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[帕金森病、颞下颌关节紊乱症与磨牙症:一项初步研究]

[Parkinson's disease, temporomandibular disorders and bruxism: A pilot study].

作者信息

Verhoeff M C, Lobbezoo F, van Selms M K A, Wetselaar P, Aarab G, Koutris M

出版信息

Ned Tijdschr Tandheelkd. 2019 Jul;126(7-8):369-375. doi: 10.5177/ntvt.2019.07/08.19029.

DOI:10.5177/ntvt.2019.07/08.19029
PMID:31309935
Abstract

Even though bruxism and Parkinson's disease have much in common, a possible relationship between them has not been established. The aim of this study was to gain more insight into a possible relationship between bruxism and temporomandibular disorders on the one hand and Parkinson's disease on the other. For this study, 708 people (368 with Parkinson's disease or parkinsonism and 340 controls) fully completed a questionnaire. The questionnaire included a selective Dutch translation of the questions from the Diagnostic Criteria for TMD (DC/TMD), complemented with a question about tooth wear. The chi-square test and independent samples t test were used for the data analysis. The results showed patients with Parkinson's disease or parkinsonism reported pain resulting from temporomandibular disorders and bruxism when asleep and awake significantly more often than the controls. When facial pain was reported, patients with Parkinson's disease or parkinsonism had a higher mean pain score than the controls. In conclusion, this study showed a relationship between Parkinson's disease or parkinsonism on the one hand and bruxism on the other. Furthermore, the study revealed a relationship between Parkinson's disease or parkinsonism on the one hand and pain resulting from temporomandibular disorders on the other.

摘要

尽管磨牙症和帕金森病有许多共同之处,但它们之间的可能关系尚未确立。本研究的目的是更深入地了解一方面磨牙症与颞下颌关节紊乱症,另一方面与帕金森病之间的可能关系。在本研究中,708人(368例帕金森病或帕金森综合征患者和340名对照者)完整填写了一份问卷。该问卷包括对颞下颌关节紊乱症诊断标准(DC/TMD)中问题的选择性荷兰语翻译,并补充了一个关于牙齿磨损的问题。数据分析采用卡方检验和独立样本t检验。结果显示,帕金森病或帕金森综合征患者报告在睡眠和清醒时因颞下颌关节紊乱症和磨牙症导致的疼痛明显比对照组更频繁。当报告面部疼痛时,帕金森病或帕金森综合征患者的平均疼痛评分高于对照组。总之,本研究表明帕金森病或帕金森综合征一方面与磨牙症有关,另一方面,该研究揭示了帕金森病或帕金森综合征一方面与颞下颌关节紊乱症引起的疼痛有关。

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