مجله دانشکده دندان‌پزشکی اصفهان

ارتباط علایم اختلالات گیجگاهی- فکی با نوع، میزان مصرف و الگوی جویدن آدامس

نوع مقاله : مقاله‌های پژوهشی

چکیده

مقدمه: جویدن آدامس، از جمله عادات پارافانکشن دهانی به حساب می‌آید و از علل مرتبط با بروز اختلالات گیجگاهی- فکی می‌باشد. هدف از این مطالعه، بررسی تأثیر نوع، میزان مصرف و الگوی جویدن آدامس بر شیوع علایم اختلالات گیجگاهی- فکی بود.
مواد و روش‌ها: در این مطالعه‌ی توصیفی- تحلیلی، تعداد 73 نفر در محدوده‌ی سنی 20 تا 30 سال که مصرف‌کننده‌ی آدامس بودند، با در نظر گرفتن معیارهای ورود و خروج و کدهای اخلاق، مورد بررسی قرار گرفتند. نوع آدامس، میزان مصرف و الگوی جویدن آن از طریق پرسش‌نامه و علایم اختلالات گیجگاهی- فکی از طریق معاینه، در هر فرد بررسی و ثبت شد. داده‌ها با استفاده از SPSS نسخه‌ی 20 و آزمون‌های کای‌اسکوئر، من‌ویتنی و فیشر با سطح معنی‌داری (0/05 ≥ p value) مورد تجزیه و تحلیل قرار گرفتند.
یافته‌ها: در این مطالعه، شایع‌ترین علامت اختلالات گیجگاهی- فکی، صدای مفصل (31/5 درصد) بود. محدودیت در حرکات فکی به طور معنی‌داری در خانم‌ها بیشتر از آقایان بود (0/018 = p value). نوع، سابقه‌ی مصرف و مدت زمان مصرف آدامس با هیچ یک از علایم اختلالات گیجگاهی- فکی رابطه‌ی معنی‌داری نداشتند. ارتباط معنی‌داری میان سرعت سیکل جویدن آدامس (0/04 = p value)، یکنواخت ماندن سیکل جوش (0/048 = p value) و زمان تغییر سیکل جوش (0/04 = p value) با بعضی از علایم اختلالات گیجگاهی- فکی دیده شد.
نتیجه‌گیری: علایم اختلالات گیجگاهی- فکی با نوع آدامس و میزان مصرف آن ارتباط معنی‌داری نداشت ولی با الگوی جویدن آدامس، سرعت سیکل جویدن آدامس، یکنواختی و زمان تغییر سیکل جوش، ارتباط معنی‌دار دیده شد.
کلید واژه‌ها: اختلالات گیجگاهی- فکی، عادت، آدامس، جویدن.

عنوان مقاله [English]

Evaluation of the Relationship between the Symptoms of TMJ Disorders and the Type, Duration and Pattern of Chewing Gums

چکیده [English]

Introduction: Gum chewing is one of oral parafunctional habits and is considered as an etiologic factor for temporomandibular joint disorders. The aim of this study was to evaluate the relation between type, duration and pattern of gum chewing and TMD signs and symptoms.
Materials & Methods: In this descriptive‒analytical study, 73 subjects aged 20-30 years, who were gum chewers, were evaluated by considering inclusion and exclusion criteria and ethical codes. Type, frequency and chewing patterns were evaluated by a questionnaire and signs and symptoms of TMD through clinical examinations and the data were recorded. Data analysis was carried out with SPSS 20, using chi-squared, Mann-Whitney and Fisher’s exact tests (p value ≤ 0.05).
Results: In this study, the most common sign of TMD was joint clicks (31.5%). Jaw movement limitation was more prevalent in females (p value = 0.018). Type, history and duration of chewing gum consumption were not significantly related with signs and symptoms of TMD. Significant relationships were observed between the rate of gum chewing cycle (p value = 0.04), continuity of initial chewing cycle (p value = 0.048), time of change in chewing cycle (p value = 0.04) and some signs and symptoms of TMD.
Conclusion: No significant relationship was found between the signs and symptoms of TMD and type and time of gum chewing; however, there were significant relations between the pattern of gum chewing, rate of gum chewing cycle and time of change in chewing cycle and the TMD signs and symptoms.
Key words: Chewing, Gum, Habit, Temporomandibular disorders. 

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مجله دانشکده دندان‌پزشکی اصفهان
دوره 15، شماره 4 - شماره پیاپی 4
آذر 1398
صفحه 435-442