磨牙症、睡眠质量低下与颞下颌关节退行性变之间的关联研究
A Study of the Association Between Sleep Bruxism, Low Quality of Sleep, and Degenerative Changes of the Temporomandibular Joint.
作者信息
Dias Glaucia Marques, Bonato Letícia Ladeira, Guimarães Josemar Parreira, Silva Jesca Neftali Nogueira, Ferreira Luciano Ambrosio, Grossmann Eduardo, Carvalho Antonio Carlos Pires
机构信息
*School of Dentistry, Federal University of Juiz de Fora, Juiz de For a, MG †School of Dentistry, Fluminense Federal University, Niterói, RJ ‡School of Dentistry, Federal University of Rio de Janeiro §Diagnosis and Guidance Service for Patients with Temporomandibular Disorders, School of Dentistry/UFJF, Research Professor, Office of the Dean of Research (PROPESQ), UFJF ||School of Medicine, Federal University of Rio de Janeiro, Rio de Janeiro ¶Applied Craniofacial Pain in Dentistry, Federal University of Rio Grande do Sul (UFRGS), Director of the Pain and Orofacial Deformity Center (CENDDOR), Porto Alegre, RS #Department of Radiology, School of Medicine, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
出版信息
J Craniofac Surg. 2015 Nov;26(8):2347-50. doi: 10.1097/SCS.0000000000002084.
The aim of this study was to evaluate the presence of degenerative bone changes of the temporomandibular joint (TMJ) in individuals suffering from sleep bruxism (SB), associating these characteristics with the quality of sleep. For this, we followed the International Classification of Sleep Disorders for the diagnosis of SB, in addition to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) for the classification of TMD and cone beam computed tomography. It was found that 97.7% of the individuals with bruxism had at least 1 RDC/TMD group III diagnosis, 75.6% of the subjects considered their sleep quality as poor, and the largest group (23%) had centric bruxism. There was no significant association between the pattern of sleep quality (P = 0.36), the type of SB (P = 0.277), and the presence of degenerative changes of the TMJ. Regardless of the quality of sleep and the type of bruxism presented, the prevalence of degenerative bone disorders was high (67%) among women with a mean age of 46 years and a clinical diagnosis of SB.
本研究的目的是评估患有睡眠磨牙症（SB）的个体颞下颌关节（TMJ）的退行性骨改变情况，并将这些特征与睡眠质量相关联。为此，我们遵循国际睡眠障碍分类法来诊断SB，此外还采用颞下颌关节紊乱病研究诊断标准（RDC/TMD）对颞下颌关节紊乱病进行分类，并使用锥形束计算机断层扫描。结果发现，97.7%的磨牙症患者至少有1项RDC/TMD III组诊断，75.6%的受试者认为其睡眠质量较差，最大的一组（23%）患有中枢性磨牙症。睡眠质量模式（P = 0.36）、SB类型（P = 0.277）与TMJ退行性改变的存在之间无显著关联。无论睡眠质量和所呈现的磨牙症类型如何，在平均年龄为46岁且临床诊断为SB的女性中，退行性骨疾病的患病率较高（67%）。
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