硬皮病和颞下颌关节功能障碍在患者群之间的相互影响。

IF 2 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Cranio-The Journal of Craniomandibular & Sleep Practice Pub Date : 2024-09-01 Epub Date: 2021-12-28 DOI:10.1080/08869634.2021.2019425

Chiara Pellicano, Giorgia Leodori, Stefano Floridia, Amalia Colalillo, Antonietta Gigante, Edoardo Rosato, Marco Paoloni

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引用次数: 0

摘要

目的根据颞下颌关节紊乱诊断标准（DC/TMD）评估硬皮病患者颞下颌关节功能障碍的患病率，并将其与疾病变量相关联：方法：使用DC/TMD对75名硬皮病患者和74名健康对照者的颞下颌功能障碍进行评估。通过加州大学洛杉矶分校（UCLA）的评分对硬皮病患者的胃肠道症状进行评估：结果：硬皮病患者和健康对照组的颞下颌功能障碍发生率没有差异[30（40%） vs 30（40.5%）；P > 00.05]。与健康对照组相比，硬皮病患者的所有口腔运动均明显减少。据统计，患有颞下颌关节功能障碍的硬皮病患者在 UCLA 胀气/腹胀项目中得分更高[1.75 (0.5-2.38) vs 0.75 (0.25-1.75)；p 讨论：硬皮病患者和健康对照组的颞下颌功能障碍发生率相似。在硬皮病患者中，颞下颌功能障碍会降低口腔的活动度和开放度，从而加重胀气/腹胀。

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Reciprocal effects of scleroderma and temporomandibular dysfunction between patient cohorts.

Objective: To estimate the prevalence of temporomandibular dysfunction in scleroderma patients according to the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) and to correlate it with disease variables.

Methods: Temporomandibular dysfunction was evaluated in 75 scleroderma patients and 74 healthy controls using DC/TMD. Gastrointestinal symptoms were evaluated through the University of California Los Angeles (UCLA) score in scleroderma patients.

Results: There was no difference of prevalence in temporomandibular dysfunction [30 (40%) vs 30 (40.5%); p > 00.05] between scleroderma patients and healthy controls. Scleroderma patients had a significant reduction in all oral movements compared to healthy controls. Scleroderma patients with temporomandibular dysfunction had a statistically higher score in the UCLA distention/bloating item [1.75 (0.5-2.38) vs 0.75 (0.25-1.75); p < 0.05] than scleroderma patients without temporomandibular dysfunction.

Discussion: Temporomandibular dysfunction prevalence between scleroderma patients and healthy controls is similar. In scleroderma patients, temporomandibular dysfunction reduces oral mobility and opening, which worsens distension/bloating.

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来源期刊

Cranio-The Journal of Craniomandibular & Sleep Practice DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

4.50

自引率

12.50%

发文量

审稿时长

>12 weeks

期刊介绍： CRANIO: The Journal of Craniomandibular & Sleep Practice is the oldest and largest journal in the world devoted to temporomandibular disorders, and now also includes articles on all aspects of sleep medicine. The Journal is multidisciplinary in its scope, with editorial board members from all areas of medicine and dentistry, including general dentists, oral surgeons, orthopaedists, radiologists, chiropractors, professors and behavioural scientists, physical therapists, acupuncturists, osteopathic and ear, nose and throat physicians. CRANIO publishes commendable works from outstanding researchers and clinicians in their respective fields. The multidisciplinary format allows individuals practicing with a TMD emphasis to stay abreast of related disciplines, as each issue presents multiple topics from overlapping areas of interest. CRANIO''s current readership (thousands) is comprised primarily of dentists; however, many physicians, physical therapists, chiropractors, osteopathic physicians and other related specialists subscribe and contribute to the Journal.