Risk factors for diagnostic subgroups of painful temporomandibular disorders (TMD)
Risk factors for diagnostic subgroups of painful temporomandibular disorders (TMD)
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DOI：
10.1177/154405910208100412
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发表时间：
2002-04-01
影响因子：
7.6
通讯作者：
Drangsholt, MT
中科院分区：
文献类型：
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作者：
Huang, GJ;LeResche, L;Drangsholt, MT
颞下颌关节紊乱病（TMD）包括几个实体，可能有不同的病因。为了验证这一假设，我们调查了三个诊断亚组的疼痛性TMD的危险因素。97名仅肌筋膜疼痛的受试者，20名仅关节痛的受试者，157名肌筋膜疼痛和关节痛的受试者，以及195名无TMD疼痛的对照者符合研究资格标准。调查的风险因素包括身体和心理变量。调整后的比值比通过多元logistic回归分析计算。单独发生的肌筋膜疼痛与创伤（比值比{OR} = 2.0）、紧咬（OR = 4.8）、第三磨牙拔除（OR = 3.2）、躯体化（OR = 3.7）和女性性别（OR = 4.2）显著相关。肌筋膜疼痛伴关节痛与创伤（OR = 2.1）、紧咬（OR = 3.3）、第三磨牙拔除（OR = 4.0）、躯体化（OR = 5.1）和女性（OR = 4.7）显著相关。在仅小关节痛组中未发现显著相关性。
Temporomandibular Disorders (TMD) encompass several entities, which may have differing etiologies. To test this hypothesis, we investigated risk factors for three diagnostic subgroups of painful TMD. Ninety-seven subjects with myofascial pain only, 20 with arthralgia only, 157 with both myofascial pain and arthralgia, and 195 controls without TMD pain met criteria for study eligibility. Investigated risk factors included both physical and psychological variables. Adjusted odds ratios were calculated by multiple logistic regression analyses. Myofascial pain occurring alone was significantly associated with trauma (Odds Ratio {OR} = 2.0), clenching (OR = 4.8), third molar removal (OR = 3.2), somatization (OR = 3.7), and female gender (OR = 4.2). Myofascial pain with arthralgia was significantly associated with trauma (OR = 2.1), clenching (OR = 3.3), third molar removal (OR = 4.0), somatization (OR = 5.1), and female gender (OR = 4.7). No significant associations were found for the small-arthralgia-only group.