意大利青少年的颞下颌关节临床检查

Temporomandibular clinical exploration in Italian adolescents.

作者信息

Tecco Simona, Nota Alessandro, Caruso Silvia, Primozic Jasmina, Marzo Giuseppe, Baldini Alberto, Gherlone Enrico Felice

机构信息

a Dental School , Vita-Salute San Raffaele University , Milan , Italy.

b Department of Health, Life and Environmental Science , University of L'Aquila , L'Aquila , Italy.

出版信息

Cranio. 2019 Mar;37(2):77-84. doi: 10.1080/08869634.2017.1391963. Epub 2017 Oct 26.

DOI:10.1080/08869634.2017.1391963

PMID:29072541

Abstract

OBJECTIVE

This study investigated the prevalence of the signs and symptoms of temporomandibular disorders (TMD) among Italian adolescents.

METHODS

The data were recorded from 567 subjects (246 males and 321 females; age range 11-19 years), grouped according to age and molar class relationship.

RESULTS

Forty-four point one percent of subjects showed at least one sign or symptom of TMD, which were significantly more frequent in the 16-19 year-old group (52.9%) in respect to the 11-15 year-old group (39.8%) (χ = 8.78; p = 0.003). Signs and/or symptoms were about 1.6 times more frequent in subjects with Class II/1 malocclusion (χ = 13.3, p = 0.0003), mostly for TMJ sounds (χ = 1.444; p = 0.036). Myalgia was more frequent in females than in males (χ = 3.882; p = 0.049).

CONCLUSION

TMD signs and/or symptoms among Italian adolescents seem diffused (44.1%). Therefore, all adolescents should be screened thorough medical history and clinical examination.

摘要

目的

本研究调查了意大利青少年颞下颌关节紊乱病（TMD）体征和症状的患病率。

方法

记录了567名受试者（246名男性和321名女性；年龄范围11 - 19岁）的数据，根据年龄和磨牙类关系进行分组。

结果

44.1%的受试者表现出至少一种TMD体征或症状，在16 - 19岁组（52.9%）中明显比11 - 15岁组（39.8%）更频繁（χ = 8.78；p = 0.003）。在安氏II类1分类错牙合受试者中，体征和/或症状的出现频率约高1.6倍（χ = 13.3，p = 0.0003），主要是颞下颌关节弹响（χ = 1.444；p = 0.036）。肌痛在女性中比男性更常见（χ = 3.882；p = 0.049）。