Camparis C M, Siqueira J T T
Faculty of Dentistry, State University of São Paulo Julio de Mesquita Filho, São Paulo, Brazil.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006 Feb;101(2):188-93. doi: 10.1016/j.tripleo.2005.01.014. Epub 2005 Oct 14.
Evaluation of long-standing sleep bruxism (SB) patients.
Descriptive study.
One hundred subjects with SB (80 women and 20 men, mean age: 36.1+/-11.3 years) were evaluated according to the RDC/TMD and a pain questionnaire (EDOF-HC). The patients were divided into 2 groups: Group A-without (30.0%) and Group B-with orofacial pain (70.0%). AM stiffness: 36.4% in Group A and 88.6% in Group B; mean pain duration: 6.92 years; mean intensity of pain: 4.33 (VAS); quality of pain: tightness/pressure (84.3%); 95.7% of Group B had myofascial pain. Depression and somatization levels were different between the groups (p = 0.001). Higher frequency of depression was found with body pain or presence of comorbidities.
The data presented in this study showed statistical differences between long-standing bruxism without and with chronic facial pain; the two questionnaires allowed interaction between the chief complaint and the clinical findings; depression levels increased with pain in several regions of the body.
评估长期睡眠磨牙症（SB）患者。
描述性研究。
根据RDC/TMD和疼痛问卷（EDOF-HC）对100名SB患者（80名女性和20名男性，平均年龄：36.1±11.3岁）进行评估。患者分为两组：A组——无口面部疼痛（30.0%）和B组——有口面部疼痛（70.0%）。晨僵：A组为36.4%，B组为88.6%；平均疼痛持续时间：6.92年；平均疼痛强度：4.33（视觉模拟评分法）；疼痛性质：紧绷/压迫感（84.3%）；B组95.7%有肌筋膜疼痛。两组之间的抑郁和躯体化水平存在差异（p = 0.001）。发现身体疼痛或存在合并症时抑郁发生率更高。
本研究呈现的数据表明，无慢性面部疼痛和有慢性面部疼痛的长期磨牙症之间存在统计学差异；这两份问卷使主诉与临床发现之间能够相互关联；身体多个部位疼痛时抑郁水平会升高。
