饮食失调患者牙齿磨损的患病率、严重程度及病因

Prevalence, severity and etiology of dental wear in patients with eating disorders.

作者信息

Sales-Peres Sílvia Helena de Carvalho, Araújo Juliana J, Marsicano Juliane A, Santos José E, Bastos José R M

机构信息

Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Al. Octávio Pinheiro Brisolla, 9-75, Bauru-SP 17012-901, Brazil.

Department of Medical Clinic, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Avenida Bandeirantes, 3900, Ribeirão Preto, SP, Brazil.

出版信息

Eur J Dent. 2014 Jan;8(1):68-73. doi: 10.4103/1305-7456.126246.

DOI:10.4103/1305-7456.126246

PMID:24966749

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4054035/

Abstract

OBJECTIVE

The purpose of this study was to evaluate the prevalence, distribution and associated factors of dental wear among patients with eating disorders (EDs).

MATERIALS AND METHODS

An epidemiological cross-sectional survey was conducted by trained, calibrated examiners, using the dental wear index. The sample was composed of 30 patients with EDs (experimental group - G1) and 30 control patients without current or previous history of EDs (G2). A questionnaire was used to assess the etiological factors of dental wear. The univariate analyses using the Chi-square (χ(2)) test were used to compare the tooth wear prevalence between groups according to the surface and tooth (P > 0.05).

RESULTS

The dental wear was similar for both group; however, the G1 presented more moderate wear in molars when compared with G2 (P = 0.048). The majority of EDs patients related have one or more oral habits (n = 26; 86.6%) and only 13.4% (n = 4) affirmed did not have oral habits. The etiological factors of tooth wear related with dental wear were biting objects (P = 0.04) and pain in temporomandibular disorders (P = 0.03).

CONCLUSION

The highest prevalence of dental wear was observed in the molars teeth. Differences in the extent and pattern of dental wear were found in an individual, emphasized the relevance of clinical parameter.

摘要

目的

本研究旨在评估饮食失调（ED）患者牙齿磨损的患病率、分布情况及相关因素。

材料与方法

由经过培训且校准过的检查人员使用牙齿磨损指数进行了一项流行病学横断面调查。样本由30名饮食失调患者（实验组 - G1）和30名无当前或既往饮食失调病史的对照患者（G2）组成。使用一份问卷来评估牙齿磨损的病因因素。采用卡方（χ(2)）检验进行单因素分析，以比较两组之间根据牙面和牙齿的牙齿磨损患病率（P > 0.05）。

结果

两组的牙齿磨损情况相似；然而，与G2相比，G1的磨牙有更中度的磨损（P = 0.048）。大多数饮食失调患者有一个或多个口腔习惯（n = 26；86.6%），只有13.4%（n = 4）的患者确认没有口腔习惯。与牙齿磨损相关的牙齿磨损病因因素是咬物（P = 0.04）和颞下颌关节紊乱疼痛（P = 0.03）。