Risk factors associated with symptoms of temporomandibular disorders in a population of 50-and 60-year-old subjects
Risk factors associated with symptoms of temporomandibular disorders in a population of 50-and 60-year-old subjects
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DOI：
10.1111/j.1365-2842.2005.01574.x
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发表时间：
2006-07-01
影响因子：
2.9
通讯作者：
Halling, A.
中科院分区：
文献类型：
--
作者：
Johansson, A.;Unell, L.;Halling, A.
本研究的目的是首先调查，通过邮寄问卷，变量从三个领域：（i）社会经济属性;（ii）一般和口腔健康;（iii）牙科的态度和行为在一个大样本的50岁和60岁的受试者，第二，比较受试者或不报告颞下颌关节（TMJ）疼痛相对于这些变量。2002年，一份调查问卷被邮寄给瑞典两个县，Orebro和Ostergotland的所有50岁和60岁的受试者（n = 17 138; n（50）= 8878; n（60）= 8260）。在两周内没有回复的人会收到提醒。如果仍然没有回答，则发送新的调查问卷。最终有效率为72.8%（n = 12468）。报告的对“颞下颌关节区域疼痛”和“张大嘴困难”问题的回答被分为两组：（i）没有颞下颌关节紊乱病（TMD）症状;和（ii）一些相当大或严重的TMD症状。有无TMD症状组在人口统计学、职业、一般和口腔健康状况方面存在显著差异。据报道，疼痛和功能障碍的最强风险指标是磨牙症。女性、年轻受试者（50岁）和蓝领工人在TMD症状组中明显更普遍。与受损的一般和口腔健康相关的变量在报告TMD问题的组中更常见，而对接受牙科护理和牙齿的满意度较低。有TMD症状的人与没有TMD症状的人在社会经济属性、一般和口腔健康症状、牙齿状况和对牙齿的满意度方面存在显着差异。
The aims of this study were first to investigate, by means of a mail questionnaire, variables from three domains: (i) socio-economic attributes; (ii) general and oral health; and (iii) dental attitudes and behaviours in a large sample of 50- and 60-year-old subjects, and second to compare subjects with or without reported temporomandibular joint (TMJ) pain with respect to these variables. In 2002, a questionnaire was mailed to all 50- and 60-year-old subjects in two Swedish counties, Orebro and Ostergotland (n = 17 138; n(50) = 8878; n(60) = 8260). Individuals not responding within 2 weeks were given a reminder. If still not answering, a new questionnaire was sent. The final response rate was 72.8% (n = 12 468). The reported responses to questions regarding 'pain in the TMJ region' and 'difficulty to open the mouth wide' were dichotomized into two groups: (i) no temporomandibular disorders (TMD) symptoms; and (ii) some, rather great or severe TMD symptoms. Striking differences in demographic, occupational, general and oral health conditions were found between the groups with and without TMD symptoms. The strongest risk indicator for both pain and dysfunction was reported bruxism. Women, younger subjects (50 years old) and blue-collar workers were significantly more prevalent in the TMD symptom groups. Variables related to impaired general and oral health were more common in the groups with reported TMD problems, whereas satisfaction with received dental care and with teeth was lower. Individuals with reported TMD symptoms differed significantly from those without TMD symptoms in socio-economic attributes, general and oral health symptoms, dental conditions and satisfaction with their teeth.