Interaction Between Awake and Sleep Bruxism Is Associated with Increased Presence of Painful Temporomandibular Disorder.
Interaction Between Awake and Sleep Bruxism Is Associated with Increased Presence of Painful Temporomandibular Disorder.
复制标题
清醒和睡眠磨牙症之间的相互作用与疼痛性颞下颌关节紊乱病的发生率增加有关。
DOI：
10.11607/ofph.1885
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发表时间：
2017
影响因子：
2.5
通讯作者：
Schiffman,EricL
中科院分区：
文献类型：
--
作者：
Reissmann,DanielR;John,MikeT;Aigner,Annette;Schön,Gerhard;Sierwald,Ira;Schiffman,EricL
AimsTo探讨是否清醒磨牙症和睡眠磨牙症相互作用与疼痛性颞下颌关节紊乱病（TMD），MethodsIn this cases-control study，所有参与者（n=705）的一部分，一个多中心验证项目，并被招募为一个方便的样本社区病例和对照，和诊所的情况。Logistic回归分析用于检验自我报告的清醒和睡眠磨牙症与疼痛性TMD的存在之间的关联，并计算比值比（OR）和95%置信区间（CI）。回归模型包括一个交互作用项，以测试乘法交互作用。添加剂的相互作用被计算为相对超额风险由于相互作用（RERI）。结果基于Logistic回归分析调整年龄和性别，清醒（OR = 6.7; 95%CI：3.4 - 12.9）和睡眠（OR = 5.1; 95%CI：3.1 - 8.3）磨牙症的主要影响是显着的。当乘法交互作用（OR = 0.57，95%CI：0.24 ~ 1.4），结果显示有显著的正加性交互作用（RERI = 8.6; 95% CI：结论本研究表明，清醒和睡眠磨牙症与疼痛性TMD的存在增加有关，这两种类型的磨牙症不是独立相关的，而是相互作用的。因此，每一个因素的存在都会放大另一个因素的影响。
AimsTo explore whether awake bruxism and sleep bruxism interact with each other in their association with painful temporomandibular disorders (TMD).MethodsIn this case-control study, all participants (n=705) were part of a multicenter Validation Project and were recruited as a convenience sample of community cases and controls, and clinic cases. Logistic regression analyses were applied to test for the association of self-reported awake and sleep bruxism with the presence of painful TMD, and odds ratios (OR) with 95% confidence intervals (CI) were computed. Regression models included an interaction term to test for multiplicative interaction. Additive interaction was calculated as the relative excess risk due to interaction (RERI).ResultsBased on logistic regression analyses adjusted for age and gender, the main effects for both awake (OR = 6.7; 95% CI: 3.4 – 12.9) and sleep (OR = 5.1; 95% CI: 3.1 – 8.3) bruxism were significant. While the multiplicative interaction (OR = 0.57; 95% CI: 0.24 – 1.4) was not significant, the results indicated a significant positive additive interaction (RERI = 8.6; 95% CI: 1.0 – 19.7) on the OR scale.ConclusionThis study has demonstrated that awake and sleep bruxism are associated with an increased presence of painful TMD, and that both types of bruxism are not independently associated, but interact additively. As such, the presence of each factor amplifies the effect of the other.