Turcio Karina-Helga-Leal, Neto Clóvis-Lamartine-de Moraes-Melo, Pirovani Beatriz-Ommati, Dos Santos Daniela-Micheline, Guiotti Aimée-Maria, Bertoz André-Pinheiro-de Magalhães, Brandini Daniela-Atili
DDS, MS, PhD. Department of Dental Materials and Prosthodontics, Araçatuba Dental School, São Paulo State University (UNESP), São Paulo, Brasil.
DDS, MS. Department of Surgery and Integrated Clinic - Divison of Periodontics, Araçatuba Dental School, São Paulo State University (UNESP), São Paulo, Brasil.
J Clin Exp Dent. 2022 May 1;14(5):e385-e389. doi: 10.4317/jced.59255. eCollection 2022 May.
To determine whether there is a correlation of bruxism (sleep, daytime, or both) with oral health-related quality of life and facial pain of muscular origin in dentate individuals.
Seventy-four dentate patients (complete dentition) were included in this study. These individuals had pain in the facial muscles due to temporomandibular disorder (TMD). Smokers; and those with obstructive sleep apnea, TMD of joint origin associated or not with pain, malocclusion, and cancer; and users of illicit drugs, psychiatric medications, and alcohol were excluded. Obstructive sleep apnea, bruxism (of sleep and/or daytime), facial muscle pain, and oral health-related quality of life were assessed by the following questionnaires: Berlin Questionnaire, Pintado . questionnaire, VAS (Visual Analog Scale) facial muscle pain questionnaire, and Oral Health Impact Profile - 14. Four groups were created: 1) no bruxism; 2) sleep bruxism; 3) daytime bruxism; and 4) sleep and daytime bruxism. Spearman's correlation test was applied to verify if there was a correlation between the collected data. values less than 0.05 were considered statistically significant.
There was a positive correlation of daytime bruxism with mean pain in the last 3 months (<0.05) and the worst pain experienced in the last 3 months (<0.05).
Bruxism (sleep, daytime, or both) showed a positive correlation with lower oral health-related quality of life (<0.05). Bruxism, facial pain, temporomandibular joint disorders, surveys and questionnaires, health-related quality of life.
确定磨牙症（睡眠磨牙、日间磨牙或两者皆有）与有牙个体的口腔健康相关生活质量及肌肉源性面部疼痛之间是否存在相关性。
本研究纳入了74名有牙患者（全口牙列）。这些个体因颞下颌关节紊乱病（TMD）而面部肌肉疼痛。排除吸烟者；患有阻塞性睡眠呼吸暂停、关节源性TMD（无论是否伴有疼痛）、错牙合畸形和癌症者；以及非法药物、精神科药物使用者和酗酒者。通过以下问卷评估阻塞性睡眠呼吸暂停、磨牙症（睡眠和/或日间）、面部肌肉疼痛和口腔健康相关生活质量：柏林问卷、平塔多问卷、视觉模拟量表（VAS）面部肌肉疼痛问卷和口腔健康影响程度量表-14。创建了四组：1）无磨牙症；2）睡眠磨牙症；3）日间磨牙症；4）睡眠和日间磨牙症。应用Spearman相关性检验来验证所收集数据之间是否存在相关性。P值小于0.05被认为具有统计学意义。
日间磨牙症与过去3个月的平均疼痛（P<0.05）以及过去3个月经历的最严重疼痛（P<0.05）呈正相关。
磨牙症（睡眠磨牙、日间磨牙或两者皆有）与较低的口腔健康相关生活质量呈正相关（P<0.05）。磨牙症、面部疼痛、颞下颌关节紊乱病、调查与问卷、健康相关生活质量。
