J Oral Facial Pain Headache. 2017;31(31):30-36. doi: 10.11607/ofph.1595.
To evaluate the prevalence of temporomandibular disorder (TMD) symptoms and their associations with alcohol consumption and smoking habits among young Finnish adults.
The total sample consisted of 8,678 conscripts (8,530 men and 148 women, response rate 62.8%). Data on TMD symptoms, health behavior, and background/demographic factors were acquired by using a questionnaire. Self-reported facial pain and symptoms of TMD were used as outcome variables. The frequency of smoking and consumption of alcohol and snuff were used as explanatory variables. Chi-square tests, as expressed by odds ratios (OR) and 95% confidence intervals (95% CI), were used as statistical methods in the analysis. Statistical significance was determined at P < .05.
The prevalence of different self-reported, at least occasional TMD symptoms varied between 5.8% (difficulty in jaw opening) and 27.8% (temporomandibular joint [TMJ] clicking) in the male population, with higher prevalences for all symptoms in the female population except for TMJ clicking. Smoking was significantly associated with TMD symptoms, except TMJ clicking. Consumption of alcohol at least once a week was associated significantly with facial pain, TMJ pain, TMJ pain at jaw rest, TMJ pain on jaw movement, and TMJ clicking. Use of snuff was associated significantly with facial pain.
Daily smoking and increased frequency of alcohol consumption are associated with TMD symptoms among young Finnish adults. Dentists should be prepared to influence alcohol and tobacco consumption among young males to improve their health and quality of life.
评估芬兰年轻成年人的颞下颌关节紊乱(TMD)症状的流行情况及其与酒精消费和吸烟习惯的关系。
总样本由 8678 名应征入伍者组成(8530 名男性和 148 名女性,应答率为 62.8%)。通过问卷获得有关 TMD 症状、健康行为和背景/人口统计学因素的数据。自我报告的面部疼痛和 TMD 症状用作结局变量。吸烟和饮酒以及鼻烟的频率用作解释变量。卡方检验(表示为比值比(OR)和 95%置信区间(95%CI))用于分析中的统计方法。P<.05 表示具有统计学意义。
不同自我报告的至少偶发性 TMD 症状的流行率在男性人群中从 5.8%(张口困难)到 27.8%(颞下颌关节 [TMJ] 弹响)不等,除 TMJ 弹响外,女性人群中所有症状的流行率均较高。吸烟与 TMD 症状显著相关,除 TMJ 弹响外。每周至少饮酒一次与面部疼痛、TMJ 疼痛、TMJ 休息时疼痛、TMJ 运动时疼痛和 TMJ 弹响显著相关。使用鼻烟与面部疼痛显著相关。
芬兰年轻成年人中,每日吸烟和饮酒频率增加与 TMD 症状相关。牙医应准备好影响年轻男性的烟酒消费,以改善他们的健康和生活质量。