Journal of oral rehabilitation最新文献_第10页

Comparison of sEMG activity of submental muscles between the head-lift exercise, tongue-press exercise and the head extension tongue-press exercise in healthy young adults 健康年轻人抬头运动、压舌板运动和伸头压舌板运动的下颌肌肉 sEMG 活动比较

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

Journal of oral rehabilitation

Pub Date : 2024-09-09 DOI: 10.1111/joor.13819

Mahla Nejadmoghbeli, Mohammadreza Behboodi, Gitta Kalbassi, Marziyeh Poorjavad

Background

Swallowing is a complex function that requires precise coordination between different muscles. Weakness in submental muscles can lead to complications such as pharyngeal residue and aspiration. Therefore, exercise interventions targeting these muscles, such as the Head-Lift Exercise (HLE), are clinically important but pose challenges.

Objective(s)

This study aimed to compare the myoelectric activity of submental muscles during traditional Head-Lift Exercise (HLE), Tongue-Press Exercise (TPE) and Head Extension Tongue-Press Exercise (HETPE), providing potential alternatives to HLE.

Methods

Thirty healthy volunteers (22 females and 8 males, mean age 25.63 ± 5.27 years) participated in this cross-sectional study. Surface electromyography (sEMG) recorded activity of the submental muscles bilaterally during HLE, TPE and HETPE. Participants performed each manoeuvre for 14 s, repeated three times in a counterbalanced order. Statistical analyses assessed differences in mean, maximum and median frequency of the sEMG signals among manoeuvres using repeated-measures analysis of variance (RM-ANOVA). The experienced irritation levels by participants during manoeuvres were also compared by the Friedman test.

Results

HETPE exhibited significantly higher maximum sEMG activity compared to HLE and TPE (p < .05). Mean sEMG activity was significantly increased during HETPE compared to TPE. Median frequency was significantly lower during HETPE compared to the two other exercises, indicating greater muscle fatigue. Participants reported similar levels of irritation for HLE and HETPE, and significantly lower levels during TPE.

Conclusion

These results indicate that HETPE is effective in activating and strengthening submental muscles, potentially serving as a viable alternative to HLE without added difficulty. Further research is recommended to assess the long-term impacts on swallowing physiology in patients with dysphagia.

背景吞咽是一项复杂的功能，需要不同肌肉之间的精确协调。下颌肌肉薄弱可导致咽残留和误吸等并发症。本研究旨在比较传统抬头运动（HLE）、压舌板运动（TPE）和头部伸展压舌板运动（HETPE）期间下颌肌肉的肌电活动，为 HLE 提供潜在的替代方法。表面肌电图（sEMG）记录了 HLE、TPE 和 HETPE 过程中双侧下额肌的活动。每个动作持续 14 秒，按平衡顺序重复三次。统计分析采用重复测量方差分析（RM-ANOVA）评估了不同动作中 sEMG 信号的平均频率、最大频率和中位频率的差异。结果与 HLE 和 TPE 相比，HETPE 显示出明显更高的最大 sEMG 活动（p <.05）。与 TPE 相比，HETPE 期间的平均 sEMG 活动明显增加。与其他两种运动相比，HETPE 运动的中位频率明显较低，这表明肌肉疲劳程度更高。这些结果表明，HETPE 能有效激活和增强下颌肌肉，有可能成为 HLE 的一种可行替代方法，而不会增加难度。建议开展进一步研究，以评估对吞咽困难患者吞咽生理的长期影响。

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引用次数: 0

Tobacco smoking and its impact on pain intensity of temporomandibular disorders: A systematic review and metanalysis 吸烟及其对颞下颌关节紊乱疼痛强度的影响：系统回顾和荟萃分析

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

Journal of oral rehabilitation

Pub Date : 2024-09-09 DOI: 10.1111/joor.13845

Amarshree A. Shetty, Sultan Abdulrahman Almalki, AlBandary Hassan Al Jameel, Inderjit Murugendrappa Gowdar, Vincenzo Ronsivalle, Marco Cicciù, Giuseppe Minervini

Background

Temporomandibular disorders (TMDs) encompass a spectrum of orofacial conditions characterised by pain and dysfunction in the temporomandibular joint and surrounding structures. Tobacco smoking has been posited as a potential factor influencing the prevalence and intensity of TMD. However, the nature and extent of this relationship remain unclear due to variations in study outcomes. This systematic review aimed to consolidate existing research findings to elucidate the association between tobacco smoking and TMD pain intensity.

Methods

A comprehensive search of electronic databases was conducted to identify relevant studies published up to June 2023. Studies investigating the relationship between tobacco smoking and TMD pain were included. Data extraction was conducted by two reviewers. Quality assessment was performed using the New Castle-Ottawa scale. Review Manager 5.4 was used to quantitatively analyse the results.

Results

The review included four studies employing similar TMD assessment techniques. All studies reported elevated TMD pain intensity among tobacco users, with non-smokers exhibiting lower pain intensity. The quality of the included studies was good. Meta-analytic results showed that TMD pain intensity was higher in the smokers group compared to the non-smokers group, with a weighted mean difference (WMD) of 0.65 (BPM) (95% CI: [0.10, 1.19], p = .02).

Conclusion

This systematic review provides a comprehensive synthesis of the existing literature on tobacco smoking and TMD symptoms. The findings underscore the multifaceted nature of the relationship between smoking and TMD pain, highlighting its clinical relevance and the need for tailored interventions. Further research is warranted to elucidate underlying mechanisms and potential moderating factors, contributing to a more nuanced understanding of this complex association.

背景颞下颌关节紊乱症（TMD）包括一系列以颞下颌关节及其周围结构的疼痛和功能障碍为特征的口腔疾病。吸烟被认为是影响 TMD 发病率和强度的潜在因素。然而，由于研究结果的差异，这种关系的性质和程度仍不明确。本系统综述旨在整合现有研究成果，阐明吸烟与 TMD 疼痛强度之间的关系。纳入了调查吸烟与 TMD 疼痛之间关系的研究。由两名审稿人进行数据提取。采用新堡-渥太华量表进行质量评估。采用 Review Manager 5.4 对结果进行定量分析。所有研究均显示烟草使用者的TMD疼痛强度升高，而非吸烟者的疼痛强度较低。所纳入研究的质量良好。元分析结果显示，吸烟者组的 TMD 疼痛强度高于非吸烟者组，加权平均差 (WMD) 为 0.65 (BPM) (95% CI: [0.10, 1.19], p = .02)。研究结果强调了吸烟与 TMD 疼痛之间关系的多面性，突出了其临床相关性以及采取针对性干预措施的必要性。有必要开展进一步的研究，以阐明潜在的机制和潜在的调节因素，从而加深对这一复杂关系的理解。

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引用次数: 0

Development and Validation of the Epidemiological Diagnostic Instrument for Temporomandibular Disorders 颞下颌关节紊乱流行病学诊断工具的开发与验证。

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

Journal of oral rehabilitation

Pub Date : 2024-09-05 DOI: 10.1111/joor.13853

Raul Elton Araújo Borges, Luana da Rocha Alves Mendonça, Angelo Giuseppe Roncalli da Costa Oliveira, Patrícia dos Santos Calderon

Background

Temporomandibular disorders (TMD) are a highly misreported health problem. Its diagnosis is complex and requires the use of valid and reliable instruments.

Objective

To develop and validate the Epidemiological Diagnostic Instrument for TMD (EDI/TMD).

Methods

Content validity (CV), response process (RP), construct validity (EFA), reliability (inter and intraobserver consistency), and convergence validity of the EDI/TMD were assessed and compared to the Diagnostic Criteria for TMD (DC/TMD).

Results

An instrument composed of a 9-question questionnaire and a 12-step clinical protocol was developed. CV analysis reduced the instrument to a 5-question and 7-step clinical protocol (CVI = 0.93). Some instructions were included after the RP. The EFA found three factors: myogenous TMD, arthrogenous TMD, and differential diagnosis. The reliability scores ranged from substantial to excellent. When compared to the DC/TMD, the EDI/TMD total score indicated that this instrument is valid and provides satisfactory diagnostic criteria (Kappa = 0.906; p < 0.001), and can distinguish non-TMD and TMD individuals, with a cut-off point of 4.9 (Sensitivity = 1.0; Specificity = 1.0; AUC = 1.0). For individuals who had both myogenous and arthrogenous TMD, the cut-off point was 14 or higher (Sensitivity = 0.8; Specificity = 1.0; AUC = 0.987). For individuals who had either myogenous TMD (Sensitivity = 1.0; Specificity = 0.88; PPV = 0.89; NPV = 1.0) or arthrogenous TMD (Sensitivity = 0.95; Specificity = 0.87; PPV = 0.83; NPV = 0.96), the cut-off point was between 5 and 13.9, with the highest EFA score being the determinant factor for final diagnosis.

Conclusion

Based on its psychometric properties, the EDI/TMD is a valid and reliable assessment tool that is capable of diagnosing TMD and classifying its subtypes.

背景：颞下颌关节紊乱症（TMD）是一个极易被误报的健康问题。其诊断非常复杂，需要使用有效可靠的工具：开发并验证 TMD 流行病学诊断工具（EDI/TMD）：方法：评估 EDI/TMD 的内容效度（CV）、反应过程（RP）、结构效度（EFA）、可靠性（观察者之间和观察者内部的一致性）和趋同效度，并与 TMD 诊断标准（DC/TMD）进行比较：结果：开发出了一种由 9 个问题的问卷和 12 步临床方案组成的工具。CV分析将该工具简化为5个问题和7个步骤的临床方案（CVI = 0.93）。在 RP 后加入了一些说明。EFA 发现了三个因子：肌源性 TMD、关节源性 TMD 和鉴别诊断。可靠性评分从相当高到极好不等。与 DC/TMD 相比，EDI/TMD 的总分表明该工具是有效的，并提供了令人满意的诊断标准（Kappa = 0.906；p 结论：EDI/TMD 是一个有效的诊断工具：根据其心理测量特性，EDI/TMD 是一种有效、可靠的评估工具，能够诊断 TMD 并对其亚型进行分类。

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引用次数: 0

Counselling for patients with a temporomandibular disorder: A scoping review and concept analysis 为颞下颌关节紊乱患者提供咨询：范围综述和概念分析。

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

Journal of oral rehabilitation

Pub Date : 2024-09-03 DOI: 10.1111/joor.13827

Hedwig A. van der Meer, Annemarie C. van der Wal, Gerben van Hinte, Caroline M. Speksnijder

Background

An integral component of comprehensive temporomandibular disorder (TMD) treatment involves what is commonly referred to in literature as patient counselling or patient education. Despite its importance, a clear definition of the concept is lacking.

Objectives

To describe the concept of counselling (i.e. what is it, what should it consist of, and when should it be given) through a concept analysis of the literature.

Eligibility Criteria

All papers that include a description of counselling or education for TMD are included.

Sources of Evidence

Literature searches were performed in the electronic databases PubMed, Cinahl, and PsycInfo.

Charting Methods

A qualitative analysis was done using the principle-based concept analysis approach, where descriptions of counselling from the included papers were analysed by the researchers.

Results

A total of 71 articles were included. Based on the qualitative analysis of the included articles and descriptions of counselling, the following content themes were identified: (1) general information on TMD; (2) overuse of the masticatory system; (3) posture education; (4) lifestyle and psychosocial factors; (5) exercise- and thermotherapy; and (6) additional information and therapies.

Conclusions

A definition and framework of counselling for TMD has been provided, which can be used in the clinic, research, and educational programs.

背景：颞下颌关节紊乱症（TMD）综合治疗的一个组成部分是文献中通常所说的患者咨询或患者教育。尽管这一概念非常重要，但却缺乏明确的定义：通过对文献进行概念分析，描述咨询的概念（即什么是咨询、咨询应包括哪些内容、何时进行咨询）：所有包含对 TMD 咨询或教育的描述的论文均可纳入：在电子数据库 PubMed、Cinahl 和 PsycInfo 中进行文献检索：采用基于原则的概念分析方法进行了定性分析，研究人员对所收录论文中的咨询描述进行了分析：结果：共收录了 71 篇文章。根据对收录文章和咨询描述的定性分析，确定了以下内容主题：(1) TMD 的一般信息；(2) 过度使用咀嚼系统；(3) 姿势教育；(4) 生活方式和社会心理因素；(5) 运动和热疗；以及 (6) 其他信息和疗法：结论：本文提供了 TMD 咨询的定义和框架，可用于临床、研究和教育计划。

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引用次数: 0

Is There an Increase in Possible Sleep Bruxism in Children Over Time? A Longitudinal Study 儿童可能出现的睡眠磨牙症是否会随着时间的推移而增加？一项纵向研究。

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

Journal of oral rehabilitation

Pub Date : 2024-09-03 DOI: 10.1111/joor.13851

Josiane Pezzini Soares, Júnia Maria Serra-Negra, Juliana da Silva Moro, Pablo Silveira Santos, Giana Brancher, Maria Eduarda Evangelista, Mariane Cardoso, Carla Miranda Santana, Michele Bolan

Background

Bruxism is a behaviour that has several consequences in an individual's life, especially when it starts in childhood. However, bruxism can be a potential protective factor, which is an attribute that reduces the chance of a negative health outcome.

Objectives

To evaluate the incidence of sleep bruxism (SB) and dental wear in children and adolescents.

Materials and Methods

This longitudinal study began in 2014 and 2016 (baseline) with initial 1816 children followed for 5 and 3 years, respectively. The follow-up data collection started in 2019. The diagnosis of SB was parents report (baseline) and self-report (follow-up) due to age groups of each phase, and questions related to symptoms of SB were collected. Five calibrated examiners (kappa >0.7) collected the clinical data. The clinical variables were dental erosion and dental wear. Contextual, individual, behaviour and clinical characteristics were collected. A multilevel logistic regression model was used to investigate the association of contextual, individual, behaviour and clinical characteristics with SB. Poisson regression for repeated measures was performed to evaluate the incidence of SB and dental wear (incidence rate ratio—IRR and confidence interval—95% CI).

Results

Two hundred and fifty-three children and adolescents answered questionnaires and were clinically examined. The mean age of the follow-up in 2019 was 11.25 years old (±2.19). There was no increase in the incidence of SB (95% CI: 0.74–1.35). Children/adolescents had a 2.2 higher risk to present dental wear (95% CI: 1.89–2.60). SB at the follow-up was associated with the contextual variable, earache, erosion and awake bruxism.

Conclusions

In this population, children with SB remained with this behaviour and showed higher dental wear over the years.

背景介绍磨牙是一种会对个人生活造成多种影响的行为，尤其是在儿童时期。然而，磨牙也可能是一种潜在的保护性因素，它是一种可降低不良健康后果发生几率的属性：评估儿童和青少年睡眠磨牙症（SB）和牙齿磨损的发生率：这项纵向研究始于 2014 年和 2016 年（基线），最初分别对 1816 名儿童进行了为期 5 年和 3 年的随访。随访数据收集始于 2019 年。由于每个阶段的年龄组不同，SB 的诊断分别由家长报告（基线）和自我报告（随访），并收集了与 SB 症状相关的问题。五名经过校准的检查员（kappa>0.7）收集了临床数据。临床变量为牙齿腐蚀和牙齿磨损。还收集了环境、个人、行为和临床特征。采用多层次逻辑回归模型来研究环境、个人、行为和临床特征与 SB 的关系。对重复测量进行泊松回归，以评估 SB 和牙齿磨损的发生率（发生率比-IRR 和置信区间-95% CI）：253名儿童和青少年回答了问卷并接受了临床检查。2019 年随访的平均年龄为 11.25 岁（±2.19）。SB发病率没有增加（95% CI：0.74-1.35）。儿童/青少年出现牙齿磨损的风险高出2.2（95% CI：1.89-2.60）。随访中的SB与环境变量、耳痛、牙蚀和清醒磨牙症有关：结论：在这一人群中，患有磨牙症的儿童多年来一直存在这种行为，并表现出较高的牙齿磨损程度。

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引用次数: 0

Effects of gum chewing training on occlusal force, masseter muscle thickness and mandibular shape: A randomised controlled clinical trial 咀嚼口香糖训练对咬合力、颌下肌厚度和下颌骨形态的影响：随机对照临床试验

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

Journal of oral rehabilitation

Pub Date : 2024-08-30 DOI: 10.1111/joor.13830

Hyo-Jung Jung, Na Kyung Hwangbo, Younjung Park, Hyung-Joon Ahn

Background

Masticatory muscle training by chewing gum can be performed easily and improve masticatory muscle function and strength. However, increased masticatory muscle activity and function may alter the mandibular shape.

Objective

We aimed to investigate the effects of gum chewing training on the occlusal force, masseter muscle thickness (MMT) and mandibular shape in healthy adults.

Methods

We conducted a prospective randomised controlled trial from January 2020 to September 2020 at the Yonsei University College of Dentistry. Fifty-eight participants were randomly assigned to the training and control groups. The training group chewed gum three times a day for 6 months, while the control group received no training. Changes in the maximum occlusal force and MMT were evaluated at baseline and after 1, 3 and 6 months. Changes in the mandibular shape were evaluated at baseline and after 6 months.

Results

The mean maximum occlusal force of the training group at 3 months was significantly higher than that at baseline, which was also significantly different from that in the control group (p < .001). As the maximum occlusal force increased, the occlusal contact area also increased (p = .020). There was no statistically significant difference in MMT or mandibular shape compared to the baseline.

Conclusion

Mastication training using gum increases maximum occlusal force due to an increase in occlusal contact area but has no effect on MMT or mandibular shape.

背景：通过咀嚼口香糖进行咀嚼肌训练很容易，而且能改善咀嚼肌功能和力量。然而，咀嚼肌活动和功能的增强可能会改变下颌骨的形状：我们旨在研究咀嚼口香糖训练对健康成年人咬合力、咀嚼肌厚度（MMT）和下颌骨形态的影响：我们于 2020 年 1 月至 2020 年 9 月在延世大学牙科学院进行了一项前瞻性随机对照试验。58名参与者被随机分配到训练组和对照组。训练组每天咀嚼口香糖三次，为期 6 个月，对照组不接受任何训练。在基线和 1、3、6 个月后，对最大咬合力和 MMT 的变化进行评估。在基线和 6 个月后评估下颌形状的变化：结果：训练组 3 个月后的平均最大咬合力明显高于基线时的平均最大咬合力，与对照组相比也有显著差异（p 结论：使用牙胶进行咀嚼训练可提高最大咬合力：使用牙胶进行咀嚼训练可增加咬合接触面积，从而增加最大咬合力，但对MMT或下颌骨形态没有影响。

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引用次数: 0

The Role of Astrocyte-Neuron Lactate Shuttle in Neuropathic Orofacial Pain 星形胶质细胞-神经元乳酸盐穿梭液在神经性口面痛中的作用

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

Journal of oral rehabilitation

Pub Date : 2024-08-29 DOI: 10.1111/joor.13847

Yinyin Hu, Hequn Zou, Zhijun Zhong, Qi Li, Qinghong Zeng, Qian Ouyang, Xueliang Zou, Mengmeng Wang, Yaxing Luo, Dongyuan Yao

Background

Inhibition of astrocytic energy metabolism alleviates neuropathic pain.

Objectives

To explore whether astrocyte-neuron lactate shuttle (ANLS) played any role in neuropathic orofacial pain.

Methods

Rats with partial transection of the right infraorbital nerve (p-IONX) or sham operation were intrathecally injected with acetazolamide (a carbonic anhydrase inhibitor), bithionol (a soluble adenylyl cyclase inhibitor), α-cyano-4-hydroxycinnamic acid [α-CHCA, a monocarboxylate transporter (MCT) inhibitor] or vehicle once a day from postoperative day 1–14. The facial mechanical thresholds were tested on preoperative day 1 and 2 and postoperative days 1, 3, 5, 7, 10 and 14, expression of glucose transporters (GLUTs) and MCTs in the trigeminal subnucleus caudalis (Vc) were examined on the postoperative day 3 and neuronal activities in the Vc were examined in the p-IONX rats on postoperative days 3–5.

Results

Compared with the sham group, the mechanical thresholds in the p-IONX group were significantly reduced at postoperative days 1–7, and the number of astrocytes expressing GLUT1 and MCT1/4, and neurons expressing MCT2 was significantly increased on postoperative day 3. In the p-IONX groups, neurons in the Vc were sensitised, and acetazolamide, bithionol and α-CHCA reversed the central sensitisation, significantly increased the mechanical thresholds at postoperative days 1–7 and decreased the number of astrocytes expressing GLUT1 and MCT1/4, and neurons expressing MCT2 at postoperative day 3 compared with those in the vehicle-treated rats.

Conclusions

Inhibition of ANLS alleviates p-IONX-related neuronal, behavioural and immunohistochemical changes, which suggests that ANLS plays an important role in trigeminal neuropathic pain.

背景：抑制星形胶质细胞能量代谢可缓解神经病理性疼痛：抑制星形胶质细胞的能量代谢可缓解神经病理性疼痛：目的：探讨星形胶质细胞-神经元乳酸穿梭（ANLS）在神经病理性面痛中是否起作用：方法：从术后第1-14天开始，给右眶下神经部分横断（p-IONX）或假手术大鼠鞘内注射乙酰唑胺（一种碳酸酐酶抑制剂）、双硫醇（一种可溶性腺苷酸环化酶抑制剂）、α-氰基-4-羟基肉桂酸[α-CHCA，一种单羧酸盐转运体（MCT）抑制剂]或载体，每天一次。术前第 1、2 天和术后第 1、3、5、7、10 和 14 天测试面部机械阈值，术后第 3 天检测三叉神经尾下核（Vc）中葡萄糖转运体（GLUTs）和单羧酸盐转运体（MCTs）的表达，术后第 3-5 天检测 p-IONX 大鼠 Vc 中神经元的活动：结果：与假组相比，p-IONX 组大鼠的机械阈值在术后第 1-7 天显著降低，表达 GLUT1 和 MCT1/4 的星形胶质细胞数量以及表达 MCT2 的神经元数量在术后第 3 天显著增加。在 p-IONX 组中，Vc 中的神经元被致敏，而乙酰唑胺、双硫酚和 α-CHCA 逆转了中枢致敏，术后第 1-7 天的机械阈值明显增加，表达 GLUT1 和 MCT1/4 的星形胶质细胞数量以及表达 MCT2 的神经元数量在术后第 3 天减少：结论：抑制 ANLS 可减轻 p-IONX 相关的神经元、行为和免疫组化变化，这表明 ANLS 在三叉神经痛中发挥着重要作用。

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引用次数: 0

Impact of Hospital Dentistry on Patients' Food Intake Status in Convalescent Rehabilitation Ward 医院牙科对康复疗养病房病人食物摄入状况的影响。

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

Journal of oral rehabilitation

Pub Date : 2024-08-29 DOI: 10.1111/joor.13848

Tomohisa Ohno, Izumi Terada, Akiko Nomoto, Ichiro Fujishima, Yasuyuki Iwasa, Yoshiko Umeda, Daisuke Kanamori, Masako Kishima, Hideo Sakaguchi, Koichiro Matsuo, Yasutomo Motohashi, Kenichiro Ozaki, Shunsuke Minakuchi

Background

Treating oral problems with dentist intervention during hospitalisation may improve patients' food intake status.

Objectives

This study aimed to clarify whether convalescent rehabilitation ward inpatients in a hospital with hospital dentistry (HHD) had a better diet at discharge than those in a hospital without hospital dentistry (HNHD).

Methods

Retrospective observational study including inpatients with dental involvement in a HHD with dentists and dental hygienists and HNHD with dental hygienist and visiting dental service between 1 March and 31 August 2022. Data included age, sex, body mass index (BMI), Functional Independent Measure (FIM) motor and cognitive, Oral Health Assessment Tool (OHAT) score, Food Intake LEVEL Scale (FILS), whether the FILS ≥8 (indicating that patient eats also a non-texture-modified diet), remained and functional tooth numbers and speech language hearing therapist (SLHT) and dentist interventions. Comparisons between the two hospitals and factors that affected the FILS ≥8 were examined.

Results

A total of 333 and 89 inpatients were included in the HHD and HNHD groups, respectively. After propensity score matching, the HHD group had a significantly higher rate of FILS ≥8, functional tooth numbers at discharge, and SLHT and dentist intervention rates. The multivariable logistic regression analysis for propensity score matching participants showed that the significant independent variables for FILS ≥8 were age, BMI, FILS, FIM motor (all at admission) and SLHT and dentist interventions. Odds ratio for dentist intervention was 14.46 (95% CI: 4.36–48.01).

Conclusions

Dentists are necessary to improve patients' food intake status in convalescent rehabilitation wards.

背景：住院期间通过牙医干预治疗口腔问题可改善患者的食物摄入状况：住院期间通过牙医干预治疗口腔问题可改善患者的食物摄入状况：本研究旨在明确在有医院牙科（HHD）的医院中，康复疗养病房的住院患者出院时的饮食情况是否优于没有医院牙科（HNHD）的医院：方法：回顾性观察研究，包括2022年3月1日至8月31日期间在有牙医和牙科保健师的医院牙科康复病房以及有牙科保健师和上门牙科服务的医院牙科康复病房接受牙科治疗的住院患者。数据包括年龄、性别、体重指数（BMI）、运动和认知功能独立测量（FIM）、口腔健康评估工具（OHAT）评分、食物摄入水平量表（FILS）、食物摄入水平量表是否≥8（表明患者同时进食非质地改良饮食）、残留和功能性牙齿数量以及语言听力治疗师（SLHT）和牙医干预。研究了两家医院之间的比较以及影响 FILS ≥8 的因素：HHD组和HNHD组分别有333名和89名住院患者。经过倾向得分匹配后，HHD 组的 FILS ≥8、出院时的功能性牙齿数量、SLHT 和牙医干预率均明显高于 HNHD 组。对倾向得分匹配参与者进行的多变量逻辑回归分析表明，FILS ≥8 的重要自变量是年龄、体重指数、FILS、FIM 运动（均在入院时）以及 SLHT 和牙医干预。牙医干预的比值比为 14.46（95% CI：4.36-48.01）：结论：牙医对于改善康复疗养病房患者的食物摄入状况十分必要。

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引用次数: 0

Association between psychological traits and occlusal tactile acuity of healthy individuals 健康人的心理特征与咬合触觉敏锐度之间的关系。

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

Journal of oral rehabilitation

Pub Date : 2024-08-29 DOI: 10.1111/joor.13828

Gabriella Coppola, Ambrosina Michelotti, Vittorio Simeon, Michail Koutris, Frank Lobbezoo, Rosaria Bucci

Objectives

Tactile acuity is a somatosensory measure of the extent to which humans can discern tactile stimuli. It is influenced by how peripheral signals are processed centrally. In the oral cavity, Occlusal Tactile Acuity (OTA) is the ability to perceive minimal thicknesses between antagonist teeth. The aim of the current study was to assess the association between psychological traits and OTA of otherwise healthy individuals.

Methods

Sixty-three volunteers (32 males; mean age ± SD: 24.6 ± 2.7 years) participated in this study. Somatosensory amplification, anxiety, depression, physical symptoms and pain catastrophizing were scored using questionnaires, and subgroups of severity were created per variable based on cut-offs. OTA was measured using 9 aluminium foils with thickness (ranging from 8 to 72 μm) and one sham test (without foil). Each thickness was tested 10 times in random order, the participants were instructed to report whether they felt the foil between their molars and the mean percentage of correct answers was computed. A linear mixed model was used with OTA as a dependent variable and psychological domain as an independent variable.

Results

Significantly different OTA was observed among the anxiety subgroups (p = .003), supporting a decreased perception of thicknesses 24 and 32 μm (p = .018 and p < .001, respectively) in participants with moderate/severe anxiety compared to those with no/mild anxiety. Significantly different OTA was also observed among the pain catastrophizing subgroups (p = .008), showing decreased perception of thicknesses 32 and 40 μm (p < .001 and p = .007, respectively) in severe catastrophizing levels, compared to no/mild catastrophizing levels. No significant differences were observed for the other variables.

Conclusions

Healthy adults with increased anxiety or pain catastrophizing levels show decreased interdental acuity as compared to participants with minor or no psychological impairment.

目标触觉敏锐度是一种体感测量方法，用于衡量人类对触觉刺激的分辨能力。它受中枢如何处理外周信号的影响。在口腔中，咬合触觉敏锐度（OTA）是指感知拮抗牙之间最小厚度的能力。本研究旨在评估健康人的心理特征与咬合触觉敏锐度之间的关系：63名志愿者（32名男性；平均年龄（± SD）：24.6±2.7岁）参加了此次研究。通过问卷对躯体感觉放大、焦虑、抑郁、躯体症状和疼痛灾难化进行评分，并根据临界值对每个变量的严重程度进行分组。测量 OTA 时使用了 9 种厚度（从 8 微米到 72 微米不等）的铝箔和一种假测试（不使用铝箔）。每种厚度随机测试 10 次，要求参与者报告是否感觉到臼齿间的铝箔，并计算正确答案的平均百分比。采用线性混合模型，以 OTA 为因变量，心理领域为自变量：结果：在焦虑亚组中观察到明显不同的 OTA（p = .003），支持对 24 和 32 μm 厚度的感知下降（p = .018 和 p 结论：焦虑或疼痛增加的健康成人对臼齿之间的金属箔的感知下降：焦虑或疼痛灾难化程度增加的健康成年人与心理障碍轻微或无心理障碍的参与者相比，牙间隙敏锐度有所下降。

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引用次数: 0

Efficacy of hyaluronic acid in temporomandibular disorders evaluated with diagnostic criteria for temporomandibular disorders (DC/TMD) 根据颞下颌关节紊乱症（DC/TMD）诊断标准评估透明质酸对颞下颌关节紊乱症的疗效。

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

Journal of oral rehabilitation

Pub Date : 2024-08-29 DOI: 10.1111/joor.13840

Pankaj Kukreja, Bhavna Jha Kukreja, Maria Maddalena Marrapodi, Vincenzo Ronsivalle, Marco Cicciù, Giuseppe Minervini

Background

The study aimed to retrospectively assess the efficacy of hyaluronic acid (HA) in managing temporomandibular disorders (TMD) using the diagnostic criteria for temporomandibular disorders (DC/TMD). There has been an ongoing debate regarding the effectiveness of HA as a treatment option for TMD, which necessitated a thorough evaluation.

Methods

The review adhered to PRISMA guidelines conducted across eight different databases, including PubMed, Embase, Web of Science, Cochrane Library, Scopus, ScienceDirect, PsycINFO and CINAHL. The selection criteria included studies that evaluated the efficacy of HA in TMD patients, utilised DC/TMD, and were published in English. Data extraction and quality assessment were performed independently by two reviewers. ROB–2 tool was employed to assess methodological quality of the assessed studies.

Results

A total of 10 studies met the inclusion criteria. They demonstrated that HA was effective in improving various symptoms of TMD, such as pain, mouth opening and joint sounds over control group. But on the other end, platelet-rich plasma (PRP) was found to be better than HA intervention in alleviation of TMD symptoms. However, the degree of improvement varied across the studies. Some studies reported adverse effects, but these were typically minor and transient. Risk of bias assessment was low in all the included studies.

Conclusion

The findings suggest that HA can be an effective treatment for TMD when evaluated with DC/TMD. However, the variation in effectiveness across studies indicates the need for individualised treatment planning and careful monitoring of adverse effects. Further research is needed to refine the treatment protocols and understand the long-term effectiveness and safety of HA in TMD management.

研究背景该研究旨在根据颞下颌关节紊乱症（DC/TMD）的诊断标准，回顾性评估透明质酸（HA）治疗颞下颌关节紊乱症（TMD）的疗效。关于透明质酸治疗 TMD 的有效性一直存在争议，因此有必要对其进行全面评估：综述遵循 PRISMA 准则，在 PubMed、Embase、Web of Science、Cochrane Library、Scopus、ScienceDirect、PsycINFO 和 CINAHL 等八个不同的数据库中进行。选择标准包括评估 HA 对 TMD 患者疗效的研究、使用 DC/TMD 的研究以及以英语发表的研究。数据提取和质量评估由两名审稿人独立完成。采用ROB-2工具评估所评估研究的方法学质量：共有 10 项研究符合纳入标准。这些研究表明，与对照组相比，HA 能有效改善 TMD 的各种症状，如疼痛、张口和关节声。但另一方面，在缓解 TMD 症状方面，富血小板血浆（PRP）的效果优于 HA 干预疗法。不过，不同研究的改善程度各不相同。一些研究报告了不良反应，但这些不良反应通常很轻微，而且是一过性的。所有纳入研究的偏倚风险评估均较低：研究结果表明，在与 DC/TMD 一起评估时，HA 可以有效治疗 TMD。然而，不同研究的疗效存在差异，这表明需要制定个性化的治疗计划并仔细监测不良反应。需要进一步开展研究，以完善治疗方案，了解 HA 在 TMD 治疗中的长期有效性和安全性。

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引用次数: 0