坦塔学龄前儿童睡眠磨牙症患病率及相关因素分析

Salma S. Hafeza, M. El-Bayoumi, Nahed M. Abu Hamila
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摘要

磨牙症是儿童牙科诊所常见的一种疾病;据报道,儿童比成人更常见,对一个人的生活质量有不同的影响。目的了解坦塔市4 ~ 6岁学龄前儿童睡眠磨牙症的患病率及相关因素。患者和方法本研究采用横断面观察设计。样本为坦塔市公立和私立幼儿园4 - 6岁儿童1000名。通过以家长/监护人为基础的问卷调查和由同一检查员对参与的儿童进行的临床检查来收集数据。结果调查结果显示,样本儿童睡眠磨牙症患病率为17.6%。在睡眠磨牙症家族史、新生儿和胃肠道疾病方面存在显著差异。除颞下颌关节紊乱外,磨牙症与咬指甲/咬舌头、口呼吸和睡觉时手放在脸上也有关系。通过对胃肠疾病的回归分析,发现睡眠磨牙家族史和磨牙关系作为远端关系是影响磨牙的最大变量。结论学龄前儿童睡眠磨牙症患病率为17.6%。性别、年龄和磨牙症之间无显著差异,但新生儿、胃肠道疾病和磨牙症之间存在显著关系。正常喂养方式和人工喂养方式与睡眠磨牙无明显关系。睡眠磨牙症与咬指甲习惯、用嘴呼吸、咬舌头和睡觉时把手放在脸上有关系。除磨牙关系外,磨牙与咬合无显著相关性。TMD与磨牙症有显著相关性。
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Prevalence of sleep bruxism and associated factors in Tanta preschool children
Introduction Bruxism is a common condition in the pediatric dentistry clinics; it is reported more frequently in children than in adults and has different effects on a person's quality of life. Objectives The aim of this study was to assess the prevalence of sleep bruxism and associated factors among 4–6-year-old preschool children of Tanta city. Patients and methods The work was cross-sectional observational design. The sample consisted of 1000 children aged 4–6-year-old in public and private kindergarten of Tanta city. Data were collected through parents/guardians-based questionnaire and clinical inspection of participating children that was done by the same inspector. Results The results of the work revealed that the prevalence of sleep bruxism among the sample children was 17.6%. There were significant differences regarding family history of sleep bruxism, presence of newborn and gastrointestinal disorders. A relationship between bruxism and nail/tongue biting, mouth breathing and sleep with hand on face was found in addition to TMJ disorders. Also, by doing regression test analysis gastrointestinal disorders, family history of sleep bruxism and molar relation as distal relation was found to be the most affecting variable to bruxism. Conclusions The prevalence of sleep bruxism among the study sample of preschool children was 17.6%. There was no significant difference between sex, age, and bruxism, but there was a significant relationship between the presences of newborn, gastrointestinal disorder, and bruxism. The feeding way either normal or artificial had no relation to sleep bruxism. There was a relationship between sleep bruxism and nail-biting habit, mouth breathing, tongue biting, and sleep with a hand on the face. There was no significant correlation between bruxism and occlusion except with molar relation. TMD had significant correlation with bruxism.
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