Clinically, data on the association of early-life secondhand smoke (SHS) exposure with sleep bruxism and dental problems are scarce.
Objective
To examine whether the relationship between early-life SHS exposure with sleep problems, sleep bruxism, and dental problems in children.
Methods
Within the scope of this study, questionnaires were applied to the volunteer parents of 710 children, aged 5–12 years old. The questionnaire applied in this study named as Children's Sleep Habits Questionnaire (CSHQ) and consists of seven subscales and a total of 33 items. The questionnaire was completed retrospectively by any parent, and the presence of sleep bruxism was questioned during the anamnesis. Afterward, the presence of dental decay and tooth wear was evaluated during intraoral and radiographic examinations. Dental decay and tooth wear were scored with the DMFT/deft index and tooth wear index of Smith & Knight, respectively.
Results
The presence of sleep bruxism was significantly higher in children with parasomnia (p = 0.01; p < 0.05). The presence of tooth wear in children with sleep bruxism was found to be statistically significant (p = 0.032; p < 0.05). It was observed that the presence of sleep bruxism was higher in the children of individuals who smoked at home (p = 0.027; p < 0.05).
Conclusion
Sleep bruxism, untreated dental decay and exposure to early-life secondhand smoke may have a negative impact on children's sleep habits and characteristics.
{"title":"Evaluation of the Sleep Habits and Dental Problems in Children Exposed to Secondhand Smoke During Childhood","authors":"Simge Polat, Didem Sakaryali Uyar","doi":"10.1111/joor.13899","DOIUrl":"10.1111/joor.13899","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Clinically, data on the association of early-life secondhand smoke (SHS) exposure with sleep bruxism and dental problems are scarce.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To examine whether the relationship between early-life SHS exposure with sleep problems, sleep bruxism, and dental problems in children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Within the scope of this study, questionnaires were applied to the volunteer parents of 710 children, aged 5–12 years old. The questionnaire applied in this study named as Children's Sleep Habits Questionnaire (CSHQ) and consists of seven subscales and a total of 33 items. The questionnaire was completed retrospectively by any parent, and the presence of sleep bruxism was questioned during the anamnesis. Afterward, the presence of dental decay and tooth wear was evaluated during intraoral and radiographic examinations. Dental decay and tooth wear were scored with the DMFT/deft index and tooth wear index of Smith & Knight, respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The presence of sleep bruxism was significantly higher in children with parasomnia (<i>p</i> = 0.01; <i>p</i> < 0.05). The presence of tooth wear in children with sleep bruxism was found to be statistically significant (<i>p</i> = 0.032; <i>p</i> < 0.05). It was observed that the presence of sleep bruxism was higher in the children of individuals who smoked at home (<i>p</i> = 0.027; <i>p</i> < 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Sleep bruxism, untreated dental decay and exposure to early-life secondhand smoke may have a negative impact on children's sleep habits and characteristics.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"52 3","pages":"305-311"},"PeriodicalIF":3.1,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142682060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Intra-oesophageal acid stimulation increases masseter muscle activity. However, the infusion speeds used in previous studies are significantly slow, with minimal acid volume (30 mL over 30 min). Additionally, it is unclear how masseter muscle activity, symptoms of discomfort, stress levels and saliva quantity change over time.
Objectives
The time course of masseter muscle activity, heartburn and discomfort symptoms, salivary cortisol concentration to assess stress, autonomic nervous system (ANS) activity and saliva quantity under the influence of intra-oesophageal acid infusion were evaluated at a faster injection rate and larger volume than in previous studies.
Methods
Ten healthy adults underwent polygraphic monitoring, consisting of electromyography of the masseter muscle and electrocardiography during intra-oesophageal acid infusion (10 mL/min, 10 min). Symptoms of heartburn and discomfort were assessed using the visual analogue scale (VAS), and saliva quantity was measured. Friedman's test was used for multiple comparisons.
Results
Masseter muscle activity, VAS scores for heartburn and discomfort, as well as saliva quantity during the 10-min acid infusion, increased significantly compared with that before acid infusion (p < 0.001, 0.001, 0.019 and 0.047, respectively) and decreased 10 and 20 min after acid infusion (p = 0.004, 0.004 and 0.007, respectively). No significant changes were observed in the salivary cortisol concentration or ANS activity.
Conclusion
Intra-oesophageal acid infusion stimulated symptoms of heartburn and discomfort and increased masseter muscle activity and saliva production, which may not be related to psychological stress.
背景：食道内酸刺激可增加咀嚼肌的活动。然而，以往研究中使用的输注速度明显较慢，酸量极少（30 毫升，30 分钟）。此外，目前还不清楚咀嚼肌活动、不适症状、压力水平和唾液量随时间的变化情况：与以往研究相比，本研究采用了更快的注射速度和更大的注射量，对食道内酸输注影响下的咀嚼肌活动、胃灼热和不适症状的时间过程、评估压力的唾液皮质醇浓度、自律神经系统（ANS）活动和唾液量进行了评估：方法：10 名健康成人在食管内注入酸液（10 毫升/分钟，10 分钟）期间接受了多导图监测，包括咀嚼肌肌电图和心电图。烧心和不适症状采用视觉模拟量表（VAS）进行评估，唾液量也进行了测量。弗里德曼检验用于多重比较：结果：与输酸前相比，输酸 10 分钟时的咀嚼肌活动、烧心和不适的 VAS 评分以及唾液量均显著增加（p 结论：输酸 10 分钟后，咀嚼肌活动、烧心和不适的 VAS 评分以及唾液量均显著增加：食管内注酸会刺激胃灼热和不适症状，增加颌下肌活动和唾液分泌，这可能与心理压力无关。
{"title":"Changes Over Time in Masseter Muscle Activity, Symptoms of Discomfort, Stress Level and Salivary Flow Rate Following Intra-Oesophageal Acid Infusion","authors":"Kotaro Takahashi, Aya Maeda-Iino, Yasuhiko Oga, Yuki Osako, Mika Fukushima, Marina Harada, Shoko Nakagawa, Sayaka Hino, Changkeon Seong, Shuji Kanmura, Akio Ido, Shouichi Miyawaki","doi":"10.1111/joor.13905","DOIUrl":"10.1111/joor.13905","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Intra-oesophageal acid stimulation increases masseter muscle activity. However, the infusion speeds used in previous studies are significantly slow, with minimal acid volume (30 mL over 30 min). Additionally, it is unclear how masseter muscle activity, symptoms of discomfort, stress levels and saliva quantity change over time.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The time course of masseter muscle activity, heartburn and discomfort symptoms, salivary cortisol concentration to assess stress, autonomic nervous system (ANS) activity and saliva quantity under the influence of intra-oesophageal acid infusion were evaluated at a faster injection rate and larger volume than in previous studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Ten healthy adults underwent polygraphic monitoring, consisting of electromyography of the masseter muscle and electrocardiography during intra-oesophageal acid infusion (10 mL/min, 10 min). Symptoms of heartburn and discomfort were assessed using the visual analogue scale (VAS), and saliva quantity was measured. Friedman's test was used for multiple comparisons.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Masseter muscle activity, VAS scores for heartburn and discomfort, as well as saliva quantity during the 10-min acid infusion, increased significantly compared with that before acid infusion (<i>p</i> < 0.001, 0.001, 0.019 and 0.047, respectively) and decreased 10 and 20 min after acid infusion (<i>p</i> = 0.004, 0.004 and 0.007, respectively). No significant changes were observed in the salivary cortisol concentration or ANS activity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Intra-oesophageal acid infusion stimulated symptoms of heartburn and discomfort and increased masseter muscle activity and saliva production, which may not be related to psychological stress.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"52 3","pages":"332-342"},"PeriodicalIF":3.1,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/joor.13905","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142668312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
To analyse temporomandibular disorders (TMD), bruxism and well-being in patients with fibromyalgia and compare these outcomes with a control group.
Method
Diagnostic criteria for the assessment of TMD, bruxism and well-being were used in a clinic context including patients with fibromyalgia (n = 71) and a control group of healthy subjects (n = 151). Participants completed an online questionnaire measuring temporomandibular pain, headache attributed to TMD, jaw locking, joint sounds, headache to bruxism, potential sleep bruxism, potential awake bruxism, jaw functional limitation scale 8 (JFLS-8), generalised anxiety disorder scale 7, oral health impact profile scale 14, World Health Organization well-being index (WHO-5) and Pittsburgh sleep quality index (PSQI).
Results
TMD and bruxism were significantly associated with the type of population (χ2 = 8.77–57.62; p < 0.05; ES = 0.20–0.51). Fibromyalgia patients showed higher prevalence (% values) than control group in temporomandibular pain, headache attributed to TMD, jaw locking, headache attributed to potential bruxism, sleep bruxism and awake bruxism. However, there was a greater prevalence of joint sounds in the control group compared to the fibromyalgia group. Also, fibromyalgia patients scored significantly higher (p < 0.001) on JFLS-8, GAD-7, OHIP-14 and PSQI with a large effect size (ES = 0.51–0.73), while WHO-5 scores were significantly lower (ES = 0.58).
Conclusion
Patients with fibromyalgia had greater prevalence than the control group in TMJ pain, headache attributed to TMD, jaw locking, headache attributed to bruxism, sleep bruxism and awake bruxism. Another main finding was that patients with fibromyalgia had greater jaw functional limitation, generalised anxiety and impact of oral health on an individual's life. In addition, fibromyalgia patients showed lower sleep quality and well-being index.
目的分析纤维肌痛患者的颞下颌关节紊乱症（TMD）、磨牙症和幸福感，并将这些结果与对照组进行比较：方法：采用诊断标准对纤维肌痛患者（71 人）和健康对照组（151 人）进行 TMD、磨牙症和幸福感评估。参与者填写一份在线问卷，测量颞下颌疼痛、TMD引起的头痛、下颌锁定、关节声、磨牙引起的头痛、潜在的睡眠磨牙症、潜在的清醒磨牙症、下颌功能限制量表8（JFLS-8）、广泛性焦虑症量表7、口腔健康影响量表14、世界卫生组织幸福指数（WHO-5）和匹兹堡睡眠质量指数（PSQI）：结果：TMD 和磨牙症与人群类型有明显的相关性（χ2 = 8.77-57.62; p 结论：纤维肌痛患者的 TMD 和磨牙症与人群类型有明显的相关性（χ2 = 8.77-57.62; p 结论）：纤维肌痛患者在颞下颌关节疼痛、TMD引起的头痛、下颌锁定、磨牙症引起的头痛、睡眠磨牙症和清醒磨牙症方面的患病率高于对照组。另一个主要发现是，纤维肌痛患者的下颌功能受限、普遍焦虑和口腔健康对个人生活的影响更大。此外，纤维肌痛患者的睡眠质量和幸福指数也较低。
{"title":"Analysis of Temporomandibular Disorders, Bruxism and Well-Being in Patients With Fibromyalgia Syndrome: A Case–Control Study","authors":"María Esteve, Juan I. Rosales-Leal","doi":"10.1111/joor.13908","DOIUrl":"10.1111/joor.13908","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To analyse temporomandibular disorders (TMD), bruxism and well-being in patients with fibromyalgia and compare these outcomes with a control group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Diagnostic criteria for the assessment of TMD, bruxism and well-being were used in a clinic context including patients with fibromyalgia (<i>n</i> = 71) and a control group of healthy subjects (<i>n</i> = 151). Participants completed an online questionnaire measuring temporomandibular pain, headache attributed to TMD, jaw locking, joint sounds, headache to bruxism, potential sleep bruxism, potential awake bruxism, jaw functional limitation scale 8 (JFLS-8), generalised anxiety disorder scale 7, oral health impact profile scale 14, World Health Organization well-being index (WHO-5) and Pittsburgh sleep quality index (PSQI).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>TMD and bruxism were significantly associated with the type of population (<i>χ</i><sup>2</sup> = 8.77–57.62; <i>p</i> < 0.05; ES = 0.20–0.51). Fibromyalgia patients showed higher prevalence (% values) than control group in temporomandibular pain, headache attributed to TMD, jaw locking, headache attributed to potential bruxism, sleep bruxism and awake bruxism. However, there was a greater prevalence of joint sounds in the control group compared to the fibromyalgia group. Also, fibromyalgia patients scored significantly higher (<i>p</i> < 0.001) on JFLS-8, GAD-7, OHIP-14 and PSQI with a large effect size (ES = 0.51–0.73), while WHO-5 scores were significantly lower (ES = 0.58).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Patients with fibromyalgia had greater prevalence than the control group in TMJ pain, headache attributed to TMD, jaw locking, headache attributed to bruxism, sleep bruxism and awake bruxism. Another main finding was that patients with fibromyalgia had greater jaw functional limitation, generalised anxiety and impact of oral health on an individual's life. In addition, fibromyalgia patients showed lower sleep quality and well-being index.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"52 3","pages":"350-356"},"PeriodicalIF":3.1,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142668311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ovidiu Ionut Saracutu, Daniele Manfredini, Alessandro Bracci, Matteo Val, Marco Ferrari, Anna Colonna
Objective
The aim of this investigation was to compare the self-reported frequency of awake bruxism (AB) behaviours by means of a validated single-observation point questionnaire (i.e., Oral Behaviour Checklist [OBC]) with the frequency reported in real-time with an Ecological Momentary Assessment (EMA) over 1 week.
Materials and Methods
One hundred healthy young adults took part in the study. The frequency of some activities belonging to the spectrum of AB behaviours (i.e., teeth contact, mandible bracing, teeth clenching, teeth grinding) was evaluated using the EMA approach with smartphone technology support over 1 week. The OBC questionnaire was used to evaluate the self-reported frequency of the same AB behaviours. Spearman's rank correlation coefficient was adopted to test the correlation between the average score of each OBC question considered (i.e., teeth contact, mandible bracing, teeth clenching, teeth grinding) and the average frequency of the corresponding EMA item.
Results
Statistical analysis showed a weak-to-moderate level of correlation between the two different AB assessment methods. Mandible bracing showed the highest level of correlation, while teeth grinding had the lowest one.
Conclusions
While the OBC represents a valid and easy-to-administer screening tool for evaluating bruxism behaviours, the EMA approach provides a more detailed real-time report on AB behaviours.
调查目的本调查旨在比较通过有效的单一观察点问卷（即口腔行为检查表 [OBC]）自我报告的清醒磨牙症（AB）行为频率与通过生态瞬间评估（EMA）实时报告的一周内的频率：100 名健康的年轻人参加了研究。在智能手机技术支持下，使用 EMA 方法对属于 AB 行为频谱的一些活动（即牙齿接触、下颌支撑、牙齿紧咬、磨牙）的频率进行了为期一周的评估。OBC 问卷用于评估自我报告的相同 AB 行为的频率。采用斯皮尔曼等级相关系数来检验每个 OBC 问题（即牙齿接触、下颌支撑、牙齿紧咬、磨牙）的平均得分与相应 EMA 项目的平均频率之间的相关性：统计分析显示，两种不同的 AB 评估方法之间存在弱到中等程度的相关性。结果：统计分析显示，两种不同的 AB 评估方法之间存在弱到中等程度的相关性，其中下颌支撑法的相关性最高，而磨牙法的相关性最低：OBC是一种有效且易于使用的磨牙症行为评估筛查工具，而EMA方法则能提供更详细的磨牙症行为实时报告。
{"title":"Comparison Between Ecological Momentary Assessment and Self-Report of Awake Bruxism Behaviours in a Group of Healthy Young Adults","authors":"Ovidiu Ionut Saracutu, Daniele Manfredini, Alessandro Bracci, Matteo Val, Marco Ferrari, Anna Colonna","doi":"10.1111/joor.13895","DOIUrl":"10.1111/joor.13895","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The aim of this investigation was to compare the self-reported frequency of awake bruxism (AB) behaviours by means of a validated single-observation point questionnaire (i.e., Oral Behaviour Checklist [OBC]) with the frequency reported in real-time with an Ecological Momentary Assessment (EMA) over 1 week.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>One hundred healthy young adults took part in the study. The frequency of some activities belonging to the spectrum of AB behaviours (i.e., teeth contact, mandible bracing, teeth clenching, teeth grinding) was evaluated using the EMA approach with smartphone technology support over 1 week. The OBC questionnaire was used to evaluate the self-reported frequency of the same AB behaviours. Spearman's rank correlation coefficient was adopted to test the correlation between the average score of each OBC question considered (i.e., teeth contact, mandible bracing, teeth clenching, teeth grinding) and the average frequency of the corresponding EMA item.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Statistical analysis showed a weak-to-moderate level of correlation between the two different AB assessment methods. Mandible bracing showed the highest level of correlation, while teeth grinding had the lowest one.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>While the OBC represents a valid and easy-to-administer screening tool for evaluating bruxism behaviours, the EMA approach provides a more detailed real-time report on AB behaviours.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"52 3","pages":"289-295"},"PeriodicalIF":3.1,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/joor.13895","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142644462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Raquel Delgado-Delgado, Ana Isabel Benito-de-Pedro, Ángela Aguilera-Rubio, Orlando Conde-Vázquez, Maura Jiménez-Herranz, Isabel Albarova-Corral, María Benito-de-Pedro
Background
Current research relates jaw clenching to athletic performance, in terms of force and agility. However, the impact of jaw clenching on sports accuracy is unclear.
Objectives
To analyse the impact of jaw position and chewing type on free-throw accuracy and electromyographic (EMG) activity of masticatory muscles during free-throws.
Methods
Cross-sectional study with 25 female basketball players aged 18–44. Each participant executed 18 free-throws under three different jaw conditions: mandibular rest, maximum intercuspation, and with interdental cotton rolls, in randomised order.
Results
Chewing type and jaw position were not associated with shooting accuracy (p = 0.106; p = 0.778). There was a positive correlation between EMG activity of the right masseter and free-throw accuracy at maximum intercuspation (rs = 0.402; p = 0.046). In contrast, negative correlations were found with other muscles when the occlusal vertical dimension was altered (rs = −0.619, p = 0.001; rs = −0.490; p = 0.013; rs = −0.534; p = 0.006). The chewing type affected the EMG of the left masseter in the altered occlusal vertical dimension (H = 6.969; p = 0.031). Significant differences in EMG recordings were observed across different mandibular positions during free-throws (p < 0.001).
Conclusions
While jaw positioning and chewing type do not impact free-throw accuracy in amateur female basketball players, the EMG activity of masticatory muscles is linked to shooting performance. This highlights the need for further research on motor behaviour of masticatory muscles in precision sports, especially for athletes using intraoral devices.
{"title":"Relationship Between Mandibular Position, Activation of the Masticatory Musculature and Free-Throw Accuracy in Female Basketball Players","authors":"Raquel Delgado-Delgado, Ana Isabel Benito-de-Pedro, Ángela Aguilera-Rubio, Orlando Conde-Vázquez, Maura Jiménez-Herranz, Isabel Albarova-Corral, María Benito-de-Pedro","doi":"10.1111/joor.13903","DOIUrl":"10.1111/joor.13903","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Current research relates jaw clenching to athletic performance, in terms of force and agility. However, the impact of jaw clenching on sports accuracy is unclear.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To analyse the impact of jaw position and chewing type on free-throw accuracy and electromyographic (EMG) activity of masticatory muscles during free-throws.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Cross-sectional study with 25 female basketball players aged 18–44. Each participant executed 18 free-throws under three different jaw conditions: mandibular rest, maximum intercuspation, and with interdental cotton rolls, in randomised order.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Chewing type and jaw position were not associated with shooting accuracy (<i>p</i> = 0.106; <i>p</i> = 0.778). There was a positive correlation between EMG activity of the right masseter and free-throw accuracy at maximum intercuspation (<i>r</i><sub><i>s</i></sub> = 0.402; <i>p</i> = 0.046). In contrast, negative correlations were found with other muscles when the occlusal vertical dimension was altered (<i>r</i><sub><i>s</i></sub> = −0.619, <i>p</i> = 0.001; <i>r</i><sub><i>s</i></sub> = −0.490; <i>p</i> = 0.013; <i>r</i><sub><i>s</i></sub> = −0.534; <i>p</i> = 0.006). The chewing type affected the EMG of the left masseter in the altered occlusal vertical dimension (<i>H</i> = 6.969; <i>p</i> = 0.031). Significant differences in EMG recordings were observed across different mandibular positions during free-throws (<i>p</i> < 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>While jaw positioning and chewing type do not impact free-throw accuracy in amateur female basketball players, the EMG activity of masticatory muscles is linked to shooting performance. This highlights the need for further research on motor behaviour of masticatory muscles in precision sports, especially for athletes using intraoral devices.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"52 1","pages":"90-99"},"PeriodicalIF":3.1,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11680507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142644464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
<p>The recent bibliometric analysis by Prado et al. [<span>1</span>] on the relationship between tinnitus and temporomandibular disorders (TMD) raises an important contribution to the field and for researchers within this trending area. Several recurring themes were identified, including associations between tinnitus and TMD, diagnostic approaches, and treatment modalities. A comprehensive data collection, well-rounded analytic approach and a global perspective can be pointed out as strengths of the study. However, authors fail to address a more detailed description of the state of the art considering the high number of included articles reported (<i>n</i> = 117) and the importance of other professionals that play crucial part in research and clinical settings. Therefore, the purpose of this letter is to request additional data for clarifications and guidance.</p><p>While valuable, bibliometric analysis primarily emphasises quantitative data and may miss deep qualitative insights of the findings and their clinical implications. As stated by the authors, heterogeneity of the studies' design, population and methods for diagnosis and evaluation hinders a clear recommendation for future studies. Therefore, a bibliometric analysis helps to overcome such barriers through a quantitative review of the literature, which was methodologically well done by the authors. Nonetheless, the descriptive results presented in Table 1 summarises the studies' general characteristics, with a high number of observational studies, raising the first motive for this letter: (a) What are the questions and aims from those studies? (b) What aspects of TMD and tinnitus were assessed and which outcomes (e.g., function, disability, quality of life and biomechanics)? (c) What are the population characteristics? The main concern here is that the study lacks to report as a supplementary data, the full list of included studies (e.g., titles, aims, population and county of study).</p><p>Second, a bibliometric analysis should include a citation and journal appraisal. This means that researchers can be aware of the quality of the evidence in which the assumptions were based on. The most published journals were mentioned by the authors, with no mention of the most cited papers. By analysing how often and where a work is cited allow researchers to gauge the importance within the academic community. In addition, evaluating journals based on citation metrics can help identify the most influential journals in this field. Moreover, citation patterns and journal publications help researchers to detect emerging trends over time, highlighting particular areas of growing interest within TMD and tinnitus.</p><p>Most studies, as expected, were published in the dentistry and medicine field. Fifteen studies were published in other areas. TMD and cervical spine problems are the two most typical musculoskeletal conditions related to tinnitus [<span>2</span>]. A recent systematic review highlights the
{"title":"Call to Action From ‘A Global Bibliometric Analysis on the Relationship Between Tinnitus and Temporomandibular Disorders’","authors":"Luiz Felipe Tavares","doi":"10.1111/joor.13860","DOIUrl":"10.1111/joor.13860","url":null,"abstract":"<p>The recent bibliometric analysis by Prado et al. [<span>1</span>] on the relationship between tinnitus and temporomandibular disorders (TMD) raises an important contribution to the field and for researchers within this trending area. Several recurring themes were identified, including associations between tinnitus and TMD, diagnostic approaches, and treatment modalities. A comprehensive data collection, well-rounded analytic approach and a global perspective can be pointed out as strengths of the study. However, authors fail to address a more detailed description of the state of the art considering the high number of included articles reported (<i>n</i> = 117) and the importance of other professionals that play crucial part in research and clinical settings. Therefore, the purpose of this letter is to request additional data for clarifications and guidance.</p><p>While valuable, bibliometric analysis primarily emphasises quantitative data and may miss deep qualitative insights of the findings and their clinical implications. As stated by the authors, heterogeneity of the studies' design, population and methods for diagnosis and evaluation hinders a clear recommendation for future studies. Therefore, a bibliometric analysis helps to overcome such barriers through a quantitative review of the literature, which was methodologically well done by the authors. Nonetheless, the descriptive results presented in Table 1 summarises the studies' general characteristics, with a high number of observational studies, raising the first motive for this letter: (a) What are the questions and aims from those studies? (b) What aspects of TMD and tinnitus were assessed and which outcomes (e.g., function, disability, quality of life and biomechanics)? (c) What are the population characteristics? The main concern here is that the study lacks to report as a supplementary data, the full list of included studies (e.g., titles, aims, population and county of study).</p><p>Second, a bibliometric analysis should include a citation and journal appraisal. This means that researchers can be aware of the quality of the evidence in which the assumptions were based on. The most published journals were mentioned by the authors, with no mention of the most cited papers. By analysing how often and where a work is cited allow researchers to gauge the importance within the academic community. In addition, evaluating journals based on citation metrics can help identify the most influential journals in this field. Moreover, citation patterns and journal publications help researchers to detect emerging trends over time, highlighting particular areas of growing interest within TMD and tinnitus.</p><p>Most studies, as expected, were published in the dentistry and medicine field. Fifteen studies were published in other areas. TMD and cervical spine problems are the two most typical musculoskeletal conditions related to tinnitus [<span>2</span>]. A recent systematic review highlights the ","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"51 12","pages":"2736-2737"},"PeriodicalIF":3.1,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/joor.13860","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bohan Zhang, Ka Po Wong, Cai Guo, Shu-Cheng Chen, Shuojin Fu, Ruifu Kang, Qian Xiao, Jing Qin
Background
Post-stroke dysphagia can lead to serious complications and appropriate rehabilitation can significantly improve swallowing function. However, the best rehabilitation method for post-stroke dysphagia patients is not clear at the present stage, so it is necessary to conduct a comprehensive network meta-analysis and systematic review of different interventions for dysphagia.
Objective
To compare the effectiveness and ranking of different interventions for improving swallowing function, and feeding and daily function in patients with post-stroke dysphagia.
Methods
Seven databases were searched from the date of inception to September 1, 2022. Two investigators independently conducted literature searches, selected randomized controlled trials on dysphagia interventions, and assessed study quality. Network meta-analysis was conducted by using Stata software.
Results
A total of 33 studies involving 1,341 patients were included. According to the ranking probabilities, acupuncture was rated as the most effective of all interventions to enhance patients' swallowing function (surface under cumulative ranking curve values [SUCRCV]: 99.0%, standardized mean difference [SMD]: −2.40, 95% confidence interval [CI]: −3.38 to −1.43), followed by the chin tuck against resistance exercise (CTAR, SUCRA: 89.9%, SMD: −1.83, 95% CI: −2.69 to −0.97). Among all the interventions, acupuncture was the most effective for feeding and daily function (SUCRCV: 88.4%, SMD: −1.62, 95% CI: −2.94 to −0.30).
Conclusions
The results showed that acupuncture was the most effective in the rehabilitation of patients with post-stroke dysphagia, followed by CTAR. Considering that CTAR is a low-cost and highly feasible intervention, we suggest that CTAR should be selected as a rehabilitation measure for patients with post-stroke dysphagia to improve their swallowing function.
{"title":"Effects of Non-Pharmacological Interventions on the Swallowing Function of Patients With Post-Stroke Dysphagia: A Systematic Review and Network Meta-Analysis","authors":"Bohan Zhang, Ka Po Wong, Cai Guo, Shu-Cheng Chen, Shuojin Fu, Ruifu Kang, Qian Xiao, Jing Qin","doi":"10.1111/joor.13901","DOIUrl":"10.1111/joor.13901","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Post-stroke dysphagia can lead to serious complications and appropriate rehabilitation can significantly improve swallowing function. However, the best rehabilitation method for post-stroke dysphagia patients is not clear at the present stage, so it is necessary to conduct a comprehensive network meta-analysis and systematic review of different interventions for dysphagia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To compare the effectiveness and ranking of different interventions for improving swallowing function, and feeding and daily function in patients with post-stroke dysphagia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Seven databases were searched from the date of inception to September 1, 2022. Two investigators independently conducted literature searches, selected randomized controlled trials on dysphagia interventions, and assessed study quality. Network meta-analysis was conducted by using Stata software.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 33 studies involving 1,341 patients were included. According to the ranking probabilities, acupuncture was rated as the most effective of all interventions to enhance patients' swallowing function (surface under cumulative ranking curve values [SUCRCV]: 99.0%, standardized mean difference [SMD]: −2.40, 95% confidence interval [CI]: −3.38 to −1.43), followed by the chin tuck against resistance exercise (CTAR, SUCRA: 89.9%, SMD: −1.83, 95% CI: −2.69 to −0.97). Among all the interventions, acupuncture was the most effective for feeding and daily function (SUCRCV: 88.4%, SMD: −1.62, 95% CI: −2.94 to −0.30).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The results showed that acupuncture was the most effective in the rehabilitation of patients with post-stroke dysphagia, followed by CTAR. Considering that CTAR is a low-cost and highly feasible intervention, we suggest that CTAR should be selected as a rehabilitation measure for patients with post-stroke dysphagia to improve their swallowing function.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"52 1","pages":"109-120"},"PeriodicalIF":3.1,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11680505/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Condylar erosion (CE) may indicate an active progressive stage of temporomandibular joint osteoarthritis (TMJOA), but no studies have analysed the characteristics of this population.
Objective
This cross-sectional study analysed the characteristics of TMJOA patients with CE.
Methods
A total of 267 patients were included. The severity of CE of all joints was evaluated using cone beam computed tomography (CBCT) and scored using a four-point rating scale (0–III). Patients were categorised into mild (grade I), moderate (grade II) and severe (grade III) groups. Demographic and clinical characteristics were summarised and stratified by age and erosion severity. Univariate and multivariate logistic regression analyses were performed based on the assignment of the variables.
Results
The proportion of patients under 30 years old is much higher than other age groups. Compared to adults (≥ 20 years old), a higher proportion of adolescent patients (10–19 years old) choose orthodontics department for their first consultation (p < 0.01). And adolescent patients have a higher proportion of temporomandibular joint (TMJ) noise (p < 0.05) and a lower proportion of arthralgia (p < 0.001). Significant differences exist in CE severity between adolescents and adults (p < 0.001). The severe group had the youngest patients (p < 0.05) and the highest proportion of mandibular deviation and abnormal postural habits.
Conclusions
Patients under 30 years of age constitute a significant proportion of TMJOA cases with CE. Compared to adults, adolescent patients have more severe CE and less arthralgia. Due to obvious dental and maxillofacial deformities and milder TMJ symptoms, adolescent patients may not be aware that they have TMJ disease, potentially leading to delayed treatment.
背景：髁状突侵蚀（CE）可能预示着颞下颌关节骨关节炎（TMJOA）处于活动性进展阶段，但尚未有研究对这一人群的特征进行分析：这项横断面研究分析了患有 CE 的颞下颌关节骨关节炎患者的特征：方法：共纳入 267 名患者。使用锥形束计算机断层扫描（CBCT）对所有关节的 CE 严重程度进行评估，并使用四级评分表（0-III 级）进行评分。患者被分为轻度（I级）、中度（II级）和重度（III级）组。汇总了人口统计学和临床特征，并按年龄和糜烂严重程度进行了分层。根据变量分配进行了单变量和多变量逻辑回归分析：结果：30 岁以下患者的比例远高于其他年龄组。与成年人（≥ 20 岁）相比，青少年患者（10-19 岁）首次就诊时选择口腔正畸科的比例更高（p 结论：30 岁以下患者是口腔正畸科的主要就诊人群：30 岁以下的患者在颞下颌关节颌面外科病例中占很大比例。与成人相比，青少年患者的 CE 更严重，关节痛更轻。由于牙齿和颌面部畸形明显，颞下颌关节症状较轻，青少年患者可能意识不到自己患有颞下颌关节疾病，从而可能导致治疗延误。
{"title":"Characteristics of Temporomandibular Joint Osteoarthritis Patients With Condylar Erosion: A Retrospective Cross-Sectional Study","authors":"Yifan Chen, Xiao Zhang, Chenlong Xia, Liangchen Tang, Min-er Chen, Sirong Huang, Jianxiang He, Zhiyong Li","doi":"10.1111/joor.13894","DOIUrl":"10.1111/joor.13894","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Condylar erosion (CE) may indicate an active progressive stage of temporomandibular joint osteoarthritis (TMJOA), but no studies have analysed the characteristics of this population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This cross-sectional study analysed the characteristics of TMJOA patients with CE.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 267 patients were included. The severity of CE of all joints was evaluated using cone beam computed tomography (CBCT) and scored using a four-point rating scale (0–III). Patients were categorised into mild (grade I), moderate (grade II) and severe (grade III) groups. Demographic and clinical characteristics were summarised and stratified by age and erosion severity. Univariate and multivariate logistic regression analyses were performed based on the assignment of the variables.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The proportion of patients under 30 years old is much higher than other age groups. Compared to adults (≥ 20 years old), a higher proportion of adolescent patients (10–19 years old) choose orthodontics department for their first consultation (<i>p</i> < 0.01). And adolescent patients have a higher proportion of temporomandibular joint (TMJ) noise (<i>p</i> < 0.05) and a lower proportion of arthralgia (<i>p</i> < 0.001). Significant differences exist in CE severity between adolescents and adults (<i>p</i> < 0.001). The severe group had the youngest patients (<i>p</i> < 0.05) and the highest proportion of mandibular deviation and abnormal postural habits.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Patients under 30 years of age constitute a significant proportion of TMJOA cases with CE. Compared to adults, adolescent patients have more severe CE and less arthralgia. Due to obvious dental and maxillofacial deformities and milder TMJ symptoms, adolescent patients may not be aware that they have TMJ disease, potentially leading to delayed treatment.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"52 2","pages":"208-221"},"PeriodicalIF":3.1,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Paediatric dysphagia refers to any feeding and/or swallowing problem that affects nutritional or liquid intake safety or adequacy. There is a prominent lack of available evidence-based effective therapeutic tools to facilitate the rehabilitation of feeding and/or swallowing disorders in children.
Objective
The purpose of this study was to assess the effectiveness of focal vibration therapy—Novafon as an assistive therapeutic intervention for children with feeding and swallowing difficulties.
Methods
The study involved 122 children with dysphagia who were divided into two groups: (1) 61 children who received conventional dysphagia therapy (cCDTh) and (2) 61 children who received conventional dysphagia therapy in combination with Novafon therapy (cCDTh+NTh). All children were evaluated for pre-, mid- and post-dysphagia therapy with the Gugging Swallowing Screen (GUSS) and Pediatric Eating Assessment Tool-10 (PEDI-EAT-10) in different Cypriot school and health settings.
Results
PEDI-EAT-10 total scores for both groups observed that the cCDTh+NTh group had a significant decrease in the overall median between pre- and post-dysphagia therapy total score (Median = 3.00) compared to the cTDTh score (Median = 7.00). GUSS total scores between the two groups showed an increase in overall medians but the cCDTh+NTh group (Median of pre-therapy = 16.50, mid–therapy = 19.00 and post-therapy = 20.00) noted a higher increase in medians compared to the cCDTh group (Median of pre-therapy = 15.00, mid-therapy = 16.00 and post-therapy = 17.00).
Conclusion
The present study highlights that focal vibration therapy using Novafon may serve as an effective and supportive approach within conventional dysphagia therapy for children. Further research is necessary to enhance the evidence-based literature on the use of Novafon in paediatric dysphagia.
{"title":"Evaluation of the Efficacy of Focal Vibration Therapy—Novafon as an Assistive Therapeutic Tool for Children With Feeding and Swallowing Disorders","authors":"Rafaella Georgiou, Louiza Voniati, Alexandros Gryparis, Andri Papaleontiou, Nafsika Ziavra, Dionysios Tafiadis","doi":"10.1111/joor.13900","DOIUrl":"10.1111/joor.13900","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Paediatric dysphagia refers to any feeding and/or swallowing problem that affects nutritional or liquid intake safety or adequacy. There is a prominent lack of available evidence-based effective therapeutic tools to facilitate the rehabilitation of feeding and/or swallowing disorders in children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The purpose of this study was to assess the effectiveness of focal vibration therapy—Novafon as an assistive therapeutic intervention for children with feeding and swallowing difficulties.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study involved 122 children with dysphagia who were divided into two groups: (1) 61 children who received conventional dysphagia therapy (cCDTh) and (2) 61 children who received conventional dysphagia therapy in combination with Novafon therapy (cCDTh+NTh). All children were evaluated for pre-, mid- and post-dysphagia therapy with the Gugging Swallowing Screen (GUSS) and Pediatric Eating Assessment Tool-10 (PEDI-EAT-10) in different Cypriot school and health settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>PEDI-EAT-10 total scores for both groups observed that the cCDTh+NTh group had a significant decrease in the overall median between pre- and post-dysphagia therapy total score (Median = 3.00) compared to the cTDTh score (Median = 7.00). GUSS total scores between the two groups showed an increase in overall medians but the cCDTh+NTh group (Median of pre-therapy = 16.50, mid–therapy = 19.00 and post-therapy = 20.00) noted a higher increase in medians compared to the cCDTh group (Median of pre-therapy = 15.00, mid-therapy = 16.00 and post-therapy = 17.00).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The present study highlights that focal vibration therapy using Novafon may serve as an effective and supportive approach within conventional dysphagia therapy for children. Further research is necessary to enhance the evidence-based literature on the use of Novafon in paediatric dysphagia.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"52 3","pages":"312-319"},"PeriodicalIF":3.1,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/joor.13900","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oral behaviours (OB) are some oral overuse behaviours which could be observed in patients with temporomandibular disorders (TMD). This study aims to investigate the association between TMD-related quality of life and OB to enhance understanding of these behaviours.
Methods
A total of 319 participants diagnosed with TMD were included in this research. According to the diagnostic criteria for TMD, patients were divided into three subgroups: pain-related TMD (PT, n = 71), intra-articular TMD (IT, n = 91) and combined TMD (CT, n = 157). Participants completed the oral behaviour checklist (OBC), the oral health impact profile for TMD (OHIP-TMD), the generalised anxiety disorder 7-item (GAD-7) and the patient health questionnaire 9-item (PHQ-9), and demographic characteristics were collected from medical records.
Results
TMD patients with high OBC scores (25–84 points) had higher scores in six of the seven OHIP-TMD domains (all p < 0.05). Logistic regression analysis indicated that OHIP-TMD scores (OR = 1.03), younger age (OR = 0.95), education (OR = 2.80–3.10), and PHQ-9 scores (OR = 1.14) were significantly positively correlated with OBC scores (p < 0.05). After adjusting for confounding factors, the psychological discomfort (OR = 1.09) and psychological disability (OR = 1.10) domains of the OHIP-TMD were identified as independent factors associated with higher OBC scores.
Conclusions
Patients with more frequent OB exhibited a lower quality of life across nearly all OHIP-TMD domains. Higher OHIP-TMD scores and specific psychological domains were independently associated with a higher frequency of OB. The causal relationship between quality of life and OB in TMD patients requires further investigation.
{"title":"The Association Between Temporomandibular-Related Quality of Life and Oral Behaviours: A Cross-Sectional Study in Patients With Temporomandibular Disorders","authors":"Chu-Qiao Xiao, Jing Zhang, Wen-Xin Luo, Nan Jiang, Li-Ming Zhang, Hao-Lun Yang, Xiao-Yi Wang, Yuan Yue, Xin Xiong","doi":"10.1111/joor.13898","DOIUrl":"10.1111/joor.13898","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Oral behaviours (OB) are some oral overuse behaviours which could be observed in patients with temporomandibular disorders (TMD). This study aims to investigate the association between TMD-related quality of life and OB to enhance understanding of these behaviours.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 319 participants diagnosed with TMD were included in this research. According to the diagnostic criteria for TMD, patients were divided into three subgroups: pain-related TMD (PT, <i>n</i> = 71), intra-articular TMD (IT, <i>n</i> = 91) and combined TMD (CT, <i>n</i> = 157). Participants completed the oral behaviour checklist (OBC), the oral health impact profile for TMD (OHIP-TMD), the generalised anxiety disorder 7-item (GAD-7) and the patient health questionnaire 9-item (PHQ-9), and demographic characteristics were collected from medical records.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>TMD patients with high OBC scores (25–84 points) had higher scores in six of the seven OHIP-TMD domains (all <i>p</i> < 0.05). Logistic regression analysis indicated that OHIP-TMD scores (OR = 1.03), younger age (OR = 0.95), education (OR = 2.80–3.10), and PHQ-9 scores (OR = 1.14) were significantly positively correlated with OBC scores (<i>p</i> < 0.05). After adjusting for confounding factors, the psychological discomfort (OR = 1.09) and psychological disability (OR = 1.10) domains of the OHIP-TMD were identified as independent factors associated with higher OBC scores.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Patients with more frequent OB exhibited a lower quality of life across nearly all OHIP-TMD domains. Higher OHIP-TMD scores and specific psychological domains were independently associated with a higher frequency of OB. The causal relationship between quality of life and OB in TMD patients requires further investigation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"52 3","pages":"296-304"},"PeriodicalIF":3.1,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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