口腔扁平苔藓患者抑郁焦虑状况调查研究

目的 调查口腔扁平苔藓患者抑郁和焦虑情绪的发生情况.方法 选取在我院口腔科门诊就诊的口腔扁平苔藓患者139例,选取同期无口腔黏膜疾病的我院健康体检者115例作为正常对照组,所有研究对象均完成一般情况调查表、贝克抑郁量表(BDI)和贝克焦虑量表(BAI).BDI总分≥14分为有抑郁情绪的判断标准.BAI总分≥45分为有焦虑情绪的判断标准.比较2组BDI、BAI分值,及抑郁、焦虑情绪的发生情况.结果 患者组BDI总分(17.16 ± 11.21)高于正常对照组(7.08 ± 6.13),患者组BAI总分(38.56 ± 6.96)高于正常对照组(23.36 ± 4.59),差异均有统计学意义(P<0.05).患者组有76例存在抑郁情绪,发生率为54.7%,对照组(19例,16.5%),差异有统计学意义(P<0.05).患者组中有21例存在焦虑情绪,发生率为15.1%,高于对照组(1例,0.9%),差异有统计学意义(P<0.05).糜烂组BDI、BAI值(19.79 ± 11.90,40.98 ± 6.58)均高于非糜烂组(13.48 ± 8.94,35.19 ± 6.02),差异有统计学意义(P<0.05).结论 口腔扁平苔藓患者常伴发有抑郁和焦虑情绪,治疗时需要辅助心理干预.     

BMS患者抑郁、焦虑状况及其与疼痛感受的相关性分析

目的：调查灼口综合征（BMS）患者的心理抑郁及焦虑状况,分析心理状况与疼痛感受的相关性.方法：收集2012年1月～2014年1月期间因灼口综合征就诊患者135例及100名健康志愿者.采用焦虑自评量表（SAS）和抑郁自评量表（SDS）对两组对象进行问卷测试.对BMS患者的主观疼痛程度进行分级.采用SPSS11.0统计分析软件分析BMS患者抑郁、焦虑状况及其与疼痛感受的相关性.结果：BMS患者SAS值及SDS值均高于对照组,差异具有统计学意义（P＜0.01）,SAS值及SDS值在不同疼痛程度的患者中有显著差异（P＜0.01）.结论：BMS患者具有明显的抑郁及焦虑心理,其心理抑郁及焦虑的严重程度与患者临床疼痛的主观感受有关.     

磨牙症患者与非磨牙症患者的颅面形态学比较

本文旨在分析磨牙症患者与非磨牙症患者颅面形态学方面的联系。 材料与方法 研究样本由匹兹堡牙学院一至三年级学生和匹兹堡大学行为科学系的患者组成。年龄22至35岁,共155人。这些志愿受检者应至少尚存27颗牙齿,近5年内身体健康。取模后,根据牙齿磨耗面的百分比以及磨牙症调查表结果,将受检者分为磨牙症     

女性灼口综合征患者应付方式及抑郁和焦虑状况研究

灼口综合征 (ｂｕｒｎｉｎｇｍｏｕｔｈｓｙｎｄｒｏｍｅ ,ＢＭＳ)为口腔粘膜烧灼感和疼痛不适 ,但临床检查无明显器质性病变 ,中年妇女多见 ,以舌部为多[1] 。对ＢＭＳ的病因研究涉及局部因素、全身疾病、心理因素等 ,其中心理因素占有重要地位[2 ,3 ] 。本文调查女性ＢＭＳ患者的应付方式及抑郁和焦虑状况 ,现报告如下。1　对象和方法选择 1996年 12月～ 2 0 0 1年 8月暨南大学医学院第一附属医院口腔科门诊女性ＢＭＳ患者 2 4例 ,年龄 4 6 5 7岁±5 4 8岁。患者文化程度为中专及以下者 12例 ,大专 7例 ,大学本科及其以上者 5例。纳入标…     

1050例牙病患者中磨牙症的分析

磨牙症是指患者在不咀嚼不吞咽时也在磨动牙齿或者将牙齿咬紧的现象,我们对1975年至1988年的1050例口腔病患者进行了临床分析: 检查方法 1.通过仔细询问病史,将磨牙症分为三型即夜磨牙型(为别人听见而被告之);紧咬型(常在白天     

青年磨牙症的临床分析

目的：本文通过对14-30岁年龄段的青年磨牙症患者进行临床病因研究，以期发现恒牙He的He形态，下颌运动的形式以及人的个性心理特征对口颌系统功能的影响。方法：对60名以磨牙症为第一主诉的患者进行临床检查，恒牙He模型研究以及临床病因分析。根据患者磨牙类型夜间或白天配戴软弹性下颌合垫，并对治疗结果进行分析。结果：58名患者存在不同程度的咬合紊乱。多为牙列不齐，错He畸形，以及咬合干扰。错合畸形表现为个别牙反He，锁He；神经心理紧张会增加磨牙症的发生的机率。女性较男性好发。磨牙症患者佩戴软弹性He垫治疗52例症状缓解。结论：青年磨牙症的病因，He因素为第一大因素，咬合干扰存在的前提下，才会发生磨牙症。神经心理紧张可诱发磨牙症。     

磨牙症患者治疗前后咀嚼效能的研究

本文通过２４例磨牙症患者的病史询问、临床体征及治疗过程的检查，并使用吸光度法测定其治疗前后咀嚼效能。结果显示①大多数患者的咀嚼效能高于正常，但伴有关节源性及肌源性疼痛的患者低于正常。②经治疗后咀嚼效应均向正常值靠近。结果提示牙接触面积增大、咀嚼肌功能亢进或肥大是磨牙症患者咀嚼效能增高的重要原因。     

ArtglassHe垫治疗磨牙症患者的临床研究

目的 研究ＡｒｔｇｌａｓｓＨｅ垫对磨牙症的临床疗效。方法：对３５例磨牙症患者制作Ａｒｔｇｌａｓｓ固定Ｈｅ垫、随访１年。结果：戴用１个停止磨牙率为３７．１４％，戴用１年停止磨牙率为４８．５７％。戴用Ｈｅ垫后无论时间长短，平均每夜磨牙时间减少均极其显著（Ｐ〈０．０１），而且戴用１年与１个月相比具有显著性差异（Ｐ〈０．０５）。结论：ＡｒｔｇｌａｓｓＨｅ垫是治疗磨牙症患者的有效方法之一。     

Depression and anxiety in patients with oral squamous cell carcinoma

Squamous cell carcinoma is the most common malignant tumor in the oral and maxillofacial regions, accounting for about 80% of the malignant oral lesions and around 2% - 3% of systemic malignant lesions. Oral squamous cell carcinoma (OSCC), which occurs in…     

Sleep bruxism in patients with sleep-disordered breathing

The aim was to test the hypothesis of a direct association between sleep-disordered breathing and sleep bruxism. The frequency of masseter contraction (MC) episodes and rhythmic jaw movements (RJM) was measured in patients with mild and moderate obstructive sleep apnoea (OSA). The diagnosis of sleep bruxism was made from a combination of questionnaire, clinical observation and all-night polysomnographic recording which included masseter electromyography. A total of 21 patients (19 males/two females, mean age 40.0 years+/-9.2 SD) were randomly selected from a provisional diagnosis of snoring and OSA by a sleep physician. In the patients with mild OSA [n=11, mean apnoea hypopnoea index (AHI)=8.0+/-4.1 SD, body mass index (BMI)=29.1+/-5.0], the diagnosis of sleep bruxism was made in six out of 11 patients (54%); similarly, four out of 10 patients (40%) with moderate OSA (n=10, mean AHI=34.7+/-19.1, BMI=30.6+/-5.0) were identified as bruxists. Although the combination of clinical, subjective estimation and nocturnal electromyographic recording of masseter muscle might provide a more solid base for the diagnosis of sleep bruxism, the result is biased by the variation in the bruxing activity. MC episodes were associated with the termination of apnoea or hypopnoea episodes in only 3.5% of the mild group and 14.4% of the moderate group (p<0.05). It appears that sleep bruxism is rarely directly associated with apnoeic events, but is rather related to the disturbed sleep of OSA patients.     

Cross-sectional study of anxiety symptoms and self-report of awake and sleep bruxism in female TMD patients

Aims: The aim of this study was to assess the relationship between levels of anxiety symptoms and prevalence of self-report of awake and sleep bruxism in patients with temporomandibular disorders (TMD).

Method: One hundred and eighty-one female patients, aged 19–77 years, were consecutively evaluated. The patients were selected from among those who sought treatment at the TMD and Orofacial Pain Outpatient Clinic of the Petrópolis School of Medicine. All patients completed the questionnaire and underwent clinical examination, both components of the RDC/TMD, in addition to answering questions pertaining to the assessment of levels of anxiety symptoms, taken from the Symptom Check List 90 self-report instrument. The subjects were classified according to the presence of self-reported only awake bruxism, only sleep bruxism, both, or none. A logistic regression procedure was performed to evaluate the possible association through odds ratio between anxiety symptoms and self-reported awake or sleep bruxism. The cofactors for each outcome were age, self-reported bruxism during the circadian period other than the one being evaluated, and the use of selective serotonin reuptake inhibitors.

Results: It was possible to demonstrate the presence of a positive and statistically significant relationship between anxiety levels and self-reported awake bruxism. This finding was not observed in those subjects who reported sleep bruxism.

Conclusions: A positive relationship was found between self-reported awake bruxism and levels of anxiety symptoms, but not between sleep bruxism and anxiety.     

Depression and anxiety levels in patients with temporomandibular disorders: comparison with the general population

Clinical Oral Investigations - The objective of this study was to compare levels of depression and anxiety of a group of patients with orofacial pain attributed to a temporomandibular disorder...     

磨牙症患者（牙合）接触特征的研究

目的 :研究磨牙症患者牙合接触的特征 ,探索牙合因素与磨牙症的关系。方法 :用T -scanII型咬合分析仪对 2 3名磨牙症患者与 13名对照者分别进行正中牙合位、前伸及侧方运动的咬合检查 ,测量闭合接触时间、前伸与侧方牙合分离时间 ,观察平衡侧牙合干扰出现的情况。结果 :磨牙症患者的闭合时间小于对照组 ;侧方牙合分离时间比对照组长 ;与对照组相比多数磨牙症患者出现平衡侧牙合干扰。结论 :平衡侧牙合干扰可能是与磨牙症有密切关系的重要的牙合因素     

Correlation between occlusion and cervical posture in patients with bruxism

The goal of this study was to evaluate head and neck posture in the rest position of patients with bruxism and patients without temporomandibular disorder signs or symptoms to further relate them with Angle's class of malocclusion. Fifty-six volunteers participated in this study, ages 18 to 27 years with an average age of 22.5 years. They were divided into 2 groups: Group B--28 subjects with parafunctions (teeth grinding or clenching); and Group C--28 subjects without parafunctional habits (control group). All participants were photographed, and their pictures were analyzed and compared with the software Alcimagem (Instrumental Concept and Movement Analysis Laboratory, Uberlandia, Minas Gerais, Brazil). The results demonstrated that variation of angular values did not present statistical difference for the studied groups. Regarding Angle's class of malocclusion, class I was predominant in Group C, and classes II and III were predominant in Group B. The mental-sternal angle calculated did not present statistical significance between the groups; however, there was a greater variation between the smaller angle and the higher angle in Group B, contrary to Group C.