Bruxism 作为肌肉骨疾病的新风险因素?
Amélie K Mainjot1, Julie Oudkerk1, Sandrine Bekaert1
1Dental Biomaterials Research Unit (d-BRU), Institute of Dentistry, University of Liège (ULiège), Liège, Belgium; Department of Fixed Prosthodontics, Institute of Dentistry, University of Liège Hospital (CHU), Liège, Belgium.
Bruxism (BR) 和牙磨损 (TW) 与肌肉骨系统疾病 (MSD) 有关. 这项研究发现,牛症显著增加了MSD风险,突出了身体的风险.
科学领域:
- 研究了口腔神经系统健康和全身肌肉骨疾病 (MSDs) 之间的联系.
- 检查了牙磨损 (TW) 和牙磨损 (BR) 对肌肉骨疾病的流行率和影响.
- 有助于理解口腔健康和全身疼痛状况之间的整体关系.
背景情况:
- 肌肉骨系统疾病 (MSDs),特别是部和腰部疼痛,是全球重要的健康问题.
- 牙系统 (下,牙,面部肌肉) 与肌肉机关疾病之间的联系尚未得到充分证实.
- 有限的数据存在于布鲁克斯症和牙磨损与MSDs之间的关联.
研究的目的:
- 为了调查 Bruxism (BR) 和肌肉骨系统疾病 (MSD) 之间的关联.
- 作为一个次要目标,探索牙磨损 (TW) 和骨关节疾病之间的关系.
- 分析潜在的混因素,如社会人口统计学,病史,习惯和压力.
主要方法:
- 一项涉及425名来自大学牙科诊所的参与者的横截面研究.
- 使用标准化北欧问卷进行评估的MSD.
- 布鲁克斯症 (BR) 通过临床检查和自我报告 (睡眠和清醒) 来诊断.
- 使用基本侵蚀性磨损检查 (BEWE) 指数测量牙磨损 (TW).
主要成果:
- 在参与者中,MSD (91%) 和乳头 (75.5%) 的高患病率.
- Bruxism (BR) 显示,患有MSD的风险增加了5倍 (OR=5.88).
- 前牙磨损增加1点 (BEWE得分) 与MSD风险增加53% (OR=1.53) 相相关.
- 发现的特定关联:BR与部,肩膀,背部,部和膝盖MSD;前部TW与部,腰部,部/大腿MSD;全球TW与膝盖MSD.
结论:
- Bruxism 和牙磨损与肌肉骨系统疾病有显著的联系.
- 需要进一步的研究来确定最佳预防和治疗策略的因果关系.
- 这些发现表明"身体作为一个整体"的概念,强调口腔和肌肉骨健康的相互联系.
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