Prevalence of Temporomandibular Joints Disorders in Egyptian Undergraduate Dental Students and The Association Between The Clinical and Radiographic Findings

E. Gomaa, Naglaa El-kilani, Mostafa Abdel-ghany, Noura Abd El-Gawad
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Abstract

Purpose : to assess the prevalence of temporomandibular disorders among dental undergraduate Egyptian students and the association between the clinical fea-tures and radiographic findings. Material and Methods : 281 female dental undergraduate students were randomly selected to participate in the primary screening. In the study screening examination and final diagnosis were done according to a new modified Diagnostic Criteria for TMD (DC/TMD) Axis I which encompass (medi-cal history, primary pain screening questionnaire, signs and symptoms questionnaire and examination protocol). The examination consisted of 11 criteria (pain location, headache location, incisal relationship ,opening pattern ,opening movement ,lateral and protrusive movements ,noises during opening movement ,noises during lateral and protrusive movements, TMJ locking, muscle palpation and TMJ, supplemental muscle pain and palpation, occlusion assessment was added to the criteria Results: the prevalence of TMD was 28.5% among female dental students, the most common reported symptom in a percentage of 89% was pain ,noises were reported in 59.3%f the subjects .The most common subtype of the TMD was muscular pain (mylagia and myofascial pain ) with percentge of 29.2%, 15.4% then arthylagia with 27.7% disc displacement was reported in 13,8 and degenerative reported in 1.5% Conclusions: TMDS is highly prevalent conditions in young population. There is an adequate association between the stress in the university years and the TMDS.
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埃及本科牙科学生颞下颌关节疾病的患病率及其临床和影像学表现之间的关系
目的:评估埃及牙科本科学生颞下颌疾病的患病率及其临床特征与影像学表现之间的关系。材料与方法:随机抽取281名女口腔本科学生进行初步筛查。在研究中,筛查检查和最终诊断是根据新的修改后的TMD诊断标准(DC/TMD)轴I进行的,其中包括(病史,原发性疼痛筛查问卷,体征和症状问卷和检查方案)。检查包括11项标准(疼痛位置、头痛位置、切牙关系、开口方式、开口运动、侧突运动、开口运动时的噪音、侧突运动时的噪音、TMJ锁定、肌肉触诊和TMJ、补充肌肉疼痛和触诊、咬合评估)。女牙科学生患TMD的比例为28.5%,其中最常见的症状为疼痛(占89%),最常见的症状为噪音(占59.3%),最常见的症状为肌肉疼痛(mylagia和my筋膜疼痛)(占29.2%,15.4%),其次为关节病,椎间盘移位占27.7%(13.8),变性占1.5%(13.8)。在大学期间的压力和tmd之间有充分的联系。
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