Association between loss of occlusal support and symptoms of functional disturbances of the masticatory system.
Identifieur interne : 009644 ( Main/Merge ); précédent : 009643; suivant : 009645Association between loss of occlusal support and symptoms of functional disturbances of the masticatory system.
Auteurs : R. Ciancaglini [Italie] ; E F Gherlone ; G. RadaelliSource :
- Journal of oral rehabilitation [ 0305-182X ] ; 1999.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Analyse de variance, Appareils de prothèse dentaire, Enquêtes et questionnaires, Entretiens comme sujet, Facteurs de l'âge, Facteurs sexuels, Fatigue musculaire (physiologie), Femelle, Humains, Italie, Loi du khi-deux, Maladies musculaires (physiopathologie), Maladies musculaires (étiologie), Mastication (physiologie), Modèles logistiques, Molaire, Muscles masticateurs (physiopathologie), Mâchoire partiellement édentée (), Mâchoire partiellement édentée (physiopathologie), Mâle, Odds ratio, Perte dentaire (), Perte dentaire (physiopathologie), Prémolaire, Sujet âgé, Troubles de l'articulation temporomandibulaire (physiopathologie), Troubles de l'articulation temporomandibulaire (étiologie).
- MESH :
- physiologie : Fatigue musculaire, Mastication.
- physiopathologie : Maladies musculaires, Muscles masticateurs, Mâchoire partiellement édentée, Perte dentaire, Troubles de l'articulation temporomandibulaire.
- étiologie : Maladies musculaires, Troubles de l'articulation temporomandibulaire.
- Adolescent, Adulte, Adulte d'âge moyen, Analyse de variance, Appareils de prothèse dentaire, Enquêtes et questionnaires, Entretiens comme sujet, Facteurs de l'âge, Facteurs sexuels, Femelle, Humains, Italie, Loi du khi-deux, Modèles logistiques, Molaire, Mâchoire partiellement édentée, Mâle, Odds ratio, Perte dentaire, Prémolaire, Sujet âgé.
- Wicri :
- geographic : Italie.
English descriptors
- KwdEn :
- Adolescent, Adult, Age Factors, Aged, Analysis of Variance, Bicuspid, Chi-Square Distribution, Dentures, Female, Humans, Interviews as Topic, Italy, Jaw, Edentulous, Partially (complications), Jaw, Edentulous, Partially (physiopathology), Logistic Models, Male, Mastication (physiology), Masticatory Muscles (physiopathology), Middle Aged, Molar, Muscle Fatigue (physiology), Muscular Diseases (etiology), Muscular Diseases (physiopathology), Odds Ratio, Sex Factors, Surveys and Questionnaires, Temporomandibular Joint Disorders (etiology), Temporomandibular Joint Disorders (physiopathology), Tooth Loss (complications), Tooth Loss (physiopathology).
- MESH :
- geographic : Italy.
- complications : Jaw, Edentulous, Partially, Tooth Loss.
- etiology : Muscular Diseases, Temporomandibular Joint Disorders.
- physiology : Mastication, Muscle Fatigue.
- physiopathology : Jaw, Edentulous, Partially, Masticatory Muscles, Muscular Diseases, Temporomandibular Joint Disorders, Tooth Loss.
- Adolescent, Adult, Age Factors, Aged, Analysis of Variance, Bicuspid, Chi-Square Distribution, Dentures, Female, Humans, Interviews as Topic, Logistic Models, Male, Middle Aged, Molar, Odds Ratio, Sex Factors, Surveys and Questionnaires.
Abstract
The purpose of this study was to evaluate the association of loss of occlusal support with symptoms of functional disturbances of the masticatory system, in particular with the ones related to the temporomandibular dysfunction. A total of 483 adult subjects randomly selected from the population living in the municipality of Segrate, northern Italy, were studied. Subjects were interviewed by questionnaire about oral conditions and occurrence of symptoms of disturbances of the masticatory system. Also, denture was examined by dentists during the interview. Loss of occlusal support was observed in 60.2% of the subjects, symptoms of functional disturbances in 68.7% and temporomandibular dysfunction in 55.1%. At univariate analysis loss of occlusal support was mainly associated with a feeling of stiffness or fatigue of the jaws (P < 0.001), difficulty in closing the mouth (P < 0.005) and difficulty on mastication (P < 0.0001). Association with temporomandibular dysfunction as a whole was significant also (P < 0.001). Multiple age- and sex-adjusted logistic analysis disclosed a significant strong impact of loss of occlusal support on difficulty with mastication (odds ratio = 7.0, P < 0.0001). At that analysis, no significant relationship resulted with symptoms of temporomandibular dysfunction. These findings confirm that presence of an adequate occlusal support is a relevant factor in maintaining an efficient chewing, and also suggest that it may play any indirect role in preventing occurrence of symptoms of temporomandibular dysfunction.
PubMed: 10194735
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pubmed:10194735Le document en format XML
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<term>Adult</term>
<term>Age Factors</term>
<term>Aged</term>
<term>Analysis of Variance</term>
<term>Bicuspid</term>
<term>Chi-Square Distribution</term>
<term>Dentures</term>
<term>Female</term>
<term>Humans</term>
<term>Interviews as Topic</term>
<term>Italy</term>
<term>Jaw, Edentulous, Partially (complications)</term>
<term>Jaw, Edentulous, Partially (physiopathology)</term>
<term>Logistic Models</term>
<term>Male</term>
<term>Mastication (physiology)</term>
<term>Masticatory Muscles (physiopathology)</term>
<term>Middle Aged</term>
<term>Molar</term>
<term>Muscle Fatigue (physiology)</term>
<term>Muscular Diseases (etiology)</term>
<term>Muscular Diseases (physiopathology)</term>
<term>Odds Ratio</term>
<term>Sex Factors</term>
<term>Surveys and Questionnaires</term>
<term>Temporomandibular Joint Disorders (etiology)</term>
<term>Temporomandibular Joint Disorders (physiopathology)</term>
<term>Tooth Loss (complications)</term>
<term>Tooth Loss (physiopathology)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse de variance</term>
<term>Appareils de prothèse dentaire</term>
<term>Enquêtes et questionnaires</term>
<term>Entretiens comme sujet</term>
<term>Facteurs de l'âge</term>
<term>Facteurs sexuels</term>
<term>Fatigue musculaire (physiologie)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Italie</term>
<term>Loi du khi-deux</term>
<term>Maladies musculaires (physiopathologie)</term>
<term>Maladies musculaires (étiologie)</term>
<term>Mastication (physiologie)</term>
<term>Modèles logistiques</term>
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<term>Muscles masticateurs (physiopathologie)</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (physiopathologie)</term>
<term>Mâle</term>
<term>Odds ratio</term>
<term>Perte dentaire ()</term>
<term>Perte dentaire (physiopathologie)</term>
<term>Prémolaire</term>
<term>Sujet âgé</term>
<term>Troubles de l'articulation temporomandibulaire (physiopathologie)</term>
<term>Troubles de l'articulation temporomandibulaire (étiologie)</term>
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<term>Tooth Loss</term>
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<term>Temporomandibular Joint Disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Fatigue musculaire</term>
<term>Mastication</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Mastication</term>
<term>Muscle Fatigue</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Maladies musculaires</term>
<term>Muscles masticateurs</term>
<term>Mâchoire partiellement édentée</term>
<term>Perte dentaire</term>
<term>Troubles de l'articulation temporomandibulaire</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Jaw, Edentulous, Partially</term>
<term>Masticatory Muscles</term>
<term>Muscular Diseases</term>
<term>Temporomandibular Joint Disorders</term>
<term>Tooth Loss</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Maladies musculaires</term>
<term>Troubles de l'articulation temporomandibulaire</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Age Factors</term>
<term>Aged</term>
<term>Analysis of Variance</term>
<term>Bicuspid</term>
<term>Chi-Square Distribution</term>
<term>Dentures</term>
<term>Female</term>
<term>Humans</term>
<term>Interviews as Topic</term>
<term>Logistic Models</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Molar</term>
<term>Odds Ratio</term>
<term>Sex Factors</term>
<term>Surveys and Questionnaires</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse de variance</term>
<term>Appareils de prothèse dentaire</term>
<term>Enquêtes et questionnaires</term>
<term>Entretiens comme sujet</term>
<term>Facteurs de l'âge</term>
<term>Facteurs sexuels</term>
<term>Femelle</term>
<term>Humains</term>
<term>Italie</term>
<term>Loi du khi-deux</term>
<term>Modèles logistiques</term>
<term>Molaire</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâle</term>
<term>Odds ratio</term>
<term>Perte dentaire</term>
<term>Prémolaire</term>
<term>Sujet âgé</term>
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<front><div type="abstract" xml:lang="en">The purpose of this study was to evaluate the association of loss of occlusal support with symptoms of functional disturbances of the masticatory system, in particular with the ones related to the temporomandibular dysfunction. A total of 483 adult subjects randomly selected from the population living in the municipality of Segrate, northern Italy, were studied. Subjects were interviewed by questionnaire about oral conditions and occurrence of symptoms of disturbances of the masticatory system. Also, denture was examined by dentists during the interview. Loss of occlusal support was observed in 60.2% of the subjects, symptoms of functional disturbances in 68.7% and temporomandibular dysfunction in 55.1%. At univariate analysis loss of occlusal support was mainly associated with a feeling of stiffness or fatigue of the jaws (P < 0.001), difficulty in closing the mouth (P < 0.005) and difficulty on mastication (P < 0.0001). Association with temporomandibular dysfunction as a whole was significant also (P < 0.001). Multiple age- and sex-adjusted logistic analysis disclosed a significant strong impact of loss of occlusal support on difficulty with mastication (odds ratio = 7.0, P < 0.0001). At that analysis, no significant relationship resulted with symptoms of temporomandibular dysfunction. These findings confirm that presence of an adequate occlusal support is a relevant factor in maintaining an efficient chewing, and also suggest that it may play any indirect role in preventing occurrence of symptoms of temporomandibular dysfunction.</div>
</front>
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