Medicine
K.
A. Semenov, Candidate of Medical Science, M. S. Drogomiretskaya, Doctor of Medical Science, Professor
State
Institution “Dnipropetrovsk Medical Academy of Health Ministry of Ukraine”.
Department of Dentistry. Faculty of Postgraduate Education.
P.
L. Shupik National Medical Academy of
Postgraduate Education
Analysis of Statistical Accounting of Patients with
Pathology of the Temporomandibular Joint
Summary
Analysis of statistical accounting of
patients was performed in the advisory clinic Municipal institution
"Regional clinical hospital named after I. I. Mechnikov". The number
of patients who came to the advisory appointment with a dental surgeon within
the period from 2010 up to and including 2015 was analyzed. By doing so the
patients with pathology of the temporomandibular joint were picked and the
distribution of a qualitative composition of patients according to nosologic
units was performed.
Key
words: patients with diseases of the
temporomandibular joint, nosologic units.
к. мед. н. Семенов К.А., д. мед н., проф. Дрогомирецкая М.С.
ГУ «Днепропетровская медицинская академия Министерства здравоохранения
Украины», кафедра стоматологии ФПО.
Национальная медицинская академия последипломного образования
им. Шупика.
Анализ
статистического учета пациентов с патологией височно-нижнечелюстного сустава.
Резюме
Проведен анализ статистического учета пациентов в консультативной поликлинике КУ «Областная
клиническая больница им. И.И. Мечникова».
Анализировали количество принятых пациентов на консультативном приеме у хирурга
стоматолога за период с 2010 года по 2015 год включительно. При этом выделяли
пациентов с патологией височно-нижнечелюстного сустава и проводили
распределение количественного состава пациентов в соответствии нозологическим
единицам.
Ключевые
слова: пациенты с заболеваниями височно – нижнечелюстного
сустава, нозологические единицы.
к. мед. н. Семенов К. А., д. мед н.,
проф. Дрогомирецька М. С.
ДЗ
«Дніпропетровська медична академія Міністерства охорони здоров'я України»,
кафедра стоматології ФПО.
Національна
медична академія післядипломної освіти
їм.
Шупика.
Аналіз
статистичного обліку пацієнтів з патологією скронево-нижньощелепного суглоба.
Резюме
Проведен аналіз статистичного
обліку пацієнтів у консультативній
поліклініці КЗ «Обласна клінічна лікарня
ім. І. В. Мечникова». Проаналізували
кількість прийнятих пацієнтів на консультативному прийомі у хірурга стоматолога
за період з 2010 року по 2015 рік включно. При цьому виділяли пацієнтів з
патологією скронево-нижньощелепного суглоба і проводили розподіл кількісного
складу пацієнтів відповідно нозологічним одиницям.
Ключові
слова: пацієнти із захворюваннями скронево – нижньощелепного
суглоба, нозологічні одиниці.
The
objective of our work was the analysis of
statistical accounting of patients with diseases of the temporomandibular joint
for the period from 2010 up to and including 2015.
Recently the number of patients with
diseases of the temporomandibular joint (TMJ) has grown. The interest to this
pathology remains rather high, as a lot of aspects of this issue remain
disputable and underinvestigated till the present moment. The most frequent
pathologies of the TMJ are arthritis, arthrosis and joint and muscle dysfunctions
[A. A. Timofeev , S. V. Maksimcha, V. P. Novinsky 2012, V. A. Margunskaya, T.
B. Lyudchik 2012]. [5, 6, 7, 8].
Nowadays diseases of the
temporomandibular joint become rather spread. Changes in the structures of the
temporomandibular joint (TMJ) are most frequently connected with features of
the individual structure of the dentoalveolar apparatus. While swalling, when
masseter muscles cotract reflexively and surfaces of teeth close, a movement
pattern of the lower jaw bone depends on the position of teeth in the dental
arch and their correlation with each other. [1, 3].
Emotional tension, exercise stress and
occlusive disharmony are the main reasons, which cause functional disorders of
the masticatory apparatus balance and adaptive capacity of the body. As a
result there are such symptoms as pain, muscular rigidity and fatigue, clicking
and limitation of motion in the area of temporomandibular joints, the
phenomenon of pain in ears, teeth attrition, odontoclasis and intense load on
the alveolodental ligament [1, 2, 3 ,4].
Vulnerability and the most common reasons
of functional disorders in the structures of temporomandibular joint are teeth,
dental arch, and neuromuscular apparatus.
The major guarantor of the functional balance
of the dentoalveolar apparatus is an optimal contact between teeth in the
dental arch, and, to a great extent, genetic psychoemotional sphere of an individual
[1, 3, 4, 6].
Analysis of statistical accounting of
patients was performed in the advisory clinic Municipal institution
"Regional clinical hospital named after I. I. Mechnikov". The number
of patients who came to the advisory appointment with a dental surgeon within
the period from 2010 up to and including 2015 was analyzed.
In 2010, 2011, 2012, 2013, 2014, and 2015
the following number of patients were advised, accordingly 4658, 4459, 4432,
4475, 4557, and 4524. Thus diseases of the temporomandibular joint were found
in 708 patients who made 2.6% of the total number of advised patients.
The correlation of the total number of
advised patients to the number of patients having diseases of the
temporomandibular joint for the period from 2010 up to and including 2015 are
shown in the diagram:
The
correlation of the number of advised patients for the period from 2010 up to
and including 2015 to the number of patients having diseases of the
temporomandibular joint for the above mentioned period.
1.
Total number of advised patients for the
period from 2010 up to and including 2015.
2.
Number of patients having diseases of the
temporomandibular
joint.
The following nosologic units were marked
in patients having diseases of the temporomandibular joint: arthritis,
arthrosis, pain-syndrome, Costen syndrome, and habitual dislocation. The
quantitative correlation of nosologic units is shown in Table 1.
Table 1.
Quantitative
Indices of Diseases of the Temporomandibular Joint in Patients for the Period
from 2010 up to 2015.
|
|
2010
|
2011 |
2012
|
2013 |
2014 |
2015 |
Total number |
|
Arthritis |
68 |
79 |
58 |
54 |
56 |
55 |
370 |
|
Arthrosis |
10 |
16 |
18 |
18 |
17 |
19 |
98 |
|
Pain-syndrome |
7 |
16 |
21 |
26 |
28 |
27 |
125 |
|
Costen syndrome |
6 |
4 |
23 |
24 |
21 |
23 |
101 |
|
Habitual dislocation |
5 |
3 |
1 |
2 |
1 |
2 |
14 |
|
Total: |
96 |
118 |
121 |
124 |
123 |
126 |
708 |
Conclusions:
1.
The performed statistical analysis of the number of advised
patients for the period from 2010 up to and including 2015 showed that
diseases of the temporomandibular joint make 2.6% of the total number of
patients who came to get advice.
2.
Arthritis of the temporomandibular
joint was the established diagnosis for most of the patients – 370.
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