Oral habits and their association with signs and symptoms of temporomandibular disorders in adolescent girls
Oral habits and their association with signs and symptoms of temporomandibular disorders in adolescent girls
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DOI：
10.1046/j.1365-2842.2000.00484.x
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发表时间：
2000-01-01
影响因子：
2.9
通讯作者：
Gazit, E
中科院分区：
文献类型：
--
作者：
Gavish, A;Halachmi, M;Gazit, E
一组248名随机选择的高中女生，年龄在15-16岁，完成了一份问卷调查，并进行了临床检查的各种口腔习惯和症状和体征的颞下颌关节紊乱病（TMD）。评价了文献中报告的常见习惯，如咀嚼口香糖、咬指甲、咬异物、紧咬牙关和磨牙症、吃种子和碎冰，以及两种较少报告的习惯，“下颌游戏”和持续手臂倾斜。最突出的发现是在我们的研究组中咀嚼口香糖的流行率和强度很高：92%的女孩每天咀嚼口香糖，48%的女孩每天咀嚼口香糖超过3小时（密集的口香糖咀嚼）。咀嚼口香糖强度与肌肉敏感性（P < 0.001）和关节噪声（P < 0.05）之间存在统计学显著相关性，碎冰强度与肌肉触诊敏感性（P < 0.005）之间存在统计学显著相关性。在“下颌游戏”和关节紊乱之间发现了正相关：报告的关节噪音（P < 0.01），关节卡住（P < 0.01）和关节张力（P < 0.001）。手臂倾斜与报告的关节噪声（P < 0.05）、抓物（P < 0.05）和关节张力（P < 0.005）之间也存在正相关。磨牙症的存在与肌肉触诊敏感性或关节紊乱之间没有关联。这项研究提出了密集的口香糖咀嚼，“下巴游戏”，持续的手臂倾斜和冰破碎的潜在有害影响。根据这些调查结果，专业界应通过适当的数据收集、审查和咨询来解决这些习惯。
A group of 248 randomly selected high school girls, aged 15-16 years, completed a questionnaire and were examined clinically with regard to various oral habits and signs and symptoms of temporomandibular disorders (TMD). Common habits reported in the Literature, such as gum chewing, nail biting, biting foreign objects, clenching and bruxism, eating seeds and crushing ice, as well as two less reported habits, 'jaw play' and continuous arm leaning, were evaluated. The most outstanding finding was the high prevalence and intensity of gum chewing among our study group: 92% of the girls chewed daily and 48% chewed gum for more than 3 h a day (intensive gum chewing). Statistically significant associations were found between intensive gum chewing and muscle sensitivity (P < 0.001) and joint noises (P < 0.05), and between crushing ice and muscle sensitivity to palpation (P < 0.005). A positive association was found between 'jaw play' and joint disturbances: reported joint noises (P < 0.01), catching of the joint (P < 0.01) and joint tension (P < 0.001). A positive association was also found between arm leaning and reported joint noises (P < 0.05), catching (P < 0.05), and joint tension (P < 0.005). There was no association between the presence of bruxism and muscle sensitivity to palpation or joint disturbances. The potential harmful effects of intensive gum chewing, 'jaw play', continuous arm leaning and ice crushing are presented in this study. In light of these findings, the professional community should address these habits with proper data gathering, examination and consultation.