英文科技论文Are singers at increased risk of TMD_.pdfVIP

index (BMI), AHI/RDI, and older age may respond to MAS ther- do not always lead to clinically significant improvements in apy more positively. OSA for everyone. DISCUSSION Spencer S, Goss A, Cheng A, et al: Mandibular advancement This audit indicates that a portion of patients with OSA benefit splints for obstructive sleep apnoea – a cautionary tale. Austral from the use of MAS to the extent that they experience clinically Dent J 64:359-364, 2019 significant improvement in objective and subjective measures of OSA. However, a significant portion of patients experience little Reprints available from S Spencer, Oral and Maxillofacial Surgery benefit and some suffer worsened OSA. MAS therapy was asso- Unit of South Australia, GPO Box 864, Adelaide, SA 5001, ciated with a mean reduction in AHI/RDI and ESS, but the gains Australia; e-mail: samuel.spencer@sa.gov.au TEMPOROMANDIBULAR DISORDERS Are singers at increased risk of TMD? BACKGROUND In the final multiple regression model, being a singer was no longer Work-related musculoskeletal disorders are overuse injuries associated with TMD pain. Three independent factors were iden- associated with high physical demands, seen in a wide range of tified: female sex, odds ratio (OR) 2.24; hours of daily practice, professions and occupations. In musicians, the demands of playing OR 1.16; and frequency of oral behaviors, OR 3.04. For TMJ a musical instrument that loads the masticatory system have been pain, oral behaviors were the only independent factor: OR 2.24. implicated as a risk factor for temporomandibular disorders (TMDs). It has also been suggested that singers might be at high DISCUSSION