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Factors associated with signs of temporomandibular pain: an 11-year-follow-up study on Finnish adults.

与颞下颌疼痛体征相关的因素: 一项对芬兰成人的 11 年随访研究。

  • 影响因子:1.71
  • DOI:10.1080/00016357.2019.1650955
  • 作者列表:"Banafa A","Suominen AL","Sipilä K
  • 发表时间:2020-01-01
Abstract

:Background: Pain in the temporomandibular region is a main complaint causing disability and distress among temporomandibular disorders sufferers.Objectives: The aim of the study was, over an 11-year follow-up on Finnish adult population, to investigate the prevalence of clinically assessed pain-related temporomandibular disorder (TMD) signs, i.e. temporomandibular joint (TMJ) and masticatory muscles (MM) pain on palpation, and their association with sociodemographic background and denture status.Methods: The data were based on the nationally representative Finnish Health 2000 and Health 2011 Surveys (BRIF8901). The sample comprised 1210 adults who underwent clinical oral examinations including TMD signs assessment. Statistical evaluations included chi-square tests and logistic regressions.Results: The prevalence of palpatory MM pain decreased from 9.5% at baseline to 4.6% in the follow-up. Cross-sectionally, presence of palpatory MM pain significantly associated with gender (p < .001, p = .002) and educational level (p < .001, p = .001) in both years, and with age (p = .006) and denture status (p = .022) at baseline. The prevalence of palpatory TMJ pain increased from 2.1% at baseline to 3.5% in the follow-up. Presence of palpatory TMJ pain significantly associated with gender in both years (p = .012, p = .032). Female gender, lower education and palpatory MM pain at baseline predicted palpatory MM pain in the follow-up.Conclusion: Palpatory MM pain is relatively prevalent in adults, yet with a favourable prognosis. Women and people with low education are more susceptible groups. Previous experience of palpatory MM pain increases the risk of exhibiting it later in life.

摘要

背景: 颞下颌关节区疼痛是颞下颌关节紊乱病患者致残和痛苦的主要主诉。目的: 这项研究的目的是,在对芬兰成年人群的 11 年随访中,调查临床评估的疼痛相关颞下颌关节紊乱病 (TMD) 体征的患病率,即颞下颌关节 (TMJ) 和咀嚼肌 (MM) 触诊疼痛,及其与社会人口学背景和义齿状态的关系。方法: 数据基于全国代表性的芬兰健康 2000 和健康 2011 调查 (BRIF8901)。样本包括 1210 名接受临床口腔检查 (包括TMD体征评估) 的成年人。统计评价包括卡方检验和logistic回归。结果: 随访中,疼痛的患病率从基线时的 9.5% 降至 4.6%。横断面上,存在与性别显著相关的掌侧MM疼痛 (p < 。001,p =.002) 和受教育程度 (p <。001,p =.001),基线时年龄 (p =.006) 和义齿状态 (p =.022)。在随访中,颞下颌关节疼痛的患病率从基线时的 2.1% 增加到 3.5%。两年的颞下颌关节疼痛与性别显著相关 (p = 012.012,p =.032)。女性、受教育程度较低和基线的掌侧MM痛可预测follow-up.Conclusion的掌侧MM痛: 掌侧MM痛在成人中相对普遍,但预后良好。妇女和受教育程度低的人是更容易受到影响的群体。以前经历过手掌MM疼痛会增加以后生活中出现疼痛的风险。

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影响因子:0.73
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DOI:10.1097/SCS.0000000000005693
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颌部疾病方向

颌部的疾病,包括颌畸形、颌骨囊肿、颌骨肿瘤等疾病。

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