不可复性关节盘前移位患者与健康人不良口腔行为比较  

Comparison of adverse oral behaviors between patients with anterior disc displacement without reduction and healthy individuals

作　　者：姜鑫[1] 杨洋[1] 方仲毅 金磊 徐丽丽[1,2] 姚远 JIANG Xin;YANG Yang;FANG Zhong-yi;JIN Lei;XU Li-li;YAO Yuan(Department of Rehabilitation Medicine,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011;Department of Rehabilitation Medicine,Hainan Western Central Hospital,Danzhou 571700,Hainan Province,China)

机构地区：[1]上海交通大学医学院附属第九人民医院康复医学科,上海200011 [2]海南西部中心医院康复医学科,海南儋州571700

出　　处：《上海口腔医学》2024年第6期622-626,共5页Shanghai Journal of Stomatology

基　　金：中央高校基本科研业务费专项资金资助(YG2024QNA25);九院基础研究助推计划资助(JYZZ229);海南省自然科学基金青年基金项目(822QN492)。

摘　　要：目的:比较不可复性关节盘前移位(anterior disc displacement without reduction,ADDWoR)患者与非颞下颌关节紊乱病(temporomandibular disorders,TMD)健康受试者之间不良口腔行为的差异。方法:2023年1月—10月于上海交通大学医学院附属第九人民医院康复医学科招募经临床确诊为ADDWoR的患者170例,同期招募健康受试者165例作为对照。所有研究对象填写基础资料与口腔行为检查问卷(Oral Behavior Checklist,OBC)。比较2组OBC各项目评分与总分差异,采用logistic回归分析口腔行为与患ADDWoR之间的关系。采用SPSS 23.0软件包对数据进行统计学分析。结果:ADDWoR组16项口腔行为评分、睡眠时评分、清醒时评分以及总分均显著高于健康组(P<0.05)。Logistics回归分析显示,睡眠时颏部受压、清醒时咬牙与颏部向前或偏向一侧等3项行为是患ADDWoR的危险因素(P<0.05)。结论:与非TMD健康受试者相比,ADDWoR患者多项不良口腔行为发生频率较高,其中,睡眠时颏部受压、清醒时咬牙与颏部向前或偏向一侧这3项行为增加ADDWoR患病风险。PURPOSE:To explore the differences in adverse oral behavior between patients with anterior disc displacement without reduction(ADDWoR)and healthy individuals without temporomandibular disorders(TMD).METHODS:From January to October 2023,a total of 170 patients with clinically confirmed ADDWoR were recruited from the Department of Rehabilitation Medicine,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine,and 165 healthy subjects were recruited as controls during the same period.All subjects completed baseline data survey and Oral Behavior Checklist(OBC).The scores of each item and the total score of OBC were compared between the two groups.Logistic regression was used to analyze the relationship between oral behavior and ADDWoR.SPSS 23.0 software package was used for data analysis.RESULTS:The oral behavior scores of 16 items,sleeping oral behavior scores,waking oral behavior scores,and total OBC scores of the ADDWoR group were significantly higher than those of the healthy group(P<0.05).Logistics regression analysis showed that the three behaviors of chin compression during sleep,teeth clenching and chin leaning forward or to one side when awake were risk factors for ADDWoR(P<0.05).CONCLUSIONS:Compared with non-TMD healthy individuals,ADDWoR patients have a higher frequency of multiple adverse oral behaviors,among which,the occurrence of 3 behaviors(compression of the chin during sleep,gnashing of the teeth and leaning of the chin forward or to one side when awake)can increase the risk of ADDWoR.

关 键 词：口腔行为 不可复性关节盘前移 颞下颌关节紊乱病 口腔行为检查问卷 

分 类 号：R782.6[医药卫生—口腔医学]