STATISTICAL ANALYSIS OF THE PREVALENCE OF INTERNAL TEMPOROMANDIBULAR JOINT DISORDERS IN FEMALE PATIENTS BASED ON C. H. WILKES CLASSIFICATION

V.M. Novikov, O.B. Gorbachenko, K.Yu. Rezvika, M. A. Korostashova
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Abstract

Introduction. Severity levels of temporomandibular joint dysfunction can be assessed by certain parameters based on images obtained using magnetic resonance imaging. In order to assess the condition of the joint and choose the optimal treatment plan depending on the detected changes on the magnetic resonance imaging images, the most common classification according to C. H. Wilkes was chosen. This study aimed to assess the severity of temporomandibular joint dysfunction symptoms in women of child-bearing and post-menopausal age according to the C. H. Wilkes classification. Participants and methods. 63 patients were selected: reproductive period n=45 and post-menopausal n=17. Magnetic resonance imaging is described in detail and the diagnosis according to the C. H. Wilkes classification is made. Statistical analysis was carried out by calculating the χ2 test in order to analyze the independence between categorical variables; Kendall's correlation coefficient was applied to assess the correlation between age and disease stages. Results. Diseases of the temporomandibular joint are more common among women of child-bearing age compared to women of postmenopausal age. This may be related to hormonal changes characteristic of the reproductive period: in the group of child-bearing age, there is a greater variety of stages of the disease, while in the group of post-menopausal age, stage IV prevails. This may indicate the influence of age factors on TMJ development. The relationship between age and diseases of the temporomandibular joint has a statistically significant correlation. The results of the χ2 test show a statistically significant relationship between age and TMJ disease stages. In addition, Kendall's correlation coefficient confirms the presence of a moderate degree of relationship between age and stages of the disease. Conclusion. The results of the analysis of the distribution of temporomandibular joint disease stages between age groups can serve as important data for optimizing clinical practice, improving treatment outcomes, and increasing patients' quality of life. For example, our study indicates that stage Ⅱ according to the classification of C. H. Wilkes is more common in women of reproductive age, and stage Ⅳ is more common in women of postmenopausal age. Clinicians should take this dada into account when developing individual treatment plans.
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基于 C. H. Wilkes 分类法的女性患者颞下颌关节内紊乱患病率统计分析
引言颞下颌关节功能障碍的严重程度可根据磁共振成像获得的图像通过某些参数进行评估。为了评估关节的状况,并根据磁共振成像图像上检测到的变化选择最佳治疗方案,我们选择了 C. H. Wilkes 最常用的分类方法。本研究旨在根据 C. H. 威尔克斯分类法评估育龄和绝经后妇女颞下颌关节功能障碍症状的严重程度。参与者和方法。选取了 63 名患者:育龄期 45 人,绝经后 17 人。详细描述了磁共振成像,并根据 C. H. 威尔克斯分类法进行了诊断。统计分析采用χ2检验,以分析分类变量之间的独立性;Kendall相关系数用于评估年龄与疾病分期之间的相关性。结果与绝经后妇女相比,育龄妇女更容易患颞下颌关节疾病。这可能与生殖期特有的荷尔蒙变化有关:育龄期妇女的疾病分期更多,而绝经后妇女的疾病则以第四期为主。这可能表明年龄因素对颞下颌关节发育的影响。年龄与颞下颌关节疾病的关系具有统计学意义。χ2 检验结果显示,年龄与颞下颌关节疾病分期之间的关系具有统计学意义。此外,肯德尔相关系数证实年龄与疾病分期之间存在中等程度的关系。结论颞下颌关节疾病分期在不同年龄组之间的分布分析结果可作为优化临床实践、改善治疗效果和提高患者生活质量的重要数据。例如,我们的研究表明,根据 C. H. Wilkes 的分类,Ⅱ期多见于育龄妇女,而Ⅳ期多见于绝经后妇女。临床医生在制定个体治疗方案时应考虑到这一达达。
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