Bandodkar Siddharth, Tripathi Shuchi, Chand Pooran, Singh Saumyendra V, Arya Deeksha, Kumar Lakshya, Singh Mayank, Singhal Rameshwari, Tripathi Adarsh
Private Practitioner, Goa, India.
Department of Prosthodontics, King George's Medical University UP, Lucknow, India.
J Oral Biol Craniofac Res. 2022 Jan-Feb;12(1):38-41. doi: 10.1016/j.jobcr.2021.10.007. Epub 2021 Oct 14.
To evaluate the role of anxiety/depression and occlusal factors in bruxism using Hospital Anxiety and Depression Scale and T-Scan III respectively.
The present case control study was comprising of a group of thirty patients with bruxism (Group Br) and 30 healthy individuals as control group (Group NBr). Subjects were selected from outdoor patients visiting the dental unit with the chief complaint of wearing off/sensitivity of all the teeth due to habitual grinding. The cases were selected by using the diagnostic criteria as given by the American Academy of Sleep Medicine (AASM). Further based on similarities of age and gender, controls were selected. Tooth wear index was recorded using an index given by Ekfeldt et al. Hospital Anxiety and Depression Scale (HADS) questionnaire was administered to both the groups to evaluate anxiety and depression. Recording of occlusal parameters in both the groups was done digitally by using T-Scan III. Statistical analysis was done by using student's -test, chi square test and Mann Whitney test.
Group Br had significantly greater mean tooth wear index (22.24 ± 11.5) than group NBr (5.17 ± 3.30). Group Br had significantly higher anxiety (9.03 + 1.87/7.17 + 1.82) and depression scores (8 + 1.93/6.17 + 1.23) as compared to NBr. The disclusion time of group Br was 0.652 ± 0.749 and that of group NBr was 0.247 ± 0.289 (p = 0.008).
Subjects with higher level of anxiety, depression and increased disclusion time may have greater predilection towards suffering from bruxism (p < 0.05).
分别使用医院焦虑抑郁量表（Hospital Anxiety and Depression Scale）和T-Scan III评估焦虑/抑郁及咬合因素在磨牙症中的作用。
本病例对照研究包括一组30例磨牙症患者（磨牙症组）和30名健康个体作为对照组（非磨牙症组）。研究对象选自因习惯性磨牙导致所有牙齿磨损/敏感为主诉前来牙科就诊的门诊患者。根据美国睡眠医学学会（AASM）给出的诊断标准选取病例。进一步根据年龄和性别的相似性选取对照组。使用Ekfeldt等人给出的指数记录牙齿磨损指数。对两组均进行医院焦虑抑郁量表（HADS）问卷调查以评估焦虑和抑郁情况。两组的咬合参数均使用T-Scan III进行数字化记录。采用学生t检验、卡方检验和曼-惠特尼检验进行统计分析。
磨牙症组的平均牙齿磨损指数（22.24 ± 11.5）显著高于非磨牙症组（5.17 ± 3.30）。与非磨牙症组相比，磨牙症组的焦虑得分（9.03 + 1.87/7.17 + 1.82）和抑郁得分（8 + 1.93/6.17 + 1.23）显著更高。磨牙症组的开闭口时间为0.652 ± 0.749，非磨牙症组为0.247 ± 0.289（p = 0.008）。
焦虑水平较高、抑郁及开闭口时间增加的个体可能更易患磨牙症（p < 0.05）。
