运动员咬唇和咬颊治疗的效果

E. F. Nasibullina, N. S. Kuznetsova, M. Kabirova, L. P. Gerasimova, S. Galimov, T. R. Basyrov, M. K. Ibragimova, H. P. Kamilov, S. Galimova
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摘要

相关性。口腔黏膜疾病是目前的一个重要问题,因为患者很少注意到口腔黏膜的异常外观,因此不会在疾病的早期阶段去看牙医。评估运动员咬唇和咬颊的治疗效果。研究对象包括 170 人(20-40 岁),他们根据世界卫生组织的建议接受了牙科检查、咀嚼肌电图检查、多普勒超声波检查和口腔黏膜自发荧光检查。第一组包括参加体育运动不超过 1 年的运动员(35 人),第二组包括有 1-5 年体育运动经验的人(43 人),第三组--有 5-10 年体育运动经验的人(42 人)。对照组由 50 名不参加体育运动的一般健康男性组成。被诊断为咬嘴唇和脸颊(根据国际疾病分类-10,K13.1)的患者接受了综合治疗。牙科检查结果显示,46.7% 的受检患者存在咬嘴唇和脸颊的情况。咬嘴唇和脸颊的发生率似乎随着运动经历的增加而增加;在运动经历不超过一年的人群中,咬嘴唇和脸颊的发生率为 5.7%,在运动经历为 5-10 年的人群中,咬嘴唇和脸颊的发生率为 66.7%。预处理检查发现,第 3 组的血流速度比对照组低 2.1 倍。第 3 组患者静止时咀嚼肌和颞肌的振幅比对照组高 1.7 倍,这表明运动员咀嚼肌的张力增加,运动员咀嚼肌的肌肉组织状况存在显著差异。根据运动训练时间的长短,运动员在牙齿状况、咀嚼肌肌电图指标和口腔黏膜多普勒超声检查方面存在显著差异。我们提出的治疗咬颊和咬唇的方法显示出很高的有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effectiveness of lip and cheek biting treatment in athletes
Relevance. Oral mucosal diseases are currently a significant problem since patients rarely notice the unusual appearance of the oral mucosa and, therefore, do not consult a dentist at the early stages of the disease.Purpose. To evaluate the effectiveness of treatment for biting lips and cheeks in athletes.Material and methods. The study included 170 people (20-40 years old) who underwent a dental examination according to the WHO recommendations, electromyography of the masticatory muscles, Doppler ultrasound and autofluorescence examination of the oral mucosa. Group 1 included athletes involved in sports for up to 1 year (35 people), Group 2 included people with sports experience of 1-5 years (43 people), and Group 3 - with sports experience of 5 to 10 years (42 people). The control group consisted of 50 generally healthy men who did not engage in sports. The patients diagnosed with biting their lips and cheeks (K13.1 according to ICD-10) received comprehensive treatment.Results. Dental examination revealed biting of lips and cheeks in 46.7% of the examined patients. The prevalence of biting lips and cheeks appeared to grow with increasing length of sports experience; it amounted to 5.7% in the group with sports experience of up to one year and 66.7% – in the group with experience of 5-10 years. The pretreatment examination detected that the blood flow velocity was 2.1 times lower in group 3 than in the control group. The amplitude of the masticatory and temporal muscles at rest was 1.7 times higher in patients of group 3 than in the control group, which indicates an increase in the tone of the masticatory muscles in athletes and a significant difference in the condition of the muscle tissue of the masticatory muscles in athletes.Conclusion. Athletes, based on the length of their sports-training experience, showed significant differences in dental status, electromyography indicators of the masticatory muscles and Doppler ultrasound of the oral mucosa. Our proposed method for treating cheek and lip biting has shown high effectiveness.
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