DETERMINANTS OF TEMPOROMANDIBULAR DYSFUNCTION AND BRUXISM IN ACADEMICIANS

bek, nilgün; Ünver, Banu; KILINÇ, HASAN ERKAN; Tunç, Azize Reda; SARI, MUSTAFA

doi:10.21653/tjpr.936817

DETERMINANTS OF TEMPOROMANDIBULAR DYSFUNCTION AND BRUXISM IN ACADEMICIANS

Hasan Erkan KILINÇ, (Lokman Hekim Üniversitesi, Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölüm, Ankara, Türkiye)

Banu ÜNVER, (Lokman Hekim Üniversitesi, Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölüm, Ankara, Türkiye)

Mustafa SARI, (Lokman Hekim Üniversitesi, Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölüm, Ankara, Türkiye)

Azize Reda TUNÇ, (Lokman Hekim Üniversitesi, Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü, Ankara, Türkiye)

Nilgün Bek (Lokman Hekim Üniversitesi, Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölüm, Ankara, Türkiye)

Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online)

1 0

Yıl: 2022 Cilt: 33 Sayı: 1 Sayfa Aralığı: 31 - 38 Metin Dili: İngilizce DOI: 10.21653/tjpr.936817 İndeks Tarihi: 07-03-2023

DETERMINANTS OF TEMPOROMANDIBULAR DYSFUNCTION AND BRUXISM IN ACADEMICIANS

Öz:

Purpose: Temporomandibular dysfunction and bruxism are common problems. Academicians have physical and emotional risk factors that may be associated with temporomandibular dysfunction due to excessive workload and psychological stress. The aim of this study was to reveal the emotional and physical determinants of temporomandibular dysfunction and bruxism in academicians. Methods: Two hundred and ninety-six (217 female and 79 male) academicians working in higher education institutions with a mean age of 35.31 ± 9.20 years, were included in the study. Daily computer time of the participants was questioned. International Physical Activity Questionnaire Short Form (IPAQ), Beck Depression Inventory (BDI), Neck Disability Index (NDI), and Fonseca Anamnestic Index was applied via online surveys. Results: It was demonstrated that 92.9% of the participants were physically inactive or minimal active, 36% showed depressive symptoms, 69.2% had neck disability, 24 % had and moderate-severe temporomandibular dysfunction symptoms, and 44% had bruxism. Bruxers found to have higher BDI (p<0.05) and FAI (p<0.001) levels compared to non-bruxers. Significant positive correlations between FAI and BDI (r=0.316, p<0.001), FAI and NDI (r=0.526, p<0.001), BDI and NDI (r=0.527, p<0.001) was found. Presence of bruxism (β=0.361, p<0.001) and greater NDI (β=0.442, p<0.001) were each uniquely associated with greater FAI score. Daily computer time, IPAQ, and BDI were not associated with FAI score (p>0.05). Conclusion: Key factors of temporomandibular joint dysfunction appear to be physical parameters such as neck disability and bruxism in academics. However, psychological symptoms and physical activity level do not seem to be independent determinants of temporomandibular dysfunction.

Anahtar Kelime: Bruxism Emotional Stress Temporomandibular joint Neck Pain

AKADEMİSYENLERDE TEMPOROMANDİBULAR DİSFONKSİYONUN VE BRUKSİZMİN BELİRLEYİCİLERİ

Öz:

Amaç: Temporomandibular disfonksiyon ve bruksizm yaygın problemlerdir Akademisyenler aşırı iş yükü ve psikolojik stres nedeniyle temporomandibuler disfonksiyonla ilişkili olabilecek fiziksel ve duygusal risk faktörlerine sahiptirler. Bu çalışmanın amacı, akademisyenlerde temporomandibuler disfonksiyon ve bruksizmin duygusal ve fiziksel belirleyicilerini ortaya koymaktır. Yöntem: Çalışmaya yükseköğretim kurumlarında görev yapan ortalama yaşları 35,31 ± 9,20 yıl olan 296 (217 kadın, 79 erkek) akademisyen dahil edildi. Katılımcıların günlük bilgisayar kullanım saatleri sorgulandı. Uluslararası Fiziksel Aktivite Anketi Kısa Formu (UFAA), Beck Depresyon Envanteri (BDE), Boyun Özür İndeksi (BÖİ) ve Fonseca Anamnestik İndeksi (FAİ) çevrimiçi anketlerle uygulanmıştır. Sonuçlar: Katılımcıların %92,9'unun fiziksel olarak inaktif veya minimal aktif olduğu, % 36'sının depresif semptomlar gösterdiği, % 69,2'sinin boyun özürlülüğü olduğu, % 24'ünün orta-şiddetli temporomandibuler disfonksiyonu ve % 44'ünün bruksizmi olduğu görüldü. Bruksizmi olanlarda, olmayanlara göre daha yüksek BDE (p<0.05) ve FAİ (p<0.001) düzeyleri bulundu. FAİ ve BDE (r = 0.316, p <0.001), FAİ ve BÖI (r = 0.526, p <0.001), BDE ve NDI (r = 0.527, p <0.001) arasında anlamlı pozitif korelasyon vardı. Bruksizm varlığı (β = 0.361, p <0.001) ve daha yüksek BÖİ (β = 0.442, p <0.001) bağımsız olarak daha yüksek FAİ skoru ile ilişkiliydi. Günlük bilgisayar kullanım zamanı, UFAA ve BDE, FAİ skoru ile anlamlı derecede ilişkili değildi (p> 0.05). Tartışma: Akademisyenlerdeki temporomandibular eklem disfonksiyonunun anahtar faktörleri, boyun özür durumu ve bruksizm gibi fiziksel parametreler gibi görünmektedir. Bununla birlikte, psikolojik belirtiler ve fiziksel aktivite düzeyi, temporomandibular disfonksiyonun bağımsız belirleyicileri olarak bulunmamıştır.

Anahtar Kelime: Boyun Ağrısı Bruksizm emosyonel stres temporomandibular eklem

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. LeResche L. Epidemiology of temporomandibular disorders: im- plications for the investigation of etiologic factors. Crit Rev Oral Biol Med. 1997;8(3):291-305.
2. Dworkin SF, LeResche L. Research diagnostic criteria for tem- poromandibular disorders: review, criteria, examinations and specifications, critique. J Craniomandib Disord. 1992;6(4):301- 55.
3. Depression W. Other common mental disorders: global health estimates. Geneva: World Health Organization. 2017:1-24.
4. Ismail N, Abd Rahman A, Abidin EZ. Organizational factors asso- ciated with occupational stress among lecturers in community colleges, Peninsular Malaysia. Iranian Journal of Public Health. 2014;43(Supple 3):125-30.
5. Ismail NH, Noor A. Occupational stress and its associated fac- tors among academician in a research university, Malaysia. Ma- laysian Journal of Public Health Medicine. 2016;16(1):81-91.
6. Hamjah SH, Ismail Z, Sham FM, Rasit RM, Ismail A. Spiritual ap- proach in managing work-related stress of academicians. Procedia-Social and Behavioral Sciences. 2015;174:1229-33.
7. Mukosolu O, Ibrahim F, Rampal L, Ibrahim N. Prevalence of job stress and its associated factors among Universiti Putra Malay- sia staff. Malays J Med Health Sci. 2015;11(1):27-38.
8. Yeshaw Y, Mossie A. Depression, anxiety, stress, and their as- sociated factors among Jimma University staff, Jimma, South- west Ethiopia, 2016: a cross-sectional study. Neuropsychiatric disease and treatment. 2017;13:2803.
9. Kuhn M, Turp JC. Risk factors for bruxism. Swiss Dent J. 2018;128(2):118-24.
10. Kato T, Thie NM, Huynh N, Miyawaki S, Lavigne GJ. Topical re- view: sleep bruxism and the role of peripheral sensory influenc- es. J Orofac Pain. 2003;17(3):191-213.
11. Tai KL, Ng YG, Lim PY. Systematic review on the prevalence of illness and stress and their associated risk factors among edu - cators in Malaysia. Plos One. 2019;14(5).
12. Silveira A, Armijo-Olivo S, Gadotti IC, Magee D. Masticatory and cervical muscle tenderness and pain sensitivity in a remote area in subjects with a temporomandibular disorder and neck disabil- ity. J Oral Facial Pain Headache. 2014;28(2):138-46.
13. Özdinç S, Kayabınar E, Özen T, Turan FN, Yılmaz S. Musculoskele- tal problems in academicians and related factors in Turkey. Jour- nal of back and musculoskeletal rehabilitation. 2019;32(6):833- 9.
14. Stults-Kolehmainen MA, Sinha R. The effects of stress on physi- cal activity and exercise. Sports Med. 2014;44(1):81-121.
15. Saglam M, Arikan H, Savci S, Inal-Ince D, Bosnak-Guclu M, Karabulut E, et al. International physical activity questionnaire: reliability and validity of the Turkish version. Percept Mot Skills. 2010;111(1):278-84.
16. Hisli N. The validity and reliability of Beck Depression Inventory for university students. Psikoloji dergisi. 1989;7:3-13.
17. Telci EA, Karaduman A, Yakut Y, Aras B, Simsek IE, Yagli N. The Cultural Adaptation, Reliability, and Validity of Neck Disability Index in Patients With Neck Pain A Turkish Version Study. Spine. 2009;34(16):1732-5.
18. Kaynak BA, Tas S, Salkin Y. The accuracy and reliability of the Turkish version of the Fonseca anamnestic index in temporo - mandibular disorders. Cranio-the Journal of Craniomandibular & Sleep Practice. 2020.
19. Cavallo P, Carpinelli L, Savarese G. Perceived stress and bruxism in university students. BMC Res Notes. 2016;9(1):514.
20. Pingitore G, Chrobak V, Petrie J. The social and psychologic fac- tors of bruxism. J Prosthet Dent. 1991;65(3):443-6.
21. Przystanska A, Jasielska A, Ziarko M, Pobudek-Radzikowska M, Maciejewska- Szaniec Z, Prylinska-Czyzewska A, et al. Psychoso- cial Predictors of Bruxism. Biomed Res Int. 2019;2019:2069716.
22. Huang GJ, LeResche L, Critchlow CW, Martin MD, Drangsholt MT. Risk factors for diagnostic subgroups of painful temporoman - dibular disorders (TMD). J Dent Res. 2002;81(4):284-8.
23. Lavigne GJ, Khoury S, Abe S, Yamaguchi T, Raphael K. Bruxism physiology and pathology: an overview for clinicians. J Oral Re- habil. 2008;35(7):476-94.
24. Poveda Roda R, Bagan JV, Diaz Fernandez JM, Hernandez Bazan S, Jimenez Soriano Y. Review of temporomandibular joint pa- thology. Part I: classification, epidemiology and risk factors. Med Oral Patol Oral Cir Bucal. 2007;12(4):E292-8.
25. Rompre PH, Daigle-Landry D, Guitard F, Montplaisir JY, Lavigne GJ. Identification of a sleep bruxism subgroup with a higher risk of pain. J Dent Res. 2007;86(9):837-42.
26. Mori H, Horiuchi S, Nishimura S, Nikawa H, Murayama T, Ueda K, et al. Three- dimensional finite element analysis of cartilaginous tissues in human temporomandibular joint during prolonged clenching. Archives of Oral Biology. 2010;55(11):879-86.
27. Tanaka E, Hirose M, Koolstra JH, van Eijden TMGJ, Iwabuchi Y, Fujita R, et al. Modeling of the effect of friction in the tem- poromandibular joint on displacement of its disc during pro- longed clenching. Journal of Oral and Maxillofacial Surgery. 2008;66(3):462-8.
28. Turk DC, Rudy TE. Towards a Comprehensive Assessment of Chronic Pain Patients. Behaviour Research and Therapy. 1987;25(4):237-49.
29. Schwartz LL. Pain associated with the temporomandibular joint. J Am Dent Assoc. 1955;51(4):394-7.
30. Laskin DM. Etiology of the pain-dysfunction syndrome. J Am Dent Assoc. 1969;79(1):147-53.
31. Olivo SA, Fuentes J, Major PW, Warren S, Thie NMR, Magee DJ. The association between neck disability and jaw disability. Jour- nal of Oral Rehabilitation. 2010;37(9):670-9.
32. Fernandez-de-Las-Penas C, Galan-Del-Rio F, Alonso-Blanco C, Jimenez-Garcia R, Arendt-Nielsen L, Svensson P. Referred pain from muscle trigger points in the masticatory and neck-shoulder musculature in women with temporomandibular disoders. J Pain. 2010;11(12):1295-304.
33. Silveira A, Gadotti IC, Armijo-Olivo S, Biasotto-Gonzalez D, Ma- gee D. Jaw dysfunction is associated with neck disability and muscle tenderness in subjects with and without chronic tem- poromandibular disorders. BioMed research international. 2015;2015.
34. Tsai CM, Chiang CY, Yu XM, Sessle BJ. Involvement of trigeminal subnucleus caudalis (medullary dorsal horn) in craniofacial noci- ceptive reflex activity. Pain. 1999;81(1- 2):115-28.
35. Ambrose KR, Golightly YM. Physical exercise as non-pharmaco- logical treatment of chronic pain: why and when. Best practice & research Clinical rheumatology. 2015;29(1):120- 30.
36. Kim SY, Park JH, Lee MY, Oh KS, Shin DW, Shin YC. Physical ac- tivity and the prevention of depression: A cohort study. General Hospital Psychiatry. 2019;60:90-7.
37. Pinto AJ, Dunstan DW, Owen N, Bonfa E, Gualano B. Combat- ing physical inactivity during the COVID-19 pandemic. Nat Rev Rheumatol. 2020;16(7):347-8.
38. Pinho CS, Caria ACI, Aras Junior R, Pitanga FJG. The effects of the COVID-19 pandemic on levels of physical fitness. Rev Assoc Med Bras (1992). 2020;66Suppl 2(Suppl 2):34-7.
39. Waersted M, Hanvold TN, Veiersted KB. Computer work and musculoskeletal disorders of the neck and upper extremity: A systematic review. Bmc Musculoskeletal Disorders. 2010;11.

APA	KILINÇ H, Ünver B, SARI M, Tunç A, bek n (2022). DETERMINANTS OF TEMPOROMANDIBULAR DYSFUNCTION AND BRUXISM IN ACADEMICIANS. , 31 - 38. 10.21653/tjpr.936817
Chicago	KILINÇ HASAN ERKAN,Ünver Banu,SARI MUSTAFA,Tunç Azize Reda,bek nilgün DETERMINANTS OF TEMPOROMANDIBULAR DYSFUNCTION AND BRUXISM IN ACADEMICIANS. (2022): 31 - 38. 10.21653/tjpr.936817
MLA	KILINÇ HASAN ERKAN,Ünver Banu,SARI MUSTAFA,Tunç Azize Reda,bek nilgün DETERMINANTS OF TEMPOROMANDIBULAR DYSFUNCTION AND BRUXISM IN ACADEMICIANS. , 2022, ss.31 - 38. 10.21653/tjpr.936817
AMA	KILINÇ H,Ünver B,SARI M,Tunç A,bek n DETERMINANTS OF TEMPOROMANDIBULAR DYSFUNCTION AND BRUXISM IN ACADEMICIANS. . 2022; 31 - 38. 10.21653/tjpr.936817
Vancouver	KILINÇ H,Ünver B,SARI M,Tunç A,bek n DETERMINANTS OF TEMPOROMANDIBULAR DYSFUNCTION AND BRUXISM IN ACADEMICIANS. . 2022; 31 - 38. 10.21653/tjpr.936817
IEEE	KILINÇ H,Ünver B,SARI M,Tunç A,bek n "DETERMINANTS OF TEMPOROMANDIBULAR DYSFUNCTION AND BRUXISM IN ACADEMICIANS." , ss.31 - 38, 2022. 10.21653/tjpr.936817
ISNAD	KILINÇ, HASAN ERKAN vd. "DETERMINANTS OF TEMPOROMANDIBULAR DYSFUNCTION AND BRUXISM IN ACADEMICIANS". (2022), 31-38. https://doi.org/10.21653/tjpr.936817

APA	KILINÇ H, Ünver B, SARI M, Tunç A, bek n (2022). DETERMINANTS OF TEMPOROMANDIBULAR DYSFUNCTION AND BRUXISM IN ACADEMICIANS. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online), 33(1), 31 - 38. 10.21653/tjpr.936817
Chicago	KILINÇ HASAN ERKAN,Ünver Banu,SARI MUSTAFA,Tunç Azize Reda,bek nilgün DETERMINANTS OF TEMPOROMANDIBULAR DYSFUNCTION AND BRUXISM IN ACADEMICIANS. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online) 33, no.1 (2022): 31 - 38. 10.21653/tjpr.936817
MLA	KILINÇ HASAN ERKAN,Ünver Banu,SARI MUSTAFA,Tunç Azize Reda,bek nilgün DETERMINANTS OF TEMPOROMANDIBULAR DYSFUNCTION AND BRUXISM IN ACADEMICIANS. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online), vol.33, no.1, 2022, ss.31 - 38. 10.21653/tjpr.936817
AMA	KILINÇ H,Ünver B,SARI M,Tunç A,bek n DETERMINANTS OF TEMPOROMANDIBULAR DYSFUNCTION AND BRUXISM IN ACADEMICIANS. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online). 2022; 33(1): 31 - 38. 10.21653/tjpr.936817
Vancouver	KILINÇ H,Ünver B,SARI M,Tunç A,bek n DETERMINANTS OF TEMPOROMANDIBULAR DYSFUNCTION AND BRUXISM IN ACADEMICIANS. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online). 2022; 33(1): 31 - 38. 10.21653/tjpr.936817
IEEE	KILINÇ H,Ünver B,SARI M,Tunç A,bek n "DETERMINANTS OF TEMPOROMANDIBULAR DYSFUNCTION AND BRUXISM IN ACADEMICIANS." Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online), 33, ss.31 - 38, 2022. 10.21653/tjpr.936817
ISNAD	KILINÇ, HASAN ERKAN vd. "DETERMINANTS OF TEMPOROMANDIBULAR DYSFUNCTION AND BRUXISM IN ACADEMICIANS". Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online) 33/1 (2022), 31-38. https://doi.org/10.21653/tjpr.936817