Molina O F, dos Santos Júnior J
Brazilian Institute of Orthodontics, Rio de Janeiro, Brazil.
Cranio. 1999 Jan;17(1):17-29. doi: 10.1080/08869634.1999.11746073.
The objective of this study was to assess and compare the frequency of some joint disorders in 130 CMD + bruxing behavior patients, 66 CMD/nonbruxing behaviors patients referred for diagnosis and treatment to the Center for the Study of Craniomandibular Disorders and 130 control subjects seeking routine dental care. Both patients and controls were consecutive referrals to the clinic occurring over a five year period. The mean age of the CMD + bruxing behavior group was about 35.48 years (range 14-54, SD = 8.45), and 36.84 years (range 17-60, SD = 9.30) in the 66 CMD nonbruxing behavior group, and 34.34 years (range 14-62, SD = 9.92) in the control group of 130 subjects. Information gathered included a questionnaire, history of signs and symptoms, and a clinical examination. Different types of joint disorders, muscle signs and symptoms and bruxing behavior were assessed in the CMD groups and in the corresponding control group. The study concluded that capsulitis/synovitis, retrodiskal pain and disk-attachment pain predominated in CMD + bruxing behavior patients. The data reinforces the need to assess CMD + bruxing behavior patients to evaluate signs and symptoms of such disorders in order to obtain additional information about the true source of pain and the need for proper management.
本研究的目的是评估和比较130名患有颞下颌关节紊乱症（CMD）并伴有磨牙行为的患者、66名被转诊至颞下颌关节紊乱症研究中心进行诊断和治疗的CMD/无磨牙行为的患者以及130名寻求常规牙科护理的对照受试者中某些关节疾病的发生频率。患者和对照均为连续5年被转诊至该诊所的病例。CMD+磨牙行为组的平均年龄约为35.48岁（范围14 - 54岁，标准差 = 8.45），66名CMD无磨牙行为组的平均年龄为36.84岁（范围17 - 60岁，标准差 = 9.30），130名对照受试者组的平均年龄为34.34岁（范围14 - 62岁，标准差 = 9.92）。收集的信息包括一份问卷、体征和症状史以及临床检查。在CMD组和相应的对照组中评估了不同类型的关节疾病、肌肉体征和症状以及磨牙行为。该研究得出结论，在患有CMD并伴有磨牙行为的患者中，囊炎/滑膜炎、盘后区疼痛和盘附着疼痛最为常见。这些数据进一步表明，有必要对患有CMD并伴有磨牙行为的患者进行评估，以评估此类疾病的体征和症状，从而获取有关疼痛真正来源以及适当管理需求方面的更多信息。
