temporomandibular disorders in patients with total compared to patients with partial dentures; pain during lateral movements is more pronounced in patients with total dentures; regarding the causes that led to total or partial toothless, we can conclude that in patients with total toothless periodontitis is much more prevalent, while in patients with partial toothless the main cause is caries; there is no association between the prevalence of temporomandibular disorders with ethnicity, gender and level of education in patients with total and partial toothless; regarding the presence of pain in the temporomandibular joint, we noticed equal presence in both groups, while clicking in the temporomandibular joint was present in a larger number of patients with partial dentures.