Al-Khalifa Khalifa S
Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Oman Med J. 2022 Mar 22;37(2):e351. doi: 10.5001/omj.2022.47. eCollection 2022 Mar.
To assess the prevalence of bruxism and occupational stress among Saudi Arabian fighter pilots.
This was an observational, cross-sectional study where 110 fighter pilots were compared with 110 control non-pilots. The data collection was carried out by two dentists between February 2018 and May 2019. The subjects who consented to the study completed the Karasek's Demand-Control questionnaire (short version) comprising 11 questions (5 for demand and 6 for control) designed to measure occupational stress. The assessment of bruxism was made using the non-instrumental approach of the International Consensus on the Assessment of Bruxism which includes both clinical examination and self-report of diurnal and nocturnal bruxism. A logistic regression test was performed with bruxism as the dependent variable controlling for occupational stress, type of occupation, and smoking status.
The total sample comprising pilots and non-pilots had an overall bruxism prevalence of 41.8%, with more pilots (52.7%) than non-pilots (30.9%) having the condition. Occupational stress was experienced by more pilots than non-pilots (45.5% vs. 27.3%, respectively). Bruxism was significantly associated with type of occupation (pilots vs. non-pilots) controlling for occupational stress in both univariate and multivariate logistic regression tests; odd ratio (OR) = 2.5; (95% confidence interval (CI): 1.1-5.4, p = 0.016) and OR = 2.6; (95% CI:1.2-5.8, = 0.020), respectively.
The pilots demonstrated significantly higher occupational stress and bruxism than the non-pilots. The pilots were 3.9 times more likely to have a combination of stress and bruxism than non-pilots. Further investigations are necessary to determine whether any causal relationship exists between occupational stress and bruxism.
评估沙特阿拉伯战斗机飞行员磨牙症和职业压力的患病率。
这是一项观察性横断面研究，将110名战斗机飞行员与110名非飞行员对照进行比较。2018年2月至2019年5月期间，由两名牙医进行数据收集。同意参与研究的受试者完成了Karasek需求控制问卷（简短版），该问卷包含11个问题（5个关于需求，6个关于控制），旨在测量职业压力。磨牙症的评估采用国际磨牙症评估共识的非仪器方法，包括临床检查以及白天和夜间磨牙症的自我报告。以磨牙症为因变量，对职业压力、职业类型和吸烟状况进行控制，进行逻辑回归测试。
包括飞行员和非飞行员的总样本中，磨牙症的总体患病率为41.8%，患有磨牙症的飞行员（52.7%）多于非飞行员（30.9%）。经历职业压力的飞行员多于非飞行员（分别为45.5%和27.3%）。在单变量和多变量逻辑回归测试中，控制职业压力后，磨牙症与职业类型（飞行员与非飞行员）显著相关；比值比（OR）分别为2.5；（95%置信区间（CI）：1.1 - 5.4，p = 0.016）和OR = 2.6；（95%CI：1.2 - 5.8，p = 0.020）。
飞行员表现出比非飞行员显著更高的职业压力和磨牙症。飞行员同时出现压力和磨牙症的可能性是非飞行员的3.9倍。有必要进一步调查职业压力和磨牙症之间是否存在因果关系。
