《1966 年芬兰北部出生队列中颞下颌关节紊乱的患病率》
Prevalence of Temporomandibular Disorders in the Northern Finland Birth Cohort 1966.
出版信息
J Oral Facial Pain Headache. 2017;31(2):159-164. doi: 10.11607/ofph.1773.
AIMS
To investigate the prevalence of temporomandibular disorders (TMD) in the 46-year-old cohort subjects from the Northern Finland Birth Cohort 1966 (NFBC 1966).
METHODS
Altogether, 1,962 subjects (1,050 women, 912 men) participated in a clinical medical and dental examination and responded to questionnaires in 2012 to 2013. The stomatognathic examination was performed according to a modified protocol of the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD). Pearson's chi-square test and Fisher's exact test were used to analyze the signs of TMD between genders, and logistic regression models were used to analyze the relationship between self-reported pain associated with TMD and modified DC/TMD protocol (P < .05).
RESULTS
Of the subjects available for analyses, 18.5% responded positively to the self-reported screening question for pain related to TMD. The most common signs of TMD were clicking in the temporomandibular joint (TMJ) (26.2%) and palpation pain in the masticatory muscles (11.2%). Women had signs of TMD more often than men (P < .05). The most common diagnosis was disc displacement with reduction (7.0%). Myalgia, arthralgia, disc displacement with reduction, and degenerative joint disease diagnoses were statistically significantly more common in women than in men (P < .05). The prevalence of TMD signs among the cohort subjects was 34.2%.
CONCLUSION
The most common sign of TMD was clicking in the TMJ and the most common TMD diagnosis was disc displacement with reduction. The prevalence of TMD signs among the examined cohort subjects was 34.2%. TMD was diagnosed in women more often than in men. The results are comparable with other corresponding population-based studies in adults.
目的
调查 1966 年芬兰北部出生队列研究(NFBC1966)46 岁队列受试者颞下颌关节紊乱(TMD)的患病率。
方法
共有 1962 名受试者(1050 名女性,912 名男性)参加了 2012 年至 2013 年的临床医学和牙科检查,并回答了问卷调查。口腔颌面部检查按照 TMD 诊断标准(DC/TMD)的改良方案进行。使用 Pearson 卡方检验和 Fisher 确切检验分析性别间 TMD 体征的差异,使用逻辑回归模型分析与 TMD 相关的自我报告疼痛与改良 DC/TMD 方案之间的关系(P<0.05)。
结果
在可进行分析的受试者中,18.5%的人对与 TMD 相关的疼痛自我报告筛查问题呈阳性反应。TMD 最常见的体征是颞下颌关节(TMJ)弹响(26.2%)和咀嚼肌触压痛(11.2%)。女性 TMD 体征的发生率高于男性(P<0.05)。最常见的诊断是可复性关节盘前移位(7.0%)。肌痛、关节炎、可复性关节盘前移位和退行性关节病的诊断在女性中明显比男性更为常见(P<0.05)。队列受试者 TMD 体征的患病率为 34.2%。
结论
TMD 最常见的体征是 TMJ 弹响,最常见的 TMD 诊断是可复性关节盘前移位。所检查的队列受试者中 TMD 体征的患病率为 34.2%。TMD 在女性中的诊断率高于男性。研究结果与其他成人相应的基于人群的研究结果相当。