{"id":9050,"date":"2026-10-26T02:12:58","date_gmt":"2026-10-25T23:12:58","guid":{"rendered":"https:\/\/ulubeydental.com\/cene-eklemi-agrisi\/"},"modified":"2026-10-26T03:07:06","modified_gmt":"2026-10-26T00:07:06","slug":"cene-eklemi-agrisi","status":"publish","type":"post","link":"https:\/\/ulubeydental.com\/tr\/cene-eklemi-agrisi\/","title":{"rendered":"\u00c7ene Eklemi A\u011fr\u0131s\u0131 (TMD): Neden Olur, Ne Yap\u0131l\u0131r?"},"content":{"rendered":"\n<style>\n  .ub-clinical-post {\n    font-family: -apple-system, BlinkMacSystemFont, \"Segoe UI\", Roboto, \"Helvetica Neue\", Arial, sans-serif;\n    color: #1e293b;\n    line-height: 1.85;\n    font-size: 17px;\n    max-width: 940px;\n    margin: 0 auto;\n    padding: 10px 0;\n  }\n  .ub-clinical-post p {\n    margin-bottom: 1.6rem;\n    color: #334155;\n  }\n  .ub-clinical-post h2 {\n    color: #0f172a;\n    font-size: 1.8rem;\n    font-weight: 700;\n    margin-top: 3.2rem;\n    margin-bottom: 1.25rem;\n    line-height: 1.3;\n  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border-radius: 8px;\n    text-decoration: none;\n    display: inline-flex;\n    align-items: center;\n    gap: 8px;\n    transition: all 0.2s ease;\n  }\n  .ub-btn-secondary:hover {\n    background-color: rgba(255,255,255,0.2);\n  }\n\n  \/* PROTOCOL STEPS *\/\n  .ub-protocol-steps {\n    list-style: none;\n    padding: 0;\n    counter-reset: step-counter;\n    margin: 2rem 0;\n  }\n  .ub-protocol-steps li {\n    position: relative;\n    padding-left: 58px;\n    margin-bottom: 1.8rem;\n  }\n  .ub-protocol-steps li::before {\n    content: counter(step-counter);\n    counter-increment: step-counter;\n    position: absolute;\n    left: 0;\n    top: 2px;\n    width: 42px;\n    height: 42px;\n    background: #0284c7;\n    color: #ffffff;\n    font-weight: 800;\n    border-radius: 50%;\n    display: flex;\n    align-items: center;\n    justify-content: center;\n    font-size: 1.1rem;\n    box-shadow: 0 2px 4px rgba(2, 132, 199, 0.3);\n  }\n  .ub-protocol-steps h4 {\n    margin: 0 0 6px 0;\n    font-size: 1.15rem;\n    color: #0f172a;\n  }\n\n  \/* FAQS *\/\n  .ub-faq-item {\n    border: 1px solid #e2e8f0;\n    border-radius: 8px;\n    padding: 20px 24px;\n    margin-bottom: 14px;\n    background: #ffffff;\n  }\n  .ub-faq-q {\n    font-weight: 700;\n    color: #0f172a;\n    font-size: 1.08rem;\n    margin-bottom: 8px;\n  }\n  .ub-faq-a {\n    color: #475569;\n    font-size: 0.95rem;\n    line-height: 1.75;\n    margin: 0;\n  }\n\n  \/* REFERENCES *\/\n  .ub-references {\n    background: #f8fafc;\n    border: 1px solid #e2e8f0;\n    border-radius: 8px;\n    padding: 24px 28px;\n    margin-top: 3.5rem;\n    font-size: 0.86rem;\n    color: #64748b;\n  }\n  .ub-references h4 {\n    color: #1e293b;\n    margin: 0 0 14px 0;\n    font-size: 0.95rem;\n    text-transform: uppercase;\n    letter-spacing: 0.05em;\n  }\n  .ub-references ol { margin: 0; padding-left: 20px; }\n  .ub-references li { margin-bottom: 10px; }\n  .ub-references strong { color: #334155; }\n\n  \/* LINKS *\/\n  .ub-internal-link {\n    color: #0284c7;\n    font-weight: 600;\n    text-decoration: underline;\n  }\n  .ub-internal-link:hover { color: #0369a1; }\n  .ub-external-link {\n    color: #475569;\n    text-decoration: underline;\n    font-size: 0.9em;\n  }\n\n  \/* ADDITIONS (CU drafts 2026-10-25) *\/\n  .ub-table caption { caption-side: top; text-align: left; font-weight: 700; color: #0f172a; padding: 12px 18px; font-size: 0.95rem; background: #f8fafc; }\n  .ub-table-note { font-size: 0.84rem; color: #64748b; margin: -1.6rem 0 2rem 0; }\n  .ub-quick-answer { font-size: 1.02rem; color: #14532d; margin: 0 0 6px 0; }\n  @media (max-width: 600px) {\n    .ub-clinical-post { font-size: 16px; }\n    .ub-clinical-post h2 { font-size: 1.45rem; }\n    .ub-toc-list { grid-template-columns: 1fr; }\n    .ub-cta-card { padding: 26px 18px; }\n    .ub-table th, .ub-table td { padding: 10px 12px; }\n  }\n\n  .ub-emergency { border:2px solid #dc2626; background:#fef2f2; border-radius:10px; padding:14px 18px; margin:0 0 1.6rem 0; color:#7f1d1d; }\n<\/style>\n\n<div class=\"ub-clinical-post\">\n\n  <!-- BYLINE. Yaln\u0131z yazar sat\u0131r\u0131; t\u0131bbi i\u00e7erik kontrol\u00fc sat\u0131r\u0131 YOK (rulebook \u00a71.2: REVIEW-LOG.csv'de tarihli sat\u0131r olmadan eklenmez). -->\n  <div class=\"ub-byline-card\">\n    <div>\n      <span class=\"ub-badge\">Belirtiler ve durumlar<\/span>\n      <span class=\"ub-badge ub-badge-gold\">\u00c7ene eklemi (TMD)<\/span>\n    <\/div>\n    <div style=\"margin-top: 12px; line-height: 1.7;\">\n      <strong>Yazar:<\/strong> <a href=\"https:\/\/ulubeydental.com\/tr\/dis-hekimlerimiz\/\" class=\"ub-internal-link\">Di\u015f Hekimi Ali Cem Ulubey<\/a> \u00b7 Ulubey Dental Clinic, Antalya<br>\n      <strong>Son g\u00fcncelleme:<\/strong> 26.10.2026<br>\n      <strong>\u0130\u00e7erik edit\u00f6r\u00fc:<\/strong> Dt. Ali Cem Ulubey \u00b7 <a href=\"mailto:info@ulubeydental.com\">info@ulubeydental.com<\/a>\n    <\/div>\n  <\/div>\n\n  <!-- AC\u0130L DURUM BLO\u011eU (rulebook \u00a73.3 TR, birebir; CTA yok) -->\n  <div class=\"ub-emergency\" role=\"note\">G\u00f6ze veya boyna yay\u0131lan \u015fi\u015flik, nefes alma\/yutma g\u00fc\u00e7l\u00fc\u011f\u00fc, y\u00fcksek ate\u015f veya durmayan kanama acil durumdur: 112&#8217;yi aray\u0131n.<\/div>\n  <p style=\"font-size:0.92rem;color:#64748b;\">Bu sayfa genel bilgilendirmedir; muayenenin yerini tutmaz.<\/p>\n\n  <!-- KISA CEVAP -->\n  <div class=\"ub-ai-summary-box\">\n    <div class=\"ub-ai-summary-header\">K\u0131sa cevap<\/div>\n    <p class=\"ub-quick-answer\">\u00c7ene eklemi (TMJ) a\u011fr\u0131s\u0131 genellikle, \u00e7ene eklemini ve \u00e7i\u011fneme kaslar\u0131n\u0131 etkileyen bir grup durum olan temporomandibular bozukluktan (TMD) kaynaklan\u0131r<sup><a href=\"#kaynak-3\">[3]<\/a><\/sup>. Tipik belirtiler \u00e7ene, kulak ve \u015fakak \u00e7evresinde a\u011fr\u0131, klik veya \u201ct\u0131k\u201d sesi, \u015fakaklarda ba\u015f a\u011fr\u0131s\u0131 ve a\u011fz\u0131 a\u00e7mada g\u00fc\u00e7l\u00fckt\u00fcr<sup><a href=\"#kaynak-1\">[1]<\/a><\/sup>. TMD genellikle ciddi de\u011fildir ve \u00e7o\u011fu zaman kendili\u011finden d\u00fczelir<sup><a href=\"#kaynak-1\">[1]<\/a><\/sup>. Yumu\u015fak yiyecekler, s\u0131cak veya so\u011fuk kompres, \u00e7eneyi dinlendirmek ve re\u00e7etesiz a\u011fr\u0131 kesiciler yard\u0131mc\u0131 olur<sup><a href=\"#kaynak-1\">[1]<\/a><\/sup>; 3 ay veya daha uzun s\u00fcren a\u011fr\u0131da 2023 tarihli bir BMJ k\u0131lavuzu en g\u00fc\u00e7l\u00fc deste\u011fi \u00e7ene egzersizlerine, manuel terapiye ve bili\u015fsel davran\u0131\u015f\u00e7\u0131 terapiye verir<sup><a href=\"#kaynak-2\">[2]<\/a><\/sup>.<\/p>\n    <div class=\"ub-ai-summary-grid\">\n      <div class=\"ub-ai-summary-item\"><strong>Ne kadar s\u0131k?<\/strong><span>TMD d\u00fcnya genelinde yeti\u015fkinlerin %6\u20139&#8217;unu etkiler ve bel a\u011fr\u0131s\u0131ndan sonra en s\u0131k g\u00f6r\u00fclen ikinci kronik kas-iskelet a\u011fr\u0131s\u0131 bozuklu\u011fudur<sup><a href=\"#kaynak-2\">[2]<\/a><\/sup>.<\/span><\/div>\n      <div class=\"ub-ai-summary-item\"><strong>Seyir<\/strong><span>Genellikle ciddi de\u011fildir; \u00e7o\u011fu zaman kendili\u011finden d\u00fczelir<sup><a href=\"#kaynak-1\">[1]<\/a><\/sup>.<\/span><\/div>\n      <div class=\"ub-ai-summary-item\"><strong>En g\u00fc\u00e7l\u00fc kan\u0131t\u0131 olan bak\u0131m<\/strong><span>G\u00f6zetim alt\u0131nda \u00e7ene egzersizi ve germe, manuel terapi, bili\u015fsel davran\u0131\u015f\u00e7\u0131 terapi ve ev egzersizleri, g\u00fcvence verme ve bilgilendirme gibi ola\u011fan bak\u0131m<sup><a href=\"#kaynak-2\">[2]<\/a><\/sup>.<\/span><\/div>\n      <div class=\"ub-ai-summary-item\"><strong>Ka\u00e7\u0131n\u0131lacaklar<\/strong><span>Geri d\u00f6n\u00fc\u015f\u00fc olmayan tedaviler: k\u0131lavuz, kronik TMD a\u011fr\u0131s\u0131nda geri d\u00f6n\u00fc\u015f\u00fc olmayan a\u011f\u0131z i\u00e7i plaklara ve disk \u00e7\u0131karma ameliyat\u0131na (diskektomi) kar\u015f\u0131 g\u00fc\u00e7l\u00fc \u00f6neride bulunur<sup><a href=\"#kaynak-2\">[2]<\/a><\/sup>.<\/span><\/div>\n    <\/div>\n  <\/div>\n  <div class=\"ub-toc-box\">\n    <div class=\"ub-toc-title\">Bu rehberde<\/div>\n    <ul class=\"ub-toc-list\">\n      <li><a href=\"#tmd-nedir\">1. TMD nedir?<\/a><\/li>\n      <li><a href=\"#belirtiler\">2. Belirtiler<\/a><\/li>\n      <li><a href=\"#nedenler\">3. Nedenler<\/a><\/li>\n      <li><a href=\"#uyari-isaretleri\">4. Hekime ba\u015fvurmay\u0131 gerektiren uyar\u0131 i\u015faretleri<\/a><\/li>\n      <li><a href=\"#evde-bakim\">5. Evde yapabilecekleriniz<\/a><\/li>\n      <li><a href=\"#tedavi-kanit\">6. Tedavi: kan\u0131t neyi destekliyor?<\/a><\/li>\n      <li><a href=\"#gece-plagi-ve-splintler\">7. Gece pla\u011f\u0131 ve splintler: d\u00fcr\u00fcst bir bak\u0131\u015f<\/a><\/li>\n      <li><a href=\"#cene-agrisi-mi-dis-agrisi-mi\">8. \u00c7ene a\u011fr\u0131s\u0131 m\u0131, di\u015f a\u011fr\u0131s\u0131 m\u0131?<\/a><\/li>\n      <li><a href=\"#klinigimizde\">9. Klini\u011fimizde \u00e7ene a\u011fr\u0131s\u0131na yakla\u015f\u0131m\u0131m\u0131z<\/a><\/li>\n      <li><a href=\"#sss\">10. S\u0131k sorulan sorular<\/a><\/li>\n      <li><a href=\"#kaynaklar\">11. Kaynaklar<\/a><\/li>\n    <\/ul>\n  <\/div>\n\n  <h2 id=\"tmd-nedir\">TMD nedir?<\/h2>\n  <p>Temporomandibular eklem (TMJ, \u00e7ene eklemi), alt \u00e7eneyi her iki kula\u011f\u0131n hemen \u00f6n\u00fcnde kafatas\u0131na ba\u011flar. Eklem i\u00e7indeki bir disk her eklemi biri kayma, di\u011feri mente\u015fe hareketi i\u00e7in olmak \u00fczere iki b\u00f6l\u00fcme ay\u0131r\u0131r; eklemi d\u00f6rt \u00e7i\u011fneme kas\u0131 hareket ettirir: temporal kas, masseter kas\u0131, medial pterigoid ve lateral pterigoid<sup><a href=\"#kaynak-3\">[3]<\/a><\/sup>.<\/p>\n  <!-- IMAGE SLOT (designer, T-748 TR version): cene-eklemi-ve-cigneme-kaslari.svg \u00b7 alt=\"Kafatas\u0131n\u0131n yandan g\u00f6r\u00fcn\u00fcm\u00fc: kula\u011f\u0131n \u00f6n\u00fcndeki \u00e7ene eklemi, eklem diski, temporal kas, masseter kas\u0131 ve a\u011fr\u0131 b\u00f6lgeleri\" \u00b7 caption: Temsili \u00e7izim, \u00f6l\u00e7ekli de\u011fildir; hasta g\u00f6r\u00fcnt\u00fcs\u00fc de\u011fildir. Temporomandibular eklem, diski ve d\u00f6rt \u00e7i\u011fneme kas\u0131ndan ikisi. TMD a\u011fr\u0131s\u0131 \u00e7o\u011fu zaman \u00e7ene, kulak ve \u015fakak \u00e7evresinde hissedilir. \u00b7 note: G\u00d6RSEL YUVASI: EN tmj-jaw-joint-and-chewing-muscles.svg metinleri \u0130ngilizce \u2192 designer TR etiketli kopya \u00fcretir. \u00b7 enable after upload: <figure class=\"wp-block-image size-full ud-diagram\"><img src=\"SRC\" width=\"640\" height=\"820\" loading=\"lazy\" decoding=\"async\" alt=\"Kafatas\u0131n\u0131n yandan g\u00f6r\u00fcn\u00fcm\u00fc: kula\u011f\u0131n \u00f6n\u00fcndeki \u00e7ene eklemi, eklem diski, temporal kas, masseter kas\u0131 ve a\u011fr\u0131 b\u00f6lgeleri\" style=\"width:100%;max-width:640px;height:auto\"><figcaption class=\"wp-element-caption\">Temsili \u00e7izim, \u00f6l\u00e7ekli de\u011fildir; hasta g\u00f6r\u00fcnt\u00fcs\u00fc de\u011fildir. Temporomandibular eklem, diski ve d\u00f6rt \u00e7i\u011fneme kas\u0131ndan ikisi. TMD a\u011fr\u0131s\u0131 \u00e7o\u011fu zaman \u00e7ene, kulak ve \u015fakak \u00e7evresinde hissedilir.<\/figcaption><\/figure> -->\n  <p>Temporomandibular bozukluk (TMD), bu b\u00f6lgedeki bir grup durumdur ve \u00e7i\u011fneme kaslar\u0131n\u0131 etkileyenler ile eklemin kendisini etkileyenler olarak ikiye ayr\u0131l\u0131r. Tipik \u00f6zellikleri eklem a\u011fr\u0131s\u0131, k\u0131s\u0131tl\u0131 \u00e7ene hareketi ve eklem sesleridir<sup><a href=\"#kaynak-3\">[3]<\/a><\/sup>. &#8220;TMJ&#8221; s\u0131kl\u0131kla rahats\u0131zl\u0131\u011f\u0131n ad\u0131 olarak kullan\u0131l\u0131r; ancak asl\u0131nda eklemin ad\u0131d\u0131r.<\/p>\n\n  <h2 id=\"belirtiler\">Belirtiler<\/h2>\n  <p>NHS, TMD&#8217;nin belirtilerini \u015f\u00f6yle s\u0131ralar<sup><a href=\"#kaynak-1\">[1]<\/a><\/sup>:<\/p>\n  <ul>\n    <li>\u00e7ene, kulak ve \u015fakak \u00e7evresinde a\u011fr\u0131;<\/li>\n    <li>\u00e7eneyi hareket ettirirken klik, \u201ct\u0131k\u201d veya g\u0131c\u0131rt\u0131 sesleri;<\/li>\n    <li>\u015fakaklar \u00e7evresinde ba\u015f a\u011fr\u0131s\u0131;<\/li>\n    <li>a\u011fz\u0131 tam a\u00e7mada g\u00fc\u00e7l\u00fck;<\/li>\n    <li>a\u011fz\u0131 a\u00e7arken \u00e7enenin kilitlenmesi.<\/li>\n  <\/ul>\n  <p>A\u011fr\u0131 \u00e7i\u011fnerken ve stresli hissetti\u011finizde artabilir; TMD uykuyu da bozabilir<sup><a href=\"#kaynak-1\">[1]<\/a><\/sup>. BMJ k\u0131lavuzu bunlara kulak a\u011fr\u0131s\u0131n\u0131, eklemde \u00e7\u0131t\u0131rt\u0131 seslerini ve \u00e7ene i\u015flevinin bozulmas\u0131n\u0131 ekler<sup><a href=\"#kaynak-2\">[2]<\/a><\/sup>.<\/p>\n\n  <h2 id=\"nedenler\">Nedenler<\/h2>\n  <p>NHS&#8217;ye g\u00f6re TMD&#8217;ye \u015funlar yol a\u00e7abilir<sup><a href=\"#kaynak-1\">[1]<\/a><\/sup>:<\/p>\n  <ul>\n    <li><strong>di\u015f g\u0131c\u0131rdatma<\/strong> (bruksizm);<\/li>\n    <li>eklemin <strong>y\u0131pranmas\u0131<\/strong>;<\/li>\n    <li>ba\u015fa veya y\u00fcze <strong>darbe<\/strong>;<\/li>\n    <li><strong>stres<\/strong>;<\/li>\n    <li><strong>d\u00fczensiz bir kapan\u0131\u015f<\/strong>.<\/li>\n  <\/ul>\n  <p>Uluslararas\u0131 bir uzla\u015f\u0131 raporu bruksizmi, uykuda veya uyan\u0131kken di\u015flerin s\u0131k\u0131lmas\u0131 veya g\u0131c\u0131rdat\u0131lmas\u0131 ve\/veya alt \u00e7enenin kas\u0131lmas\u0131 ya da itilmesiyle seyreden tekrarlayan \u00e7ene kas\u0131 aktivitesi olarak tan\u0131mlar<sup><a href=\"#kaynak-4\">[4]<\/a><\/sup>. A\u015f\u0131nm\u0131\u015f veya kenar\u0131 k\u0131r\u0131lm\u0131\u015f di\u015fler ve sabahlar\u0131 yorgun \u00e7ene kaslar\u0131, di\u015f hekiminin arad\u0131\u011f\u0131 i\u015faretlerdendir.<\/p>\n  <!-- link \u2192 bruksizm rehberi (N-S08 TR) yay\u0131na girince; master-v3: N-S09 \u2194 N-S08 kar\u015f\u0131l\u0131kl\u0131 birer ba\u011flant\u0131. EN'deki g\u00f6r\u00fcn\u00fcr c\u00fcmle TR'de bu sayfa yokken eklenmedi. -->\n\n  <h2 id=\"uyari-isaretleri\">Hekime ba\u015fvurmay\u0131 gerektiren uyar\u0131 i\u015faretleri<\/h2>\n  <p>\u00c7ene a\u011fr\u0131s\u0131n\u0131n \u00e7o\u011fu TMD&#8217;dir; ancak baz\u0131 belirtiler k\u0131sa s\u00fcrede t\u0131bbi de\u011ferlendirme gerektirir. NHS, \u015fu durumlarda k\u0131sa s\u00fcrede bir hekime ba\u015fvurulmas\u0131n\u0131 \u00f6nerir<sup><a href=\"#kaynak-1\">[1]<\/a><\/sup>:<\/p>\n  <ul>\n    <li>yiyip i\u00e7emiyorsan\u0131z;<\/li>\n    <li>\u00e7eneyi hareket ettirirken klik, \u201ct\u0131k\u201d veya g\u0131c\u0131rt\u0131 sesleri varsa;<\/li>\n    <li>a\u011fz\u0131n\u0131z\u0131 tam a\u00e7makta g\u00fc\u00e7l\u00fck \u00e7ekiyorsan\u0131z ya da \u00e7eneniz kilitleniyorsa;<\/li>\n    <li>\u00e7enenizin, kula\u011f\u0131n\u0131z\u0131n veya ba\u015f\u0131n\u0131z\u0131n yan taraf\u0131n\u0131n \u00e7evresinde a\u011fr\u0131 varsa;<\/li>\n    <li>s\u0131k ve \u015fiddetli ba\u015f a\u011fr\u0131lar\u0131n\u0131z varsa;<\/li>\n    <li>ba\u015f\u0131n\u0131z\u0131n yan\u0131nda veya sa\u00e7l\u0131 deride a\u011fr\u0131 ya da hassasiyet varsa;<\/li>\n    <li>bir veya iki g\u00f6zde \u00e7ift g\u00f6rme ya da g\u00f6rme kayb\u0131 gibi g\u00f6rme sorunlar\u0131n\u0131z varsa.<\/li>\n  <\/ul>\n  <div class=\"ub-callout-box\">\n    <div class=\"ub-callout-title\">\u00c7ene a\u011fr\u0131s\u0131 de\u011fil: acil numaray\u0131 aray\u0131n<\/div>\n    <p>G\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131, nefes darl\u0131\u011f\u0131, ani g\u00fc\u00e7s\u00fczl\u00fck veya yay\u0131lan bir \u015fi\u015flikle birlikte gelen \u00e7ene ya da y\u00fcz a\u011fr\u0131s\u0131 evde ge\u00e7irilecek bir durum de\u011fildir: 112&#8217;yi aray\u0131n.<\/p>\n  <\/div>\n\n  <h2 id=\"evde-bakim\">Evde yapabilecekleriniz<\/h2>\n  <p>TMD genellikle tedavi olmadan d\u00fczelir; \u015fu ad\u0131mlar belirtileri hafifletir<sup><a href=\"#kaynak-1\">[1]<\/a><\/sup>:<\/p>\n  <ul>\n    <li><strong>Yumu\u015fak yiyecekler yiyin:<\/strong> makarna, omlet ve \u00e7orba gibi.<\/li>\n    <li><strong>Re\u00e7etesiz a\u011fr\u0131 kesici:<\/strong> hekiminiz veya eczac\u0131n\u0131z aksini s\u00f6ylemediyse parasetamol veya ibuprofen gibi bir a\u011fr\u0131 kesiciyi kutusunda yazd\u0131\u011f\u0131 \u015fekilde kullan\u0131n.<\/li>\n    <li><strong>S\u0131cak veya so\u011fuk:<\/strong> bir buz torbas\u0131 ya da s\u0131cak kompres, hangisi iyi geliyorsa, bir havluya sar\u0131larak. Dondurulmu\u015f bezelye paketini bir seferde en fazla 5 dakika, s\u0131cak su torbas\u0131n\u0131 ise g\u00fcnde iki kez 15\u201320 dakika kullan\u0131n.<\/li>\n    <li>A\u011fr\u0131yan \u00e7ene kaslar\u0131na <strong>masaj yap\u0131n<\/strong>.<\/li>\n    <li><strong>Rahatlaman\u0131n yollar\u0131n\u0131 bulun.<\/strong><\/li>\n  <\/ul>\n  <p>\u015eunlardan ka\u00e7\u0131n\u0131n<sup><a href=\"#kaynak-1\">[1]<\/a><\/sup>:<\/p>\n  <ul>\n    <li>sak\u0131z veya kalem ucu \u00e7i\u011fnemek;<\/li>\n    <li>yiyecekleri \u00f6n di\u015flerinizle \u0131s\u0131rmak;<\/li>\n    <li>a\u011fz\u0131n\u0131z\u0131 \u00e7ok a\u00e7arak esnemek;<\/li>\n    <li>t\u0131rnak yemek;<\/li>\n    <li>di\u015flerinizi s\u0131kmak: yemek yerken d\u0131\u015f\u0131nda di\u015fleriniz birbirine de\u011fmemelidir.<\/li>\n  <\/ul>\n\n  <h2 id=\"tedavi-kanit\">Tedavi: kan\u0131t neyi destekliyor?<\/h2>\n  <p>2023&#8217;te uluslararas\u0131 bir panel, kronik TMD a\u011fr\u0131s\u0131, yani 3 ay veya daha uzun s\u00fcren a\u011fr\u0131 i\u00e7in <em>The BMJ<\/em>&#8216;de bir k\u0131lavuz yay\u0131mlam\u0131\u015ft\u0131r; k\u0131lavuz yeni ba\u015flam\u0131\u015f, akut \u00e7ene a\u011fr\u0131s\u0131 i\u00e7in ge\u00e7erli de\u011fildir<sup><a href=\"#kaynak-2\">[2]<\/a><\/sup>. Panel, plasebo veya sahte (sham) tedaviyle kar\u015f\u0131la\u015ft\u0131rarak \u015fu \u00f6nerileri yapm\u0131\u015ft\u0131r<sup><a href=\"#kaynak-2\">[2]<\/a><\/sup>:<\/p>\n  <!-- IMAGE SLOT (designer, T-748 TR version): cene-eklemi-bmj-2023-kilavuz.svg \u00b7 alt=\"Kronik TMD a\u011fr\u0131s\u0131 i\u00e7in BMJ 2023 \u00f6nerilerinin d\u00f6rt bantl\u0131 grafi\u011fi: g\u00fc\u00e7l\u00fc lehte \u00f6nerilerden g\u00fc\u00e7l\u00fc aleyhte \u00f6nerilere\" \u00b7 caption: Temsili grafik. Kronik TMD a\u011fr\u0131s\u0131 (3 ay veya daha uzun) i\u00e7in plasebo veya sahte tedaviye kar\u015f\u0131 se\u00e7ilmi\u015f \u00f6neriler. Kaynak: Busse ve ark., BMJ 2023. \u00b7 note: G\u00d6RSEL YUVASI: EN tmj-bmj-2023-guideline-chronic-tmd.svg metinleri \u0130ngilizce \u2192 designer TR etiketli kopya \u00fcretir. \u00b7 enable after upload: <figure class=\"wp-block-image size-full ud-diagram\"><img src=\"SRC\" width=\"640\" height=\"848\" loading=\"lazy\" decoding=\"async\" alt=\"Kronik TMD a\u011fr\u0131s\u0131 i\u00e7in BMJ 2023 \u00f6nerilerinin d\u00f6rt bantl\u0131 grafi\u011fi: g\u00fc\u00e7l\u00fc lehte \u00f6nerilerden g\u00fc\u00e7l\u00fc aleyhte \u00f6nerilere\" style=\"width:100%;max-width:640px;height:auto\"><figcaption class=\"wp-element-caption\">Temsili grafik. Kronik TMD a\u011fr\u0131s\u0131 (3 ay veya daha uzun) i\u00e7in plasebo veya sahte tedaviye kar\u015f\u0131 se\u00e7ilmi\u015f \u00f6neriler. Kaynak: Busse ve ark., BMJ 2023.<\/figcaption><\/figure> -->\n  <div class=\"ub-table-wrapper\" id=\"tmd-tedavi-kanit-tablosu\">\n    <table class=\"ub-table\">\n      <caption>Kronik TMD a\u011fr\u0131s\u0131 i\u00e7in BMJ 2023 k\u0131lavuz \u00f6nerileri (se\u00e7ilmi\u015f)<\/caption>\n      <thead>\n        <tr><th scope=\"col\">\u00d6neri g\u00fcc\u00fc<\/th><th scope=\"col\">Tedaviler<\/th><\/tr>\n      <\/thead>\n      <tbody>\n        <tr><th scope=\"row\" class=\"ub-highlight\">G\u00fc\u00e7l\u00fc, lehte<\/th><td>Bili\u015fsel davran\u0131\u015f\u00e7\u0131 terapi (biyolojik geri bildirim veya gev\u015feme e\u011fitimiyle ya da onlars\u0131z), terapist e\u015fli\u011finde mobilizasyon, manuel tetik nokta terapisi, g\u00f6zetim alt\u0131nda post\u00fcr egzersizi, g\u00f6zetim alt\u0131nda \u00e7ene egzersizi ve germe; ev egzersizleri, germe, g\u00fcvence verme ve bilgilendirme gibi ola\u011fan bak\u0131m<sup><a href=\"#kaynak-2\">[2]<\/a><\/sup><\/td><\/tr>\n        <tr><th scope=\"row\" class=\"ub-highlight\">Ko\u015fullu, lehte<\/th><td>Manip\u00fclasyon, mobilizasyonla birlikte g\u00f6zetim alt\u0131nda \u00e7ene egzersizi, iltihap giderici a\u011fr\u0131 kesicilerle (NSA\u0130\u0130) birlikte bili\u015fsel davran\u0131\u015f\u00e7\u0131 terapi, post\u00fcr egzersiziyle birlikte manip\u00fclasyon ve akupunktur<sup><a href=\"#kaynak-2\">[2]<\/a><\/sup><\/td><\/tr>\n        <tr><th scope=\"row\" class=\"ub-highlight\">Ko\u015fullu, aleyhte<\/th><td>Di\u011ferlerinin yan\u0131 s\u0131ra: geri d\u00f6n\u00fc\u015fl\u00fc okl\u00fczal splintler (tek ba\u015f\u0131na veya ba\u015fka tedavilerle birlikte), artrosentez, \u00e7e\u015fitli enjeksiyonlar, cilt \u00fczerinden elektriksel sinir uyar\u0131m\u0131 (TENS), gabapentin ve benzodiazepinler<sup><a href=\"#kaynak-2\">[2]<\/a><\/sup><\/td><\/tr>\n        <tr><th scope=\"row\" class=\"ub-highlight\">G\u00fc\u00e7l\u00fc, aleyhte<\/th><td>Geri d\u00f6n\u00fc\u015f\u00fc olmayan a\u011f\u0131z i\u00e7i plaklar, disk \u00e7\u0131karma ameliyat\u0131 (diskektomi) ve opioidlerle birlikte NSA\u0130\u0130<sup><a href=\"#kaynak-2\">[2]<\/a><\/sup><\/td><\/tr>\n      <\/tbody>\n    <\/table>\n  <\/div>\n  <p class=\"ub-table-note\">Kaynak: Busse ve ark., BMJ 2023 [2]. Panel ortak karar vermeyi vurgular: \u00f6nce g\u00fc\u00e7l\u00fc olarak \u00f6nerilen se\u00e7eneklerle ba\u015flan\u0131r, ard\u0131ndan ko\u015fullu olarak \u00f6nerilenlere ge\u00e7ilir<sup><a href=\"#kaynak-2\">[2]<\/a><\/sup>.<\/p>\n  <p>NHS de benzer bir yol tarif eder: hekim daha g\u00fc\u00e7l\u00fc a\u011fr\u0131 kesiciler, gev\u015feme ve daha iyi uyku \u00f6nerebilir; di\u015f g\u0131c\u0131rdatma s\u00f6z konusuysa di\u015f hekimine, stres ve kayg\u0131 a\u011fr\u0131y\u0131 art\u0131r\u0131yorsa psikolo\u011fa, \u00e7ene egzersizleri ve masaj i\u00e7in fizyoterapiste y\u00f6nlendirebilir. Enjeksiyon veya cerrahi gibi ileri se\u00e7enekler ancak bunlar i\u015fe yaramazsa d\u00fc\u015f\u00fcn\u00fcl\u00fcr<sup><a href=\"#kaynak-1\">[1]<\/a><\/sup>.<\/p>\n\n  <h2 id=\"gece-plagi-ve-splintler\">Gece pla\u011f\u0131 ve splintler: d\u00fcr\u00fcst bir bak\u0131\u015f<\/h2>\n  <p>Pek \u00e7ok hasta bir splintin \u00e7ene a\u011fr\u0131s\u0131n\u0131 iyile\u015ftirmesini bekler. BMJ k\u0131lavuzu, kronik TMD a\u011fr\u0131s\u0131nda geri d\u00f6n\u00fc\u015fl\u00fc okl\u00fczal splintlere kar\u015f\u0131 ko\u015fullu bir \u00f6neride bulunur<sup><a href=\"#kaynak-2\">[2]<\/a><\/sup>. Kapan\u0131\u015f\u0131 kal\u0131c\u0131 olarak de\u011fi\u015ftiren geri d\u00f6n\u00fc\u015f\u00fc olmayan splintlere kar\u015f\u0131 ise g\u00fc\u00e7l\u00fc bir \u00f6neride bulunur<sup><a href=\"#kaynak-2\">[2]<\/a><\/sup>.<\/p>\n  <p>Di\u015f s\u0131kma veya g\u0131c\u0131rdatma i\u015fin i\u00e7indeyse gece pla\u011f\u0131n\u0131n yine a\u00e7\u0131k bir rol\u00fc vard\u0131r: di\u015fleri ve varsa kaplama, k\u00f6pr\u00fc veya laminalar\u0131 a\u015f\u0131nmaya ve k\u0131r\u0131lmaya kar\u015f\u0131 korur. Bu y\u00fczden gece pla\u011f\u0131n\u0131 TMD&#8217;yi iyile\u015ftirece\u011fi vaadiyle de\u011fil, esas olarak koruma amac\u0131yla ve a\u011fr\u0131 i\u00e7in egzersiz ve evde bak\u0131mla birlikte kullan\u0131r\u0131z. Di\u015f s\u0131kma veya g\u0131c\u0131rdatma (bruksizm) nedeniyle olu\u015fan k\u0131r\u0131lmalar kron ve k\u00f6pr\u00fc garantilerinin d\u0131\u015f\u0131ndad\u0131r; di\u015flerini s\u0131kan veya g\u0131c\u0131rdatan hastalar\u0131m\u0131z, verdi\u011fimiz gece pla\u011f\u0131n\u0131 kullanmal\u0131d\u0131r.<\/p>\n\n  <h2 id=\"cene-agrisi-mi-dis-agrisi-mi\">\u00c7ene a\u011fr\u0131s\u0131 m\u0131, di\u015f a\u011fr\u0131s\u0131 m\u0131?<\/h2>\n  <p>Di\u015f g\u0131c\u0131rdatma ayn\u0131 anda birka\u00e7 di\u015fte a\u011fr\u0131 yapabilir; bir di\u015f sorunu da \u00e7ene a\u011fr\u0131s\u0131 gibi hissedilebilir. NHS, di\u015f g\u0131c\u0131rdatmay\u0131 di\u015f a\u011fr\u0131s\u0131n\u0131n nedenleri aras\u0131nda sayar<sup><a href=\"#kaynak-5\">[5]<\/a><\/sup>. Di\u015f hekimi ikisini di\u015fleri muayene ederek, \u015f\u00fcpheli di\u015fleri test ederek, \u00e7ene kaslar\u0131n\u0131 ve eklemi kontrol ederek ve r\u00f6ntgen \u00e7ekerek ay\u0131rt eder. Kaynak tek bir di\u015fse tedavi \u00e7eneye de\u011fil, o di\u015fe y\u00f6neliktir.<\/p>\n  <!-- link \u2192 di\u015f a\u011fr\u0131s\u0131 rehberi (N-S01 TR) yay\u0131na girince -->\n\n  <h2 id=\"klinigimizde\">Klini\u011fimizde \u00e7ene a\u011fr\u0131s\u0131na yakla\u015f\u0131m\u0131m\u0131z<\/h2>\n  <p>\u0130ki di\u015f hekimimiz, Di\u015f Hekimi Ali Cem Ulubey ve Di\u015f Hekimi Surur Ulubey, hastalar\u0131n\u0131 bizzat muayene eder ve tedavi eder; tedavinizi iki hekim bizzat planlar, yapar ve takip eder; tedavi a\u015famalar\u0131 aras\u0131nda vakan\u0131z ba\u015fka bir hekime devredilmez.<\/p>\n  <ul>\n    <li><strong>Muayene:<\/strong> di\u015fler, kapan\u0131\u015f, a\u015f\u0131nma izleri, \u00e7ene kaslar\u0131 ve eklem hareketi; di\u015f sorunlar\u0131 g\u00f6zden ka\u00e7mas\u0131n diye her hastam\u0131za panoramik r\u00f6ntgen.<\/li>\n    <li><strong>\u00c7ene egzersizleri:<\/strong> yukar\u0131daki evde bak\u0131m ad\u0131mlar\u0131yla birlikte \u00e7ene egzersizlerini klinikte anlat\u0131r ve g\u00f6steririz.<\/li>\n    <li><strong>Gece pla\u011f\u0131 veya okl\u00fczal splint:<\/strong> di\u015f s\u0131kma veya g\u0131c\u0131rdatma s\u00f6z konusuysa klinikte haz\u0131rlan\u0131r. Sert bir plakt\u0131r; acil durumlarda 2\u20133 saat i\u00e7inde haz\u0131r olabilir.<\/li>\n    <li><strong>Y\u00f6nlendirme:<\/strong> ileri veya ge\u00e7meyen vakalar fizyoterapiye y\u00f6nlendirilir. Yukar\u0131daki uyar\u0131 i\u015faretleri listesindeki belirtiler i\u00e7in bir hekime y\u00f6nlendiririz.<\/li>\n  <\/ul>\n  <p>\u00dccret, muayene ve r\u00f6ntgen sonras\u0131, tedaviden \u00f6nce yaz\u0131l\u0131 olarak bildirilir. Klini\u011fimizdeki di\u011fer tedaviler <a href=\"https:\/\/ulubeydental.com\/tr\/genel-dis-hekimligi\/\" class=\"ub-internal-link\">genel di\u015f hekimli\u011fi<\/a> sayfam\u0131zda yer al\u0131r.<\/p>\n\n  <h2 id=\"sss\">S\u0131k sorulan sorular<\/h2>\n  <div class=\"ub-faq-item\">\n    <h3 class=\"ub-faq-q\">\u00c7ene eklemi a\u011fr\u0131s\u0131 kendili\u011finden ge\u00e7er mi?<\/h3>\n    <p class=\"ub-faq-a\">\u00c7o\u011fu zaman evet. NHS, temporomandibular bozuklu\u011fun genellikle ciddi olmad\u0131\u011f\u0131n\u0131 ve \u00e7o\u011fu zaman kendili\u011finden d\u00fczeldi\u011fini belirtir. Bu s\u0131rada yumu\u015fak yiyecekler, s\u0131cak veya so\u011fuk kompres, hafif masaj, rahatlama ve sak\u0131z, t\u0131rnak yeme ve geni\u015f esnemeden ka\u00e7\u0131nmak yard\u0131mc\u0131 olur. A\u011fr\u0131 haftalarca s\u00fcr\u00fcyor, s\u0131k s\u0131k tekrarl\u0131yor veya yemek yemenizi k\u0131s\u0131tl\u0131yorsa de\u011ferlendirme yapt\u0131r\u0131n.<\/p>\n  <\/div>\n  <div class=\"ub-faq-item\">\n    <h3 class=\"ub-faq-q\">\u00c7ene eklemi a\u011fr\u0131s\u0131nda hangi tedaviler \u00f6nerilir?<\/h3>\n    <p class=\"ub-faq-a\">3 ay veya daha uzun s\u00fcren a\u011fr\u0131 i\u00e7in 2023 tarihli bir BMJ k\u0131lavuzu; g\u00f6zetim alt\u0131nda \u00e7ene egzersizi ve germe, manuel terapi, post\u00fcr egzersizi, bili\u015fsel davran\u0131\u015f\u00e7\u0131 terapi ve ev egzersizleri ile bilgilendirme gibi ola\u011fan bak\u0131m i\u00e7in g\u00fc\u00e7l\u00fc \u00f6neride bulunmu\u015ftur. Kapan\u0131\u015f\u0131 kal\u0131c\u0131 olarak de\u011fi\u015ftiren i\u015flemler ve disk \u00e7\u0131karma ameliyat\u0131 gibi geri d\u00f6n\u00fc\u015f\u00fc olmayan tedavilere kar\u015f\u0131 \u00f6neride bulunmu\u015ftur. Do\u011fru kombinasyon vakan\u0131za ba\u011fl\u0131d\u0131r.<\/p>\n  <\/div>\n  <div class=\"ub-faq-item\">\n    <h3 class=\"ub-faq-q\">Gece pla\u011f\u0131 \u00e7ene a\u011fr\u0131s\u0131na iyi gelir mi?<\/h3>\n    <p class=\"ub-faq-a\">Gece pla\u011f\u0131, di\u015flerinizi s\u0131k\u0131yor veya g\u0131c\u0131rdat\u0131yorsan\u0131z di\u015fleri ve restorasyonlar\u0131 korur. Kronik \u00e7ene a\u011fr\u0131s\u0131n\u0131n kendisi i\u00e7in ise 2023 BMJ k\u0131lavuzu geri d\u00f6n\u00fc\u015fl\u00fc okl\u00fczal splintlere kar\u015f\u0131 ko\u015fullu bir \u00f6neride bulunmu\u015ftur. Bu y\u00fczden pla\u011f\u0131, di\u015f g\u0131c\u0131rdatma s\u00f6z konusu oldu\u011funda esas olarak koruma amac\u0131yla, \u00e7ene egzersizleri ve evde bak\u0131mla birlikte kullan\u0131r\u0131z; tek ba\u015f\u0131na bir splintin TMD&#8217;yi iyile\u015ftirece\u011fini vaat etmeyiz.<\/p>\n  <\/div>\n  <div class=\"ub-faq-item\">\n    <h3 class=\"ub-faq-q\">\u00c7enemin klik yapmas\u0131 tehlikeli mi?<\/h3>\n    <p class=\"ub-faq-a\">Klik veya \u201ct\u0131k\u201d sesi, genellikle ciddi olmayan TMD&#8217;nin s\u0131k g\u00f6r\u00fclen belirtilerinden biridir. Yine de NHS, \u00e7ene seslerini; kilitlenme, a\u011fz\u0131 a\u00e7mada g\u00fc\u00e7l\u00fck, s\u0131k ve \u015fiddetli ba\u015f a\u011fr\u0131s\u0131, sa\u00e7l\u0131 deride hassasiyet ve g\u00f6rme sorunlar\u0131yla birlikte k\u0131sa s\u00fcrede hekime ba\u015fvurma nedenleri aras\u0131nda sayar. Tahmin etmek yerine kontrol ettirin.<\/p>\n  <\/div>\n  <div class=\"ub-faq-item\">\n    <h3 class=\"ub-faq-q\">Stres \u00e7ene a\u011fr\u0131s\u0131 yapar m\u0131?<\/h3>\n    <p class=\"ub-faq-a\">Evet, katk\u0131da bulunabilir. NHS stresi TMD&#8217;nin nedenleri aras\u0131nda sayar ve stresli hissetti\u011finizde a\u011fr\u0131n\u0131n artabilece\u011fini belirtir. Stres alt\u0131nda g\u00fcnd\u00fcz di\u015f s\u0131kma veya gece di\u015f g\u0131c\u0131rdatma s\u0131kt\u0131r. Rahatlama, yemek yerken d\u0131\u015f\u0131nda di\u015fleri birbirinden uzak tutmak ve ge\u00e7meyen a\u011fr\u0131 i\u00e7in bili\u015fsel davran\u0131\u015f\u00e7\u0131 terapi desteklenen se\u00e7eneklerdir.<\/p>\n  <\/div>\n  <div class=\"ub-faq-item\">\n    <h3 class=\"ub-faq-q\">\u00c7ene eklemi a\u011fr\u0131s\u0131nda di\u015f hekimi yard\u0131mc\u0131 olabilir mi?<\/h3>\n    <p class=\"ub-faq-a\">Evet. Di\u015f hekimi a\u011fr\u0131n\u0131n arkas\u0131nda bir di\u015f sorunu olup olmad\u0131\u011f\u0131n\u0131 kontrol eder, di\u015f g\u0131c\u0131rdatma belirtilerini arar, \u00e7ene egzersizlerini anlatabilir ve di\u015f g\u0131c\u0131rdatma s\u00f6z konusuysa gece pla\u011f\u0131 haz\u0131rlayabilir. Klini\u011fimizde ileri veya ge\u00e7meyen vakalar fizyoterapiye, ba\u015fka bir t\u0131bbi nedeni d\u00fc\u015f\u00fcnd\u00fcren belirtiler ise bir hekime y\u00f6nlendirilir.<\/p>\n  <\/div>\n\n  <!-- CTA: acil olmayan randevu; acil durum blo\u011fundan ayr\u0131 (rulebook \u00a73.3). -->\n  <div class=\"ub-cta-card\">\n    <div class=\"ub-cta-title\">Acil olmayan randevu<\/div>\n    <div class=\"ub-cta-desc\">Kontrol i\u00e7in WhatsApp&#8217;tan foto\u011fraf veya r\u00f6ntgen g\u00f6nderebilir ya da Pazartesi\u2013Cumartesi 09:00\u201319:00 aras\u0131nda klini\u011fimize gelebilirsiniz. Mesajlar genellikle 4 saat i\u00e7inde yan\u0131tlan\u0131r; pazar g\u00fcn\u00fc klinik kapal\u0131d\u0131r ve WhatsApp yaln\u0131zca acil durumlar i\u00e7indir. A\u011fr\u0131 veya \u015fi\u015flik i\u00e7in <a href=\"https:\/\/ulubeydental.com\/tr\/antalya-acil-dis-hekimi\/\" class=\"ub-internal-link\">Antalya&#8217;da acil di\u015f hekimi<\/a> sayfam\u0131za bak\u0131n. Kesin tan\u0131 ve tedavi plan\u0131 muayene ve r\u00f6ntgen sonras\u0131nda netle\u015fir.<br><small>\u00c7a\u011flayan Mh., Bar\u0131naklar Blv., \u00d6zen 2 Apt. No: 109A, Muratpa\u015fa\/Antalya (Lara b\u00f6lgesi) \u00b7 Otopark imk\u00e2n\u0131 mevcuttur. \u00b7 Pazartesi\u2013Cumartesi 09:00\u201319:00<\/small><\/div>\n    <div class=\"ub-cta-actions\">\n      <a href=\"https:\/\/wa.me\/905403240004?text=Merhaba%2C%20%C3%A7ene%20a%C4%9Fr%C4%B1m%20i%C3%A7in%20kontrol%20istiyorum.\" class=\"ub-btn-whatsapp\" target=\"_blank\" rel=\"noopener noreferrer\">WhatsApp&#8217;tan yaz\u0131n (+90 540 324 00 04)<\/a>\n      <a href=\"tel:+905403240004\" class=\"ub-btn-secondary\">Bizi aray\u0131n: +90 540 324 00 04<\/a>\n    <\/div>\n  <\/div>\n\n  <div class=\"ub-references\" id=\"kaynaklar\">\n    <h4>Kaynaklar (\u0130ngilizce)<\/h4>\n    <ol>\n      <li id=\"kaynak-1\"><strong>NHS.<\/strong> Temporomandibular disorder (TMD) (son inceleme 20 Haziran 2023; eri\u015fim 25 Ekim 2026). <a href=\"https:\/\/www.nhs.uk\/conditions\/temporomandibular-disorder-tmd\/\" class=\"ub-external-link\" target=\"_blank\" rel=\"noopener\">www.nhs.uk\/conditions\/temporomandibular-disorder-tmd<\/a><\/li>\n      <li id=\"kaynak-2\"><strong>Busse JW, Casassus R, Carrasco-Labra A, et al.<\/strong> Management of chronic pain associated with temporomandibular disorders: a clinical practice guideline. <em>BMJ<\/em>. 2023;383:e076227. PMID 38101929. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/38101929\/\" class=\"ub-external-link\" target=\"_blank\" rel=\"noopener\">pubmed.ncbi.nlm.nih.gov\/38101929<\/a><\/li>\n      <li id=\"kaynak-3\"><strong>Maini K, Dua A.<\/strong> Temporomandibular syndrome. In: <em>StatPearls<\/em>. Treasure Island (FL): StatPearls Publishing; g\u00fcncelleme 30 Ocak 2023. PMID 31869076. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/31869076\/\" class=\"ub-external-link\" target=\"_blank\" rel=\"noopener\">pubmed.ncbi.nlm.nih.gov\/31869076<\/a><\/li>\n      <li id=\"kaynak-4\"><strong>Lobbezoo F, Ahlberg J, Raphael KG, et al.<\/strong> International consensus on the assessment of bruxism: report of a work in progress. <em>J Oral Rehabil<\/em>. 2018;45(11):837-844. PMID 29926505. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29926505\/\" class=\"ub-external-link\" target=\"_blank\" rel=\"noopener\">pubmed.ncbi.nlm.nih.gov\/29926505<\/a><\/li>\n      <li id=\"kaynak-5\"><strong>NHS.<\/strong> Toothache (son inceleme 1 Temmuz 2024; eri\u015fim 25 Ekim 2026). <a href=\"https:\/\/www.nhs.uk\/symptoms\/toothache\/\" class=\"ub-external-link\" target=\"_blank\" rel=\"noopener\">www.nhs.uk\/symptoms\/toothache<\/a><\/li>\n    <\/ol>\n    <p style=\"margin:12px 0 0 0;\">Bu yaz\u0131 genel hasta bilgilendirmesidir; klinik muayenenin ve r\u00f6ntgenin yerini tutmaz. Her cerrahi veya giri\u015fimsel i\u015flemde sonu\u00e7lar ki\u015fiden ki\u015fiye de\u011fi\u015fiklik g\u00f6sterebilir. \u0130\u015flem \u00f6ncesinde hekiminizden detayl\u0131 g\u00f6r\u00fc\u015f alman\u0131z \u00f6nerilir.<\/p>\n  <\/div>\n\n<\/div>\n\n<script type=\"application\/ld+json\">\n{\n \"@context\": \"https:\/\/schema.org\",\n \"@graph\": [\n  {\n   \"@type\": \"MedicalWebPage\",\n   \"@id\": \"https:\/\/ulubeydental.com\/tr\/cene-eklemi-agrisi\/#webpage\",\n   \"url\": \"https:\/\/ulubeydental.com\/tr\/cene-eklemi-agrisi\/\",\n   \"name\": \"\u00c7ene Eklemi A\u011fr\u0131s\u0131 (TMJ\/TMD): Belirtileri, Nedenleri ve Tedavisi\",\n   \"headline\": \"\u00c7ene Eklemi A\u011fr\u0131s\u0131 (TMJ\/TMD): Belirtileri, Nedenleri ve Tedavisi\",\n   \"description\": \"\u00c7enede a\u011fr\u0131, klik sesi veya a\u011f\u0131z a\u00e7mada g\u00fc\u00e7l\u00fck m\u00fc? \u00c7ene eklemi rahats\u0131zl\u0131\u011f\u0131n\u0131n (TMD) belirtileri, evde yap\u0131labilecekler ve kan\u0131ta dayal\u0131 tedavi. Antalya Muratpa\u015fa'dan.\",\n   \"inLanguage\": \"tr\",\n   \"isPartOf\": {\n    \"@id\": \"https:\/\/ulubeydental.com\/#website\"\n   },\n   \"author\": {\n    \"@id\": \"https:\/\/ulubeydental.com\/#dr-ali-cem-ulubey\"\n   },\n   \"publisher\": {\n    \"@id\": \"https:\/\/ulubeydental.com\/#organization\"\n   },\n   \"datePublished\": \"2026-10-26\",\n   \"dateModified\": \"2026-10-26\",\n   \"medicalAudience\": {\n    \"@type\": \"MedicalAudience\",\n    \"audienceType\": \"Patient\"\n   },\n   \"about\": {\n    \"@type\": \"MedicalCondition\",\n    \"name\": \"Temporomandibular bozukluk\",\n    \"alternateName\": [\n     \"TMD\",\n     \"\u00c7ene eklemi rahats\u0131zl\u0131\u011f\u0131\",\n     \"\u00c7ene eklemi a\u011fr\u0131s\u0131\"\n    ],\n    \"signOrSymptom\": [\n     {\n      \"@type\": \"MedicalSignOrSymptom\",\n      \"name\": \"\u00c7ene, kulak ve \u015fakak \u00e7evresinde a\u011fr\u0131\"\n     },\n     {\n      \"@type\": \"MedicalSignOrSymptom\",\n      \"name\": \"\u00c7enede klik veya t\u0131k sesi\"\n     },\n     {\n      \"@type\": \"MedicalSignOrSymptom\",\n      \"name\": \"\u015eakaklarda ba\u015f a\u011fr\u0131s\u0131\"\n     },\n     {\n      \"@type\": \"MedicalSignOrSymptom\",\n      \"name\": \"A\u011fz\u0131 a\u00e7mada g\u00fc\u00e7l\u00fck\"\n     },\n     {\n      \"@type\": \"MedicalSignOrSymptom\",\n      \"name\": \"\u00c7enenin kilitlenmesi\"\n     }\n    ],\n    \"possibleTreatment\": [\n     {\n      \"@type\": \"MedicalTherapy\",\n      \"name\": \"\u00c7ene egzersizleri ve germe\"\n     },\n     {\n      \"@type\": \"MedicalTherapy\",\n      \"name\": \"Fizyoterapi\"\n     },\n     {\n      \"@type\": \"MedicalTherapy\",\n      \"name\": \"Okl\u00fczal splint (gece pla\u011f\u0131)\"\n     }\n    ]\n   },\n   \"citation\": [\n    \"https:\/\/www.nhs.uk\/conditions\/temporomandibular-disorder-tmd\/\",\n    \"https:\/\/pubmed.ncbi.nlm.nih.gov\/38101929\/\",\n    \"https:\/\/pubmed.ncbi.nlm.nih.gov\/31869076\/\",\n    \"https:\/\/pubmed.ncbi.nlm.nih.gov\/29926505\/\",\n    \"https:\/\/www.nhs.uk\/symptoms\/toothache\/\"\n   ]\n  },\n  {\n   \"@type\": \"FAQPage\",\n   \"@id\": \"https:\/\/ulubeydental.com\/tr\/cene-eklemi-agrisi\/#sss\",\n   \"isPartOf\": {\n    \"@id\": \"https:\/\/ulubeydental.com\/tr\/cene-eklemi-agrisi\/#webpage\"\n   },\n   \"mainEntity\": [\n    {\n     \"@type\": \"Question\",\n     \"name\": \"\u00c7ene eklemi a\u011fr\u0131s\u0131 kendili\u011finden ge\u00e7er mi?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"\u00c7o\u011fu zaman evet. NHS, temporomandibular bozuklu\u011fun genellikle ciddi olmad\u0131\u011f\u0131n\u0131 ve \u00e7o\u011fu zaman kendili\u011finden d\u00fczeldi\u011fini belirtir. Bu s\u0131rada yumu\u015fak yiyecekler, s\u0131cak veya so\u011fuk kompres, hafif masaj, rahatlama ve sak\u0131z, t\u0131rnak yeme ve geni\u015f esnemeden ka\u00e7\u0131nmak yard\u0131mc\u0131 olur. A\u011fr\u0131 haftalarca s\u00fcr\u00fcyor, s\u0131k s\u0131k tekrarl\u0131yor veya yemek yemenizi k\u0131s\u0131tl\u0131yorsa de\u011ferlendirme yapt\u0131r\u0131n.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"\u00c7ene eklemi a\u011fr\u0131s\u0131nda hangi tedaviler \u00f6nerilir?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"3 ay veya daha uzun s\u00fcren a\u011fr\u0131 i\u00e7in 2023 tarihli bir BMJ k\u0131lavuzu; g\u00f6zetim alt\u0131nda \u00e7ene egzersizi ve germe, manuel terapi, post\u00fcr egzersizi, bili\u015fsel davran\u0131\u015f\u00e7\u0131 terapi ve ev egzersizleri ile bilgilendirme gibi ola\u011fan bak\u0131m i\u00e7in g\u00fc\u00e7l\u00fc \u00f6neride bulunmu\u015ftur. Kapan\u0131\u015f\u0131 kal\u0131c\u0131 olarak de\u011fi\u015ftiren i\u015flemler ve disk \u00e7\u0131karma ameliyat\u0131 gibi geri d\u00f6n\u00fc\u015f\u00fc olmayan tedavilere kar\u015f\u0131 \u00f6neride bulunmu\u015ftur. Do\u011fru kombinasyon vakan\u0131za ba\u011fl\u0131d\u0131r.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Gece pla\u011f\u0131 \u00e7ene a\u011fr\u0131s\u0131na iyi gelir mi?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Gece pla\u011f\u0131, di\u015flerinizi s\u0131k\u0131yor veya g\u0131c\u0131rdat\u0131yorsan\u0131z di\u015fleri ve restorasyonlar\u0131 korur. Kronik \u00e7ene a\u011fr\u0131s\u0131n\u0131n kendisi i\u00e7in ise 2023 BMJ k\u0131lavuzu geri d\u00f6n\u00fc\u015fl\u00fc okl\u00fczal splintlere kar\u015f\u0131 ko\u015fullu bir \u00f6neride bulunmu\u015ftur. Bu y\u00fczden pla\u011f\u0131, di\u015f g\u0131c\u0131rdatma s\u00f6z konusu oldu\u011funda esas olarak koruma amac\u0131yla, \u00e7ene egzersizleri ve evde bak\u0131mla birlikte kullan\u0131r\u0131z; tek ba\u015f\u0131na bir splintin TMD'yi iyile\u015ftirece\u011fini vaat etmeyiz.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"\u00c7enemin klik yapmas\u0131 tehlikeli mi?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Klik veya \u201ct\u0131k\u201d sesi, genellikle ciddi olmayan TMD'nin s\u0131k g\u00f6r\u00fclen belirtilerinden biridir. Yine de NHS, \u00e7ene seslerini; kilitlenme, a\u011fz\u0131 a\u00e7mada g\u00fc\u00e7l\u00fck, s\u0131k ve \u015fiddetli ba\u015f a\u011fr\u0131s\u0131, sa\u00e7l\u0131 deride hassasiyet ve g\u00f6rme sorunlar\u0131yla birlikte k\u0131sa s\u00fcrede hekime ba\u015fvurma nedenleri aras\u0131nda sayar. Tahmin etmek yerine kontrol ettirin.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"Stres \u00e7ene a\u011fr\u0131s\u0131 yapar m\u0131?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Evet, katk\u0131da bulunabilir. NHS stresi TMD'nin nedenleri aras\u0131nda sayar ve stresli hissetti\u011finizde a\u011fr\u0131n\u0131n artabilece\u011fini belirtir. Stres alt\u0131nda g\u00fcnd\u00fcz di\u015f s\u0131kma veya gece di\u015f g\u0131c\u0131rdatma s\u0131kt\u0131r. Rahatlama, yemek yerken d\u0131\u015f\u0131nda di\u015fleri birbirinden uzak tutmak ve ge\u00e7meyen a\u011fr\u0131 i\u00e7in bili\u015fsel davran\u0131\u015f\u00e7\u0131 terapi desteklenen se\u00e7eneklerdir.\"\n     }\n    },\n    {\n     \"@type\": \"Question\",\n     \"name\": \"\u00c7ene eklemi a\u011fr\u0131s\u0131nda di\u015f hekimi yard\u0131mc\u0131 olabilir mi?\",\n     \"acceptedAnswer\": {\n      \"@type\": \"Answer\",\n      \"text\": \"Evet. Di\u015f hekimi a\u011fr\u0131n\u0131n arkas\u0131nda bir di\u015f sorunu olup olmad\u0131\u011f\u0131n\u0131 kontrol eder, di\u015f g\u0131c\u0131rdatma belirtilerini arar, \u00e7ene egzersizlerini anlatabilir ve di\u015f g\u0131c\u0131rdatma s\u00f6z konusuysa gece pla\u011f\u0131 haz\u0131rlayabilir. Klini\u011fimizde ileri veya ge\u00e7meyen vakalar fizyoterapiye, ba\u015fka bir t\u0131bbi nedeni d\u00fc\u015f\u00fcnd\u00fcren belirtiler ise bir hekime y\u00f6nlendirilir.\"\n     }\n    }\n   ]\n  }\n ]\n}\n<\/script>\n\n","protected":false},"excerpt":{"rendered":"<p>Belirtiler ve durumlar \u00c7ene eklemi (TMD) Yazar: Di\u015f Hekimi Ali Cem Ulubey \u00b7 Ulubey Dental Clinic, Antalya Son g\u00fcncelleme: 26.10.2026 \u0130\u00e7erik edit\u00f6r\u00fc: Dt. Ali Cem Ulubey \u00b7 info@ulubeydental.com G\u00f6ze veya boyna yay\u0131lan \u015fi\u015flik, nefes alma\/yutma g\u00fc\u00e7l\u00fc\u011f\u00fc, y\u00fcksek ate\u015f veya durmayan kanama acil durumdur: 112&#8217;yi aray\u0131n. Bu sayfa genel bilgilendirmedir; muayenenin yerini tutmaz. K\u0131sa cevap \u00c7ene&#8230;<\/p>\n","protected":false},"author":1,"featured_media":9055,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","_joinchat":[],"footnotes":""},"categories":[315],"tags":[],"class_list":["post-9050","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-hasta-rehberi"],"taxonomy_info":{"category":[{"value":315,"label":"Hasta Rehberi"}]},"featured_image_src_large":["https:\/\/mllccert6nuj.i.optimole.com\/cb:Ycv7.a8f\/w:1024\/h:640\/q:mauto\/f:best\/https:\/\/ulubeydental.com\/wp-content\/uploads\/2026\/10\/tmj-jaw-pain-featured-1200x750-1.webp",1024,640,true],"author_info":{"display_name":"Dt. Ali Cem Ulubey","author_link":"https:\/\/ulubeydental.com\/tr\/author\/ali-cem\/"},"comment_info":0,"category_info":[{"term_id":315,"name":"Hasta Rehberi","slug":"hasta-rehberi","term_group":0,"term_taxonomy_id":315,"taxonomy":"category","description":"","parent":0,"count":32,"filter":"raw","cat_ID":315,"category_count":32,"category_description":"","cat_name":"Hasta Rehberi","category_nicename":"hasta-rehberi","category_parent":0}],"tag_info":false,"_links":{"self":[{"href":"https:\/\/ulubeydental.com\/tr\/wp-json\/wp\/v2\/posts\/9050","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ulubeydental.com\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ulubeydental.com\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ulubeydental.com\/tr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ulubeydental.com\/tr\/wp-json\/wp\/v2\/comments?post=9050"}],"version-history":[{"count":0,"href":"https:\/\/ulubeydental.com\/tr\/wp-json\/wp\/v2\/posts\/9050\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ulubeydental.com\/tr\/wp-json\/wp\/v2\/media\/9055"}],"wp:attachment":[{"href":"https:\/\/ulubeydental.com\/tr\/wp-json\/wp\/v2\/media?parent=9050"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ulubeydental.com\/tr\/wp-json\/wp\/v2\/categories?post=9050"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ulubeydental.com\/tr\/wp-json\/wp\/v2\/tags?post=9050"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}