Tamer Celakil1, Alp Saruhanoğlu2. 1. Department of Prosthodontics, İstanbul University Faculty of Dentistry, İstanbul, Turkey. 2. Department of Oral and Maxillofacial Surgery, İstanbul University Faculty of Dentistry, İstanbul, Turkey.
Abstract
OBJECTIVE: The aim of this study was to identify the strategies used for the diagnosis and treatment of patients with temporomandibular disorders (TMDs) by general dental practitioners (GDPs) in the city of Istanbul. METHODS: A total of 154 GDPs were assessed by a single examiner in this questionnaire-based study. Descriptive statistics were calculated for all variables, and the results were analyzed at a 95% CI and statistical power of 80% with the significance level set at P < .05. RESULTS: The most frequently employed strategies for obtaining a diagnosis were patients' medical history (33.1%), physical examination (37.7%), and a combination of diagnostic methods (29.2%). The most commonly referred specialties were prosthodontics (62.2%) and maxillofacial surgery (36.9%). All GDPs treated their TMD patients with occlusal splints, and the majority of the occlusal splints were hard occlusal splints (62.8%). Half of the GDPs considered the etiology of TMD to involve stress, whereas 49.4% believed that TMD is of a multifactorial etiology. CONCLUSION: The GDPs clarified that TMD patients were mostly treated with occlusal splints and this datum is consistent with the suggestions of previous consensus papers.
OBJECTIVE: The aim of this study was to identify the strategies used for the diagnosis and treatment of patients with temporomandibular disorders (TMDs) by general dental practitioners (GDPs) in the city of Istanbul. METHODS: A total of 154 GDPs were assessed by a single examiner in this questionnaire-based study. Descriptive statistics were calculated for all variables, and the results were analyzed at a 95% CI and statistical power of 80% with the significance level set at P < .05. RESULTS: The most frequently employed strategies for obtaining a diagnosis were patients' medical history (33.1%), physical examination (37.7%), and a combination of diagnostic methods (29.2%). The most commonly referred specialties were prosthodontics (62.2%) and maxillofacial surgery (36.9%). All GDPs treated their TMD patients with occlusal splints, and the majority of the occlusal splints were hard occlusal splints (62.8%). Half of the GDPs considered the etiology of TMD to involve stress, whereas 49.4% believed that TMD is of a multifactorial etiology. CONCLUSION: The GDPs clarified that TMD patients were mostly treated with occlusal splints and this datum is consistent with the suggestions of previous consensus papers.
Authors: Samuel F Dworkin; Judith A Turner; Lloyd Mancl; Leanne Wilson; Donna Massoth; Kimberly H Huggins; Linda LeResche; Edmond Truelove Journal: J Orofac Pain Date: 2002
Authors: James Fricton; John O Look; Edward Wright; Francisco G P Alencar; Hong Chen; Maureen Lang; Wei Ouyang; Ana Miriam Velly Journal: J Orofac Pain Date: 2010