矯正歯科患者における歯障害の症状:治療の必要性,心理的苦痛,機能,口腔健康に関連する生活の質との相関
Adrian Ujin Yap1,2,3, Aziz Khakimov4, Abd Aziz Alias5
1Division of Dentistry, Ng Teng Fong General Hospital, National University Centre for Oral Health, and Faculty of Dentistry, National University Health System, Singapore, Singapore.
Journal of oral rehabilitation
|August 29, 2025
まとめ
テンポロマンディブル障害 (TMD) は,矯正歯科の患者に重大な影響を及ぼします.
科学分野:
- 矯正歯科
- 口腔・口腔外科
- 歯科公衆衛生
背景:
- 新興の研究は,矯正歯科患者の悪口症の重症度よりも,口腔の健康に関連する生活の質の低下 (OHRQoL) と部障害 (TMD) の強い関連性を示しています.
- この関係を理解することは 患者のケアと結果を改善するために 極めて重要です
研究 の 目的:
- 矯正歯科治療を求める人の TMD 症状の有病率と重症度を評価する.
- TMDの症状,閉塞障害の重症度,体症状,心理的苦痛,機能,およびOHRQoLの関連性を調べる.
- 高い機能制限 (JFL) と低いOHRQoLに寄与する主要な要因を特定する.
主な方法:
- 296人の潜在的矯正歯科患者に調査を行い,人口統計,TMDの症状,フォンセカ病歴指数,体質症状スケール-8,患者健康アンケート-4,機能制限スケール-8,口腔健康影響プロファイル-14のデータを収集した.
- データは,矯正歯科治療の必要性指数 (IOTN) と誤閉症の特徴と相関した.
- 統計的分析には,キ平方/非パラメトリックテストと多変量回帰が含まれていた.
主要な成果:
- 40%以上の参加者はTMDの症状を報告しなかったが,かなりの割合はTMDの様々な症状の組み合わせ (15. 4%は関節内,8. 8%は痛みに関連し,35. 5%は併合された) を経験した.
- 年齢,人種,TMDの症状負担/重症度,IOTNの美容成分,体症状,心理的苦痛,JFL,OHRQoLによって有意な差異が観察されました.
- TMDの重症度と重症度,体質の重症度とOHRQoL,体質の重症度と体質の重症度との間には,適度な相関関係が見られた.
結論:
- 高機能制限 (JFL) は,年長,女性,人種,TMD症状の重症度,および誤閉症タイプと関連しています.
- 口腔の健康に関連する生活の質の低下 (OHRQoL) は,高齢化,より高い体質症状の負担,およびJFLと関連しています.
- テンポロマンディブル障害 (TMD) の定期的なスクリーニングは,その高い罹患率と生活の質への影響のために,将来の矯正歯科患者のために推奨されます.
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