IADR Abstract Archives
Relation Between Intestinal Parasitic Infections and Bruxism in a Group of Egyptian Preschoolers
Objectives: To investigate the relationship between intestinal parasitic infections (IPLs) and bruxism in children.
Methods: The cross-sectional study, conducted in Abis, Alexandria, Egypt, involved 242 healthy children aged 3–6 years with Angle class I occlusion. Parental consent was obtained, and a survey gathered demographics and bruxism risk factors. Children were assessed for temporomandibular disorders (TMD) using Helkimo Clinical Dysfunction Index and tooth wear using Hugoson wear index. Stool analysis categorized them into two groups: positive (Group 1, n=121) and negative (Group 2, n=121) for intestinal parasitic infections (IPIs). Discriptive statistics and logistic regression were used for data analysis.
Results: Of the 242 children, 57.44% were female, and 74.38% of mothers had less than secondary school education. Mild TMD was significantly more prevalent in children with IPIs (+ve = 62.6%, -ve = 37.4%, p = 0.002). The mean number of affected teeth with wear was 2.25 in the positive group and 2.54 in the negative group. Logistic regression revealed that IPIs increased TMD odds by 2.735 (p = 0.002), with TMD-positive patients more likely to experience night bruxism (OR = 2.071, p = 0.032) and sleep apnea (OR = 2.577). Age also increased TMD odds (OR = 1.718, p = 0.010). For tooth wear, higher maternal education was associated with lower odds (OR = 0.106, p = 0.020), sleep apnea increased odds (OR = 6.451, p = 0.032), while females had lower odds (OR = 0.427, p = 0.012), and age increased the odds (OR = 1.693, p = 0.036). IPIs were not a significant predictor of tooth wear (OR = 1.738, p = 0.086).
Conclusions: Children with IPIs had a significantly higher prevalence of mild TMD that was associated with greater likelihood of night bruxism. IPIs did not significantly predict tooth wear but are important for understanding TMD risk.
Methods: The cross-sectional study, conducted in Abis, Alexandria, Egypt, involved 242 healthy children aged 3–6 years with Angle class I occlusion. Parental consent was obtained, and a survey gathered demographics and bruxism risk factors. Children were assessed for temporomandibular disorders (TMD) using Helkimo Clinical Dysfunction Index and tooth wear using Hugoson wear index. Stool analysis categorized them into two groups: positive (Group 1, n=121) and negative (Group 2, n=121) for intestinal parasitic infections (IPIs). Discriptive statistics and logistic regression were used for data analysis.
Results: Of the 242 children, 57.44% were female, and 74.38% of mothers had less than secondary school education. Mild TMD was significantly more prevalent in children with IPIs (+ve = 62.6%, -ve = 37.4%, p = 0.002). The mean number of affected teeth with wear was 2.25 in the positive group and 2.54 in the negative group. Logistic regression revealed that IPIs increased TMD odds by 2.735 (p = 0.002), with TMD-positive patients more likely to experience night bruxism (OR = 2.071, p = 0.032) and sleep apnea (OR = 2.577). Age also increased TMD odds (OR = 1.718, p = 0.010). For tooth wear, higher maternal education was associated with lower odds (OR = 0.106, p = 0.020), sleep apnea increased odds (OR = 6.451, p = 0.032), while females had lower odds (OR = 0.427, p = 0.012), and age increased the odds (OR = 1.693, p = 0.036). IPIs were not a significant predictor of tooth wear (OR = 1.738, p = 0.086).
Conclusions: Children with IPIs had a significantly higher prevalence of mild TMD that was associated with greater likelihood of night bruxism. IPIs did not significantly predict tooth wear but are important for understanding TMD risk.