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Cross-cultural adaptation and psychometric properties of the Persian version of the Geriatric Sleep Questionnaire (P-GSQ). 波斯语版老年睡眠问卷(P-GSQ)的跨文化适应性和心理测量特性。
IF 1.6 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-04-25 DOI: 10.1080/08869634.2024.2345570
Hadi Najafi, Abolfazl Hosseinnataj, Atefe Esmailpour Moalem, Ehteram Sadat Ilali, Shahab Papi

Objective: This study aimed to validate the Geriatric Sleep Questionnaire (GSQ) for assessing subjective sleep quality among elderly individuals in Iran.

Methods: The GSQ underwent evaluation for face and content validity. Participants were selected via convenience sampling from five healthcare centers. Sociodemographic variables, including gender, number of children, recreational activities, budget deficits, and family conflicts were analyzed. Confirmatory factor analysis was conducted to verify the results. Internal consistency was assessed using Cronbach's α, and test-retest reliability was evaluated using the intraclass correlation coefficient (ICC).

Results: 200 older adults (mean age 66.8 years) completed the questionnaires. Face and content validity were confirmed by 30 experts (S-CVI/average = 0.96). The final model exhibited good fit indices (χ2/df = 2.89, CFI = 0.96). The scale demonstrated acceptable internal consistency (α = 0.81) and test-retest reliability (ICC = 0.98).

Conclusion: The Persian GSQ demonstrates high reliability and validity for assessing sleep quality in older adults, aiding research in this field.

目的:本研究旨在验证老年睡眠问卷(GSQ),以评估伊朗老年人的主观睡眠质量:本研究旨在验证老年睡眠问卷(GSQ),以评估伊朗老年人的主观睡眠质量:方法:对老年睡眠问卷进行面效和内容效度评估。参与者从五个医疗保健中心通过便利抽样的方式选出。分析了社会人口学变量,包括性别、子女数量、娱乐活动、预算赤字和家庭冲突。为验证结果,还进行了确认性因子分析。采用 Cronbach's α 评估内部一致性,采用类内相关系数 (ICC) 评估测试-再测可靠性。30位专家确认了问卷的面效度和内容效度(S-CVI/平均值=0.96)。最终模型的拟合指数良好(χ2/df = 2.89,CFI = 0.96)。该量表显示了可接受的内部一致性(α = 0.81)和测试-再测可靠性(ICC = 0.98):结论:波斯语 GSQ 在评估老年人睡眠质量方面具有很高的可靠性和有效性,有助于该领域的研究。
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引用次数: 0
Association between oral health-related quality of life and symptoms of temporomandibular disorder among older adults: A cross-sectional study 老年人口腔健康相关生活质量与颞下颌关节紊乱症状之间的关系:横断面研究
IF 1.6 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-04-04 DOI: 10.1080/08869634.2024.2333269
Larissa Viana de Oliveira, Pedro Paulo de Almeida Dantas, José Wittor de Macêdo Santos, Paulo Roberto Grafitti Colussi, Myrna Maria Arcanjo Frota Barros, Francisco Wilker Mustafa Gomes Muniz
Evaluate the association between oral health-related quality of life (OHRQoL) and self-reported symptoms of TMD.Representative samples of older adults (≥60 years) were included (n = 569). Both TMD ...
评估口腔健康相关生活质量(OHRQoL)与自我报告的 TMD 症状之间的关联。TMD ...
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引用次数: 0
Patients' perceptions of the importance of improvements and side effects from mandibular advancement device therapy for obstructive sleep apnea and snoring. 患者对下颌前突矫正器治疗阻塞性睡眠呼吸暂停和打鼾所带来的改善和副作用的重要性的看法。
IF 1.6 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-03-10 DOI: 10.1080/08869634.2024.2325405
Luca Mezzofranco, Francesca Zalunardo, Sorina Savin, Ludovica Agostini, Antonio Luigi Tiberio Gracco

Objective: To assess which improvements and side effects are considered most important by patients with OSA treated with a MAD.

Methods: A specific questionnaire consisting of 20 questions, including 10 questions on improvements and 10 on side effects, was developed and mailed to all subjects (54).

Results: 42 patients, participated in the survey by answering the questionnaire. The results showed that patients placed greater importance on the positive outcomes of treatment, with the most significant being the reduction in snoring and improvement in sleep quality. On the other hand, the side effects of difficulty speaking with the device, tooth mobility, and foreign body sensation were considered important.

Conclusions: The advantages perceived by the patients appear to outweigh the disadvantages, especially the reduction of snoring, increased productivity, and improved social and intellectual life. Most significant side effects are reversible and short-term, while occlusal changes, is not considered important by patients.

目的评估接受 MAD 治疗的 OSA 患者认为哪些改善和副作用最为重要:结果:42 名患者参与了调查,回答了 20 个问题,其中 10 个问题涉及病情改善,10 个问题涉及副作用:结果:42 名患者参与了问卷调查。结果显示,患者更重视治疗的积极效果,其中最显著的是打鼾减少和睡眠质量改善。另一方面,使用装置说话困难、牙齿活动不便和异物感等副作用也被认为很重要:患者感受到的优点似乎大于缺点,尤其是减少打鼾、提高工作效率、改善社交和智力生活。大多数明显的副作用都是可逆的、短期的,而患者认为咬合变化并不重要。
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引用次数: 0
Depression and the risk of developing temporomandibular disorders in different diagnostic groups: A systematic review with meta-analysis. 抑郁症与不同诊断群体罹患颞下颌关节紊乱症的风险:系统回顾与荟萃分析。
IF 1.6 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-03-10 DOI: 10.1080/08869634.2024.2323424
Elisa de Almeida Hoff, Rafaela Krieger Grossi, Lucas Bozzetti Pigozzi, Caroline Hoffmann Bueno, Marcos Pascoal Pattussi, Tainá Rossi, Tatiana Quarti Irigaray, João Batista Blessmann Weber, Márcio Lima Grossi

Objective: To evaluate the role of depression in the development of TMD groups.

Methods: This systematic review with meta-analysis compared the prevalence and scores of depression between TMD groups and controls.

Results: The results showed that depression was a significant risk factor in the development of RDC/TMD axis I muscle disorders (group I) and arthralgia/osteoarthritis/osteoarthrosis (group III), and non-significant for disc displacements (group II). Severe depression had almost four times the risk of developing TMD as compared to moderate depression.

Conclusion: These findings suggest that addressing psychological factors in general, and depression in particular, in the managemenof TMD is crucial, especially in those TMD groups with higher pain levels (I and III), and the TMD pain reduction is crucial in reducing depression levels.

目的:评估抑郁症在 TMD 群体发展中的作用:评估抑郁症在TMD群体发展中的作用:这项系统性回顾和荟萃分析比较了 TMD 组和对照组之间抑郁症的患病率和得分:结果表明,抑郁症是导致 RDC/TMD 轴 I 肌肉失调(I 组)和关节痛/骨关节炎/骨关节病(III 组)的重要风险因素,而对椎间盘脱位(II 组)则无显著影响。与中度抑郁症相比,重度抑郁症患者罹患 TMD 的风险几乎是中度抑郁症患者的四倍:这些研究结果表明,在 TMD 的治疗过程中,解决一般心理因素,尤其是抑郁问题至关重要,特别是对于那些疼痛程度较高的 TMD 组别(I 组和 III 组),减少 TMD 疼痛对于降低抑郁程度至关重要。
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引用次数: 0
Changes in oral health-related quality of life after self-care treatment in patients with myofascial pain. 肌筋膜疼痛患者自我护理治疗后口腔健康相关生活质量的变化。
IF 1.6 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-03-01 Epub Date: 2021-04-30 DOI: 10.1080/08869634.2021.1922229
Cláudio Figueiró, Jéssica Klöckner Knorst, Caroline Kolling Fensterseifer, Stella Folchini, Jovana De Moura Milanesi, Tatiana Bernardon Silva, Mariana Marquezan

Objective: The aim of this study was to evaluate the changes in oral health-related quality of life (OHRQoL) of patients with myofascial pain treated by means of self-care measures.

Methods: Fifteen patients with myofascial pain had OHRQoL evaluated by the Oral Health Impact Profile (OHIP-TMD) questionnaire and were instructed for self-care measures verbally and with a printed guide in the first consultation (T0), after 30 days (T1) and 60 days (T2). Paired t-test was performed to evaluate changes through time.

Results: OHIP-TMD scores were 29.3 (SD 10.2) at T0, 18.9 (SD 11.2) at T1, and 15.9 (SD 10.7) at T2. There was a reduction of scores related to the OHIP-TMD domains of functional limitation, physical pain, psychological and social inability and incapacity (T1 and T2), and psychological discomfort (T2).

Conclusion: Self-care measures had positive effects on the myofascial pain treatment, reducing physical pain generated by TMD and improving patients' OHRQoL.

研究目的本研究旨在评估通过自我护理措施接受治疗的肌筋膜疼痛患者的口腔健康相关生活质量(OHRQoL)的变化:15名肌筋膜疼痛患者接受了口腔健康影响档案(OHIP-TMD)问卷的口腔健康相关生活质量(OHRQoL)评估,并在首诊(T0)、30天后(T1)和60天后(T2)接受了口头和印刷指南的自我护理措施指导。结果显示,OHIP-TMD 评分为 29.5 分,而 TMD 评分为 29.5 分:OHIP-TMD评分在T0为29.3(标准差10.2),T1为18.9(标准差11.2),T2为15.9(标准差10.7)。与OHIP-TMD相关的功能限制、身体疼痛、心理和社交无能和丧失能力(T1和T2)以及心理不适(T2)的得分均有所下降:结论:自我保健措施对肌筋膜疼痛治疗有积极作用,可减轻 TMD 引起的身体疼痛,改善患者的 OHRQoL。
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引用次数: 0
Intraarticular injections of hyaluronic acid in arthrocentesis and arthroscopy as a treatment of temporomandibular joint disorders: A systematic review. 关节腔内注射透明质酸治疗颞下颌关节疾病:系统综述。
IF 2 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-03-01 Epub Date: 2021-05-24 DOI: 10.1080/08869634.2021.1925029
Helena Sàbado-Bundó, MaÁngeles Sánchez-Garcés, Octavi Camps-Font, Cosme Gay-Escoda

Objective: To evaluate the benefits of hyaluronic acid intraarticular injection (HA IAI), in conjunction with minimally invasive surgery (arthrocentesis or arthroscopy), as a therapeutic option for temporomandibular joint disorders.

Methods: An electronic search in PubMed, Cochrane Library, and Scopus databases was conducted in order to answer the following PICOS question: "In clinical trials with patients treated with arthroscopy or arthrocentesis, did the subsequent use of HA IAI provide a better control of postoperative pain and temporomandibular joint function compared to those patients who did not receive it?"

Results: Following PRISMA criteria, six randomized controlled clinical trials were selected. HA IAI showed significant differences in terms of pain reduction in three of them and improvement of mandibular function in two, compared to the control group.

Conclusion: Based on scientific evidence, the level of recommendation found regarding this type of intervention is type B (recommendation based on inconsistent or limited-quality patient-oriented evidence).

目的评估透明质酸关节内注射(HA IAI)与微创手术(关节穿刺术或关节镜手术)结合作为颞下颌关节疾病治疗方案的益处:为了回答以下 PICOS 问题,我们在 PubMed、Cochrane Library 和 Scopus 数据库中进行了电子检索:"在对接受关节镜或关节穿刺术治疗的患者进行的临床试验中,与未接受治疗的患者相比,随后使用 HA IAI 是否能更好地控制术后疼痛和颞下颌关节功能?"结果:根据 PRISMA 标准,筛选出六项随机对照临床试验。与对照组相比,HA IAI 在其中三项试验中的疼痛减轻率和两项试验中的下颌功能改善率均有明显差异:根据科学证据,此类干预措施的推荐级别为 B 类(基于不一致或质量有限的以患者为导向的证据的推荐)。
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引用次数: 0
An investigation of the changes in mechanical properties of the orofacial and neck muscles between patients with myogenous and mixed temporomandibular disorders. 研究肌源性和混合性颞下颌关节紊乱患者口面部和颈部肌肉机械特性的变化。
IF 1.6 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-03-01 Epub Date: 2021-06-01 DOI: 10.1080/08869634.2021.1934795
Serkan Taş, Besime Ahu Kaynak, Yasemin Salkin, Zehra Betül Karakoç, Figen Dağ

Objective: To investigate the possible changes in the mechanical properties of the orofacial and neck muscles in patients with temporomandibular disorders (TMD).

Methods: The study included a total of 98 females. Females were divided into three groups as myogenous TMD, mixed TMD, and healthy controls. The frequency (indicator of muscle tone), stiffness, and decrement (related to muscle elasticity) values of the sternocleidomastoid, upper trapezius, cervical extensor, and masseter muscles were measured using a portable myotonometer.

Results: The frequency, stiffness, and decrement values of the masseter muscle were higher in the mixed and myogenous TMD groups than those of the control group (p < 0.017). The mixed TMD group had higher frequency and stiffness values in the upper trapezius muscle compared with the control group (p < 0.017).

Discussion: The results suggest that the mechanical properties of the oral and neck muscles may be affected in patients with TMD.

目的研究颞下颌关节紊乱症(TMD)患者口面部和颈部肌肉机械性能的可能变化:研究共包括 98 名女性。女性被分为三组,即肌源性 TMD、混合型 TMD 和健康对照组。使用便携式肌张力计测量胸锁乳突肌、斜方肌上部、颈部伸肌和颌间肌的频率(肌张力指标)、僵硬度和下降值(与肌肉弹性有关):结果:混合组和肌源性 TMD 组的颌下肌频率、刚度和减值均高于对照组(p p 讨论):结果表明,TMD 患者口腔和颈部肌肉的机械特性可能会受到影响。
{"title":"An investigation of the changes in mechanical properties of the orofacial and neck muscles between patients with myogenous and mixed temporomandibular disorders.","authors":"Serkan Taş, Besime Ahu Kaynak, Yasemin Salkin, Zehra Betül Karakoç, Figen Dağ","doi":"10.1080/08869634.2021.1934795","DOIUrl":"10.1080/08869634.2021.1934795","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the possible changes in the mechanical properties of the orofacial and neck muscles in patients with temporomandibular disorders (TMD).</p><p><strong>Methods: </strong>The study included a total of 98 females. Females were divided into three groups as myogenous TMD, mixed TMD, and healthy controls. The frequency (indicator of muscle tone), stiffness, and decrement (related to muscle elasticity) values of the sternocleidomastoid, upper trapezius, cervical extensor, and masseter muscles were measured using a portable myotonometer.</p><p><strong>Results: </strong>The frequency, stiffness, and decrement values of the masseter muscle were higher in the mixed and myogenous TMD groups than those of the control group (<i>p</i> < 0.017). The mixed TMD group had higher frequency and stiffness values in the upper trapezius muscle compared with the control group (<i>p</i> < 0.017).</p><p><strong>Discussion: </strong>The results suggest that the mechanical properties of the oral and neck muscles may be affected in patients with TMD.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"150-159"},"PeriodicalIF":1.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39039235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Severity and form of temporomandibular disorder symptoms: Functional, physical, and psychosocial impacts. 颞下颌关节紊乱症状的严重程度和形式:对功能、身体和社会心理的影响。
IF 1.6 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-03-01 Epub Date: 2021-07-08 DOI: 10.1080/08869634.2021.1950336
Adrian Ujin Yap, Carolina Marpaung

Objective: The associations between the presence of differing severity/form of temporomandibular disorder (TMD) symptoms and oral health-related quality of life (OHRQoL) were explored.

Methods: The severity and form of TMDs in young adults were categorized based on the Fonseca Anamnestic Index (FAI) and Diagnostic Criteria for TMDs (DC/TMD), and OHRQoL was assessed with the Oral Health Impact Profile-14 (OHIP-14). Data were analyzed using non-parametric statistics (α = 0.05).

Results: The study cohort consisted of 501 young adults (mean age 19.7 ± 1.3 years; 75.2% women). Participants with severe/moderate TMDs had significantly higher OHIP severity scores than those with mild/no TMDs. Moreover, participants with combined/pain-related symptoms exhibited significantly higher severity scores compared to those without symptoms. The physical pain and psychological discomfort domains were typically more impaired regardless of severity/form of TMD symptoms.

Conclusion: More severe and painful symptoms were related to greater impairments in OHRQoL, especially in the physical and psychological domains.

目的探讨不同严重程度/形式的颞下颌关节紊乱症(TMD)症状与口腔健康相关生活质量(OHRQoL)之间的关联:方法:根据丰塞卡颞下颌关节紊乱症指数(Fonseca Anamnestic Index,FAI)和颞下颌关节紊乱症诊断标准(Diagnostic Criteria for TMDs,DC/TMD)对年轻成年人的颞下颌关节紊乱症严重程度和形式进行分类,并使用口腔健康影响档案-14(Oral Health Impact Profile-14,OHIP-14)对口腔健康相关生活质量进行评估。数据采用非参数统计法进行分析(α = 0.05):研究对象包括 501 名年轻成年人(平均年龄为 19.7 ± 1.3 岁;75.2% 为女性)。重度/中度 TMD 患者的 OHIP 严重性评分明显高于轻度/无 TMD 患者。此外,与无症状者相比,有合并/疼痛相关症状者的严重程度得分明显更高。无论 TMD 症状的严重程度/形式如何,身体疼痛和心理不适领域的受损程度通常都更严重:结论:更严重和更疼痛的症状与更大的 OHRQoL 损害有关,尤其是在身体和心理领域。
{"title":"Severity and form of temporomandibular disorder symptoms: Functional, physical, and psychosocial impacts.","authors":"Adrian Ujin Yap, Carolina Marpaung","doi":"10.1080/08869634.2021.1950336","DOIUrl":"10.1080/08869634.2021.1950336","url":null,"abstract":"<p><strong>Objective: </strong>The associations between the presence of differing severity/form of temporomandibular disorder (TMD) symptoms and oral health-related quality of life (OHRQoL) were explored.</p><p><strong>Methods: </strong>The severity and form of TMDs in young adults were categorized based on the Fonseca Anamnestic Index (FAI) and Diagnostic Criteria for TMDs (DC/TMD), and OHRQoL was assessed with the Oral Health Impact Profile-14 (OHIP-14). Data were analyzed using non-parametric statistics (α = 0.05).</p><p><strong>Results: </strong>The study cohort consisted of 501 young adults (mean age 19.7 ± 1.3 years; 75.2% women). Participants with severe/moderate TMDs had significantly higher OHIP severity scores than those with mild/no TMDs. Moreover, participants with combined/pain-related symptoms exhibited significantly higher severity scores compared to those without symptoms. The physical pain and psychological discomfort domains were typically more impaired regardless of severity/form of TMD symptoms.</p><p><strong>Conclusion: </strong>More severe and painful symptoms were related to greater impairments in OHRQoL, especially in the physical and psychological domains.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"142-149"},"PeriodicalIF":1.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39163993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Relationship of temporomandibular joint disorders with cervical posture and hyoid bone position. 颞下颌关节紊乱与颈椎姿势和舌骨位置的关系。
IF 1.6 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-03-01 Epub Date: 2021-05-18 DOI: 10.1080/08869634.2021.1926745
Ömer Ekici, Hasan Camcı

Objective: To evaluate craniocervical posture and hyoid bone position in patients with and without temporomandibular joint disorder (TMD).

Methods: A total of 113 people were included in the study, including 55 TMD patients and 58 healthy controls. Using lateral cephalograms, the craniofacial, craniocervical, and hyoid bone positions of the participants were evaluated in terms of 27 variables.

Results: There was no significant difference in craniocervical angles between participants with or without TMD. While the Hy-B, Hy-NSL, Hy-NL measurements and FMA (°), AFH (mm) measurements of participants with TMD were lower than the control group, the hyoid angle was greater than the control group.

Conclusion: These study findings provide evidence that TMD is not related to craniocervical posture but to the position of the hyoid bone and craniofacial morphology.

目的评估颞下颌关节紊乱症(TMD)患者和非患者的颅颈姿势和舌骨位置:研究共纳入 113 人,包括 55 名 TMD 患者和 58 名健康对照者。通过侧位头颅影像,对参与者的颅面部、颅颈部和舌骨位置的 27 个变量进行了评估:结果:患有或未患有 TMD 的参与者的颅颈角度无明显差异。虽然 TMD 患者的 Hy-B、Hy-NSL、Hy-NL 测量值和 FMA(°)、AFH(mm)测量值低于对照组,但舌骨角度大于对照组:这些研究结果证明,TMD 与颅颈姿势无关,而是与舌骨位置和颅面形态有关。
{"title":"Relationship of temporomandibular joint disorders with cervical posture and hyoid bone position.","authors":"Ömer Ekici, Hasan Camcı","doi":"10.1080/08869634.2021.1926745","DOIUrl":"10.1080/08869634.2021.1926745","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate craniocervical posture and hyoid bone position in patients with and without temporomandibular joint disorder (TMD).</p><p><strong>Methods: </strong>A total of 113 people were included in the study, including 55 TMD patients and 58 healthy controls. Using lateral cephalograms, the craniofacial, craniocervical, and hyoid bone positions of the participants were evaluated in terms of 27 variables.</p><p><strong>Results: </strong>There was no significant difference in craniocervical angles between participants with or without TMD. While the Hy-B, Hy-NSL, Hy-NL measurements and FMA (°), AFH (mm) measurements of participants with TMD were lower than the control group, the hyoid angle was greater than the control group.</p><p><strong>Conclusion: </strong>These study findings provide evidence that TMD is not related to craniocervical posture but to the position of the hyoid bone and craniofacial morphology.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"132-141"},"PeriodicalIF":1.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38992406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of bruxism on temporomandibular joint internal derangement in patients with unilateral temporomandibular joint pain: The role of magnetic resonance imaging diagnostics. 磨牙对单侧颞下颌关节疼痛患者颞下颌关节内部失调的影响:磁共振成像诊断的作用。
IF 1.6 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-03-01 Epub Date: 2021-04-25 DOI: 10.1080/08869634.2021.1918959
Cansu Gül Koca, Bengisu Yildirim, Elif Bilgir

Objective: This study compared temporomandibular joint (TMJ) magnetic resonance imaging (MRI) findings between bruxism and control groups with unilateral TMJ pain as well as the TMJ MRI findings for the painful and non-painful sides of individuals in the two groups.

Methods: Clinical and MRI findings of patients seen at Uşak University, Dentistry Faculty, Department of Oral and Maxillofacial Surgery for unilateral TMJ pain between 2017 and 2020 were analyzed. Bruxism was diagnosed based on clinical findings and patient history. The MRI variables were disc/condyle relationship (normal, disc displacement with reduction, or disc displacement without reduction), disc structure (normal and abnormal), condyle degeneration type (normal, moderate, or severe), and joint effusion (absent or present). Pain was recorded based on a visual analog scale (VAS) numbered between 0 and 10. Statistical analyses were performed using IBM SPSS. The data were distributed non-normally according to the results of Kolmogorov-Smirnov tests. The Mann-Whitney U test was used to compare age and VAS. Chi-square tests were used to compare categorical variables. Statistical significance was defined as p < 0.05.

Results: This study assessed the MRI records of 558 cases of TMJ pain. No significant differences in disc/condyle relation, disc structure, condyle structure, or effusion were observed between the control and bruxism groups (p > 0.05). However, a significant difference in TMJ MRI findings was observed between the painful and non-painful sides of each individual in the control and bruxism groups (p = 0.001, p < 0.001 and p = 0.004, p < 0.001, respectively).

Conclusion: The results of this study established a relationship between the painful side for each patient and TMJ MRI findings. In particular, individuals with bruxism had a higher rate of TMJ internal derangement and effusion on the painful side.

研究目的本研究比较了磨牙症组和对照组单侧颞下颌关节疼痛患者的颞下颌关节(TMJ)磁共振成像(MRI)结果,以及两组患者疼痛侧和非疼痛侧的颞下颌关节MRI结果:对2017年至2020年期间在乌沙克大学牙科学院口腔颌面外科就诊的单侧颞下颌关节疼痛患者的临床和MRI检查结果进行分析。根据临床发现和患者病史诊断出磨牙症。核磁共振成像变量包括椎间盘/髁突关系(正常、椎间盘移位并缩小或椎间盘移位未缩小)、椎间盘结构(正常和异常)、髁突退变类型(正常、中度或重度)和关节积液(无或有)。疼痛程度根据视觉模拟量表(VAS)进行记录,量表编号为 0 至 10。统计分析使用 IBM SPSS 进行。根据 Kolmogorov-Smirnov 检验的结果,数据呈非正态分布。Mann-Whitney U 检验用于比较年龄和 VAS。对分类变量的比较采用卡方检验。统计显著性定义为 p 结果:本研究评估了 558 例颞下颌关节疼痛患者的 MRI 记录。对照组和磨牙症组在椎间盘/髁状突关系、椎间盘结构、髁状突结构或渗出方面无明显差异(P > 0.05)。然而,在对照组和磨牙症组中,每个人的疼痛侧和非疼痛侧的颞下颌关节 MRI 检查结果存在明显差异(P = 0.001,P = 0.004,P 结论:本研究结果确定了每位患者的疼痛侧与颞下颌关节磁共振成像结果之间的关系。尤其是,有磨牙症的患者疼痛侧颞下颌关节内部错位和渗出的比例更高。
{"title":"Effects of bruxism on temporomandibular joint internal derangement in patients with unilateral temporomandibular joint pain: The role of magnetic resonance imaging diagnostics.","authors":"Cansu Gül Koca, Bengisu Yildirim, Elif Bilgir","doi":"10.1080/08869634.2021.1918959","DOIUrl":"10.1080/08869634.2021.1918959","url":null,"abstract":"<p><strong>Objective: </strong>This study compared temporomandibular joint (TMJ) magnetic resonance imaging (MRI) findings between bruxism and control groups with unilateral TMJ pain as well as the TMJ MRI findings for the painful and non-painful sides of individuals in the two groups.</p><p><strong>Methods: </strong>Clinical and MRI findings of patients seen at Uşak University, Dentistry Faculty, Department of Oral and Maxillofacial Surgery for unilateral TMJ pain between 2017 and 2020 were analyzed. Bruxism was diagnosed based on clinical findings and patient history. The MRI variables were disc/condyle relationship (normal, disc displacement with reduction, or disc displacement without reduction), disc structure (normal and abnormal), condyle degeneration type (normal, moderate, or severe), and joint effusion (absent or present). Pain was recorded based on a visual analog scale (VAS) numbered between 0 and 10. Statistical analyses were performed using IBM SPSS. The data were distributed non-normally according to the results of Kolmogorov-Smirnov tests. The Mann-Whitney U test was used to compare age and VAS. Chi-square tests were used to compare categorical variables. Statistical significance was defined as <i>p</i> < 0.05.</p><p><strong>Results: </strong>This study assessed the MRI records of 558 cases of TMJ pain. No significant differences in disc/condyle relation, disc structure, condyle structure, or effusion were observed between the control and bruxism groups (<i>p</i> > 0.05). However, a significant difference in TMJ MRI findings was observed between the painful and non-painful sides of each individual in the control and bruxism groups (<i>p</i> = 0.001, <i>p</i> < 0.001 and <i>p</i> = 0.004, <i>p</i> < 0.001, respectively).</p><p><strong>Conclusion: </strong>The results of this study established a relationship between the painful side for each patient and TMJ MRI findings. In particular, individuals with bruxism had a higher rate of TMJ internal derangement and effusion on the painful side.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"113-121"},"PeriodicalIF":1.6,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38905125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Cranio-The Journal of Craniomandibular & Sleep Practice
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