Gesch Dietmar, Bernhardt Olaf, Mack Florian, John Ulrich, Kocher Thomas, Alte Dietrich
Poliklinik für Kieferorthopädie, Zentrum für Zahn-, Mund- und Kieferheilkunde, Ernst-Moritz-Arndt-Universität, Greifswald, Deutschland.
Schweiz Monatsschr Zahnmed. 2004;114(6):573-80.
Aim of the study was to determine whether associations exist in men as well as in women between occlusal factors like malocclusions or factors of functional occlusion and subjective temporomandibular joint (TMJ) symptoms, based on the population-based Study of Health in Pomerania (SHIP-0). A representative sample of 4310 men and women (response rate 68.8%) aged 20 to 81 years was examined for subjective temporomandibular joint symptoms, malocclusions (incl. normal occlusion), factors of functional occlusion and for sociodemographic parameters. Men and women were analyzed separately with multiple logistic regression analyses, adjusted for age. The results were compared to other population-based studies from an own systematic review on this subject. In men and women, none of the 48 occlusal factors under survey (malocclusions or functional occlusion) was significantly more frequently associated with the dependent variable "subjective temporomandibular joint symptoms". In contrast, the parafunction "frequent clenching" was associated more frequently and clinically relevant with TMJ symptoms in both sexes (for men, odds ratio = 4.2, prevalence 4.9%; for women OR = 2.9, prevalence 5.6%). Malocclusions and functional occlusion factors only explained a smaller part of the differences between the male and female population with and without subjective TMJ symptoms. Compared to other population-based studies only few and inconsistent associations between occlusal factors and subjective temporomandibular symptoms were ascertainable in both sexes.
本研究的目的是基于波美拉尼亚地区健康研究（SHIP-0）这一人群研究，确定在男性和女性中，诸如错牙合等咬合因素或功能性咬合因素与主观颞下颌关节（TMJ）症状之间是否存在关联。对4310名年龄在20至81岁的男性和女性的代表性样本（应答率68.8%）进行了主观颞下颌关节症状、错牙合（包括正常咬合）、功能性咬合因素以及社会人口统计学参数的检查。对男性和女性分别进行多因素逻辑回归分析，并对年龄进行了校正。将结果与自身关于该主题的系统评价中的其他人群研究进行了比较。在男性和女性中，所调查的48种咬合因素（错牙合或功能性咬合）中，没有一种与因变量“主观颞下颌关节症状”的关联显著更频繁。相比之下，副功能“频繁紧咬牙”在两性中与TMJ症状的关联更频繁且具有临床相关性（男性的优势比=4.2，患病率4.9%；女性的优势比=2.9，患病率5.6%）。错牙合和功能性咬合因素仅解释了有和没有主观TMJ症状的男性和女性人群之间差异的一小部分。与其他人群研究相比，在两性中仅能确定很少且不一致的咬合因素与主观颞下颌症状之间的关联。
