低年级大学生颞下颌关节紊乱病咬合异常因素的logistic回归分析

doi:10.12016/j.issn.2096-1456.2021.01.007

口腔疾病防治 ›› 2021, Vol. 29 ›› Issue (1): 45-49.DOI: 10.12016/j.issn.2096-1456.2021.01.007

低年级大学生颞下颌关节紊乱病咬合异常因素的logistic回归分析

黄泽伦¹(),薛智谦¹,顾瑜²()

1.遵义医科大学珠海校区口腔医学系,广东珠海（519041）
2.遵义医科大学珠海校区口腔教研室,广东珠海（519041）

收稿日期:2020-05-25 修回日期:2020-08-01 出版日期:2021-01-20 发布日期:2020-11-18
通讯作者: 顾瑜
作者简介:黄泽伦,本科在读,Email： 783233194@qq.com
基金资助:
贵州省第六批科技创新团队资助项目（黔科通[2013]93号）;贵州省2019年大学生创新创业训练计划项目(20195200998)

Logistic regression analysis of the relationship between abnormal dental occlusion and temporomandibular disorders in lower grade college students

HUANG Zelun¹(),XUE Zhiqian¹,GU Yu²()

1. Department of Stomatology, Zhuhai Campus of Zunyi Medical University, Zhuhai 519041, China
2. Teaching and Research Section, Department of Stomatology, Zhuhai Campus of Zunyi Medical University, Zhuhai 519041, China

Received:2020-05-25 Revised:2020-08-01 Online:2021-01-20 Published:2020-11-18
Contact: Yu GU
Supported by:
Guizhou Province′s Sixth Batch of Science and Technology Innovation Team Funded Projects(No. qktong [2013] 93);2019 College Students′ Innovation and Entrepreneurship Training Program Project of Guizhou Province(20195200998)

摘要/Abstract

摘要：

目的探讨低年级大学生咬合异常因素对颞下颌关节紊乱病（temporomandibular disorders,TMD）发病的影响,以期为TMD的防治提供病因学基础。方法对遵义医科大学珠海校区低年级学生754名（男性354名,女性400名）进行颞下颌关节检查、牙列与咬合关系检查、问卷调查,采用多因素非条件logistic回归分析与哑变量单因素非条件logistic回归分析咬合功能异常、错牙合畸形以及口腔副功能运动等咬合异常因素与颞下颌关节紊乱病的关系。结果颞下颌关节紊乱病的患病率为31.7%,多因素非条件logistic回归分析结果显示夜磨牙（OR=2.070）、日间紧咬牙（OR=2.553）、无意识空嚼（OR=2.642）和前牙覆牙合关系（OR=1.228）,与TMD的发病均有影响（P<0.05）。对不同程度前牙深覆牙合设置哑变量采用单因素非条件logistic回归分析显示深覆牙合程度越重,TMD的发病风险越高[轻度（OR=1.558）、中度（OR=2.189）、重度（OR=3.236）,P < 0.05]。结论前牙覆牙合关系、夜磨牙、日间紧咬牙、无意识空嚼均是低年级大学生TMD发病的危险因素,前牙深覆牙合程度越重,TMD 发病风险越高。

关键词: 低年级大学生, 颞下颌关节紊乱病, 咀嚼肌功能亢进, 咬合异常, 口腔副功能运动, 错牙合畸形, 深覆牙合, 磨牙症, Logistic回归分析

Abstract:

Objective To investigate the influence of abnormal occlusion factors on the incidence of temporomandibular disorders (TMDs) in junior college students and to provide an etiological basis for the prevention and treatment of TMDs. Methods We examined the temporomandibular joint (TMJ) and dental occlusion in 754 lower grade college students (male 354, female 400) at Zunyi Medical University (Zhuhai campus). A questionnaire was also administered. We analyzed the correlation between TMD and the other three factors (static abnormal occlusion, dynamical abnormal occlusion and oral parafunctional activity) from the perspective of multivariate unconditioned logistic regression and univariate unconditioned logistic regression with dummy variables. Results The prevalence of TMD was 31.7%. The incidence of TMD was significantly (P<0.05) associated with sleep bruxism (OR=2.070), clenching (OR=2.553), diurnal (OR=2.642) and anterior teeth overbite (OR=1.228). Univariate unconditioned logistics regression analysis by dummy variables was used to analyze the incidence of TMD at different deep overbites (mild, OR=1.558; moderate, OR=2.189; severe, OR=3.236; P<0.05). Conclusion The risk factors for TMD in lower grade college students included anterior teeth occlusion, sleep bruxism, clenching, and diurnal treatment. Worse deep overbite might increase the risk of TMD.

Key words: lower grade college students, temporomandibular disorders, masticatory muscle spasm, abnormal occlusion, oral parafunction, malocclusion, deep overbite, bruxism, logistic regression analysis

中图分类号:

黄泽伦,薛智谦,顾瑜. 低年级大学生颞下颌关节紊乱病咬合异常因素的logistic回归分析[J]. 口腔疾病防治, 2021, 29(1): 45-49.

HUANG Zelun,XUE Zhiqian,GU Yu. Logistic regression analysis of the relationship between abnormal dental occlusion and temporomandibular disorders in lower grade college students[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2021, 29(1): 45-49.

图/表 3

参考文献 19

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Factor	Non-TMD（n=515）	TMD（n=239）	Total（n=754）	χ²	P
Sleep Bruxism	56（10.9%）	56（23.4%）	112（14.9%）	20.352	<0.001
Awake Clenching	36（8.6%）	52（21.8%）	88（11.7%）	34.531	<0.001
Awake Bruxism	16（3.1%）	18（7.5%）	34（4.5%）	7.422	0.006
Press,touch or hold tooth together other than eating	39（7.6%）	50（20.9%）	89（11.8%）	27.937	<0.001
Universality attrition	77（15.0%）	40（16.7%）	117（15.5%）	0.397	0.529
Anormal attrition	48（9.3%）	20（8.4%）	68（9.0%）	0.180	0.671
Anterior teeth overbite	213（41.3%）	139（58.1%）	352（46.7%）	18.510	<0.001
Anterior teeth overjet	163（31.7%）	102（42.7%）	265（35.1%）	8.709	0.003
Posterior teeth occlusion	29（5.6%）	12（5.0%）	41（5.4%）	0.118	0.317
Angle′s malocclusion	185（35.9%）	92（38.4%）	277（36.7%）	0.464	0.496

Factor	Non-TMD（n=515）	TMD（n=239）	Total（n=754）	χ²	P
Sleep Bruxism	56（10.9%）	56（23.4%）	112（14.9%）	20.352	<0.001
Awake Clenching	36（8.6%）	52（21.8%）	88（11.7%）	34.531	<0.001
Awake Bruxism	16（3.1%）	18（7.5%）	34（4.5%）	7.422	0.006
Press,touch or hold tooth together other than eating	39（7.6%）	50（20.9%）	89（11.8%）	27.937	<0.001
Universality attrition	77（15.0%）	40（16.7%）	117（15.5%）	0.397	0.529
Anormal attrition	48（9.3%）	20（8.4%）	68（9.0%）	0.180	0.671
Anterior teeth overbite	213（41.3%）	139（58.1%）	352（46.7%）	18.510	<0.001
Anterior teeth overjet	163（31.7%）	102（42.7%）	265（35.1%）	8.709	0.003
Posterior teeth occlusion	29（5.6%）	12（5.0%）	41（5.4%）	0.118	0.317
Angle′s malocclusion	185（35.9%）	92（38.4%）	277（36.7%）	0.464	0.496

Item	B	Sb	Wald	P	OR	95%CI
Sleep bruxism	0.728	0.221	10.818	0.001	2.070	（1.342,3.194）
Awake clenching	0.942	0.249	14.309	<0.001	2.533	（1.575,4.182）
Press, touch or hold tooth together other than eating	0.972	0.243	15.951	<0.001	2.642	（1.649,4.258）
Anterior teeth overbite	0.205	0.054	14.527	<0.001	1.228	（1.105,1.365）

Item	B	Sb	Wald	P	OR	95%CI
Sleep bruxism	0.728	0.221	10.818	0.001	2.070	（1.342,3.194）
Awake clenching	0.942	0.249	14.309	<0.001	2.533	（1.575,4.182）
Press, touch or hold tooth together other than eating	0.972	0.243	15.951	<0.001	2.642	（1.649,4.258）
Anterior teeth overbite	0.205	0.054	14.527	<0.001	1.228	（1.105,1.365）

Grade	B	Sb	Wald	P	OR	95%CI
Normal	-	-	22.366	<0.001	-	-
Mild	0.443	0.210	4.439	0.035	1.558	（1.031,2.352）
Moderate	0.784	0.784	8.437	0.040	2.189	（1.29,3.715）
Severe	1.174	0.870	16.742	<0.001	3.236	（1.844,5.679）

低年级大学生颞下颌关节紊乱病咬合异常因素的logistic回归分析

Logistic regression analysis of the relationship between abnormal dental occlusion and temporomandibular disorders in lower grade college students

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