Akeel R, Al-Jasser N
Department of Prosthetic Dental Sciences, King Saud University, Riyadh,Saudi Arabia.
J Oral Rehabil. 1999 Sep;26(9):757-62. doi: 10.1046/j.1365-2842.1999.00437.x.
The aim of this study was to describe the prevalence of signs and symptoms of temporomandibular disorders (TMD) in a group of patients seeking orthodontic treatment. One hundred and ninety one consecutive prospective orthodontic female patients, divided into three age groups of 8, 14 and 18 years, were examined for TMD signs and symptoms and orthodontic treatment need (IOTN). The percentages of signs and symptoms found were 41 and 30%, respectively. No significant association was found between IOTN and TMD signs and symptoms. The youngest age group reported significantly less headache and temporomandibular joint (TMJ) noise. Headache was significantly associated with all TMD symptoms and with tenderness to palpation. In conclusion, the results indicate that malocclusion could not be considered as a primary aetiologic factor for TMD within the age range studied.
本研究的目的是描述一组寻求正畸治疗的患者中颞下颌关节紊乱病(TMD)体征和症状的患病率。对191名连续的前瞻性正畸女性患者进行了检查,这些患者被分为8岁、14岁和18岁三个年龄组,检查内容包括TMD体征和症状以及正畸治疗需求(IOTN)。发现体征和症状的百分比分别为41%和30%。未发现IOTN与TMD体征和症状之间存在显著关联。最年轻的年龄组报告的头痛和颞下颌关节(TMJ)弹响明显较少。头痛与所有TMD症状以及触压痛显著相关。总之,结果表明在所研究的年龄范围内,错牙合不能被视为TMD的主要病因。