空军飞行员磨牙症的流行状况和相关因素研究
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摘要
目的:调查空军飞行人员磨牙症的患病状况和相关因素。方法:以全国第四次口腔健康调查标准和牙齿磨损指数标准,选择某疗养院空军飞行员83名,采用问卷调查结合口腔临床检查的方法,评估飞行员飞行时间、吸烟习惯、工作环境等因素对磨牙症患病率的影响,并分析磨牙症与关节弹响、口颌面疼痛、飞行时一过性疼痛等临床表现的关系。结果:83名飞行员自述有磨牙现象者18例(21.7%),牙齿病理性磨损41例(49.4%)。关节弹响、关节区或咀嚼肌压痛与牙齿病理性磨损无统计学差异(P>0.05);飞行员牙齿病理性磨损检出率与飞行总时长具有相关性(P<0.05);紧咬牙是飞行人员牙齿病理性磨损的危险因素(OR=5.806, 95%CI为1.170～28.827,P=0.031)。结论:空军飞行员磨牙症的患病率较高,且与飞行总时长具有相关性。
Objective: To investigate the prevalence and related factors of bruxism of Chinese military pilots. Methods: According to the protocol of Fourth National Oral Health Survey and Tooth Wear Index(TWI), a clustersampling method was used to enroll military pilots. Self-evaluation questionnaire and clinical oral examination were carried out. Flying duration, smoking habits, working conditions were explored as potential risk factors for tooth wear using Correlation test and Binary Logistic Regression analysis. The effects of snapping of DMJ, oral and maxillofacial ache, aero toothache on bruxism were analyzed. Results: Among 83 Chinese military pilots, 18(21.7%) had bruxism known by themselves, 41(49.4%) were diagnosed with pathologic tooth wear. The tooth wear was correlated with flying duration(P<0.05), but the clicking of joint and the tenderness of masticatory muscles were not(P>0.05). Consist clenching was the independent risk factors of tooth wear status([OR]=5.806, 95%CI 1.170-28.827, P=0.031). Conclusion: The prealence of tooth wear in Chinese military pilots is higher, and is related with flying duration.
Objective: To investigate the prevalence and related factors of bruxism of Chinese military pilots. Methods: According to the protocol of Fourth National Oral Health Survey and Tooth Wear Index(TWI), a clustersampling method was used to enroll military pilots. Self-evaluation questionnaire and clinical oral examination were carried out. Flying duration, smoking habits, working conditions were explored as potential risk factors for tooth wear using Correlation test and Binary Logistic Regression analysis. The effects of snapping of DMJ, oral and maxillofacial ache, aero toothache on bruxism were analyzed. Results: Among 83 Chinese military pilots, 18(21.7%) had bruxism known by themselves, 41(49.4%) were diagnosed with pathologic tooth wear. The tooth wear was correlated with flying duration(P<0.05), but the clicking of joint and the tenderness of masticatory muscles were not(P>0.05). Consist clenching was the independent risk factors of tooth wear status([OR]=5.806, 95%CI 1.170-28.827, P=0.031). Conclusion: The prealence of tooth wear in Chinese military pilots is higher, and is related with flying duration.
引文
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[2] Lobbezoo F, Ahlberg J, Manfredini D, et al. Are bruxism and the bite causally related[J]. J Oral Rehabil, 2012, 39(7): 489-501.
[3] Lurie O, Zadik Y, Einy S, et al. Bruxism in military pilots and non-pilots: Tooth wear and psychological stress[J]. Aviat Space Environ Med, 2007, 78(2): 137-139.
[4] 佟宇, 孙旭东, 陈小萍, 等. 2300名军事飞行人员中磨牙症的流行病学调查[J]. 解放军预防医学杂志, 2014, 32(5): 433-434.
[5] 李新森, 刘文静, 李刚. 172名空军飞行人员口腔疾病调查与分析[J]. 解放军预防医学杂志, 2017, 35(4): 386-389, 396.
[6] Smith BG, Knight JK. An index for measuring the wear of teeth[J]. Br Dent J, 1984, 156(12): 435-438.
[7] 张勇, 肖永清, 杜毅. 实用口腔临床诊疗技术[M].济南: 山东科学技术出版社, 2007: 17.
[8] 张志愿. 口腔颌面外科学[M].7版.北京: 人民卫生出版社, 2012: 17.
[9] 周丽娟, 侯爱兵. 儿童磨牙症致病因素的研究进展[J]. 实用口腔医学杂志, 2011, 27(3): 405-409.
[10] Guaita M, H?gl B.Current treatments of bruxism[J]. Curr Treat Options Neurol, 2016, 18(2): 10.
[11] 张婷, 关幕贞. 飞行员心理健康与工作压力和应对方式的相关分析[J]. 中国健康心理学杂志, 2011, 19(5): 554-556.
[12] Wieckiewicz M, Paradowska-Stolarz A, Wieckiewicz W. Psychosocial aspects of bruxism: The most paramount factor influencing teeth grinding[J]. Biomed Res Int, 2014, 2014: 469187.
[13] Kaushik SK,Madan R,Gambhir A,et al. Aviation stress and dental attrition[J]. Ind J Aerospace Med, 2009, 53(1): 6-10.
[14] 王克伦. 磨牙症病人的个性倾向[J]. 中国心理卫生杂志, 1991, 5(4): 166-167.
[15] Louis ED, Tampone E. Bruxism in Huntington's disease[J]. Mov Disord, 2001, 16(4): 785-786.
[16] 孙旭东, 郭天文. 磨牙症对飞行人员健康的影响[J]. 中国疗养医学, 2002, 11(4): 49-50.