Self-reported chewing side preference and its associations with occlusal, temporomandibular and prosthodontic factors: results from the population-based Study of Health in Pomerania (SHIP-0)
Self-reported chewing side preference and its associations with occlusal, temporomandibular and prosthodontic factors: results from the population-based Study of Health in Pomerania (SHIP-0)
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DOI：
10.1111/j.1365-2842.2007.01790.x
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发表时间：
2008-08-01
影响因子：
2.9
通讯作者：
Kordass, B.
中科院分区：
文献类型：
--
作者：
Diernberger, S.;Bernhardt, O.;Kordass, B.
本研究调查了偏好咀嚼侧（PCS）的患病率以及PCS与颞下颌关节紊乱病（TMD）、拮抗剂接触和修复体修复体征之间的关系。一项横断面流行病学“波美拉尼亚健康研究”（SHIP-0）的4086名成年人的人群代表性样本（年龄范围20-80岁，女性50.2%）根据是否存在PCS分为两组。PCS通过问卷调查进行评估。卡方检验和多元逻辑回归分析被用来确定PCS和TMD的症状和体征以及牙科因素之间的关系的影响。PCS的患病率为45.4%。40至69岁的女性更常报告PCS。有一个偏好的右侧（64%）。以下独立变量与PCS显著相关：主观单侧颞下颌关节（TMJ）疼痛，比值比（OR）2.4;主观单侧关节咔哒声，OR 1.7;触诊单侧TMJ/肌肉疼痛，OR 1.6/OR 1.3;失去一个支撑区（Eichner分类），OR 1.9;一侧两个支持区缺失，OR 2.2，一个支持区保留，OR 1.4;存在可摘局部义齿，OR 1.6;存在附着体修复，OR 1.5。在几乎一半的研究人群中发现了PCS，并且与TMD的单侧体征、大多数TMJ疼痛和拮抗剂接触的不对称丧失相关。尽管替换掉的牙齿，但并不是所有的牙列似乎都支持双侧咀嚼。
This study investigated the prevalence of a preferred chewing side (PCS) and associations between a PCS and signs of temporomandibular disorders (TMD), antagonist contact and prosthetic restoration. A population representative sample of 4086 adults of the cross-sectional epidemiologic 'Study of Health in Pomerania' (SHIP-0) (age range 20-80 years, female 50.2%) was divided in two groups by the presence or absence of a PCS. PCS was evaluated by a questionnaire. Chi-squared tests and multiple logistic regression were used to determine the impact of the relation between a PCS and signs and symptoms of TMD as well as dental factors. The prevalence of a PCS was 45.4%. Women between 40 and 69 years reported more frequently a PCS. There was a preference for the right side (64%). The following independent variables were significantly associated with a PCS: subjective unilateral pain in the temporomandibular joint (TMJ), odds ratio (OR) 2.4; subjective unilateral joint clicking, OR 1.7; unilateral TMJ/muscle pain on palpation, OR 1.6/OR 1.3; loss of one supporting zone (Eichner-Classification), OR 1.9; loss of both supporting zones on one side, OR 2.2, one supporting zone left, OR 1.4; presence of a removable partial denture, OR 1.6; presence of an attachment restoration, OR 1.5. A PCS was found in almost half the study population and was associated with unilateral signs of TMD, most of all TMJ pain and asymmetrical loss of antagonist contact. Despite replacement of lost teeth not all restorations seemed to support bilateral mastication.