Öz
Amaç
Bu çalışmada sigara kullanan ve kullanmayanların stomatognatik ve boyun fonksiyonlarının karşılaştırılması amaçlandı.
Yöntemler
Çalışmaya herhangi bir kronik hastalığı olmayan 100 sigara içen ve 96 sigara içmeyen kişi dahil edildi. Temporomandibular fonksiyon ve yutma fonksiyonu stomatognatik fonksiyon bileşenleri olarak değerlendirildi. Temporomandibular fonksiyon Fonseca Anamnestik Anketi (FAI) ile, yutma fonksiyonu ise Yutma Fonksiyonu Tarama Testi (EAT-10) ile değerlendirildi. Boyun fonksiyonlarını değerlendirmek için Boyun Engellilik Göstergesi (NDI) kullanıldı.
Bulgular
Sigara kullananların FAI skoru kullanmayanlara göre daha yüksekti (p=0,005). FAI skorlarına göre sigara kullananların 68’inde (%68) temporomandibular bozukluk (TMB) riski bulunurken, sigara kullanmayanların 48’inde (%50) TMB riski vardı. Sigara kullananlarda TMB riski daha yüksekti (p=0,013). Sigara kullanan ve kullanmayanların EAT-10 puanları benzerdi (p=0,692). Sigara kullanan 4 hastada (%4) ve sigara kullanmayan 4 hastada (%4,1) yutma bozukluğu riski vardı. Sigara kullanan ve kullanmayanların yutma bozukluğu riski benzerdi (p>0,999). Sigara kullanan ve kullanmayanların NDI skorları benzerdi (p=0,833). NDI’ye göre sigara kullananların 38’inde (%38) ve kullanmayanların 38’inde (%39,6) fonksiyonel boyun engelliliği yoktu. Grupların fonksiyonel boyun engelliliği oranı benzerdi (p=0,304).
Sonuç
Sigara kullananlarda temporomandibular disfonksiyon riskinin sigara kullanmayanlara göre daha yüksek olduğu ancak yutma ve boyun fonksiyonları için bu durumun söz konusu olmadığı bulundu. Kronik hastalık olmasa bile sigara kullananlarda temporomandibular disfonksiyon gelişme riski akılda tutulmalıdır.
Anahtar Kelimeler: Boyun, sigara içme, stomatognatik sistem, yutma, temporomandibular bozukluk
Kaynakça
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