Mitro Valeria, Caso Angela Rosa, Sacchi Federica, Gilli Massimiliano, Lombardo Guido, Monarchi Gabriele, Pagano Stefano, Tullio Antonio
Department of Maxillo-Facial Surgery, Hospital of Perugia, Sant'Andrea Delle Fratte, 06132 Perugia, Italy.
Department of Medicine, Section of Maxillofacial Surgery, University of Siena, Viale Bracci, 53100 Siena, Italy.
Clin Pract. 2024 Aug 26;14(5):1650-1668. doi: 10.3390/clinpract14050132.
: Temporomandibular disorders (TMDs) represent a prevalent multifactorial condition that impacts a significant portion of the global population. The objective of this study was to employ Fonseca's questionnaire for an initial assessment of TMDs. A cross-sectional study was conducted on a sample of 250 undergraduates from the Dental School of the University of Perugia, Italy. The chi-square test, with a significance level set at < 0.05, was used to evaluate a statistically significant relationship between TMDs and several variables such as gender, age, employed/unemployed, and physically active or not. The data obtained through the questionnaire indicated that a considerable percentage of students (78%) exhibited signs consistent with TMDs. The most frequently reported signs and symptoms included psychological stress (49.6%), dental clenching and grinding (34%), joint clicking (33.6%), frequent headaches (15.2%), and neck pain (23.2%). Notably, when considering moderate to severe symptoms of TMDs, females were more significantly affected than males. Furthermore, factors such as age, employment status, and physical activity did not appear to influence the prevalence of TMDs. The high prevalence of TMDs identified within this young population (university students), as measured by this questionnaire (albeit warranting validation through more rigorous methodologies) underscores the necessity for the implementation of new preventive strategies that specifically address this demographic.
颞下颌关节紊乱病（TMDs）是一种普遍的多因素疾病，影响着全球相当一部分人口。本研究的目的是使用丰塞卡问卷对TMDs进行初步评估。对意大利佩鲁贾大学牙科学院的250名本科生样本进行了横断面研究。卡方检验的显著性水平设定为<0.05，用于评估TMDs与性别、年龄、就业/失业以及是否进行体育活动等几个变量之间的统计学显著关系。通过问卷获得的数据表明，相当比例的学生（78%）表现出与TMDs一致的症状。最常报告的症状包括心理压力（49.6%）、牙齿咬紧和磨牙（34%）、关节弹响（33.6%）、频繁头痛（15.2%）和颈部疼痛（23.2%）。值得注意的是，在考虑TMDs的中度至重度症状时，女性比男性受影响更显著。此外，年龄、就业状况和体育活动等因素似乎并未影响TMDs的患病率。通过该问卷（尽管需要通过更严格的方法进行验证）在这一年轻人群（大学生）中确定的TMDs高患病率强调了实施专门针对这一人群的新预防策略的必要性。
