Chatzopoulos Georgios S, Sanchez Miguel, Cisneros Alejandro, Wolff Larry F
a Department of Developmental and Surgical Sciences, Division of Periodontology, School of Dentistry , University of Minnesota , Minneapolis , MN , USA.
b School of Dentistry , University of Minnesota , Minneapolis , MN , USA.
Cranio. 2019 May;37(3):159-167. doi: 10.1080/08869634.2017.1399649. Epub 2017 Nov 16.
Objective To assess the prevalence of symptoms of temporomandibular disorder (TMD) and parafunctional habits as well as to investigate their association with age, gender, and number of missing teeth. Methods This retrospective study is based on 4204 randomly selected patients who were examined to determine their symptoms of TMD, such as clicking, difficulty chewing, difficulty opening/closing, as well self-reported joint pain and parafunctional habits. Results Clenching/grinding was reported by 26.5% of the examined population, clicking by 14.8%, and difficulty chewing and closing by 3.6%. Significant associations between the number of missing teeth with clenching/grinding (p = 0.05) and difficulty chewing (p < 0.001) were detected. Age and gender showed significant effects on the examined parameters (p < 0.05). Discussion Understanding the TMD subjective symptoms in relation to age, gender, and tooth loss would be of great value for treatment planning and could provide other perspectives to establish preventive measures.
目的 评估颞下颌关节紊乱病(TMD)症状和副功能习惯的患病率,并调查它们与年龄、性别和缺牙数的关联。方法 这项回顾性研究基于4204名随机选择的患者,对他们进行检查以确定其TMD症状,如弹响、咀嚼困难、开闭困难,以及自我报告的关节疼痛和副功能习惯。结果 26.5%的受检人群报告有紧咬牙/磨牙,14.8%有弹响,3.6%有咀嚼和闭口困难。检测到缺牙数与紧咬牙/磨牙(p = 0.05)和咀嚼困难(p < 0.001)之间存在显著关联。年龄和性别对所检查参数有显著影响(p < 0.05)。讨论 了解与年龄、性别和牙齿缺失相关的TMD主观症状对于治疗计划具有重要价值,并可为制定预防措施提供其他视角。