Alamoudi N
Department of Preventive Dental Sciences, Clinical Affairs Faculty of Dentistry KAAU, P.O. Box 1540, Jeddah 21441, Saudi Arabia.
J Clin Pediatr Dent. 2000 Spring;24(3):229-36.
The aim of the present study was to investigate the association between the different occlusal characteristics and signs and symptoms of temporomandibular dysfunction (TMD) in children with primary dentition in the western region of Saudi Arabia. A total of group of 502 children 4-6 years old residing in the city of Jeddah, Saudi Arabia provided the data for analysis. The result of this study showed significant correlation between signs and symptoms of TMD and some of the occlusal characteristics including posterior crossbite (P < 0.05), edge to edge (P < 0.013), anterior openbite (P < .036) and class III canine relationship and as well as asymmetrical canine relationship (P < .048 and P < .046 respectively). On the other hand, no correlation was reported between signs and symptoms of TMD and the remaining occlusal characteristics. The lack of significant correlation between TMD and some of the occlusal variants could be attributed to sampling and methodology differences. However, the present study supported the previous conclusion that temporomandibular dysfunction is multifactorial and highlights the importance of early intervention to prevent further consequences to the TMD and permanent occlusion.
本研究的目的是调查沙特阿拉伯西部地区乳牙列儿童不同咬合特征与颞下颌关节紊乱病(TMD)体征和症状之间的关联。共有502名居住在沙特阿拉伯吉达市的4至6岁儿童参与本研究并提供分析数据。本研究结果显示,TMD的体征和症状与一些咬合特征之间存在显著相关性,包括后牙反合(P < 0.05)、对刃合(P < 0.013)、前牙开合(P < 0.036)、III类犬牙关系以及不对称犬牙关系(分别为P < 0.048和P < 0.046)。另一方面,未报告TMD的体征和症状与其余咬合特征之间存在相关性。TMD与一些咬合变异之间缺乏显著相关性可能归因于抽样和方法学差异。然而,本研究支持了先前的结论,即颞下颌关节紊乱病是多因素的,并强调了早期干预对于预防TMD和恒牙咬合进一步后果的重要性。