Somay E, Tekkarismaz N
Department of Oral Maxillofacial Surgery, Dental Clinic of Baskent University, Dr. Turgut Noyan Research and Practice Hospital, Adana, Turkey.
Department of Nephrology, Specialist in Nephrology, Baskent University Adana, Dr. Turgut Noyan Research and Practice Hospital, Adana, Turkey.
Niger J Clin Pract. 2020 Oct;23(10):1375-1380. doi: 10.4103/njcp.njcp_630_19.
Chronic renal failure can cause anxiety, stress, and decrease the life quality. Therefore, this may lead to sleep bruxism, temporomandibular disorders (TMDs), and related health problems.
This study evaluated the incidence of sleep bruxism and TMDs in patients undergoing hemodialysis and compared it with that of healthy individuals.
A total of 137 patients (68 hemodialysis patients and 69 healthy individuals) participated in this study. They all filled out a form about age, sex, educational status, marital status, sleep disorders, sleep bruxism, temporomandibular problems, and ice/hard things chewing habits. We performed a muscle examination and used a questionnaire to evaluate the causes of TMD. Parafunctional habits and emotional stress status were examined with these YES/NO question forms. Teeth attritions and six common symptoms (limited mouth opening, deviation/deflexion, clicking, muscle sensitivity, pain, and presence of linea alba) of TMDs and sleep bruxism were evaluated via a clinical examination. The level of significance was determined at P < 0.05.
Parafunctional habits such as sleep bruxism (55.1%) (P = 0.010), emotional stress (69.1%) (P = 0.006), sleep disorders (47,1%) (P = 0.000), unilateral chewing (54.4%) (P = 0.040), gum-chewing (45.6%) (P = 0.000), ice chewing (23.5%) (P = 0,000), and hard things biting habits (7.4%) (P = 0.028) were statistically higher in the hemodialysis group than the control group. Deviation/deflexion and presence of linea alba were more frequent in the hemodialysis group than the control group.
It can be concluded that hemodialysis patients are more sensitive to TMDs, sleep bruxism and related dental health problems than healthy individuals.
慢性肾衰竭可导致焦虑、压力，并降低生活质量。因此，这可能会导致睡眠磨牙症、颞下颌关节紊乱病（TMDs）及相关健康问题。
本研究评估了接受血液透析的患者中睡眠磨牙症和TMDs的发生率，并将其与健康个体进行比较。
共有137名受试者（68名血液透析患者和69名健康个体）参与了本研究。他们都填写了一份关于年龄、性别、教育程度、婚姻状况、睡眠障碍、睡眠磨牙症、颞下颌关节问题以及咀嚼冰块/硬物习惯的表格。我们进行了肌肉检查，并使用问卷评估TMDs的病因。通过这些是/否问题表格检查了副功能习惯和情绪应激状态。通过临床检查评估了牙齿磨损情况以及TMDs和睡眠磨牙症的六种常见症状（张口受限、偏斜/偏转、弹响、肌肉敏感、疼痛和白线的存在）。显著性水平设定为P < 0.05。
血液透析组的副功能习惯，如睡眠磨牙症（55.1%）（P = 0.010）、情绪应激（69.1%）（P = 0.006）、睡眠障碍（47.1%）（P = 0.000）、单侧咀嚼（54.4%）（P = 0.040）、嚼口香糖（
