Rauch Angelika, Körner Antje, Kiess Wieland, Hirsch Christian, Schierz Oliver
Department of Prosthodontics and Materials Science, University of Leipzig, Liebigstr. 12, 04103 Leipzig, Germany.
LIFE-Leipzig Research Center for Civilization Diseases, University of Leipzig, Philipp-Rosenthal-Str. 27, 04103 Leipzig, Germany.
J Clin Med. 2020 Dec 3;9(12):3927. doi: 10.3390/jcm9123927.
To date, risk factors for temporomandibular joint (TMJ) sounds are still not completely understood, and anatomical factors are suspected to influence their occurrence. This study aimed to evaluate the impact of body constitution on temporomandibular joint sounds of adolescents. 10- to 18-year-old participants of the LIFE Child Study were examined for TMJ sounds, and physical parameters such as body height, body weight, and general laxity of joints were measured. Odds ratios (OR) for associations of TMJ sounds and standard deviation scores (SDS) of body height and body weight were calculated by using binary logistic regression, including cofactors such as age and number of hypermobile joints. The OR for TMJ sounds and SDS of body height was 1.28 (95% confidence interval (CI) 1.06; 1.56) in females when the age-adjusted height value was above 0. SDS of body weight indicated significant ORs for TMJ sounds in males with values of 0.81 (95% CI 0.70; 0.94). No correlation was detected for SDS values and TMJ crepitus. Tall female adolescents seem to be more prone to TMJ clicking sounds, while their occurrence seems less likely in male adolescents with higher body weight.
迄今为止，颞下颌关节（TMJ）弹响的风险因素仍未完全明确，解剖因素被怀疑会影响其发生。本研究旨在评估体质对青少年颞下颌关节弹响的影响。对“LIFE儿童研究”中10至18岁的参与者进行了颞下颌关节弹响检查，并测量了身高、体重和关节总体松弛度等身体参数。通过二元逻辑回归计算颞下颌关节弹响与身高和体重标准差分数（SDS）之间关联的优势比（OR），纳入年龄和关节活动过度的关节数量等协变量。当年龄校正后的身高值高于0时，女性中颞下颌关节弹响与身高SDS的OR为1.28（95%置信区间（CI）1.06；1.56）。体重SDS表明，男性中颞下颌关节弹响的OR值为0.81（95%CI 0.70；0.94），具有统计学意义。未检测到SDS值与颞下颌关节摩擦音之间的相关性。身材高大的女性青少年似乎更容易出现颞下颌关节弹响，而体重较高的男性青少年出现这种情况的可能性似乎较小。
