COVID-19 大流行导致的一年社会隔离对口腔副功能习惯和颞下颌关节紊乱有何影响?一项病例对照研究。

IF 3.1 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Journal of oral rehabilitation Pub Date : 2024-07-17 DOI:10.1111/joor.13805
Amanda Grossi Leão, Monique Lalue-Sanches, Carmen Paz Santibañez Hoyuela, Marcelo José Sanches, Luis Otávio Carvalho de Moraes
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引用次数: 0

摘要

目的:很少有研究调查 COVID-19 大流行期间口腔副功能习惯的影响。由于一些研究表明,在 COVID-19 大流行封锁期间,颞下颌关节紊乱症(TMD)的症状和体征以及心理变化都有所增加,因此本研究旨在调查社会隔离是否会增加口腔副功能习惯的患病率:这是一项观察性病例对照研究。我们在两个不同时间(2020 年和 2021 年)对巴西居民进行了在线调查,调查内容包括 TMD 症状(诊断标准症状问卷)和口腔辅助功能习惯(口腔行为检查表 [OBC])。根据社会隔离习惯将参与者分为研究组(GI:2020 年,n = 507;GIII:2021 年,n = 282)和对照组(GII:2020 年,n = 98;GIV:2021 年,n = 202):在每组中,我们评估了口腔辅助功能习惯的频率与 TMD 症状之间的关联,我们观察到,TMD 疼痛较重的人有较多的口腔辅助功能习惯。尽管有文献表明,与世隔绝的人会养成更多的口腔副功能习惯,但在分析 GI × GII 组和 GIII × GIV 组中 OBC 问题的关联时,只有 "持续说话"(p = 0.0022)和 "用手和肩膀夹住电话"(p = 0.0124)在 GI × GII 组中显示出显著差异。肯德尔协整系数显示,各组被分析的口腔辅助功能习惯的等级之间存在很强的协整性(GI × GII 0.9515 (p = .0087) 和 GIII × GIV 0.9655 (p = .0074)):我们可以说,与没有社交隔离的人相比,有社交隔离习惯的人并没有表现出更多的口腔副功能习惯。
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What has a year of social isolation due to the COVID-19 pandemic influenced oral parafunctional habits and temporomandibular disorders? A case–control study

Objective

Few studies investigated the influence of oral parafunctional habits during the COVID-19 pandemic. Since some studies have demonstrated that signs and symptoms of temporomandibular disorder (TMD), as well as psychological alterations, increased during the COVID-19 pandemic lockdown, the aim of this study was to investigate whether social isolation is a situation that increases the prevalence of oral parafunctional habits.

Methods

This was an observational case–control study. An online survey with questions about TMD symptoms (Diagnostic Criteria Symptom Questionnaire) and oral parafunctional habits (Oral Behaviours Checklist [OBC]) was administered to Brazilian residents at two different times (2020 and 2021). The participants were divided according to social isolation practices into study groups (GI: 2020, n = 507; GIII: 2021, n = 282) and control groups (GII: 2020, n = 98; GIV: 2021, n = 202).

Result

In each group, we evaluated the association of the frequency of oral parafunctional habits with the symptoms of TMD, and we observed that individuals with a greater presence of painful TMD present a greater number of oral parafunctional habits. Despite the literature showing that individuals who practiced social isolation developed more oral parafunctional habits, when analysing the association of the OBC questions in Groups GI × GII and GIII × GIV, only ‘sustained talking’ (p = .0022) and ‘hold telephone between your hand and shoulders’ (p = .0124) showed a significant difference in GI × GII. Kendall's coefficient of concordance revealed that there was a very strong concordance (GI × GII 0.9515 (p = .0087) and GIII × GIV 0.9655 (p = .0074)) between the ranks of the analysed oral parafunctional habits in all groups.

Conclusion

We can state that Individuals who practiced social isolation did not present more oral parafunctional habits than individuals who did not.

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来源期刊
Journal of oral rehabilitation
Journal of oral rehabilitation 医学-牙科与口腔外科
CiteScore
5.60
自引率
10.30%
发文量
116
审稿时长
4-8 weeks
期刊介绍: Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function. Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology. The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.
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