Factors associated with temporomandibular disorders pain in adolescents
Factors associated with temporomandibular disorders pain in adolescents
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DOI：
10.1111/joor.12238
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发表时间：
2015-02-01
影响因子：
2.9
通讯作者：
Camparis, C. M.
中科院分区：
文献类型：
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作者：
Fernandes, G.;van Selms, M. K. A.;Camparis, C. M.
为了更好地了解青少年颞下颌关节紊乱 (TMD) 疼痛，研究与其存在相关的因素非常重要。因此，本研究的目的是调查青少年 TMD 疼痛的潜在预测因素，从而纳入生物心理社会模型中的多种因素来确定最强的预测因素。这项横断面研究的样本由 1094 名青少年组成。使用 RDC/TMD、Axis I 评估 TMD 疼痛的存在。除了人口特征外，还评估了功能异常习惯、社会心理方面、初潮和其他身体疼痛主诉的作用。使用单一和多重逻辑回归模型来确定预测变量与 TMD 疼痛之间的关联。疼痛 TMD 的患病率为 255%。 Logistic 回归分析显示，TMD 疼痛与睡眠磨牙症 (OR=18 95% CI=134-234)、清醒磨牙症 (OR=21 95% CI=156-283)、其他功能异常习惯 (OR=22 95% CI=117-408) 和身体疼痛主诉 (OR=50 95% CI=348-728) 相关。功能失调的习惯和其他身体疼痛症状可能在青少年 TMD 疼痛的发生中发挥重要作用。当然，目前尚不清楚所观察到的调查因素与青少年 TMD 疼痛之间是否存在真正的因果关系。
To gain a better understanding of temporomandibular disorders (TMD) pain in adolescents, it is important to study the factors associated with its presence. Therefore, the aim of this study was to investigate potential predictors for TMD pain in adolescents, thereby including a diversity of factors from the biopsychosocial model to determine the strongest predictors. The sample of this cross-sectional study consisted of 1094 adolescents. The presence of TMD pain was assessed using the RDC/TMD, Axis I. Apart from demographical characteristics, the roles of parafunctional habits, psychosocial aspects, menarche and other bodily pain complaints were evaluated. Single and multiple logistic regression models were used to identify associations between the predictor variables and TMD pain. Painful TMD had a prevalence of 255%. Logistic regression analyses showed that TMD pain was associated with sleep bruxism (OR=18 95% CI=134-234), awake bruxism (OR=21 95% CI=156-283), other parafunctional habits (OR=22 95% CI=117-408) and bodily pain complaints (OR=50 95% CI=348-728). Parafunctional habits and other bodily pain complaints may play an important role in the presence of TMD pain in adolescents. Of course, it remains unclear whether the observed associations between the investigated factors and the adolescent's TMD pain have a true causal linkage.