颞下颌关节紊乱病和磨牙症爆发作为新冠疫情期间口面部疼痛加重的一个可能因素——两个国家的同步研究
Temporomandibular Disorders and Bruxism Outbreak as a Possible Factor of Orofacial Pain Worsening during the COVID-19 Pandemic-Concomitant Research in Two Countries.
作者信息
Emodi-Perlman Alona, Eli Ilana, Smardz Joanna, Uziel Nir, Wieckiewicz Gniewko, Gilon Efrat, Grychowska Natalia, Wieckiewicz Mieszko
机构信息
Section of Dental Education, Department of Oral Rehabilitation, The Maurice and Gabriela Goldshleger School of Dental Medicine, Tel Aviv University, Tel Aviv 6139001, Israel.
Department of Experimental Dentistry, Wroclaw Medical University, 50-425 Wroclaw, Poland.
出版信息
J Clin Med. 2020 Oct 12;9(10):3250. doi: 10.3390/jcm9103250.
BACKGROUND
In late December 2019, a new pandemic caused by the SARS-CoV-2 (Severe Acute Respiratory Syndrome Coronavirus 2) infection began to spread around the world. The new situation gave rise to severe health threats, economic uncertainty, and social isolation, causing potential deleterious effects on people's physical and mental health. These effects are capable of influencing oral and maxillofacial conditions, such as temporomandibular disorders (TMD) and bruxism, which could further aggravate the orofacial pain. Two concomitant studies aimed to evaluate the effect of the current pandemic on the possible prevalence and worsening of TMD and bruxism symptoms among subjects selected from two culturally different countries: Israel and Poland.
MATERIALS AND METHODS
Studies were conducted as cross-sectional online surveys using similar anonymous questionnaires during the lockdown practiced in both countries. The authors obtained 700 complete responses from Israel and 1092 from Poland. In the first step, data concerning TMDs and bruxism were compared between the two countries. In the second step, univariate analyses (Chi) were performed to investigate the effects of anxiety, depression, and personal concerns of the Coronavirus pandemic, on the symptoms of TMD, and bruxism symptoms and their possible aggravation. Finally, multivariate analyses (logistic regression models) were carried out to identify the study variables that had a predictive value on TMD, bruxism, and symptom aggravation in the two countries.
RESULTS
The results showed that the Coronavirus pandemic has caused significant adverse effects on the psychoemotional status of both Israeli and Polish populations, resulting in the intensification of their bruxism and TMD symptoms.
CONCLUSIONS
The aggravation of the psychoemotional status caused by the Coronavirus pandemic can result in bruxism and TMD symptoms intensification and thus lead to increased orofacial pain.
背景
2019年12月下旬，由严重急性呼吸综合征冠状病毒2（SARS-CoV-2）感染引发的一场新的全球大流行开始蔓延。这种新形势带来了严重的健康威胁、经济不确定性和社会隔离，对人们的身心健康造成了潜在的有害影响。这些影响能够影响口腔颌面部状况，如颞下颌关节紊乱病（TMD）和磨牙症，这可能会进一步加重口面部疼痛。两项同步研究旨在评估当前大流行对从两个文化背景不同的国家（以色列和波兰）选取的受试者中TMD和磨牙症症状的可能患病率及恶化情况的影响。
材料与方法
在两国实施封锁期间，采用类似的匿名问卷进行横断面在线调查。作者从以色列获得了700份完整回复，从波兰获得了1092份完整回复。第一步，比较两国之间有关TMD和磨牙症的数据。第二步，进行单因素分析（卡方检验），以研究焦虑、抑郁以及对冠状病毒大流行的个人担忧对TMD症状、磨牙症症状及其可能加重情况的影响。最后，进行多因素分析（逻辑回归模型），以确定对两国的TMD、磨牙症和症状加重具有预测价值的研究变量。
结果
结果表明，冠状病毒大流行对以色列和波兰人群的心理情绪状态均造成了显著不利影响，导致他们的磨牙症和TMD症状加剧。
结论
冠状病毒大流行引起的心理情绪状态恶化可导致磨牙症和TMD症状加剧，从而导致口面部疼痛加剧。
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