在关节障碍患者口腔开口的性别差异 - - 对诊断的影响
David Faustino Ângelo1,2,3,4,5, Henrique José Cardoso1, Ricardo São João6,7,8,9
1Instituto Português da Face, 1500-493 Lisboa, Portugal.
Journal of clinical medicine
|June 13, 2025
概括
在关节障碍 (TMD) 患者中,限制口腔开口 (LMO) 的标准诊断断断可能是不准确的. 这项研究提出了最大口腔开口 (MMO) 的性别特定门,以改善诊断.
科学领域:
- 牙科 牙科是指牙科的专业.
- 矯正牙科 矯正牙科是一種矯正牙科.
- 口腔和牙面部外科手术
背景情况:
- 部疾病 (TMD) 患者经常经历口腔开口受限 (LMO).
- 目前的诊断标准使用口腔开口>40毫米的普遍值,可能会忽视解剖变异.
- 调查最大口腔开口 (MMO) 的性别特异性差异对于完善LMO诊断至关重要.
研究的目的:
- 调查最大口腔开口 (MMO) 的性别特异性差异.
- 建议修订的诊断标准限制口腔开口 (LMO) 在关节疾病 (TMD) 患者.
- 为了提高诊断准确度和个性化治疗策略的TMDs.
主要方法:
- 这是一项为期五年的前性研究,涉及葡萄牙1045名TMD患者.
- 记录患者的性别,MMO和LMO投诉,并进行临床验证.
- 使用通用增量模型 (GAMs) 和通用线性模型 (GLMs) 进行性别分层统计分析.
主要成果:
- 女性的中位数MMO (40毫米) 低于男性 (44毫米).
- 在LMO投诉的患者中观察到显著减少的MMO值 (p < 0.001).
- 确定了性别特定的LMO值:女性≤35毫米,男性≤38毫米,诊断不确定性区域.
结论:
- 在女性中诊断MMO的确定的切线应该是<35毫米,在男性中<38毫米.
- 由于解剖学差异,单个LMO值可能导致女性的诊断不足,男性的错误分类.
- 修订的性别特定标准可以改善TMD的诊断和治疗个性化.
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