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Bruxism Lifestyle Anxiety and Sleep Impairment in Dental Students

机译:牙科学生的磨牙症、生活方式、焦虑和睡眠障碍

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摘要

The aim of this study was to verify the correlation of self-reported sleep and awake bruxism with demographic characteristics, oral behaviors, anxiety, temporomandibular disorder (TMD) signs and symptoms, sleep quality, and orthodontic treatment history in dental students. A total of 104 students of Dentistry located in Paraná (South Brazilian State) answered the following self-administered questionnaires: Oral Behavior Checklist, State Anxiety Inventory, TMD signs and symptoms questionnaire, and the Pittsburgh Sleep Quality Index. Associations between possible awake bruxism (AB) and sleep bruxism (SB) with sleep quality, anxiety, and TMD were analyzed by Poisson Regression with robust variance. The significance level adopted was 5%. The frequency of AB and SB was 76% and 55.8%, respectively. A statistically higher frequency of AB was observed in students who had the following conditions: use of psychotropic medication, physical activity practitioners, moderate or high level of anxiety, more oral behaviors, sleep disorders, and sleep bruxism. Sleep bruxism was diagnosed more frequently in students who presented moderate or high levels of anxiety, oral behaviors, and sleep disorders. The frequency of TMD reported was higher in students with SB, as well as in those with AB. In conclusion, lifestyle, moderate and high anxiety levels, and sleep disorders are associated with a higher prevalence of AB and SB. Furthermore, AB and SB are associated with a higher frequency of TMD reporting.
机译:本研究的目的是验证自我报告的睡眠和清醒磨牙症与牙科学生的人口统计学特征、口腔行为、焦虑、颞下颌关节紊乱 (TMD) 体征和症状、睡眠质量和正畸治疗史的相关性。位于巴拉那州(巴西南部州)的牙科学生共有 104 人回答了以下自填问卷:口腔行为检查表、状态焦虑量表、TMD 体征和症状问卷以及匹兹堡睡眠质量指数。通过泊松回归以稳健方差分析可能的清醒磨牙症 (AB) 和睡眠磨牙症 (SB) 与睡眠质量、焦虑和 TMD 之间的关联。采用的显著性水平为 5%。AB 和 SB 的频率分别为 76% 和 55.8%。在具有以下情况的学生中观察到 AB 的统计频率较高:使用精神药物、体育锻炼者、中度或高度焦虑、更多的口腔行为、睡眠障碍和睡眠磨牙症。在表现出中度或高度焦虑、口腔行为和睡眠障碍的学生中,睡眠磨牙症的诊断频率更高。据报道,SB 患者和 AB 患者 TMD 的频率更高。总之,生活方式、中度和高度焦虑水平以及睡眠障碍与 AB 和 SB 的较高患病率相关。此外,AB 和 SB 与 TMD 报告频率较高相关。

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