@Article{, title={Clinical Study to Evaluate the Prevalence of TMD Before and After Delivery of Complete Denture}, author={Jabber Jasim Kareem جبار جاسم كريم}, journal={Tikrit Journal for Dental Sciences مجلة تكريت لعلوم طب الاسنان}, volume={5}, number={1}, pages={98-108}, year={2017}, abstract={Temporomandibular disorder (TMD) is a broad term that encompasses number of clinicalproblems including the temporomandibular joints, the masticatory musculature and relatedstructures, or both. The etiology of TMD is ambiguous since the signs and symptomswhich exist in patients with natural teeth may also being observed in edentulous patients.Thus, TMD is a multifactorial problem with varying symptoms combinations and rates.Relationship between removable complete dentures and tempromandibular joint disorder indifferent gender and age groups. A total of 30 patients (15 female and 15 male) whosubmitted to Prosthodontics Department, College of Dentistry, Al-MustansiriyahUniversity to make a new complete denture. The age of participants ranges from (40-80)years with the mean age (65.8) years. Two clinical examiners conducted the patient’sexamination; the first examiner takes on a questionnaire to identify the TMD symptomssigns and. Clinical examination of the patients was assessed through part I, II of researchdiagnostic criteria pre and post one and two months of applying the prosthesis. The clinicalevaluation of prosthesis done by the second clinical examiner related to (retention, stability,fitness, occlusion and centric relation) was evaluated twice at predetermined intervals of 1and 2 months after construction and delivery of denture.Evaluation performed by using Dawson's bimanual technique and recorded within clinicalcase sheet for complete denture records. The present study shows that the highestfrequency of TMD obtained in age group of 70-80 years old followed by age group of 60-69 years old at all intervals, internal derangement (ID frequency) significantly higher infemales than male patients (p=0.02). There is significant statistical difference regarding theMyofacial pain dysfunction (MPD) frequency according to the time of using the dentures,those patients with Diabetes Mellitus (DM) formed the highest percentage (39.1%) of thosewhom presented with MPD followed by those with Hypertension (HT) (32%) and thosewith history of HT and DM represent (17.4%) onlyThe results also illustrated that prosthesis properties (retention, stability, fitness, occlusionand centric relation) show significant relation with TMDs improvement post one and twomonths. Most patients with complete denture perceived improvement in the sign andsymptoms of TMDs.

} }