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儿童可能存在的睡眠磨牙症及其与有害口腔习惯、反咬合类型和口呼吸的关系。

Probable Sleep Bruxism in Children and its Relationship with Harmful Oral Habits, Type of Crossbite and Oral Breathing.

作者信息

Lamenha Lins R M, Cavalcanti Campêlo M C, Mello Figueiredo L, Vilela Heimer M, Dos Santos-Junior V E

出版信息

J Clin Pediatr Dent. 2020;44(1):66-69. doi: 10.17796/1053-4625-44.1.12.

Abstract

: To establish the prevalence of Probable Sleep Bruxism (PSB) and its association with gender, breast or bottle-feeding, posterior and anterior crossbite, oral habits and oral breathing. : Consists of a cross-sectional study in which 151 children were submitted to a clinical oral examination for the evaluation of tooth wear, muscle discomfort and the presence of anterior and/or posterior crossbite. Parents/caregivers were asked about the frequency of teeth grinding during the child's sleep and the occurrence of harmful oral habits, as well as the type of childbirth and breastfeeding. Data were statistically analyzed through Chi-square or Fisher's exact tests at a 5% level of significance to determine an association among variables. : The prevalence of PSB was of 27.8% among the examined children. Among the analyzed variables, only oral breathing was statistically associated to PSB (p < 0.001), and it was verified that children with oral breathing are 2.71 times more likely to present sleep bruxism. : The prevalence of PSB in schoolchildren was high and the disorder was associated with oral breathing. Thus, pediatric dentists have an important role in the diagnosis of sleep bruxism and in monitoring breathing-related disorders.

摘要

确定可能的睡眠磨牙症(PSB)的患病率及其与性别、母乳喂养或奶瓶喂养、后牙及前牙反合、口腔习惯和口呼吸的关系。:本研究为横断面研究,对151名儿童进行了临床口腔检查,以评估牙齿磨损、肌肉不适以及是否存在前牙和/或后牙反合。向家长/照顾者询问了孩子睡眠期间磨牙的频率、有害口腔习惯的发生情况以及分娩方式和母乳喂养情况。通过卡方检验或Fisher精确检验对数据进行统计学分析,显著性水平为5%,以确定变量之间的关联。:在所检查的儿童中,PSB的患病率为27.8%。在分析的变量中,只有口呼吸与PSB有统计学关联(p < 0.001),并且证实有口呼吸的儿童出现睡眠磨牙症的可能性是其他儿童的2.71倍。:学龄儿童中PSB的患病率较高,且该病症与口呼吸有关。因此,儿童牙医在睡眠磨牙症的诊断以及监测与呼吸相关的疾病方面具有重要作用。

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