Evaluation of temporomandibular joint noise in partially edentulous patients.
In order to evaluate the presence of TMD (temporomandibular disorder), dissatisfaction related to the use of removable partial dentures (RPD) and the effect of the treatment on temporomandibular joint noises, 13 female patients with Kennedy class I and II mandibular arch were selected. Another 13 young, asymptomatic, dentate patients, also female, were used as reference. After four years, 38.4% were found to have a moderate or severe degree of TMD. Over the four years, the degree of TMD increased in 46.15% of the patients, was not affected in 20.07%, while in 15.38% it decreased or the patients remained free from signs and symptoms. About 30% of the patients at the second year and 46% after the fourth year, had complaints regarding retention and stability. It was concluded that there is no relationship between TMD and the condition of partially edentulous Kennedy class I and II, but patient dissatisfaction increased after the second year and temporomandibular joint noise was reduced significantly with the replacement of the teeth.
Facultad de Odontología de Araçatuba, Universidad Estadual Paulista (UNESP), Brazil. argarcia@foa.unesp.br
Alício Rosalino
AR
Garcia
Ana Kelly Garcia
AK
Gallo
Paulo Renato Junqueira
PR
Zuim
Daniela Micheline
DM
Dos Santos
Rosse Mary Falcón
RM
Antenucci
D000328:Adult; D000368:Aged; D016022:Case-Control Studies; D003769:Dental Occlusion, Traumatic / Q000150:complications*; D003832:Denture, Partial, Removable / Q000523:psychology; D003936:Diagnosis, Computer-Assisted; D005260:Female; D006801:Humans; D007576:Jaw, Edentulous, Partially / Q000628:therapy*; D008334:Mandible / Q000503:physiopathology; D008875:Middle Aged; D017060:Patient Satisfaction; D013016:Sound; D013705:Temporomandibular Joint Disorders / Q000209:etiology*; D014732:Vibration; D055815:Young Adult