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评估老年人群颞下颌功能紊乱和磨牙症相关症状:一项流行病学调查。

Assessment of Symptoms Associated with Temporomandibular Dysfunction and Bruxism among Elderly Population: An Epidemiological Survey.

机构信息

Sadar Hospital, Muzaffarpur, Bihar, India, e-mail:

Private Dental Practice, Jandaha, Bihar, India.

出版信息

J Contemp Dent Pract. 2022 Apr 1;23(4):393-398.

PMID:35945831
Abstract

AIM

The aim of the study was to assess the symptoms associated with temporomandibular disorders (TMD) and bruxism among elderly population in Ranchi, India.

MATERIALS AND METHODS

A cross-sectional study was done on 600 elderly subjects; data regarding the signs and symptoms associated with temporomandibular disorder and bruxism were recorded using both structured questionnaire and clinical examination. Spearman correlation analysis was done to find the association between TMD and bruxism.

RESULTS

Out of 600 subjects, 49% were males and 51% were females. The overall prevalence of TMD-related symptoms like temporomandibular joint (TMJ) pain, difficulty in jaw opening, TMJ sounds, and bruxism were 10.5, 11.2, 14, and 17% among elderly subjects. TMD symptoms and bruxism were relatively more commonly seen among females when compared to males. According to logistic regression (significantly correlated independent variables, i.e., TMD symptoms among analyzed variables), the dependent variable like bruxism had highest odds ratio, i.e., 8 for 60-70 years age-group and 15.1 for 70-80 year age-group.

CONCLUSION

There was a lesser prevalence of symptoms related to TMD and bruxism among the study population, and bruxism had the highest odds ratio in TMD between the analyzed variables.

CLINICAL SIGNIFICANCE

Human aging contributes too many oral problems, while resolving these, the felt needs of the population are sometimes ignored which adds up to the growing list of issues. Studies have shown inconclusive evidence regarding the prevalence of symptoms related to TMD and bruxism as these are known to trouble elderly populations.

摘要

目的

本研究旨在评估印度兰契老年人群中与颞下颌关节紊乱(TMD)和磨牙症相关的症状。

材料和方法

对 600 名老年人进行了横断面研究;使用结构化问卷和临床检查记录与 TMD 和磨牙症相关的体征和症状数据。采用 Spearman 相关分析来发现 TMD 和磨牙症之间的关联。

结果

在 600 名受试者中,男性占 49%,女性占 51%。颞下颌关节(TMJ)疼痛、张口困难、TMJ 声音和磨牙症等 TMD 相关症状的总患病率在老年人群中分别为 10.5%、11.2%、14%和 17%。与男性相比,女性更容易出现 TMD 症状和磨牙症。根据逻辑回归(分析变量中显著相关的独立变量,即 TMD 症状),磨牙症等因变量的优势比最高,即 60-70 岁年龄组为 8,70-80 岁年龄组为 15.1。

结论

研究人群中与 TMD 和磨牙症相关的症状患病率较低,而在分析变量中,磨牙症与 TMD 之间的优势比最高。

临床意义

人类衰老会导致许多口腔问题,在解决这些问题的同时,有时会忽略人群的实际需求,这使得问题不断增加。关于 TMD 和磨牙症相关症状的患病率,研究结果并不一致,因为这些症状已知会困扰老年人群。

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