Bruxism 是否与关节关节疾病相关? 一个系统的审查和元分析
Nazanin Mortazavi1,2, Amene Hasanzade Tabatabaei2, Masoud Mohammadi3
1Department of Oral and Maxillofacial Medicine, School of Dentistry, Golestan University of Medical Sciences, Gorgan, Iran.
Evidence-based dentistry
|July 20, 2023
概括
Bruxism 显著增加了发展关节疾病 (TMD) 的风险. 这项系统性审查发现,布鲁克西斯症将TMD的几率提高了两倍以上,突出显示了未来预防策略的关键联系.
科学领域:
- 口腔医学是指口腔医学.
- 牙科研究 牙科研究
- 系统审查是系统的审查.
背景情况:
- 牙非自发的磨或牙,被越来越多地认为是导致关节疾病 (TMD) 的潜在因素.
- 了解布鲁克斯症和TMD之间的定量关系对于制定有效的预防和管理策略至关重要.
研究的目的:
- 系统地审查和对现有文献进行元分析,以量化 Bruxism 与关节疾病 (TMD) 发生率之间的关联.
主要方法:
- 在多个数据库中进行了全面的电子搜索,截至2022年3月.
- 在分析中包括了20项研究,研究质量使用纽卡斯尔-太华尺度进行评估.
- 采用随机效应模型计算了协会的聚合几率比率 (OR) 和95%置信区间 (CI).
主要成果:
- 对20项研究的元分析显示,布鲁克斯症和TMD之间存在显著的关联.
- 布鲁克斯症患者患有TMD的几率高出2.25倍 (OR=2.25,95%CI:1.94-2.56).
- 无论是清醒布鲁克斯症 (OR = 2.51) 还是睡眠布鲁克斯症 (OR = 2.06),都与增加TMD的几率有显著的关联.
结论:
- 这些发现表明,布鲁克斯主义和TMD之间存在明确的,积极的关系.
- 布鲁克西斯的存在大大增加了发展TMD的可能性.
- 这凸显了在评估和管理患有或患有TMD风险的患者时考虑布鲁克斯症的重要性.
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