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颞下颌关节紊乱病患者的马兰帕蒂评分:一项初步病例对照研究。

Mallampati score in patients with temporomandibular joint disorders: A pilot case-control study.

作者信息

Mirmortazavi Amirtaher, Madani Azam Sadat, Hassanzadeh Saeed, Shakiba Reza

机构信息

Department of Prosthodontics, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.

Faculty of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

Clin Exp Dent Res. 2024 Apr;10(2):e866. doi: 10.1002/cre2.866.

Abstract

OBJECTIVES

Temporomandibular joint disorder (TMD) is defined as any functional abnormalities in different parts of the face and neck. The Mallampati index is an indicator for determining the extent of airway blockage. No study has examined the relationship between TMD and Mallampati score. Most studies have investigated the relationship between temporomandibular joint problems and sleep problems. This pilot study aimed to assess the Mallampati index scores among TMD patients.

MATERIAL AND METHODS

Eighty-four people were divided into the case (based on RDC/TMD) and control groups. Demographic information, neck circumference, tongue size, Mallampati score, and other variables were asked of people. STOP-BANG and Pittsburgh Sleep Quality Index (PSQI) were also completed for each patient. Data were analyzed with Chi-square, Fisher's exact, and Mann-Whitney tests.

RESULTS

The Mallampati and PSQI questionnaire scores in the case group were significantly higher than those in the control group (p < 0.001). The results showed that larger tongue and neck circumference patients had a higher Mallampati score. Pearson correlation coefficient showed that the Mallampati score had a direct and significant relationship with body mass index and PSQI (p < 0.001).

CONCLUSIONS

The results of this study show that Mallampati scores were significantly higher among patients with TMD than among healthy individuals.

摘要

目的

颞下颌关节紊乱病(TMD)被定义为面部和颈部不同部位的任何功能异常。Mallampati指数是确定气道阻塞程度的一个指标。尚无研究探讨TMD与Mallampati评分之间的关系。大多数研究调查了颞下颌关节问题与睡眠问题之间的关系。这项初步研究旨在评估TMD患者的Mallampati指数评分。

材料与方法

84人被分为病例组(基于RDC/TMD)和对照组。询问了研究对象的人口统计学信息、颈围、舌大小、Mallampati评分及其他变量。还为每位患者完成了STOP-BANG和匹兹堡睡眠质量指数(PSQI)评估。数据采用卡方检验、Fisher精确检验和Mann-Whitney检验进行分析。

结果

病例组的Mallampati和PSQI问卷评分显著高于对照组(p < 0.001)。结果显示,舌体和颈围较大的患者Mallampati评分较高。Pearson相关系数表明,Mallampati评分与体重指数和PSQI呈直接且显著的关系(p < 0.001)。

结论

本研究结果表明,TMD患者的Mallampati评分显著高于健康个体。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b4c/10909797/19f030197755/CRE2-10-e866-g001.jpg

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