Overbite and overjet are not related to self-report of temporomandibular disorder symptoms

Overbite and overjet are not related to self-report of temporomandibular disorder symptoms
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DOI:
10.1177/154405910208100304
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发表时间:
2002-03-01
影响因子:
7.6
通讯作者:
Setz, JM
Setz, JM
中科院分区:
医学1区
文献类型:
--
作者:
John, MT;Hirsch, C;Setz, JM

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一些研究发现,覆咬合和覆牙合,尤其是高值或低值与颞下颌疾病 (TMD) 相关。本研究评估了覆咬合/覆牙合与三种 TMD 自我报告指标(疼痛、关节噪音、张口受限)之间的关系。受试者来自两项基于人群的横断面研究(3033 名受试者)。调整年龄和性别后,与 2 至 3 毫米正常覆咬合参考类别(-8 至 -1 毫米,比值比 = 0.36,95% 置信区间 = 0.05-2.76;6 至 15 nun,比值比 1.08,95% 置信区间 = 0.68-1.72)。对于覆牙痛和 TMD 疼痛,以及覆牙合/覆牙合与关节噪音或张口受限的关联,也发现了类似的非显着结果。这项研究提供了迄今为止最有力的证据,证明覆咬合或覆牙与自我报告的 TMD 之间没有关联。
Overbite and overjet, especially high or low values, have been found in some studies to be associated with temporomandibular disorders (TMD). This study evaluates the relationship between overbite/overjet and three TMD self-report measures (pain, joint noises, limited mouth-opening). Subjects were from two population-based cross-sectional studies (3033 subjects). After adjustment for age and gender, high or low values of overbite were not associated with an increased risk of self-reported TMD pain as compared with a reference category of a normal overbite of 2 to 3 mm (-8 to -1 mm, odds ratio = 0.36, 95% confidence interval = 0.05-2.76; 6 to 15 nun, odds ratio 1.08, 95% confidence interval = 0.68-1.72). Similar non-significant results were found for overjet and TMD pain, and for the association of overjet/overbite and joint noises or limited mouth-opening. This study provides the strongest evidence to date that there is no association between overbite or overjet and self-reported TMD.