Jaw function status in an elderly community sample
Autor: | Geber T. Bittar, C.A. Bibb, Andrew G. Pullinger, Kathryn A. Atchison |
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Rok vydání: | 1995 |
Předmět: |
Male
medicine.medical_specialty Activities of daily living Referral Health Status Dentistry Arthritis Oral Health Mandible Medicare Palpation Centers for Medicare and Medicaid Services U.S stomatognathic system Facial Pain Activities of Daily Living Prevalence medicine Humans General Dentistry Depression (differential diagnoses) Aged Crepitus Temporomandibular Joint medicine.diagnostic_test Depression business.industry Public Health Environmental and Occupational Health Temporomandibular Joint Disorders medicine.disease Los Angeles United States Tenderness stomatognathic diseases Sound Localized disease Masticatory Muscles Physical therapy Female medicine.symptom business human activities |
Zdroj: | Community Dentistry and Oral Epidemiology. 23:303-308 |
ISSN: | 1600-0528 0301-5661 |
Popis: | The purpose of this study was to assess jaw function status and disability in an elderly population. The sample consisted of 429 Medicare recipients dwelling in the community (mean age = 74.4±5 yr; 58% female and 42% male) who were enrolled in an HCFA-sponsored prevention demonstration project. An evaluation of TMJ and jaw muscle status was conducted at the completion of a general dental examination. This included assessment of joint sounds (clicking or crepitus), joint and jaw muscle tenderness to palpation, and measurement of maximum opening. Pain or disability during jaw use and history of TMD problems were assessed by self-report. The prevalence of TMJ clicking was 16%, crepitus 19%, TMJ tenderness 8%, jaw muscle tenderness 13%, and opening < 40 mm 22% Pain on jaw use was reported by 6.5%, and 12% reported a history of TMD problems. There was no significant relationship between TMD signs and symptoms and dental status. The lack of consistent relationship between TMD signs and symptoms and health status measures suggests that TMD is a localized disease process and not an extension of a general condition such as arthritis or depression, nor does it have major impact on activities of daily living. Examiner referral for treatment was low (1%) indicating that TMD was not a significant treatment concern in this sample of the elderly. |
Databáze: | OpenAIRE |
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