睡眠磨牙症：慢性口面部疼痛患者与非慢性口面部疼痛患者的临床情况及特征

Sleep bruxism: clinical aspects and characteristics in patients with and without chronic orofacial pain.

作者信息

Camparis C M, Siqueira J T T

机构信息

Faculty of Dentistry, State University of São Paulo Julio de Mesquita Filho, São Paulo, Brazil.

出版信息

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.

DOI:10.1016/j.tripleo.2005.01.014

PMID:16448920

Abstract

OBJECTIVE

Evaluation of long-standing sleep bruxism (SB) patients.

STUDY DESIGN

Descriptive study.

RESULTS

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.

CONCLUSION

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.

摘要

目的

评估长期睡眠磨牙症（SB）患者。

研究设计

描述性研究。

结果

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。