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家长/照顾者报告的葡萄牙儿科牙科服务中睡眠磨牙症的患病率:一项回顾性研究。

Prevalence of Sleep Bruxism Reported by Parents/Caregivers in a Portuguese Pediatric Dentistry Service: A Retrospective Study.

机构信息

Lisbon Pediatric Dentistry Service (SOL-Serviço Odontopediátrico de Lisboa), Santa Casa da Misericórdia de Lisboa, 1000-049 Lisbon, Portugal.

出版信息

Int J Environ Res Public Health. 2022 Jun 25;19(13):7823. doi: 10.3390/ijerph19137823.

Abstract

The definition of sleep bruxism (SB) has changed over the years, and although it is no longer defined as a disorder, it is considered a risk factor that can result in prejudicial systemic and stomatognathic issues. The prevalence of SB in children is variable among studies, and its decrease during adolescence is a controversial matter among authors. We aimed to determine SB prevalence and assess its trend with age in a sample of pediatric patients who frequented the Lisbon Pediatric Dentistry Service. We conducted a retrospective observational study based on information provided by patients' parents/caregivers and without examination or polysomnography examination. Data were collected between August 2019 and December 2020 by five dentists. A total of 1900 patients were included, 50.6% and 49.4% of which were male and female, respectively. Of the total sample, 334 (17.6%, 95% confidence interval of 15.9-19.4%) had bruxism, corresponding to 18.9% and 16.2% of male and female patients, respectively ( = 0.121). SB was reported in 20.7% of patients 0-6 years old, in 19.4% of those 7-11 years old, and in 14.6% of those 12-17 years old. In conclusion, SB showed a slightly higher prevalence among male pediatric patients, but further studies are needed to rule out confounding factors.

摘要

睡眠磨牙症 (SB) 的定义多年来发生了变化,尽管它不再被定义为一种疾病,但它被认为是一个风险因素,可能导致有害的系统性和口腔颌面部问题。在不同的研究中,儿童 SB 的患病率存在差异,其在青少年时期的下降是作者之间有争议的问题。我们旨在确定在经常光顾里斯本儿科牙科服务的儿科患者样本中 SB 的患病率,并评估其随年龄的变化趋势。我们进行了一项回顾性观察研究,该研究基于患者父母/照顾者提供的信息,无需检查或多导睡眠图检查。数据于 2019 年 8 月至 2020 年 12 月期间由五名牙医收集。共有 1900 名患者被纳入研究,其中 50.6%和 49.4%分别为男性和女性。在总样本中,有 334 名(17.6%,95%置信区间为 15.9-19.4%)有磨牙症,分别对应 18.9%和 16.2%的男性和女性患者(=0.121)。0-6 岁的患者中有 20.7%报告有 SB,7-11 岁的患者中有 19.4%,12-17 岁的患者中有 14.6%。总之,男性儿科患者中 SB 的患病率略高,但需要进一步研究以排除混杂因素。

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Sleep bruxism: Current knowledge and contemporary management.睡眠磨牙症:当前认知与现代管理
J Conserv Dent. 2016 Sep-Oct;19(5):383-9. doi: 10.4103/0972-0707.190007.
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Understanding bruxism in children and adolescents.了解儿童和青少年的磨牙症。
Int Orthod. 2015 Dec;13(4):489-506. doi: 10.1016/j.ortho.2015.09.001. Epub 2015 Oct 23.

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