Castelo P M, Gavião M B D, Pereira L J, Bonjardim L R
Department of Pediatric Dentistry, Dental School of Piracicaba, State University of Campinas, Piracicaba, Brazil.
Int J Paediatr Dent. 2005 Jan;15(1):29-36. doi: 10.1111/j.1365-263X.2005.00608.x.
The aim of this study was to evaluate the relationship between nutritive and parafunctional habits and the presence of temporomandibular dysfunction (TMD) in children with primary dentition.
Ninety nine children, aged 3-5 years, were examined to check for the presence or absence of signs and symptoms of TMD (headache, preauricular pain, earache, masticatory muscle tenderness, deviation on opening, occlusal interference and asymmetric movement of the mandible), oral parafunctions (bruxism, nail biting, finger/thumb sucking, speech alteration, mouth breathing, pacifier and atypical swallowing) and nutritive habits (breast- or bottle-feeding) through interview and clinical examination. The results were submitted to descriptive statistical analysis and Fisher's exact test.
The results showed that only atypical swallowing was positively related to TMD (P < 0.0001); other oral parafunctional and nutritive habits were not related to TMD.
It was concluded that parafunctional habits, with the exception of atypical swallowing, and feeding methods were not determinants for the presence of signs and/or symptoms of TMD in the sample of children included in the study.
本研究的目的是评估乳牙列儿童的营养和副功能习惯与颞下颌关节紊乱病(TMD)之间的关系。
对99名3至5岁的儿童进行检查,通过访谈和临床检查来确定是否存在TMD的体征和症状(头痛、耳前疼痛、耳痛、咀嚼肌压痛、开口时偏斜、咬合干扰和下颌不对称运动)、口腔副功能(磨牙症、咬指甲、吮指/吮拇指、言语改变、口呼吸、使用安抚奶嘴和非典型吞咽)以及营养习惯(母乳喂养或奶瓶喂养)。将结果进行描述性统计分析和Fisher精确检验。
结果显示,仅非典型吞咽与TMD呈正相关(P < 0.0001);其他口腔副功能和营养习惯与TMD无关。
得出的结论是,除非典型吞咽外,副功能习惯和喂养方式不是本研究纳入的儿童样本中TMD体征和/或症状出现的决定因素。