Marschner Felix, Sokolowski Armin, Sokolowski Alwin, Biermann Jana, Wiegand Annette
Department of Preventive Dentistry, Periodontology and Cariology, University Medical Center Göttingen, Robert-Koch-Str. 40, Göttingen, 37075, Germany.
Divison of Restorative Dentistry, Periodontology and Prosthodontics, Department of Dental Medicine and Oral Health, Medical University of Graz, Billrothgasse 4, Graz, 8010, Austria.
J Occup Med Toxicol. 2025 Jun 6;20(1):19. doi: 10.1186/s12995-025-00467-4.
Occupational factors and the type of instrument played may influence physical and psychological health, affecting oral health-related quality of life (OHRQoL). This study assessed the prevalence of orofacial pain, sleep bruxism, stress, and OHRQoL among woodwind musicians (oboe, flute, clarinet, bassoon) in German professional orchestras, compared to cellists.
A standard online questionnaire was sent to all 129 German professional orchestras. Orofacial pain, stress, and sleep-related issues in the past 30 days were evaluated. The German version of the Oral Health Impact Profile-14 (OHIP-14) assessed OHRQoL. Logistic and linear regression analyses were performed (statistical significance p < 0.05).
A total of 243 musicians were included. Orofacial pain was reported by 35.8%, sleep bruxism by 63.0%, and stress by 88.9% of the participant. Orofacial pain was significantly associated with female gender (p = 0.027; odds ratio [OR] = 2.09, 95% confidence interval [CI]: 1.09-4.02), frequent sleep bruxism (p = 0.013; OR = 2.65, 95%-CI: 1.23-5.69), frequent stress (p = 0.002; OR = 3.19, 95%-CI: 1.53-6.63), and difficulties initiating sleep after evening shifts (p = 0.003; OR = 2.90, 95%-CI: 1.45-5.80), but not with the instrument played. OHIP-14 scores did not differ significantly between instrument groups (p = 0.629), but correlated with orofacial pain (p < 0.001), sleep bruxism (p < 0.001), stress (p = 0.002), and sleep difficulties (p = 0.040).
Orofacial pain and sleep bruxism are common among professional musicians, with stress-related factors playing a more significant role than the instrument played.
ClinicalTrials.gov, NCT06618898, 27.09.2024.
职业因素和所演奏乐器的类型可能会影响身心健康，进而影响口腔健康相关生活质量（OHRQoL）。本研究评估了德国专业管弦乐队中木管乐器演奏者（双簧管、长笛、单簧管、巴松管）与大提琴演奏者相比，口面部疼痛、睡眠磨牙症、压力及OHRQoL的患病率。
向德国所有129支专业管弦乐队发送了一份标准在线问卷。评估过去30天内的口面部疼痛、压力及与睡眠相关的问题。使用口腔健康影响程度量表-14（OHIP-14）的德文版评估OHRQoL。进行了逻辑回归和线性回归分析（统计学显著性p<0.05）。
共纳入243名音乐家。35.8%的参与者报告有口面部疼痛，63.0%有睡眠磨牙症，88.9%有压力。口面部疼痛与女性性别（p=0.027；优势比[OR]=2.09，95%置信区间[CI]：1.09-4.02）、频繁睡眠磨牙症（p=0.013；OR=2.65，95%-CI：1.23-5.69）、频繁压力（p=0.002；OR=3.19，95%-CI：1.53-6.63）以及夜班后入睡困难（p=0.003；OR=2.90，95%-CI：1.45-5.80）显著相关，但与所演奏乐器无关。OHIP-14评分在乐器组之间无显著差异（p=0.629），但与口面部疼痛（p<0.001）、睡眠磨牙症（p<0.001）、压力（p=0.002）及睡眠困难（p=0.040）相关。
口面部疼痛和睡眠磨牙症在专业音乐家中很常见，与压力相关的因素比所演奏的乐器起更重要的作用。
ClinicalTrials.gov，NCT06618898，2024年9月27日。
