occlusion, peridontal, sleep disturbance, tmj
B Rai. TMJ Disorder Leading To Sleep Disturbances In Haryana. The Internet Journal of Dental Science. 2006 Volume 4 Number 2.
This study was conducted at GDC, Rohtak and Haryana in 102 patients of age group of 20 years to 30 years. We observed that Haryana females have more TJ problem as compared to males. In 65% of the females TMJ problems lead to sleep disturbances as compared to 37% of males.
Temporamandibular joint disorders are the most misdiagnosed and mistracted maladies in medicine. Among many causative sources of chronic sleep disturbances two prominent dental factors include sleep disorder and neuromusculo-skeletal system pain (TMJ) disorder origin. Consequently, one of the effective treatment modalities as sleep disturbances is a 'Airway dilator' to keep airway open and 'intra oral orthatic' to relieve pain and muscle tension/spasm, which cause sleep disturbances.
Observations and Result
From the statistical data
We found that restriction in mouth opening is rarely a chief complain.
Sleep disorder due to TMJ problem is more common in females which is 65% as compared to males with 37% only. Two percent of people during dental treatment got pain and a prominent clicking sound.
In males, 81% were perfectionist, compulsive and domineering. 87% of females were more introverted, neurotic with more trait anxiety.
Etiology factor in Haryana patients
In temporal mandibular dysfunction syndrome following four signs of Laskin's
Clicking or popping noise
Limitation of jaw function or deviation of the mandible on opening
Laskin emphasized that patient must also have these negative characteristics.
Absence of clinical radiographic or biochemical evidences in TMJ.
Lack of tenderness in TMJ area on palpation via external auditory meatus.
What defined TMD ?
Symptoms and signs of TMJ can include some or all the following :
Risk factors for sleep disturbances :
There are many factors that restrict the air flow and distract normal sleep pattern. The following are well known causes.
Radiological diagnosis :
Temporomandibular region should be examined properly because patients (in Haryana) don't have direct complaints of TMJ problems. In Haryana, females had more TMJ problems leading to sleep disturbances as compared to males. Treatment may be suggested by a physician, oral surgeon, orthodontist, psychotherapist, physical therapist or prosthodontist.