The Effect of Diabetic Peripheral Neuropathy Symptoms on Temporomandibular Joint Functionality in Patients With Type 2 Diabetes
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Diabete Type 2
- Sponsor
- Bandırma Onyedi Eylül University
- Enrollment
- 70
- Locations
- 1
- Primary Endpoint
- Maximum pain-free mouth opening
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
The aim of this observational case-control study was to investigate the effect of diabetic peripheral neuropathy symptoms on temporomandibular joint functionality in patients with type 2 diabetes.
Detailed Description
The number of participants planned to be included in the study was decided with the G-Power programme. While calculating the number of individuals to be included in the study, it was calculated that the sample size to obtain an effect size of 0.6 for the purpose of evaluation within the 95% confidence interval in a way to provide 80% study power at 5% Type 1 and 20% Type 2 error limits should be 74 (n=37) individuals. This study included 70 individuals (DM study group=40 individuals, control group=30 individuals). Peripheral neuropathy symptoms of all participants were evaluated with the Michigan Neuropathy Screening Test. In the evaluation of TMJ functionality, the presence of pain, maximum pain-free mouth opening, mandibular dysfunction and dysfunction were assessed with the help of scales. Duration of diabetes mellitus was recorded and quality of life was evaluated with Ferran Powers Quality of Life Index.
Investigators
Hazel Çelik Güzel
Assist. Prof. Dr
Bandırma Onyedi Eylül University
Eligibility Criteria
Inclusion Criteria
- •Individuals diagnosed with type 2 DM
Exclusion Criteria
- •Having diabetic foot ulcer,
- •Mini Mental Test score below 24,
- •History of psychiatric illness, cancer, neurological problems, congenital anomalies, musculoskeletal problems, systemic disease, facial paralysis, surgical operation related to spine, abdomen and/or TMJ problem
- •Receiving any treatment related to spine and TMJ in less than 6 months
Outcomes
Primary Outcomes
Maximum pain-free mouth opening
Time Frame: May 2023- November 2023
The maximum pain-free mouth opening was recorded using a 15 cm ruler
Michigan Neuropathy Screening Instrument
Time Frame: May 2023- November 2023
The symptom questionnaire includes 15 questions about the legs and feet. Physical examination includes assessment of the appearance of the feet, Achilles reflex, thumb vibration and monofilament tests. High score indicates increased neuropathy
Ferrans&Powers Quality of Life Index Diabetes Version
Time Frame: May 2023- November 2023
The Quality of Life Assessment Index consists of two parts and a total of 68 items. A high score indicates a good quality of life
Numeric Pain Scale
Time Frame: May 2023- November 2023
The participant is asked to mark a number on a 10 cm scale, on which numbers are shown in the range of "0" (no pain) to "10" (unbearable pain) for the pain. High score indicates increased pain
Mandibular Function Disorder Questionnaire
Time Frame: May 2023- November 2023
This scale evaluating mandibular dysfunction consists of two dimensions and 17 questions.A high total score obtained from the questionnaire indicates a high level of impairment in jaw function.
Fonseca Anamnestic Index
Time Frame: May 2023- November 2023
This scale includes 10 questions. The presence of TMD is accepted in those with a score of 25. High score indicates increased dysfunction.