FUNCTIONAL DISORDERS OF THE TEMPOROMANDIBULAR JOINTS AS A FACTOR RESPONSIBLE FOR SLEEP APNOEA

Halina Ey-Chmielewska, Iwona Teul, Jacek Lorkowski

Abstract


Introduction: Functional disorders of the temporomandibular joints (TMJ) in the contemporary population are considered by World Health Organization to be the third most frequent dental disease after caries and periodontitis. It is thought to affect 84% of the adult population. In patients aged 65 years and older these disorders become more severe and may affect up to 100% of this age group.

Material and method: We examined 150 patients aged 35–70 years (mean age 46.5 years). All patients were diagnosed in 2006–2010 at the Department of Dental Prosthetics of the Pomeranian Medical University in Szczecin due to suspected more or less advanced functional disorders of the stomatognathic system, particularly TMJ. The severity of the disorders was identified using the Helkimo index.

Results: Functional disorders of the TMJ and mild sleep apnoea were diagnosed in 112 patients. Findings from the study indicated that the severity of sleep apnoea was positively correlated with the duration and severity of TMD.

Conclusion: Most patients did not link the symptoms of sleep apnoea with dysfunctions of the stomatognathic system.


Keywords


stomatognathic system; temporomandibular joint; functional disorders; sleep apnoea

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References


De Boever J.A., Adriaens P.A.: Occlusal relationship in patients with pain‑dysfunction symptoms in the temporomandibular joints. J Oral Rehabil. 1983, 10, 17.

Helkimo M.: Studies on function and dysfunction of the masticatory system. II. Index for anamnestic and clinical dysfunction and occlusal state. Swed Dent J. 1974, 67, 2, 101–121.

Marbach J.J.: The temporomandibular pain dys‑function syndrome personality: fact or fiction? J Oral Rehabil. 1992, 19, 545–560.

Michelotti A., Cioffi I., Festa P., Scala G., Farella M.: Oral parafunctions as risk factors for diagnostic TMD subgroups. J Oral Rehabil. 2010, 37, 3, 157–162.

Miller V.J., Karic V.V., Myers S.L., Exner H.V.: The temporomandibular opening index (TOI) in patients with closed lock and a control group with no temporomandibular disorders (TDM): an initial study. J Oral Rehabil. 2000, 27, 815–816.

Okeson J.P.: Occlusion and functional disorders of the masticatory system. Dent Clin North Am. 1995, 39, 285–300.

Okeson J.P.: Management of temporomandibular disorders and occlusion. Elsevier Mosby, Philadelphia 2003, 100–130.

Panek H.: Holistic concept of the stomatognathic system. Dent Med Probl. 2004, 41 (2), 277–280.

Schmitter M., Rammelsberg P., Hassel A.: The prevalence of signs and symptomsof temporomandibular disorders in very old subjects. J Oral Rehabil. 2005, 32, 467–473.

Skrzypkowski A.: On necessity of periodic examination of stomatognatic apparatus in flying personnel. Pol Prz Med Psychol Lot. 2011, 2, 17.

Stein S., Hart D.L., Loft G., Davis H.: Symptoms of TMJ dysfunction as related to stress measured by the social readjustment rating scale. J Prosthet Dent. 1982, 47, 5, 545–548.

Tallents R.H., Macher D.J., Kyrkanides S., Katzberg R.W., Moss M.E.: Prevalence of missing posterior teeth and intraarticulartemporomandibular disorders. J Prosthet Dent. 2002, 87, 45.

Witter D.J., Creugers N.H.J., Kreulen C.M., Haan A.F.J.: Occlusal stability in shortened dental arches. J Dent Res. 2001, 80, 432.

van der Meulen M.J., Lobbezoo F., Aartman I.H., Naeije M.: Self‑reported oral parafunctions and pain intensity in temporomandibular disorder patients. J Orofac Pain. 2006, 20, 1, 31–35.

Zieliński J., Pływaczewski R., Bednarek M.: Zaburzenia oddychania w czasie snu. Wyd. Lek. PZWL, Warszawa 2006.

Wysocki J., Prus M., Balcerzak M.: Obstructive sleep apnea as interdyscyplinary medical problem. Pol Prz Otolaryngolol 2014, 31, 27–30.

Szymańska J., Dobrowolska-Zarzycka M.: Symptoms, complications and teatment of obstructive sleep apnea . Med Og Nauki Zdr. 2013, 19, 4, 391–396.

Tomasik M.: The role of the dentist in the diagnosis and treatment of snoring and sleep apnoea. Mag Stom. 2014, R 9, 108–112.




DOI: https://doi.org/10.21164/pomjlifesci.35

Copyright (c) 2016 Halina Ey-Chmielewska, Iwona Teul, Jacek Lorkowski

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