DELAYED CONSULTATION OF PATIENTS HAVING TEMPOROMANDIBULAR JOINT ANKYLOSIS WITH AN ORAL AND MAXILLOFACIAL SURGEON – FACTORS RESPONSIBLE FOR IT
DOI:
https://doi.org/10.33279/jkcd.v1i01.437Keywords:
TMJ ankylosis, delayed consultation, General Practitioners, Oral and Maxillofacial Surgeon.Abstract
Objective: To find out the factors responsible for delay in seeking consultation by patients having Temporomandibular joint Ankylosis.
Materials and Methods: All the patients of Temporomandibular joint ankylosis visiting Oral and Maxillofacial Surgery Department at Khyber college of Dentistry Peshawar from 1st January 2009 to 31st December 2009 were included in the study. Patient’s gender, age, address, socio-economic status, educational level of parents, history of disease, health care professional initially contacted and delay in seeking consultation with an Oral and Maxillofacial Surgeon were documented.
Results: Out of 60 patients, 33 were males and 27 were females. Majority of them (86.7%) were from Khyber Pakhtunkhwa with 83.3% having history of previous trauma. 51.7% of the patients initially contacted local practitioners, 10% contacted trained Medical specialists, 15% consulted an Oral and Maxillofacial Surgeon without prior referal while 23.3% did not consult any health professional. Overall, 50 patients were delayed in consultation with an Oral and Maxillofacial Surgeon. The mean delay was 9.1±9.05 years (1-50 years).
Conclusion: Poverty, illiteracy, mis-diagnosis or non-diagnosis of condylar fractures due to lack of trained specialists, improper follow up and the trend of non-referral to the specialized health professionals are the main factors delaying consultation of patients, having TMJ ankylosis, with an Oral and Maxillofacial Surgeon.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2010 Dr. Hifsa Hameed, Prof. Qiam ud Din

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- NonCommercial — You may not use the material for commercial purposes .
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.