Evaluation of oro-facial function in young subjects with temporomandibular disorders
Evaluation of oro-facial function in young subjects with temporomandibular disorders
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DOI：
10.1111/joor.12163
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发表时间：
2014-07-01
影响因子：
2.9
通讯作者：
Castelo, P. M.
中科院分区：
文献类型：
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作者：
Kobayashi, F. Y.;Gaviao, M. B. D.;Castelo, P. M.
本研究的目的是评估儿童和青少年颞下颌关节紊乱病（TMDs）患者在不同牙列期（初始混合牙列、中间混合牙列、最终混合牙列和恒牙列）的咬合力（BF）和口面功能。样本选自巴西圣保罗皮拉西卡巴的四所公立学校。在289名年龄在8- 14岁的参与者中，46名被分配到TMD组。使用颞下颌关节紊乱病研究诊断标准（2011）的轴I诊断TMD。使用北欧口面测试筛选（NOT-S），其中包括采访和临床检查的口面功能进行了评估。使用数字式颌力计测量BF。年龄和体重指数（BMI）也被考虑在内。通过以下检验分析数据：Kolmogorov-Smirnov检验、Student t检验、斯皮尔曼和皮尔逊系数、Qui平方检验、Fisher精确或二项式检验（如所示）。此外，单因素和多因素Logistic回归。对于TMD组，与NOT-S访谈和NOT-S总分相关的得分高于对照组（分别为P=0中心点033和P=0中心点0062）。未检测到性别或组间BF差异（0中心点05）。多因素Logistic回归分析的变量包括BMI和总NOT-S。基于该分析，NOT-S总量与TMD相关。报告的感觉功能是NOT-S访谈中确定组间显著差异的特定领域（P=0，中心点021）。TMD组在NOT-S检查的面部静息域中也有更多的改变（P=0，中心点007）。总之，它没有检测到TMDs和牙列相位或BF之间的关联。相反，BF与年龄和BMI相关。口面功能障碍与TMD的研究样本，但这种关联可能是双向的，需要进一步的研究。
The aim of this study was to evaluate bite force (BF) and oro-facial functions at different dentition phases (initial-mixed, intermediate-mixed, final-mixed and permanent dentition) in children and adolescents diagnosed with temporomandibular disorders (TMDs). The sample was selected from four public schools in Piracicaba, SAo Paulo, Brazil. Of the 289 participants recruited, aged 8-14years old, 46 were placed into the TMD group. TMD was diagnosed using Axis I of the Research Diagnostic Criteria for Temporomandibular Disorders (2011). Oro-facial functions were evaluated using the Nordic Orofacial Test-Screening (NOT-S), which involves both an interview and a clinical examination. BF was measured using a digital gnathodynamometer. Age and body mass index (BMI) were also considered. The data were analysed by the following tests: Kolmogorov-Smirnov test, Student's t-test, Spearman and Pearson coefficients, Qui-square test, Fisher's exact or binomial test, as indicated. Moreover, univariate and multivariable logistic regression were applied. For the TMD group, scores associated with NOT-S interview and NOT-S total were higher than for the control group (P=0 center dot 033 and P=0 center dot 0062, respectively). No differences in BF between genders or groups (0 center dot 05) were detected. Variables included in the multivariate logistic regression were BMI and NOT-S total. Based on this analysis, NOT-S total was associated with TMDs. Reported sensory function was the specific domain within NOT-S interview that established the significant difference between the groups (P=0 center dot 021). The TMD group also had a greater number of alterations in the face-at-rest domain of the NOT-S exam (P=0 center dot 007). Concluding, it did not detect an association between TMDs and either dentition phase or BF. Instead, BF correlated with age and BMI. Oro-facial dysfunction was associated with TMD in the studied sample, but this association may be bidirectional, requiring further researches.