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咀嚼口香糖与颞下颌关节紊乱症之间的关联。

Association Between Gum Chewing and Temporomandibular Disorders.

作者信息

Yushchenko Yana, Zemowski Michał, Yefimchuk Daniil, Wieczorek Aneta

机构信息

Student Research Group, Department of Prosthodontics and Orthodontics, Faculty of Medicine, Jagiellonian University Medical College, 31-155 Krakow, Poland.

Private Practice, 30-699 Krakow, Poland.

出版信息

J Clin Med. 2025 Jul 24;14(15):5253. doi: 10.3390/jcm14155253.

Abstract

: Gum chewing is a common habit among young adults, often promoted for its oral health and psychological benefits. However, as a repetitive and non-functional activity, it is also considered a potential risk factor for temporomandibular disorder (TMD), particularly when practiced chronically. The aim of this study was to evaluate whether excessive gum chewing is associated with a higher prevalence of TMD among young adults presumed to be under elevated academic stress based on their demographic characteristics. : Participants were examined in Krakow, Poland, using the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) protocol. Participants completed a structured questionnaire assessing gum-chewing frequency, duration, and chronicity. Associations between chewing behaviors and TMD presence were analyzed using univariate logistic regression (α = 0.05). : This study included young adults 66 participants aged 19-30. TMD was diagnosed in 55 participants (83.3%), including muscular disorders (n = 9; 16.4%), articular disorders (n = 10; 18.2%), and combined muscular-articular disorders (n = 38; 57.6%). More than 70% of participants reported chewing gum for over five years. No statistically significant associations were found between TMD occurrence and the frequency, duration, or chronicity of gum chewing ( > 0.05). : These findings suggest that, in the absence of other contributing factors, gum chewing may not independently contribute to TMD development. The elevated TMD prevalence may reflect confounding variables such as high academic stress, narrow age distribution, or female predominance. However, the limited sample size limits statistical power, particularly for detecting subtle effects potentially distorted by other variables. Additionally, the cross-sectional nature of this study precludes causal interpretation. Further studies in larger and more heterogeneous populations are recommended.

摘要

嚼口香糖是年轻人的常见习惯,因其对口腔健康和心理有益而常被提倡。然而,作为一种重复性且无功能性的活动,它也被认为是颞下颌关节紊乱病(TMD)的潜在风险因素,尤其是长期嚼口香糖时。本研究的目的是评估在根据人口统计学特征推测处于较高学业压力下的年轻人中,过度嚼口香糖是否与TMD的较高患病率相关。:在波兰克拉科夫,使用颞下颌关节紊乱病诊断标准(DC/TMD)方案对参与者进行检查。参与者完成了一份结构化问卷,评估嚼口香糖的频率、持续时间和慢性程度。使用单因素逻辑回归分析嚼口香糖行为与TMD存在之间的关联(α = 0.05)。:本研究纳入了66名19至30岁的年轻人。55名参与者(83.3%)被诊断为TMD,包括肌肉紊乱(n = 9;16.4%)、关节紊乱(n = 10;18.2%)和肌肉 - 关节联合紊乱(n = 38;57.6%)。超过70%的参与者报告嚼口香糖超过五年。未发现TMD的发生与嚼口香糖的频率、持续时间或慢性程度之间存在统计学显著关联(> 0.05)。:这些发现表明,在没有其他促成因素的情况下,嚼口香糖可能不会独立导致TMD的发展。TMD患病率升高可能反映了诸如高学业压力、年龄分布狭窄或女性占主导等混杂变量。然而,样本量有限限制了统计效力,特别是对于检测可能被其他变量扭曲的细微影响。此外,本研究的横断面性质排除了因果解释。建议在更大且更多样化的人群中进行进一步研究。

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