背景:本文旨在探讨颞下颌关节紊乱病(TMDs)体征/症状的患病率,并通过评估其他危险因素来调查TMD的体征/症状与口腔呼吸(MB)之间的可能联系,在土耳其儿童和青少年亚群中。
方法:本研究采用正畸主诉患者的档案资料进行。关于人口特征的数据,家庭相关因素,系统状态,遮挡,呼吸模式,口腔习惯,从档案记录中找到磨牙症。
结果:本研究纳入了945名平均年龄为14.82±2.06岁的儿童和青少年。在参与者中,66%是女孩,60.4%是剖腹产,8.4%的参与者患有至少一种全身性疾病,9.2%的参与者有过敏,4.3%的参与者父母离婚,18.7%有口语习惯,6.6%有磨牙症,29.8%有错牙合,14.1%有MB。百分之八点五的参与者有TMD的体征/症状。其中2.9%有疼痛,3.7%有联合声音,1.4%有挠度,3.9%有偏差。对危险因素的评估显示TMD的体征/症状与磨牙症之间存在显着关系(OR8.0795%CI4.36-14.92),性别(OR2.0195%CI1.13-3.59),父母的婚姻状况(OR2.6295%CI1.07-6.42),和MB(OR3.2695%CI1.86-5.71)。
结论:根据研究结果,女孩和磨牙症患者,离异的父母,和MB行为更有可能出现TMD的体征/症状。发现年龄对TMD的体征/症状的发生有显著影响,但与其他因素一起,年龄的影响消失了。早期筛查和干预MB以及TMD的体征/症状可以帮助限制这些条件对生长的不利影响。以及儿童和青少年的生活质量。
BACKGROUND: This paper aimed to explore the prevalence of temporomandibular disorders (TMDs) signs/symptoms, and to investigate the possible link between signs/symptoms of TMDs and mouth breathing (MB) by evaluating along with other risk factors, in a Turkish subpopulation of children and adolescence.
METHODS: This study was conducted with the archival data of the patients who applied with orthodontic complaints. Data on demographic characteristics, family-related factors, systemic status, occlusion, breathing patterns, oral habits, and bruxism were retrieved from the archival records.
RESULTS: Nine hundred forty-five children and adolescents with a mean age of 14.82 ± 2.06 years were included in the study. Of the participants, 66% were girls, 60.4% were delivered by C-section, 8.4% of the participants had at least one systemic disease, 9.2% of the participants had allergy, and 4.3% of the participants\' parents were divorced, 18.7% have an oral habit, 6.6% have bruxism, 29.8% have malocclusion and 14.1% have MB. Eight-point-five percent of participants have signs/symptoms of TMD. Among them 2.9% have pain, 3.7% have joint sounds, 1.4% have deflection, and 3.9% have deviation. Evaluation of the risk factors revealed a significant relation between the signs/symptoms of TMD and bruxism (OR 8.07 95% CI 4.36-14.92), gender (OR 2.01 95% CI 1.13-3.59), marital status of parents (OR 2.62 95% CI 1.07-6.42), and MB (OR 3.26 95% CI 1.86-5.71).
CONCLUSIONS: According to the study\'s findings, girls and those with bruxism, divorced parents, and MB behavior are more likely to have signs/symptoms of TMD. Age found to have significant effect on the occurrence of the signs/symptoms of TMD alone, but together with other factors the effect of the age is disappeared. Early screening and intervention of MB as well as the signs/symptoms of TMD can help to limit detrimental effects of these conditions on growth, and quality of life of children and adolescents.