Costa Yuri Martins, Porporatti André Luís, Hilgenberg-Sydney Priscila Brenner, Bonjardim Leonardo Rigoldi, Conti Paulo César Rodrigues
Departamento de Prótese, Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, SP, Brasil.
Departamento de Ciências Biologicas, Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, SP, Brasil.
J Appl Oral Sci. 2015 Nov-Dec;23(6):555-61. doi: 10.1590/1678-775720150174.
Low pressure Pain Threshold (PPT) is considered a risk factor for Temporomandibular Disorders (TMD) and is influenced by psychological variables. Objectives To correlate deep pain sensitivity of masticatory muscles with prosthetic factors and Oral-Health-Related Quality of Life (OHRQoL) in completely edentulous subjects. Material and Methods A total of 29 complete denture wearers were recruited. The variables were: a) Pressure Pain Threshold (PPT) of the masseter and temporalis; b) retention, stability, and tooth wear of dentures; c) Vertical Dimension of Occlusion (VDO); d) Oral Health Impact Profile (OHIP) adapted to orofacial pain. The Kolmogorov-Smirnov test, the Pearson Product-Moment correlation coefficient, the Spearman Rank correlation coefficient, the Point-Biserial correlation coefficient, and the Bonferroni correction (α=1%) were applied to the data. Results The mean age (standard deviation) of the participants was of 70.1 years (9.5) and 82% of them were females. There were no significant correlations with prosthetic factors, but significant negative correlations were found between the OHIP and the PPT of the anterior temporalis (r=-0.50, 95% CI-0.73 to 0.17, p=0.005). Discussion The deep pain sensitivity of masticatory muscles in complete dentures wearers is associated with OHRQoL, but not with prosthetic factors.
低压疼痛阈值(PPT)被认为是颞下颌关节紊乱病(TMD)的一个风险因素,并且受心理变量影响。目的:在全口无牙患者中,将咀嚼肌的深部疼痛敏感性与修复因素及口腔健康相关生活质量(OHRQoL)进行关联分析。材料与方法:共招募了29名全口义齿佩戴者。变量包括:a)咬肌和颞肌的压力疼痛阈值(PPT);b)义齿的固位、稳定性和牙齿磨损情况;c)咬合垂直距离(VDO);d)适用于口面部疼痛的口腔健康影响量表(OHIP)。对数据应用了柯尔莫哥洛夫-斯米尔诺夫检验、皮尔逊积矩相关系数、斯皮尔曼等级相关系数、点二列相关系数以及邦费罗尼校正(α = 1%)。结果:参与者的平均年龄(标准差)为70.1岁(9.5),其中82%为女性。与修复因素无显著相关性,但在前颞肌的OHIP与PPT之间发现了显著的负相关(r = -0.50,95%CI -0.73至0.17,p = 0.005)。讨论:全口义齿佩戴者咀嚼肌的深部疼痛敏感性与OHRQoL相关,但与修复因素无关。