| 1. |
- Abrahamsson, Cecilia, et al.
(författare)
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TMD before and after correction of dentofacial deformities by orthodontic and orthognathic treatment
- 2013
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Ingår i: International Journal of Oral and Maxillofacial Surgery. - : Elsevier. - 0901-5027 .- 1399-0020. ; 46:6, s. 752-758
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Tidskriftsartikel (refereegranskat)abstract
- Abstract The aims of the study were to investigate the alteration of temporomandibular disorders (TMD) after correction of dentofacial deformities by orthodontic treatment in conjunction with orthognathic surgery; and to compare the frequency of TMD in patients with dentofacial deformities with an age and gender matched control group. TMD were evaluated in 121 consecutive patients (treatment group), referred for orthognathic surgery, by a questionnaire and a clinical examination. 18 months after treatment, 81% of the patients completed a follow-up examination. The control group comprised 56 age and gender matched subjects, of whom 68% presented for follow-up examination. TMD were diagnosed according to research diagnostic criteria for TMD. At baseline examination, the treatment group had a higher frequency of myofascial pain (P=.035) and arthralgia (P=.040) than the control group. At follow-up, the frequencies of myofascial pain, arthralgia and disc displacement had decreased in the treatment group (P=.050, P=.004, P=.041, respectively). The frequency of TMD was comparable in the two groups at follow-up. Patients with dentofacial deformities, corrected by orthodontic treatment in conjunction with orthognathic surgery, seem to have a positive treatment outcome in respect of TMD pain
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| 2. |
- Abrahamsson, Cecilia, et al.
(författare)
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TMD in consecutive patients referred for orthognathic surgery
- 2009
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Ingår i: Angle orthodontist. - : The Angle Orthodontist (EH Angle Education & Research Foundation). - 0003-3219 .- 1945-7103. ; 33:4, s. 201-226
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To answer the question whether temporomandibular disorders (TMD) were more common in a group of individuals referred for orthognathic surgery than in a control group. The null hypothesis was that neither the frequency of signs and symptoms of TMD or diagnosed TMD would differ between the patient group and a control group. MATERIALS AND METHODS: A sample of 121 consecutive patients referred for orthognathic surgery at the Department of Oral Maxillofacial Surgery, Malmö University Hospital, Sweden, was interviewed and examined regarding signs and symptoms of TMD and headaches. A control group was formed by 56 age- and gender-matched individuals attending the Department of Oral Diagnosis, Faculty of Odontology, Malmö University, Sweden, and Public Dental Health Clinic in Oxie, County of Skane, Sweden. TMD diagnoses were used according to Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). RESULTS: The patient group showed more myofascial pain without limited opening, disc displacement with reduction, and arthralgia according to RDC/TMD than the control group. The patient group also had more symptoms and signs of TMD in general. CONCLUSIONS: The null hypothesis was rejected because patients who were to be treated with orthognathic surgery had more signs and symptoms of TMD and higher frequency of diagnosed TMD compared with the matched control group.
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| 3. |
- Al-Harthy, Mohammad, et al.
(författare)
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Pain related temporomandibular disorders in adult Saudi arabians referred for specialized dental treatment
- 2007
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Ingår i: Pain related temporomandibular disorders in adult Saudi arabians reffered for specialized dental treatment..
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Tidskriftsartikel (populärvet., debatt m.m.)abstract
- The aim of the present study was to examine the frequencies of pain-related symptoms of TMD in patients in the age of 20-40 years referred for specialized dental treatments in Makkah, Saudi Arabia by using Research Diagnostic Criteria for TMD (RDC/TMD). Three hundred and twenty-five consecutive Saudi patients in the age of 20-40 years: 135 males and 190 females were interviewed according to the RDC/TMD history questionnaire. The results revealed that pain related TMD and orofacial pain were found among 58 (18%) patients. All other patients formed the non-pain group (267,82%). In the pain group, there were 79% females compared to 21% males (P<0.01). Both genders in the pain group reported high frequencies of both migraines in the last six months and headache moderately to extremely in the last month showing significant difference in comparison with the non-pain group (P<0.01). Symptoms of TMD were significantly more prevalent in the pain group than in the non-pain group. The most common pain related TMD symptoms were TMJ clicking, TMJ crepitation, TMJ locking, stiff jaw, tinnitus, bruxism and uncomfortable bite. Regarding Graded Chronic Pain severity in the pain group, most patients reported their pain to be grade I and II. Jaw disability checklist according to RDC/TMD showed that four or more disturbed jaw activities were found in 31 patients (53%) while 13 patients (22%) had not affected mandibular functions. In conclusion, the findings of the present study showed high frequencies of pain related TMD in this Saudi arabian patient population.
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| 4. |
- Al-Harthy, Mohammad, et al.
(författare)
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Temporomandibular disorder pain in adult Saudi Arabians referred for specialised dental treatment
- 2010
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Ingår i: Swedish Dental Journal. - 0347-9994. ; 34:3, s. 149-158
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to determine the frequency of Temporomandibular Disorders (TMD) pain in Saudi Arabians,aged 20-40, who were referred to the Specialist Dental Centre in Makkah. The material included 325 patients (135 males,190 females) who answered a history questionnaire. Patients reportingTMD pain in the last month were offered a clinical examination. History questionnaires and clinical examinations were done according to the Arabic version of the Research Diagnostic Criteria for TMD (RDC/TMD). Fifty-eight patients (18%) reported TMD pain; 46 were clinically examined. Mean age of clinically examined TMD pain patients was 30 +/- 7 years with a male-female ratio of 1:6 (P < 0.001). All TMD pain patients had a diagnosis of myofascial pain, and 65% had diagnoses of arthralgia or osteoarthritis. Headaches or migraines in the last 6 months and headaches in the last month were reported in high frequencies in the TMD pain group, 93% and 71% respectively, with differences (P < 0.001) between the TMD pain and non-TMD pain groups. Graded Chronic Pain Scale assessments classified 45% of the TMD pain patients in grade 1, 53% in grade II, 2% in grade III, and 0% in grade IV. Severe depression scores were found in 38% of the TMD pain patients and severe somatisation scores in 60% with differences (P < 0.001) between the TMD pain and non-TMD pain groups. In conclusion, the study found a frequency of TMD pain in this Saudi Arabian cohort of 18%. The TMD pain group presented high scores of depression and somatisation but low disability grades on the Graded Chronic Pain Scale.
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| 5. |
- Al-Harthy, Mohammad, et al.
(författare)
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Temporomandibular Disorders per RDC/TMD in Adult Saudi Arabians Referred for Specialized Dental Treatment
- 2008
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Objective: The aim of this study was to determine frequency of Temporomandibular Disorders (TMD) pain in Saudi Arabians, ages 20 to 40, which were referred to a dental specialist clinic in Makkah. Materials and Methods: 325 referred patients (135 males, 190 females) answered history questionnaires. Patients reporting TMD pain in these questionnaires were clinically examined. History questionnaires and clinical examinations were done per Axis I and Axis II of the Arabic version of Research Diagnostic Criteria for TMD (RDC/TMD). Results: The male-female ratio of the study group was 1:1.4. Fifty-eight patients (18%) had TMD pain; 46 were clinically examined. Mean age of examined TMD pain patients was 30 years (±7) with a male-female ratio of 1:6. All TMD pain patients had a diagnosis of myofascial pain and 65% had diagnoses of arthralgia or osteoarthritis. Graded chronic pain severity was reported to be grade I in 45%, grade II in 53%, grade III in 2% and grade IV in none of the patients. Psychological status assessment showed that 38% of the TMD pain patients had severe depression scores and 60% severe somatization scores. Conclusion: The present study showed a high frequency of TMD pain in this Saudi Arabian cohort, and 18% of the patients met criteria for subdiagnoses of TMD. Depression and somatization per Axis II had significantly higher scores in the TMD pain group compared to the non-pain group.
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| 6. |
- Al-Harthy, Mohammad, et al.
(författare)
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TMD in Adult Saudi Arabians According to RDC/TMD
- 2008
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Konferensbidrag (refereegranskat)abstract
- Objective: To examine the frequency of pain-related TMD in Saudi Arabians 20 to 40years old referred to a d specialist clinic in Makka. Materials and Methods: 325 referred patients (135 males, 190 females) filled in history questionnaires. Patients reporting pain-related TMD were clinically examined. The history and clinical examinations were performed according to an Arabic version of RDC/TMD Axis I and Axis II (Dworkin et al 1992). Results: All patients had a male-female ratio of 1:1.4. TMD pain patients were found to be 18% (n=58), out of which 46 were clinically examined. The 46 TMD pain patients had a mean age of 30 years (±7) with a male-female ratio of 1:6. All TMD pain patients had a diagnosis of myofascial pain and 66% had diagnoses of arthrogenous origin. The graded chronic pain was reported to be grade I in 45%, grade II in 53%. Axis II assessment of psychological status showed that 38% of the TMD pain patients yielded severe depression scores and 60% high nonspecific physical symptom scores. Conclusion: The present study showed a high frequency of TMD pain in this Saudi Arabian cohort and 18% of the patients met criteria for subdiagnoses of TMD. Depression and somatization according to SCL-90R had significantly higher scores in the pain group compared to the non-pain group. The high frequency of pain-related TMD found among the patients referred to specialized dental clinics should make health planners considering TMD/orofacial pain as specialty in dentistry in Saudi Arabia.
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| 7. |
- Alsafi, Z, et al.
(författare)
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Achieved competences in temporomandibular disorders/orofacial pain : a comparison between two dental schools in Europe
- 2015
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Ingår i: European journal of dental education. - : John Wiley & Sons. - 1396-5883 .- 1600-0579. ; 19:3, s. 161-168
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Tidskriftsartikel (refereegranskat)abstract
- AIMS: The aim was to study achieved competences in temporomandibular disorders (TMD)/orofacial pain (OP) at two universities by comparing student's knowledge and understanding, satisfaction with their education and confidence in their clinical competences of TMD/OP. METHODS: The study was conducted in collaboration between Malmö University, Sweden-which uses problem-based learning-and the University of Naples Federico II, Italy-which uses traditional educational methods. Final-semester dental students responded to a self-report questionnaire regarding their knowledge and understanding, interpretation of cases histories, clinical experience, satisfaction and confidence in clinical examination, management and treatment evaluation. RESULTS: No significant difference was found between the students regarding knowledge and understanding. Eighty-seven per cent of the Malmö students and 96% of the Naples students met the criterion on achieved competence. Malmö students had a higher per cent of correct diagnoses than Naples students in the interpretation of case histories. Overall, Malmö students reported most clinical experience and higher confidence than Naple students. CONCLUSIONS: The main findings were that students from Malmö and Naples were, similar in knowledge and understanding of TMD/OP and in satisfaction with their clinical competences. However, Malmö students perceived more confidence in clinical management of patients with TMD/OP. This may reflect that, besides the theoretical part of the programme, a sufficient level of clinical exposure to patients with TMD/OP is essential to gain competences in TMD/OP
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| 8. |
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| 9. |
- Bengmark, Daniel, et al.
(författare)
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Dentists reflect on their problem-based education and professional satisfaction
- 2012
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Ingår i: European journal of dental education. - : John Wiley & Sons. - 1396-5883 .- 1600-0579. ; 16:1, s. e137-e145
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Tidskriftsartikel (refereegranskat)abstract
- AIM: To determine the way in which Malmö University dental graduates perceive their problem-based dental education and evaluate their professional satisfaction. METHOD: The first five cohorts (graduating in years 1995-1999) of the problem-based curriculum were invited to participate. Of 166 graduates, 77% responded to a questionnaire comprising 20 questions on aspects of their dental education, professional situations and interest in postgraduate education. They were asked to rank their perception of their dental education and satisfaction with their professional situation on a visual analogue scale (VAS) with endpoints ranging from 'Not at all' (1) to 'Very well' (10). For other statements, the markings were made on a Likert scale from 1 (not important/not satisfied) to 5 (very important/very satisfied). There were also open-ended questions. RESULTS: Most respondents perceived their education to prepare them well for a career in dentistry (median score VAS 8), and 90% rated above six on a VAS for their professional satisfaction as dentists. Importance and satisfaction were highly correlated with principles of the curriculum: holistic view, oral health, lifelong learning, integration between theory and clinic, and clinical competence. Forty-five per cent of the graduates noted the problem-based learning approach as the most valuable asset of their education, and 19% cited training in oral surgery as a deficit. Of the respondents, 77% expressed interest in specialist training and 55% in research education
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| 10. |
- Bengmark, Daniel, et al.
(författare)
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Graduates' characteristics and professional situation : a follow-up of five classes graduated from the Malmö model
- 2007
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Ingår i: Swedish Dental Journal. - 0347-9994. ; 31:31, s. 129-135
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Tidskriftsartikel (refereegranskat)abstract
- Syftet med denna studie var att beskriva de examinerade från de fem första kurserna av den problembaserade tandläkarutbildningen i Malmö, deras generella syn på utbildningen och deras professionella situation. Av totalt 166 examinerade (examinerade åren 1995-1999) svarade 128 på den utskickade enkäten. Frågeformuläret inkluderade frågor av demografisk karaktär, de examinerades syn på utbildningen och deras professionella situation. De svarandes medianålder när de examinerades var 26 år (24-43 år) och andelen kvinnor var 56 %. Cirka en fjärdedel var födda utanför Sverige. Två tredjedelar av de svarande angav att de valde tandläkarutbildningen för att de ville bli tandläkare. Nästan samtliga (97 %) arbetade som tandläkare och cirka en tredjedel arbetade utanför Sverige. De som arbetade utanför Sverige var i högre utsträckning också födda utanför Sverige. De svarande menade att utbildningen gav en god förberedelse för deras professionella situation. Deras tillfredsställelse med sin professionella situation, som var hög överlag, korrelerade till deras möjligheter att påverka sin arbetssituation. Cirka en fjärdedel uttryckte intresse för specialistutbildning. När det gällde forskarutbildning uttryckte 64 % av kvinnliga svarande intresse jämfört med 42 % av männen. Vår slutsats är att de svarande överlag var nöjda med sin professionella situation och majoriteten av dem var intresserade av efter- och vidareutbildning.
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