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2016 ; 6
(1
): 70-87
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TEMPOROMANDIBULAR PAIN DYSFUNCTION SYNDROME IN PATIENTS ATTENDING LAGOS
UNIVERSITY TEACHING HOSPITAL, LAGOS, NIGERIA
#MMPMID28344938
Eweka OM
; Ogundana OM
; Agbelusi GA
J West Afr Coll Surg
2016[Jan]; 6
(1
): 70-87
PMID28344938
show ga
BACKGROUND: Temporomandibular joint pain dysfunction syndrome (TMJPDS) is the
most common temporomandibular disorder. This condition presents with symptoms of
pain, restricted jaw movement and joint noise. Other symptoms include otalgia,
headache, neck pain and trismus. AIM: To determine the pattern of
Temporomandibular joint pain dysfunction syndrome patients managed at the Lagos
University Teaching Hospital, Lagos, Nigeria. METHODOLOGY: A descriptive study of
patients with signs and symptoms of Temporomandibular joint pain dysfunction
syndrome attending the Oral Medicine Clinic of Lagos University Teaching
Hospital. RESULTS: Twenty-one patients with Temporomandibular joint pain
dysfunction syndrome were enrolled into the study, out of which 10(48%) were
females and 11(52%) were males. The age range was 23-81years with a mean of 45.2
± 18.9 years. Majority of the patients 20(95.2%) complained of pain around the
joint, in the pre-auricular region, in the muscles of mastication and the ear.
While 7(35%) complained of clicking sounds, 10(47.6%) complained of pain on mouth
opening and during mastication only. In all 5(23.8%) had impaired movement of the
jaws, mouth opening was normal in 18(85.7%) but reduced in 3(14.3%) patients.
Over half of patients 12(57%) experienced clicking sounds, there was tenderness
around the temporomandibular joint in 16(76.2%) cases, pain in the ear of
7(33.3%) patients and 13(61.9%) people presented with tenderness of the muscles
of mastication. Conservative management of all the cases resulted in resolution
of the symptoms. CONCLUSION: Temporomandibular joint pain dysfunction syndrome
has diverse clinical presentation and though distressing, it responds to prompt
and effective conservative management.