Haralur Satheesh B, Addas Mohamed Khaled, Othman Hesham I, Shah Farhan K, El-Malki Abdullah Idrees, Al-Qahtani Mohammed Abdullah
Department of Prosthodontics, King Khalid University, Abha, Kingdom of Saudi Arabia, Tel: 00966555835386; e-mail:
Oral Health Dent Manag. 2014 Jun;13(2):164-9.
This Study was conducted to determine the incidence of malocclusion, occlusal interferences, temporomandibular Disorder (TMD) among the Saudi population and to evaluate the possible existence of an association between malocclusion, occlusal interferences and TMD.
250 patients attending dental clinics in Abha city, Saudi Arabia for treatment was clinically examined for the degree of malocclusion. Patients were further evaluated for the presence of occlusal interferences and TMD. Data was evaluated by person's correlation and logistic regression to evaluate the association between malocclusion, occlusal interference and TMD.
The results of the study indicate 42.8% of the evaluated subjects had a definitive degree of malocclusion. Among the occlusal interference observed, balancing side interferences were high (47.6%), followed by protrusive interferences (41.2%). The prevalence of TMD among the evaluated subjects was 41.6%, with mandibular deviation and joint sounds were most prevalent. Statistical Analysis (Pearson's correlation) showed the statistically significant correlation between malocclusion and centric slide (p-0.030), posterior missing teeth (p-000). The statistically significant correlation was observed between TMD and balanced side interferences (p-0.000), slide RCP-ICP (p-0.001), reduced occlusal contacts (0.033). Logistic regression analysis showed the strong association of TMD with anterior open bite, increased maxillary overjet, balanced side interferences, and centric slide.
The prevailing malocclusion and TMD among studied population is significantly higher. The preventive dental treatment and community dental education need to be more emphasized.
本研究旨在确定沙特人群中错牙合、牙合干扰、颞下颌关节紊乱病(TMD)的发生率,并评估错牙合、牙合干扰与TMD之间可能存在的关联。
对在沙特阿拉伯阿卜哈市牙科诊所就诊接受治疗的250名患者进行错牙合程度的临床检查。进一步评估患者是否存在牙合干扰和TMD。通过Person相关性分析和逻辑回归分析来评估错牙合、牙合干扰与TMD之间的关联。
研究结果表明,42.8%的评估对象有明确程度的错牙合。在所观察到的牙合干扰中,平衡侧干扰较高(47.6%),其次是前伸干扰(41.2%)。评估对象中TMD的患病率为41.6%,下颌偏斜和关节弹响最为普遍。统计分析(Pearson相关性)显示错牙合与正中滑动(p = 0.030)、后牙缺失(p = 0.000)之间存在统计学显著相关性。TMD与平衡侧干扰(p = 0.000)、从后退接触位到正中牙合位的滑动(p = 0.001)、牙合接触减少(p = 0.033)之间存在统计学显著相关性。逻辑回归分析显示TMD与前牙开牙合、上颌前突增加、平衡侧干扰和正中滑动密切相关。
研究人群中普遍存在的错牙合和TMD明显更高。需要更加强调预防性牙科治疗和社区牙科教育。