The Relationship of Orthodontic Malocclusions With Temporomandibular Joint Disorders

University of Gaziantep

Status: Unknown

Conditions: Temporomandibular Joint Disorders

Treatments: Other: Age 0-18; Other: Girls; Other: Boys; Other: Age 18-26

Study type: Observational

Funder types: Other

Identifiers

NCT04123236

81

Details and patient eligibility

About

The patients who applied to the hospital for orthodontic treatment were asked various questions to evaluate their oral health related quality of life, malocclusions and self reported temporomandibular joint problems.

Full description

The patients who applied to the hospital for orthodontic treatment were asked various questions to evaluate their oral health related quality of life, malocclusions and self reported temporomandibular joint problems. For this purposes Oral Health Impact Profile-14, and Helkimo's indexes were used.The relationship between these results were investigated.

Enrollment: 250 patients

Sex: All

Ages: 12 to 27 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• wish to receive orthodontic treatment in our clinic.

Exclusion criteria

• The absence of willingness for the temporomandibular joint and clinical examination or answering the survey questions.

Trial design

250 participants in 4 patient groups

Oral Health Impact Profile

Description:

To evaluate the Oral Health-related Quality of Life, Turkish version of Oral Health Impact Profile-14 was used. Responses were made on a scale 0 (never), 1(hardly ever), 2 (occasionally), 3 (fairly often),and 4 (very often).Oral Health-related Quality of Life impairment was characterized by the Oral Health Impact Profile-14 summary score (the sum of all 14 items, potential range 0-56). Higher Oral Health Impact Profile-14 scores mean worse Oral Health-related Quality of Life and vice versa.

Treatment:

Other: Girls

Other: Age 0-18

Other: Age 18-26

Other: Boys

Helkimo's anamnestic dysfunction index

Description:

As a method based on patient feedback for the determination of the degree of temporomandibular disorders, anamnestic index was used. For this purpose eight questions were asked to the patients that includes answers as 'yes' or 'no'. (Table 2) The analyses of the questionnaire was done according to anamnestic scale as 0: no symptoms; I: mild symptoms (sensation of the jaw fatigue, jaw stiffness, and temporomandibular joint sounds as clicking or crepitus) and II:severe symptoms (included one or more of the following: Difficulty in the mouth opening, jaw locking, mandible dislocation and its painful movement and painful temporomandibular joint region and/or masticatory muscles)

Treatment:

Other: Girls

Other: Age 0-18

Other: Age 18-26

Other: Boys

Visual analog scale (VAS) for facial pain:

Description:

Facial pain was measured by asking the patients if they had had any pain during last 12 months and made them mark the intensity of the pain on a visual analog scale which had the anchor points at the left (no pain) and right (worse pain) ends of a 10 cm horizontal line. The analyses of the facial pain was done as fallowing: if the patient marked no facial pain the Visual analog scale value was accepted as 0 and if the patient marked any level of facial pain Visual analog scale value was accepted as 1.

Treatment:

Other: Girls

Other: Age 0-18

Other: Age 18-26

Other: Boys

Helkimo's clinical dysfunction index (DI):

Description:

Maximum opening of mandible, deviation during opening, dysfunction of temporomandibular joint, pain in the temporomandibular joint and pain in the masticatory muscles was evaluated

Treatment:

Other: Girls

Other: Age 0-18

Other: Age 18-26

Other: Boys