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DALIŞ SERTİFİKASYONU EĞİTİM PROGRAMINDA SCUBA DALICILARINDA GÖRÜLEN TEMPOROMANDİBULER BOZUKLUKLAR

TEMPOROMANDIBULAR DISORDERS IN SCUBA DIVERS DURING DIVING CERTIFICATION TRAINING PROGRAMME

Journal Name:

  • İstanbul Tıp Fakültesi Dergisi

Publication Year:

  • 2012

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Objective: The design of a diving regulator’s mouth-piece is known to increase the risk of a temporomandibular disorder (TMD) in SCUBA divers. The total weight of a diving regulator is reflected directly on the temporomandibular joint (TMJ) causing articular and peri articular problems. In this study, the prevalence of TMD in SCUBA divers having a training for diving certification is investigated. We also aimed to determine the factors that lead to TMD, and clarify the observation that there is an increased incidence o f TMD in inexperienced divers with an anxiety of diving training. Material and methods: The study was held in a period of 5.5 years, between 2006 and 2011. Ninety-seven divers were referred with the complaint of pain around the temporomandibular area. The divers were classified according to their experince levels. Symptoms and signs of TMD were noted and graded. Results: 14 divers were diagnosed with TMD. It was found that TMD was seen more frequently in inexperienced divers than in experienced divers (p=0.0434). The most prevalent symptom was an increased effort spent for holding the mouth-piece during a dive. TMJ tenderness and trigger point activation were the mostly seen physical signs. 13 divers had an improvement with therapy. Conclusion: The effort for stabilizing the mouth-piece of the second stage of a diving regulator is a recognized factor in TMD development. The training for diving certification causes an increase in the prevalence of TMD.
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Abstract (Original Language): 
Amaç: Bir dalış regülatöründe ağızlık dizaynının SCUBA dalıcılarında temporomandibuler bozukluk (TMB) riskini arttırdığı bilinmektedir. Dalış regülatörünün tüm ağırlığı artiküler ve periartiküler problemlere sebeb olacak şekilde temporomandibuler eklem (TME) üzerine yansımaktadır. Çalışmamızda, dalış sertifikası eğitimi alan SCUBA dalıcılarında TMB prevelansını araştırdık. Aynı zamanda, TMB’ye yol açan faktörleri belirlemek ve dalış eğitimine bağlı anksiyetenin belirginleştiği tecrübesiz dalıcılarda TMB’nin daha sık görüldüğüne dair gözlemi aydınlatmayı amaçladık. Gereç ve yöntem: Çalışmamız, 2006 ve 2011 arasındaki 5,5 yıllık bir süre içinde gerçekleştirildi. 97 dalıcı temporomandibuler alan etrafında belirginleşen ağrı şikayeti ile refere edildiler. Dalıcılar tecrübe seviyelerine göre sınıflandırıldılar. TMB’ye ait belirti ve bulgular belirlendi ve sınıflandırıldı. Bulgular: 14 dalıcıda TMB teşhis edildi. TMB’nun tecrübesiz dalıcılarda tecrübelilerden daha sık görüldüğü saptandı (p=0.0434). En sık görülen belirti dalışta ağızlığı tutma eforunun artması olarak saptandı. TME hassasiyeti ve tetik nokta aktivasyonu en sık görülen bulgular olarak saptandılar. 13 dalıcıda tedavi ile iyileşme sağlandı. Sonuç: Dalış regülatörünün ikinci kademesinin ağızlığını sabitleme eforu TMB gelişiminde bilinen bir faktördür. Dalış sertifikasyonu eğitiminde artan anksiyete TMB prevelansında artışa neden olmaktadır.
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  • 3
35-40
  • English

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