与年轻人单侧咀嚼相关的颞下颌关节病理

Antonio Jiménez-Silva , Consuelo Peña-Durán , Ximena Lee-Muñoz , Cristian Vergara-Núñez , Julio Tobar-Reyes , Raúl Frugone-Zambra
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引用次数: 4

摘要

目的本研究的目的是确定年轻人习惯性咀嚼侧与颞下颌紊乱(TMD)存在的关系。材料与方法对智利大学牙科学院的70名年轻成人(22-26岁)进行分析性病例对照和简单盲法研究。采用咀嚼功能角(MFA)确定所有受试者的习惯性咀嚼侧位,并应用《颞下颌疾病研究诊断标准》(RDC/TMD)确定TMD类型和最常见侧位。数据分析采用卡方检验和Fisher确切检验(95% CI)。结果单侧咀嚼者56例(80.0%),双侧咀嚼者14例(20.0%)。根据RDC/TMD, 34例(48.6%)被诊断为TMD,而36例(51.4%)未显示任何疾病的证据。单侧咀嚼与TMD无显著性差异(p=0.63)。单侧咀嚼与关节疾病之间存在较高的趋势(ii组和iii组,RDC/TMD) (p=0.06)。结论单侧咀嚼与关节疾病的相关性较高,但咀嚼方式与关节疾病的关系尚不明确。咀嚼侧与疾病侧的重合无关系。这可能是因为TMD涉及的因素不同。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Patología temporomandibular asociada a masticación unilateral en adultos jóvenes

Objective

The aim of this study was to determine the relationship between the habitual chewing side and the presence of temporomandibular disorders (TMD) in young adults.

Materials and methods

An analytical case-control and simple blind study was performed on 70 young adult subjects (22-26 years) from the Faculty of Dentistry of the University of Chile. The masticatory functional angle (MFA) was used to determine the habitual chewing side in all subjects, as well as applying the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) in order to determine the type of TMD and the most prevalent side. Data were analysed using Chi squared test and Fisher's exact test (95% CI).

Results

A total of 56 subjects (80.0%) were unilateral chewers and 14 (20.0%) were bilateral chewers. A diagnosis of TMD was made in 34 (48.6%) subjects according to RDC/TMD, while 36 individuals (51.4%) showed no evidence of any disorder. There were no differences between unilateral chewing and the presence of TMD (p=0.63). There was a high trend between unilateral chewing and presence of joint disease (groups ii and iii, RDC/TMD) (p=0.06).

Conclusion

Despite a high trend between unilateral chewing and joint disease observed, the relationship between the type of chewing and TMD has not been established. No relationship was found between the chewing side and its coincidence with the disease side. This could be because of the different factors involved in TMD.

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