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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Diabetes Mellitus | The study group included individuals aged 48-78 (min-max) years, diagnosed with type 2 DM in the treatment units of Harran University Training and Research Hospital. |
| |
| Healthy | Age and sex homogenous healthy individuals without a diagnosis of DM were included in the control group |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Michigan Neuropathy Screening Instrument | Other | A two-step test consisting of symptom questionnaire and physical examination was used. 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Michigan Neuropathy Screening Instrument | 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 | May 2023- November 2023 |
| Numeric Pain Scale | 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 | May 2023- November 2023 |
| Maximum pain-free mouth opening | The maximum pain-free mouth opening was recorded using a 15 cm ruler | May 2023- November 2023 |
| Mandibular Function Disorder Questionnaire | 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. | May 2023- November 2023 |
| Fonseca Anamnestic Index | This scale includes 10 questions. The presence of TMD is accepted in those with a score of 25. High score indicates increased dysfunction. | May 2023- November 2023 |
| Ferrans&Powers Quality of Life Index Diabetes Version | 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 | May 2023- November 2023 |
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Inclusion Criteria:
Exclusion Criteria:
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The study group included individuals aged between 48-78 (min-max) years who were diagnosed with type 2 DM in the treatment units of Harran University Training and Research Hospital, while the control group included age and gender homogeneous healthy individuals without a diagnosis of DM.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Bandirma Onyedi Eylul University | Balıkesir | Bandirma | Turkey (Türkiye) |
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| Numeric Pain Scale | Other | In this simple method, which is frequently used to measure pain intensity in the clinic and whose validity and reliability have been demonstrated, the participant is asked to mark a number on a 10 cm scale with numbers ranging from "0" (no pain) to "10" (unbearable pain) for the pain. |
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| Mandibular Function Disorder Questionnaire | Other | This valid and reliable 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 | Other | This scale, which is valid and reliable as a TMJ disorder assessment tool, includes 10 questions. The presence of TMD is accepted in those with a score of 25. |
|
| Ferrans&Powers Quality of Life Index Diabetes Version | Other | This index consists of two parts and a total of 68 items. A high score indicates a good quality of life. |
|
| ID | Term |
|---|---|
| D003924 | Diabetes Mellitus, Type 2 |
| D003920 | Diabetes Mellitus |
| ID | Term |
|---|---|
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
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