Parafunctional habits are associated cumulatively to painful temporomandibular disorders in adolescents
Parafunctional habits are associated cumulatively to painful temporomandibular disorders in adolescents
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DOI：
10.1590/1807-3107bor-2016.vol30.0015
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发表时间：
2016-01-01
影响因子：
2.5
通讯作者：
CAMPARIS, Cinara Maria
中科院分区：
文献类型：
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作者：
FERNANDES, Giovana;FRANCO-MICHELONI, Ana Lúcia;CAMPARIS, Cinara Maria
这项横断面研究旨在评估睡眠磨牙症，清醒磨牙症和功能异常的习惯，单独和累积的影响，对青少年的可能性，目前痛苦的TMD。该研究对1，094名青少年（12 - 14岁）进行了抽样调查。使用颞下颌关节紊乱病研究诊断标准轴I评估疼痛性TMD的存在。通过自我报告研究睡眠磨牙症、清醒磨牙症和功能异常习惯（咬指甲/钢笔/铅笔/嘴唇/脸颊、将头放在手上和咀嚼口香糖）的数据。在调整了潜在的人口学混杂因素后，使用logistic回归分析，每个预测变量（睡眠磨牙症，清醒磨牙症和功能异常习惯）与疼痛性TMD显著相关。此外，在同时存在两个（OR = 4.6，[95%CI = 2.06，10.37]）或三个（OR = 13.7，[95%CI = 5.72，32.96]）预测变量时，疼痛性TMD的几率更高。这些研究结果表明，伴随的肌肉活动，在睡眠和清醒磨牙症和功能异常的习惯增加的可能性几乎线性的青少年疼痛TMD。
This cross-sectional study was designed to evaluate the effect of sleep bruxism, awake bruxism and parafunctional habits, both separately and cumulatively, on the likelihood of adolescents to present painful TMD. The study was conducted on a sample of 1,094 adolescents (aged 12-14). The presence of painful TMD was assessed using the Research Diagnostic Criteria for Temporomandibular Disorders, Axis I. Data on sleep bruxism, awake bruxism and parafunctional habits (nail/pen/pencil/lip/cheek biting, resting one's head on one's hand, and gum chewing) were researched by self-report. After adjusting for potential demographic confounders using logistic regression, each of the predictor variables (sleep bruxism, awake bruxism and parafunctional habits) was significantly associated with painful TMD. In addition, the odds for painful TMD were higher in the concomitant presence of two (OR=4.6, [95%CI=2.06, 10.37]) or three predictor (OR=13.7, [95%CI=5.72, 32.96]) variables. These findings indicate that the presence of concomitant muscle activities during sleep and awake bruxism and parafunctional habits increases the likelihood almost linearly of adolescents to present painful TMD.