Evaluation of Helkimo anamnestic and dysfunction index in identical twins
| Autor: | Kučević Esad H., Eminović Mithad E., Kajević Cena B., Poštić Srđan D. |
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| Jazyk: | English<br />Serbian |
| Rok vydání: | 2016 |
| Předmět: | |
| Zdroj: | Acta Stomatologica Naissi, Vol 32, Iss 73, Pp 1565-1583 (2016) |
| Druh dokumentu: | article |
| ISSN: | 0352-5252 1820-1202 |
| DOI: | 10.5937/asnl673565K |
| Popis: | Introduction: In 1974 Marti Helkimo designed special questionnaires which were used for entering adequate contemporary data collected by medical history, analyzing the functions of the orofacial system and analyzing occlusion. Data were evaluated numerically with 0, 1 or 5, depending on the severity of the relevant findings and severity of clinical signs or symptoms of dysfunction. Objective: The aim of the research was to establish and evaluate specially designed Helkimos anamnestic and dysfunction index in monozygotic twins. Materials and Methods: A longitudinal prospective study was carried out on a randomized sample of 30 pairs of twins, 20 to 40 years old, and of both sexes. Dedicated design of the questionnaire made it possible to calculate the Helkimos anamnestic index (Ai), based on subjective feeling and positive or negative answers of subjects about the state of their masticatory apparatus. The clinical dysfunction index (Di) represents objective functional analysis of structural and functional disorders of the orofacial complex, because it monitors multiple parameters. Kinematics of the lower jaw, conditions and limited function of the temporomandibular joints, the presence or absence of painful sensations during mandible movements during palpation of the joints and masticatory muscles, and the overall quantification of the incidence of craniomandibular dysfunction were all monitored and evaluated. The study was conducted in accordance with the local and international laws and ethical standards. Results: Medical records of 47 (78.3%) twins did not present the signs and symptoms of craniomandibular dysfunction, i.e., Ai = 0. Twelve respondents were aware of the existence of mild signs of craniomandibular disorders (CMD). Acute and expressed craniomandibular disorder was identified in one of the twins Ai II 1 (1.7%). By evaluating and analyzing the results obtained using Helkimo analysis, positive dysfunction index (Di> 0), or certain signs and symptoms of impaired function of TMJ were established in 23 twins (38.3%), while the index dysfunction equal to 0 (dI = 0) was found in 37 (61.7%) twins. Spearman's correlation (0.728) demonstrates there is a coefficient of interdependence and mutual association between anamnestic index (Ai) and the dysfunction index (Di), with statistic significance at 1% (p = 0.000). Conclusion: This comparative statistical analysis showed there is a correlation between anamnestic index (Ai) and clinical dysfunction index (Di) by Helkimo et al. |
| Databáze: | Directory of Open Access Journals |
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