Prevalence and impact of signs and symptoms of temporomandibular disorders in dental students and faculty.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-07-31 DOI:10.1002/jdd.13675

Nathan Larkin, Vincent Fricton, Linda Sangalli, Janey Prodoehl, James Fricton

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引用次数: 0

Abstract

Objectives: Temporomandibular disorders (TMD) affect individuals undergoing increased stress, for example, dental professionals. No study to date has compared dental students and faculty in TMD manifestation. This cross-sectional study compared prevalence, risk factors, and impact on daily activities of self-reported TMD signs/symptoms between dental students and faculty at a predoctoral dental school, and between preclinical (first- to second-year) and clinical (third- to fourth-year) students.

Methods: A REDCap survey was sent to dental students and faculty, assessing TMD signs/symptoms (TMD Symptom Questionnaire), pain intensity (Chronic Graded Pain Scale), jaw function (Jaw Function Limitation Scale), parafunctions (Oral Behavioral Checklist), previous TMD treatments, anxiety/depression symptoms (Patient Health Questionnaire), perceived stress (Perceived Stress Scale), and sleep quality (RU-SATED Scale). Outcomes were compared between groups using chi-square and t-tests, adjusting for covariates with analyses of covariance (ANCOVA).

Results: Data derived from N = 145 participants (N = 108 students, N = 37 faculty). Dental students reported significantly higher prevalence (90.1% vs. 75.7%, p = 0.020) and greater number of TMD signs/symptoms (5.3 ± 3.5 vs. 3.0 ± 2.7, p < 0.001) compared to faculty. Students reported significantly more parafunctional activities (p = 0.000), jaw-strain episodes (prolonged mouth opening, p = 0.007), higher stress level (p = 0.008), and lower sleep quality (p = 0.002) than faculty. Difference in number of TMD signs/symptoms was maintained after adjusting for stress, sleep quality, and parafunctional/jaw-strain activities. Clinical students utilized significantly more often evidence-based TMD treatment compared to preclinical students.

Conclusions: High prevalence of self-reported TMD was observed among dental students and faculty, with students reporting higher prevalence and impairment despite working in the same environment. Findings underscore the importance of education on preventive measures early in dental training to address contributing factors and TMD management.

查看原文本刊更多论文

牙科师生中颞下颌关节紊乱症症状和体征的发生率及其影响。

目的：颞下颌关节紊乱症（TMD）对压力增大的人有影响，例如牙科专业人员。迄今为止，还没有研究对牙科学生和教师的 TMD 表现进行过比较。这项横断面研究比较了一所牙科博士前期学校的牙科学生和教职员工之间，以及临床前（一年级至二年级）和临床（三年级至四年级）学生之间自我报告的 TMD 体征/症状的患病率、风险因素和对日常活动的影响：向牙科学生和教师发送 REDCap 调查表，评估 TMD 体征/症状（TMD 症状问卷）、疼痛强度（慢性疼痛分级量表）、下颌功能（下颌功能限制量表）、副功能（口腔行为检查表）、以前的 TMD 治疗、焦虑/抑郁症状（患者健康问卷）、感知压力（感知压力量表）和睡眠质量（RU-SATED 量表）。采用卡方检验和 t 检验对各组结果进行比较，并通过协方差分析（ANCOVA）对协变量进行调整：数据来自 N = 145 名参与者（N = 108 名学生，N = 37 名教师）。牙科学生报告的 TMD 征兆/症状发生率明显更高（90.1% vs. 75.7%，p = 0.020），TMD 征兆/症状的数量也更多（5.3 ± 3.5 vs. 3.0 ± 2.7，p 结论：牙科学生报告的 TMD 征兆/症状发生率较高：在牙科学生和教师中观察到自我报告的 TMD 患病率较高，尽管在相同的环境中工作，但学生报告的患病率和受损程度更高。研究结果强调了在牙科培训早期开展预防措施教育以解决诱发因素和 TMD 管理的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.