da Silva Tae, Silva A M, Alvarenga Esl, Nogueira B R, Prado R R, Mendes R F
J Clin Pediatr Dent. 2020 Aug 1;44(4):228-233. doi: 10.17796/1053-4625-44.4.3.
To assess the association between probable sleep bruxism (PSB) and other occlusal characteristics in children and teenagers with Cerebral Palsy (CP).
A cross-sectional study was carried out with 148 participants (74 with CP and 74 without special needs) aged between 2 and 14 years old. Participants underwent an oral clinical examination to evaluate the occlusal characteristics. Parents/caregivers filled out a questionnaire with information related to the typical sounds of PSB, sociodemographic factors and the presence of harmful oral habits in the study participants. Data analysis was carried out, using Chi-square or Fisher's exact test and Odds Ratio (p<0.05).
PSB and malocclusion (68.9% and 95.9%, respectively) were more prevalent in participants with CP than in participants without CP. The association between PSB and the presence of a wear facet was statistically significant (p < 0.001) in participants with CP. In this group, 64.8% of participants with PSB presented tooth wear.
Presence of dental wear facets was significantly associated with PSB in individuals with cerebral palsy.
评估脑瘫(CP)儿童和青少年中可能的睡眠磨牙症(PSB)与其他咬合特征之间的关联。
对148名年龄在2至14岁之间的参与者(74名患有CP,74名无特殊需求)进行了一项横断面研究。参与者接受了口腔临床检查以评估咬合特征。父母/照顾者填写了一份问卷,其中包含与PSB的典型声音、社会人口统计学因素以及研究参与者中有害口腔习惯的存在相关的信息。使用卡方检验或费舍尔精确检验以及优势比进行数据分析(p<0.05)。
PSB和错牙合(分别为68.9%和95.9%)在患有CP的参与者中比在没有CP的参与者中更为普遍。在患有CP的参与者中,PSB与磨耗小面的存在之间的关联具有统计学意义(p<0.001)。在该组中,64.8%的患有PSB的参与者出现牙齿磨损。
在脑瘫患者中,牙齿磨耗小面的存在与PSB显著相关。