Universidade Federal do Rio Grande do Norte (UFRN), Departamento de Odontologia, Natal, RN, Brasil.
Universidade Federal de Minas Gerais, Instituto de Ciências Biológicas, Departamento de Morfologia, Belo Horizonte, MG, Brasil.
J Appl Oral Sci. 2021 Jul 23;29:e20201089. doi: 10.1590/1678-7757-2020-1089. eCollection 2021.
Dentists are exposed to contamination by SARS-CoV-2 due to dental interventions, leading to a state of alert and potential risk of negative impact in mental health and sleep quality, associated with Temporomandibular Disorder (TMD) and bruxism.
to evaluate the psychosocial status, sleep quality, symptoms of TMD, and bruxism in Brazilian dentists (DSs) during the COVID-19 pandemic.
The sample (n=641 DSs) was divided into three groups (quarantined DSs; DSs in outpatient care; and frontline professionals), which answered an electronic form containing the TMD Pain Screening Questionnaire (Diagnostic Criteria for Temporomandibular Disorders - DC/TMD), the Pittsburgh Sleep Quality Index (PSQI), the Depression, Anxiety and Stress Scale (DASS-21), and the sleep and awake bruxism questionnaire. ANOVA test and Mann Whitney post-test were used, with Bonferroni adjustment (p<0.016) and a 95% confidence level.
Probable TMD was found in 24.3% (n=156) of the participants, while possible sleep and awake bruxism were diagnosed in 58% (n=372) and 53.8% (n=345) of them, respectively. Among all variables evaluated, only symptoms of depression were significantly greater in the quarantined DSs group when compared to those who were working at the clinical care (p=0.002). Working DSs were significantly less likely (OR=0.630, p=0.001) to have depressive symptoms. Those who were not worried or less worried about the pandemic were less likely to experience stress (OR=0.360), anxiety (OR=0.255), and poor sleep quality (OR=0.256). Sleep had a strong positive and moderate correlation with psychological factors on frontline workers and DSs in outpatient care, respectively.
The results suggest confinement may have a more negative impact on the life of DSs than the act of being actively working. The concern about Covid-19 and poor sleep quality was significantly prevalent and may negatively affect the quality of life of DSs. Thus, further research on the topic is needed.
由于牙科干预，牙医会接触到 SARS-CoV-2 污染，从而导致警觉状态和潜在的心理健康和睡眠质量负面影响的风险，与颞下颌关节紊乱（TMD）和磨牙症有关。
评估巴西牙医（DSs）在 COVID-19 大流行期间的社会心理状况、睡眠质量、TMD 症状和磨牙症。
该样本（n=641 名 DSs）分为三组（隔离 DSs；门诊护理中的 DSs；和一线专业人员），他们回答了一份电子表格，其中包含 TMD 疼痛筛查问卷（Temporomandibular Disorders 的诊断标准-DC/TMD）、匹兹堡睡眠质量指数（PSQI）、抑郁、焦虑和压力量表（DASS-21）以及睡眠和清醒磨牙问卷。使用 ANOVA 检验和 Mann Whitney 后检验，Bonferroni 调整（p<0.016）和 95%置信水平。
24.3%（n=156）的参与者被诊断为可能的 TMD，58%（n=372）和 53.8%（n=345）的参与者分别被诊断为可能的睡眠和清醒磨牙症。在所评估的所有变量中，只有隔离 DSs 组的抑郁症状明显大于在临床护理中工作的 DSs 组（p=0.002）。工作中的 DSs 患抑郁症状的可能性明显较低（OR=0.630，p=0.001）。那些对大流行不担心或不太担心的人不太可能经历压力（OR=0.360）、焦虑（OR=0.255）和睡眠质量差（OR=0.256）。睡眠对一线工人和门诊护理中的 DSs 的心理因素具有很强的正相关和中度相关性。
结果表明，与积极工作相比，隔离对 DSs 的生活可能产生更负面的影响。对 Covid-19 的关注和睡眠质量差明显普遍存在，可能会对 DSs 的生活质量产生负面影响。因此，需要进一步研究该主题。
