Araştırma Makalesi
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Bruksizmde Digastrik Kas Hassasiyetinin Önemi

Yıl 2023, Cilt: 14 Sayı: 3, 315 - 325, 29.12.2023
https://doi.org/10.22312/sdusbed.1279375

Öz

Amaç. Bruksizmde meydana gelen devamlı ve aşırı kuvvetler sonucu muayene sırasında çiğneme kasları ve digastrik kasın duyarlılıklarındaki farklılıkları araştırmak amaçlandı.
Materyal- Metod. 162 bruksist ve 162 kontrol grubu bireyin çiğneme kaslarından masseter, temporal, medial / lateral pterygoid kaslar ve digastrik kas muayene edildi. Kas muayeneleri sırasında hissedilen rahatsızlık-ağrı hissi sayısal değerlendirme ölçeğine göre skorlanarak sağ ve sol olarak kaydedildi.
Bulgular. Bruksist bireylerde incelenen her kasa ait hastaların belirttiği ağrı skorları kontrol grubuna göre daha yüksek bulundu (p<0,05). Yapılan ROC analizinde bruksistlerde kestirim değerleri digastrik kas için 2,5, lateral pterygoid kas için 1,5 ve diğer kaslar içinse 0,5 olarak hesaplandı. Digastrik kasın sensitivitesi ve spesifitesi diğer kaslara göre daha yüksek bulundu. (sensitivite: sağ=%72,8, sol=%72,8, spesifite: sağ=%18,5, sol=%17,9).
Sonuç. Bruksizmden digastrik kas çiğneme kaslarına göre daha fazla etkilenmektedir. Bruksizm klinik tanısında masseter kas ağrısı, hipertrofisi ve yorgunluğuna ilaveten diğer çiğneme kasları ve digastrik kas da değerlendirimelidir.

Destekleyen Kurum

yok

Proje Numarası

yok

Teşekkür

yok

Kaynakça

  • Lobbezoo F, Ahlberg J, Raphael K, Wetselaar P, Glaros A, Kato T, et al. 2018. International consensus on the assessment of bruxism: Report of a work in progress. J Oral Rehabil, 45(11): 837-44.
  • Bader G, Lavigne G. 2000. Sleep bruxism; an overview of an oromandibular sleep movement disorder. Sleep Med Rev, 4(1): 27-43.
  • Arima T. 2017. Bruxism: Association to jaw-muscle pain. Hokkaido Dental Journal, 38(Special issue): 164-71.
  • Akat B, Görür S A, Bayrak A, Eren H, Eres N, Erkcan Y, et al. 2023. Ultrasonographic and electromyographic evaluation of three types of occlusal splints on masticatory muscle activity, thickness, and length in patients with bruxism. CRANIO®, 41(1): 59-68.
  • Sperber G H. 2017. Dental wear: attrition, erosion, and abrasion—a palaeo-odontological approach. J Dent, 5(2): 19.
  • Baad‐Hansen L, Thymi M, Lobbezoo F, Svensson P. 2019. To what extent is bruxism associated with musculoskeletal signs and symptoms? A systematic review. J Oral Rehabil, 46(9): 845-61.
  • Melo G, Duarte J, Pauletto P, Porporatti A L, Stuginski‐Barbosa J, Winocur E, et al. 2019. Bruxism: an umbrella review of systematic reviews. J Oral Rehabil, 46(7): 666-90.
  • Serra-Negra J, Lobbezoo F, Martins C, Stellini E, Manfredini D. 2017. Prevalence of sleep bruxism and awake bruxism in different chronotype profiles: Hypothesis of an association. Med Hypotheses, 101: 55-8.
  • Tinastepe N, Küçük B B, Oral K. 2015. Botulinum toxin for the treatment of bruxism. CRANIO®, 33(4): 292-9.
  • Ciancaglini R, Gherlone E F, Radaelli G. 2001. The relationship of bruxism with craniofacial pain and symptoms from the masticatory system in the adult population. J Oral Rehabil, 28(9): 842-8.
  • Okeson J. P. 2019. Management of temporomandibular disorders and occlusion-E-book. Elsevier Health Sciences.
  • Borie E, Orsi I A, Muñoz G, De Souza L G, Del Sol M. 2015. Insertion area in the mandible masticatory muscles for use in finite element analyses. Int J Morphol, 33(4): 1377-9.
  • Gray R, Al-Ani Z. 2016. Temporomandibular Bozukluklar Problem Bazlı Yaklaşım. Çeviri editörü Kurt H. İstanbul: Medya Yayın Grubu, 16-23.
  • De-Ary-Pires B, Ary-Pires R, Pires-Neto M. 2003. The human digastric muscle: patterns and variations with clinical and surgical correlations. Ann Anat- Anat Anz, 185(5): 471-479.
  • Kim SD, Loukas M. 2019. Anatomy and variations of digastric muscle. Anat Cell Biol, 52:1–11.
  • Sowman PF, Flavel SC, McShane CL, Sakuma S, Miles TS, Nordstrom MA. 2009. Asymmetric activation of motor cortex controlling human anterior digastric muscles during speech and targetdirected jaw movements. J Neurophysiol, 102:159-66.
  • Pintado M R, Anderson G C, DeLong R, Douglas W H. 1997. Variation in tooth wear in young adults over a two-year period. J Prosthet Dent, 77(3): 313-20.
  • Rompré P, Daigle-Landry D, Guitard F, Montplaisir J, Lavigne G. 2007. Identification of a sleep bruxism subgroup with a higher risk of pain. J Dent Res, 86(9): 837-42.
  • Numerical rating pain scale. https://www.verywellhealth.com/pain-scales-assessment-tools-4020329 (Accessed Date: 1 April 2023).
  • Boonstra A M, Stewart R E, Köke A J A, Oosterwijk R F A,Swaan J L, et al. 2016. Cut-off points for mild, moderate, and severe pain on the numeric rating scale for pain in patients with chronic musculoskeletal pain: variability and influence of sex and catastrophizing. Front Psychol, 7: 1466.
  • Palinkas M, Bataglion C, de Luca Canto G, Machado Camolezi N, Theodoro G T, Siéssere S, et al. 2016. Impact of sleep bruxism on masseter and temporalis muscles and bite force. CRANIO®, 34(5): 309-315.
  • Muthu K, Kannan S, Muthusamy S, Sidhu P. 2015. Sleep bruxism associated with nocturnal enuresis in a 6-year-old child. CRANIO®, 33(1): 38-41.
  • Herb K, Cho S, Stiles M A. 2006. Temporomandibular joint pain and dysfunction. Curr. Pain Headache Rep, 10: 408-14.
  • Ariji Y, Sakuma S, Izumi M, Sasaki J, Kurita K, Ogi N, et al. 2004. Ultrasonographic features of the masseter muscle in female patients with temporomandibular disorder associated with myofascial pain. Oral Surg Oral Med Oral Radiol Oral Endod, 98(3): 337-41.
  • Ash MM, Ramfjord S. 1995. Occlusion. 4th Edition ed., Philadelphia: W.B. Saunders Company.USA.
  • Yengin, E. 2000. Temporomandibular rahatsızlıklarda teşhis ve tedavi. İstanbul: Dilek Matbaacılık,14-22.
  • Glaros A C, Tabacchi K N, Glass E G. 1998. Effect of parafunctional clenching on TMD pain. J Orofac Pain, 12(2):145-52.
  • Al-Wayli H. 2017. Treatment of chronic pain associated with nocturnal bruxism with botulinum toxin. A prospective and randomized clinical study. J Clin Exp Dent, 9(1): e112.
  • Hosgor H, Altindis S. 2020. Efficacy of botulinum toxin in the management of temporomandibular myofascial pain and sleep bruxism. J Korean Assoc Oral Maxillofac Surg, 46(5): 335-40.

Importance of Digastric Muscle Sensitivity in Bruxism

Yıl 2023, Cilt: 14 Sayı: 3, 315 - 325, 29.12.2023
https://doi.org/10.22312/sdusbed.1279375

Öz

Objective. It was aimed to assess the differences in the sensitivities of masticatory and digastric muscles during examination because of continuous and excessive forces in case of bruxism.
Material and Method. From the masticatory muscles of 162 individuals with bruxism and 162 control individuals, masseter, temporalis, medial / lateral pterygoideus muscles and digastric muscles were examined. Perceived sense of discomfort-pain during muscle examinations was scored according to a numerical rating scale and recorded as right and left.
Results. In individuals with bruxism, the pain scores of the patients for each examined muscle were higher than the control group (p<0.05). In the ROC analysis performed in bruxism, cut-off values for digastric muscle, lateral pterygoideus muscle and other muscles were 2.5, 1.5 and 0.5, respectively. The sensitivity and specificity of the digastric muscles were found to be higher than other muscles (sensitivity: right=72.8%, left=72.8%, specificity: right=18.5%, left=17.9%).
Conclusion. Bruxism affects digastric muscles more than masticatory muscles. Digastric muscles and other masticatory muscles should be evaluated in addition to masseter muscle pain, hypertrophy and fatigue in the clinical diagnosis of bruxism.

Proje Numarası

yok

Kaynakça

  • Lobbezoo F, Ahlberg J, Raphael K, Wetselaar P, Glaros A, Kato T, et al. 2018. International consensus on the assessment of bruxism: Report of a work in progress. J Oral Rehabil, 45(11): 837-44.
  • Bader G, Lavigne G. 2000. Sleep bruxism; an overview of an oromandibular sleep movement disorder. Sleep Med Rev, 4(1): 27-43.
  • Arima T. 2017. Bruxism: Association to jaw-muscle pain. Hokkaido Dental Journal, 38(Special issue): 164-71.
  • Akat B, Görür S A, Bayrak A, Eren H, Eres N, Erkcan Y, et al. 2023. Ultrasonographic and electromyographic evaluation of three types of occlusal splints on masticatory muscle activity, thickness, and length in patients with bruxism. CRANIO®, 41(1): 59-68.
  • Sperber G H. 2017. Dental wear: attrition, erosion, and abrasion—a palaeo-odontological approach. J Dent, 5(2): 19.
  • Baad‐Hansen L, Thymi M, Lobbezoo F, Svensson P. 2019. To what extent is bruxism associated with musculoskeletal signs and symptoms? A systematic review. J Oral Rehabil, 46(9): 845-61.
  • Melo G, Duarte J, Pauletto P, Porporatti A L, Stuginski‐Barbosa J, Winocur E, et al. 2019. Bruxism: an umbrella review of systematic reviews. J Oral Rehabil, 46(7): 666-90.
  • Serra-Negra J, Lobbezoo F, Martins C, Stellini E, Manfredini D. 2017. Prevalence of sleep bruxism and awake bruxism in different chronotype profiles: Hypothesis of an association. Med Hypotheses, 101: 55-8.
  • Tinastepe N, Küçük B B, Oral K. 2015. Botulinum toxin for the treatment of bruxism. CRANIO®, 33(4): 292-9.
  • Ciancaglini R, Gherlone E F, Radaelli G. 2001. The relationship of bruxism with craniofacial pain and symptoms from the masticatory system in the adult population. J Oral Rehabil, 28(9): 842-8.
  • Okeson J. P. 2019. Management of temporomandibular disorders and occlusion-E-book. Elsevier Health Sciences.
  • Borie E, Orsi I A, Muñoz G, De Souza L G, Del Sol M. 2015. Insertion area in the mandible masticatory muscles for use in finite element analyses. Int J Morphol, 33(4): 1377-9.
  • Gray R, Al-Ani Z. 2016. Temporomandibular Bozukluklar Problem Bazlı Yaklaşım. Çeviri editörü Kurt H. İstanbul: Medya Yayın Grubu, 16-23.
  • De-Ary-Pires B, Ary-Pires R, Pires-Neto M. 2003. The human digastric muscle: patterns and variations with clinical and surgical correlations. Ann Anat- Anat Anz, 185(5): 471-479.
  • Kim SD, Loukas M. 2019. Anatomy and variations of digastric muscle. Anat Cell Biol, 52:1–11.
  • Sowman PF, Flavel SC, McShane CL, Sakuma S, Miles TS, Nordstrom MA. 2009. Asymmetric activation of motor cortex controlling human anterior digastric muscles during speech and targetdirected jaw movements. J Neurophysiol, 102:159-66.
  • Pintado M R, Anderson G C, DeLong R, Douglas W H. 1997. Variation in tooth wear in young adults over a two-year period. J Prosthet Dent, 77(3): 313-20.
  • Rompré P, Daigle-Landry D, Guitard F, Montplaisir J, Lavigne G. 2007. Identification of a sleep bruxism subgroup with a higher risk of pain. J Dent Res, 86(9): 837-42.
  • Numerical rating pain scale. https://www.verywellhealth.com/pain-scales-assessment-tools-4020329 (Accessed Date: 1 April 2023).
  • Boonstra A M, Stewart R E, Köke A J A, Oosterwijk R F A,Swaan J L, et al. 2016. Cut-off points for mild, moderate, and severe pain on the numeric rating scale for pain in patients with chronic musculoskeletal pain: variability and influence of sex and catastrophizing. Front Psychol, 7: 1466.
  • Palinkas M, Bataglion C, de Luca Canto G, Machado Camolezi N, Theodoro G T, Siéssere S, et al. 2016. Impact of sleep bruxism on masseter and temporalis muscles and bite force. CRANIO®, 34(5): 309-315.
  • Muthu K, Kannan S, Muthusamy S, Sidhu P. 2015. Sleep bruxism associated with nocturnal enuresis in a 6-year-old child. CRANIO®, 33(1): 38-41.
  • Herb K, Cho S, Stiles M A. 2006. Temporomandibular joint pain and dysfunction. Curr. Pain Headache Rep, 10: 408-14.
  • Ariji Y, Sakuma S, Izumi M, Sasaki J, Kurita K, Ogi N, et al. 2004. Ultrasonographic features of the masseter muscle in female patients with temporomandibular disorder associated with myofascial pain. Oral Surg Oral Med Oral Radiol Oral Endod, 98(3): 337-41.
  • Ash MM, Ramfjord S. 1995. Occlusion. 4th Edition ed., Philadelphia: W.B. Saunders Company.USA.
  • Yengin, E. 2000. Temporomandibular rahatsızlıklarda teşhis ve tedavi. İstanbul: Dilek Matbaacılık,14-22.
  • Glaros A C, Tabacchi K N, Glass E G. 1998. Effect of parafunctional clenching on TMD pain. J Orofac Pain, 12(2):145-52.
  • Al-Wayli H. 2017. Treatment of chronic pain associated with nocturnal bruxism with botulinum toxin. A prospective and randomized clinical study. J Clin Exp Dent, 9(1): e112.
  • Hosgor H, Altindis S. 2020. Efficacy of botulinum toxin in the management of temporomandibular myofascial pain and sleep bruxism. J Korean Assoc Oral Maxillofac Surg, 46(5): 335-40.
Toplam 29 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Araştırma Makaleleri
Yazarlar

İlknur Eninanç 0000-0002-4583-6237

Defne Yalçın 0000-0003-4801-0120

Proje Numarası yok
Yayımlanma Tarihi 29 Aralık 2023
Gönderilme Tarihi 8 Nisan 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 14 Sayı: 3

Kaynak Göster

Vancouver Eninanç İ, Yalçın D. Importance of Digastric Muscle Sensitivity in Bruxism. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi. 2023;14(3):315-2.

SDÜ Sağlık Bilimleri Dergisi, makalenin gönderilmesi ve yayınlanması dahil olmak üzere hiçbir aşamada herhangi bir ücret talep etmemektedir. Dergimiz, bilimsel araştırmaları okuyucuya ücretsiz sunmanın bilginin küresel paylaşımını artıracağı ilkesini benimseyerek, içeriğine anında açık erişim sağlamaktadır.