重度疼痛相关残疾的TMD患者口腔行为评分高于无疼痛和轻度疼痛相关残疾的TMD患者。

IF 3.1 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation Pub Date : 2025-07-09 DOI:10.1111/joor.70013

Bachar Reda, Frank Lobbezoo, Luca Contardo, Lucia Pozzan, Paola Franco, Ghizlane Aarab, Daniele Manfredini

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引用次数: 0

摘要

背景：一些研究表明，颞下颌疾病（TMDs）患者的口腔行为，如握紧，磨牙和咬指甲，是常见的。然而，口腔行为与颞下颌关节疾病的关键方面（如疼痛相关残疾）之间的关系仍未得到探索。研究目的：本研究旨在评估低或高疼痛相关残疾的TMD患者的口腔行为与疼痛之间的关系，并与无TMD（非TMD）的无痛患者进行比较。方法：在这项横断面研究中，2018年1月至2021年6月期间在意大利的里雅斯特大学牙科部门就诊的成年参与者被要求完成口腔行为检查表（OBC）和分级慢性疼痛量表（GCPS）。采用bonferroni校正两两比较的单因素方差分析，比较低疼痛相关失能的TMD患者、高疼痛相关失能的TMD患者和无疼痛的TMD患者的OBC总分和项目得分。结果：共1581例患者参与，其中无痛患者1304例，低痛相关残疾TMD患者234例，高痛相关残疾TMD患者43例。无疼痛非TMD患者的平均OBC总分为12.2±8.8分，低疼痛相关残疾TMD患者的平均OBC总分为17.2±10.9分，高疼痛相关残疾TMD患者的平均OBC总分为23.16±12.15分。结论：疼痛相关残疾与TMD患者口腔行为之间存在显著关联。

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TMD Patients With High Pain-Related Disability Have Higher Oral Behaviour Scores Than Individuals Without Pain and TMD Patients With Low Pain-Related Disability.

Background: Some studies suggest that oral behaviours, such as clenching, grinding and nail biting, are common in patients with temporomandibular disorders (TMDs). However, the relationship between oral behaviours and key aspects of TMDs, such as pain-related disability, remains unexplored.

Study objective: The study aimed to assess the relationship between oral behaviours and pain in TMD patients with low or high pain-related disability, compared to pain-free individuals without TMD (non-TMD).

Methods: In this cross-sectional study, adult participants who attended the dental unit at the University of Trieste, Italy, between January 2018 and June 2021 were asked to complete the oral behaviour checklist (OBC) and graded chronic pain scale (GCPS). OBC total score and item scores were compared between TMD patients with low pain-related disability, TMD patients with high pain-related disability and pain-free individuals without TMD, using one-way ANOVA with Bonferroni-adjusted pairwise comparisons.

Results: A total of 1581 patients participated, of whom 1304 were pain-free, 234 were TMD patients with low pain-related disability and 43 were TMD patients with high pain-related disability. Average OBC total scores were 12.2 ± 8.8 for pain-free non-TMD participants, 17.2 ± 10.9 for TMD patients with low pain-related disability and 23.16 ± 12.15 for TMD patients with high pain-related disability. Significant differences were found across all pairwise comparisons (p < 0.001). Specific oral behaviours, such as awake and sleep-related clenching, were notably higher in both TMD groups compared to the pain-free group.

Conclusion: A significant association between pain-related disability and oral behaviours in TMD patients has been demonstrated.

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来源期刊

Journal of oral rehabilitation 医学-牙科与口腔外科

CiteScore

5.60

自引率

10.30%

发文量

116

审稿时长

4-8 weeks

期刊介绍： Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function. Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology. The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.