Temoromanidbularni poremećaji kod djece i adolescenata

master's thesis

• Title (english): Temoromanidbular disorders in children and adolescents
• Author: Marija Gambiraža
• Mentor: Iva Alajbeg (mentor)
• Committee member: Iva Alajbeg (predsjednik povjerenstva)
• Committee member: Ema Vrbanović (član povjerenstva)
• Committee member: Ketij Mehulić (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Removable Prosthodontics); Zagreb
• Defense date and country: 2022-09-20, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Prosthetic Dentistry

Abstract

Temporomandibularni poremećaji skupina su mišićno-koštanih poremećaja karakterizirana simptomima koji obuhvaćaju žvačne mišiće, temporomandibularne zglobove ili oboje. Prevalencija temporomandibularnih poremećaja je u porastu, a kod adolescenata u dobi od 10 do 19 godina kreće se u rasponu od 7,3% do 30,4%. Tako visoki postotak prevalencije treba uzeti s dozom opreza budući da su korištene različite metode procjene koje su se pokazale manjkavima. Etiologija TMP-a multifaktorijalna je i nerazjašnjena. Mnogi čimbenici poput traume, parafunkcija, psihosocijalnih poremećaja, spola, genetike itd. navode se kao mogući, no često je teško izdvojiti samo jedan kao okidač razvoja TMP-a. Od 2014. godine međunarodni
standard za procjenu temporomandibularnih poremećaja je Dijagnostički kriteriji za temporomandibularne poremećaje (DK/TMP). S obzirom na rastuću prevalenciju, značajan utjecaj na život i brojne razlike između djece i adolescenata u odnosu na odraslu populaciju, javila se potreba za modifikacijom protokola kako bi se ovaj model mogao koristiti i kod osoba mlađih od 19 godina. Prilikom oblikovanja dijagnostičkog instrumenata za djecu i adolescente, ključnim se pokazalo preoblikovati usmeni i pismeni način izražavanja, klinički pregled prilagoditi dobnoj skupini te uvesti nove instrumente koji će pomoći pri psihološkoj evaluaciji pacijenta. Nedostatak standardiziranih studija o terapijskim mogućnostima djece i adolescenata s temporomandibularnim poremećajima ukazuje na potrebu za daljnjim istraživanjima. Ipak, jedna od najčešće korištenih metoda terapije za djecu i adolescente je informacija o poremećaju nakon čega slijedi fizikalna terapija. Okluzijska udlaga u dječjoj i adolescentnoj dobi predmetom je mnogih rasprava. Zbog mogućeg nepovoljnog djelovanja na rast čeljusti, promjena u okluziji, nastanka otvorenog zagriza i karijesa, prilikom ordiniranja okluzijske udlage nužne su češće kontrole te nošenje udlage samo kroz kraći vremenski period.

Abstract (english)

Temporomandibular disorders are a group of musculoskeletal disorders characterized by symptoms involving masticatory muscles, temporomandibular joints, or both. The prevalence of temporomandibular disorders is increasing. In adolescents aged 10 to 19 years it ranges from 7.3% to 30.4%. Such a high percentage of prevalence should be taken with caution since different assessment methods were used which have since proved to be flawed. The etiology of TMD is multifactorial and unclear. Many factors such as trauma, parafunctions, psychosocial disorders, gender, genetics, etc. are cited as possible triggers, but it is often difficult to single out just one as the trigger for the development of TMD. Since 2014, the international standard for the assessment of temporomandibular disorders is the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD). Considering the growing prevalence, significant impact on life, and numerous differences between children and adolescents compared to the adult population, there was a need to modify the protocol so that this model could also be used in people under 19 years of age. When designing a diagnostic instrument for children and adolescents, it turned out to be crucial to reshape the oral and written way of expression, adapt the clinical examination to the age group, and introduce new instruments that will help in the psychological evaluation of the patient. The lack of standardized studies on therapeutic options for children and adolescents with temporomandibular disorders indicates the need for further
research. However, one of the most commonly used methods of therapy for children and adolescents is information about the disorder followed by physical therapy. Using an occlusal splint in children and adolescents is a subject of many discussions. Due to the possible adverse effects on the growth of the jaw, changes in occlusion, the occurrence of open bite and caries, more frequent checks are necessary when prescribing an occlusal splint and the splint should only be worn for a shorter period of time.

• Keywords: poremećaji čeljusnog zgloba; djeca; adolescent
• Keywords (english): Temporomandibular Joint Disorders; Children; Adolescent
• Language: croatian
• URN:NBN: urn:nbn:hr:127:322223
• Study programme: Title: dental medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica dentalne medicine (doktor/doktorica dentalne medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2022-10-11 10:34:41