颞下颌关节紊乱症状的发展:一项针对大学生的 3 年队列研究。
Development of temporomandibular disorder symptoms: a 3-year cohort study of university students.
机构信息
Faculty of Dentistry, Professorial Unit (Jaw Function and Orofacial Pain), Westmead Centre for Oral Health, Westmead Hospital, The University of Sydney, Westmead, NSW, Australia.
出版信息
J Oral Rehabil. 2011 Jun;38(6):395-403. doi: 10.1111/j.1365-2842.2010.02195.x. Epub 2011 Feb 5.
The aims of this study were to examine the incidence of temporomandibular disorders (TMDs) over a 3-year period and to evaluate the risk of self-reported TMDs among university students in Japan. The study population comprised 2374 university students examined at the start of their undergraduate course and 492 students re-examined after 3 years using questionnaires on symptoms of TMD and experiences of jaw injury, stress, orthodontic treatment and parafunctional habits. Cumulative incidence (%) and relative risks were calculated overall. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated to determine the degree of risks of these variables for symptoms of TMDs using logistic regression. Results of logistic regression analysis showed that male subjects with experience of jaw injury had a 3·54 (CI=1·45-8·68, P<0·01)-fold higher risk of temporomandibular joint (TMJ) pain than that for those who did not. Female subjects who reported experiencing stress and bruxism had 10·56 (CI=1·28-87·54, P<0·05)- and 5·00 (CI=1·21-20·71, P<0·05)-fold higher risks of TMJ sound, respectively, than the risk for female subjects who had not experienced stress or bruxism. The results indicated that experiences of jaw injury, stress and bruxism were significantly associated with increased risks of development of TMJ disorders in a 3-year cohort.
本研究旨在考察 3 年内颞下颌关节紊乱(TMD)的发病率,并评估日本大学生中自我报告 TMD 的风险。研究人群包括 2374 名在本科课程开始时接受检查的大学生和 492 名在 3 年后通过 TMD 症状和颌骨损伤、压力、正畸治疗和功能紊乱习惯的问卷重新检查的学生。总体计算累积发病率(%)和相对风险。使用逻辑回归计算这些变量对 TMD 症状的风险程度的比值比(OR)和 95%置信区间(CI)。逻辑回归分析结果表明,经历过颌骨损伤的男性受试者患颞下颌关节(TMJ)疼痛的风险是未经历过颌骨损伤的男性受试者的 3.54 倍(CI=1.45-8.68,P<0.01)。报告经历压力和磨牙症的女性受试者患 TMJ 音的风险分别是未经历压力或磨牙症的女性受试者的 10.56 倍(CI=1.28-87.54,P<0.05)和 5.00 倍(CI=1.21-20.71,P<0.05)。结果表明,颌骨损伤、压力和磨牙症的经历与 TMJ 紊乱在 3 年队列中的发展风险增加显著相关。