Center for Oral Rehabilitation, Norrköping, Sweden.
Department of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmö University, Malmö, Sweden.
J Oral Rehabil. 2019 Jul;46(7):589-596. doi: 10.1111/joor.12782. Epub 2019 Mar 20.
To evaluate the frequency of temporomandibular disorder (TMD) pain among adolescents with a history of preterm birth compared to a matched control group.
A group of 192 preterm-born adolescents was followed up at the age of 17-19 years and compared to matched controls. Self-report questionnaires included screening questions about TMD pain, chronic diseases, general health, depression, anxiety, anger, antisocial behaviour and self-concept. TMD pain was defined as answering "yes" to one or both of the following questions: "Do you have pain in the temple, face, temporomandibular joint or jaws once a week or more?" and "Do you have pain when you open your mouth wide or chew once a week or more often?" Data analysis was performed using chi-square test and logistic regression model with likelihood ratio test.
A TMD pain frequency of 23% of preterm-born adolescents and 26% among the controls was found, with no significant differences between the groups. Neither were there differences regarding anxiety, depression, anger or self-confidence. Within the preterm group, adolescents with TMD pain registered tension and pain in the body, trouble sleeping, stomach pain and feelings of hopelessness about the future. The controls with TMD pain, more reported having a bad life, feeling like a failure and having bodily pain. Among tested background variables, only TMJ locking or intermittent locking once a week or more was found to explain TMD pain in adolescents.
A high frequency of TMD pain was found in both groups, one possible explanation could be TMJ dysfunction.
评估有早产史的青少年与匹配对照组相比，颞下颌关节紊乱（TMD）疼痛的频率。
对 192 名早产青少年进行随访，随访年龄为 17-19 岁，并与匹配对照组进行比较。自我报告问卷包括 TMD 疼痛、慢性疾病、一般健康、抑郁、焦虑、愤怒、反社会行为和自我概念的筛查问题。TMD 疼痛定义为对以下两个问题之一或两个问题回答“是”：“您是否每周一次或更频繁地在太阳穴、面部、颞下颌关节或颌骨处有疼痛？”和“您是否每周一次或更频繁地在张口或咀嚼时感到疼痛？”使用卡方检验和逻辑回归模型进行数据分析，似然比检验。
发现早产青少年 TMD 疼痛的频率为 23%，对照组为 26%，两组之间无显著差异。焦虑、抑郁、愤怒或自信也没有差异。在 TMD 疼痛的早产儿组中，青少年有紧张和身体疼痛、睡眠困难、胃痛和对未来感到绝望的感觉。有 TMD 疼痛的对照组则更多地报告生活质量差、感觉失败和身体疼痛。在测试的背景变量中，只有每周一次或更频繁地出现 TMJ 锁定或间歇性锁定才能解释青少年的 TMD 疼痛。
两组青少年 TMD 疼痛的频率都很高，TMJ 功能障碍可能是一个解释。
