Vollaro S, Michelotti A, Cimino R, Farella M, Martina R
Dipartimento di Scienze Odontostomatologiche e Chirurgiche Maxillo-Facciali, Cattedra di Ortognatodonzia e Gnatologia, Università degli Studi Federico II, Naples, Italy.
Minerva Stomatol. 2001 Jan-Feb;50(1-2):9-14.
The purpose of this retrospective study was to identify the subjective and objective characteristics of a population referred to a clinic for diagnosis and treatment of orofacial pain and/or temporomandibular disorders.
Beginning in 1993, 825 patients, consecutively referred to the University of Naples Federico II , were examined and their records entered into a database. These data were collected by trained clinicians. Diagnostic subgroups were identified following the Research Diagnostic Criteria for temporomandibular disorders (RDC).
Seventy-nine percent of patients were female, the mean age of the sample was 31.3+/-13 years (range: 5 to 74 years), most of patients were between 15 and 39 years of age. Based on diagnostic subgroups, patients were divided into: patients affected with myogenous pain (59%), arthrogenous pain (13%), arthrogenous and myogenous pain (16%) and fibromyalgia (4%). Sixty-three percent of the sample reported recent headaches, 53% reported parafunction, and 28% reported a previous trauma. Eighty-one percent reported spontaneous pain, which was chronic in 83% of them. The majority of patients (78%) presented a relatively high cultural BACKGROUND.
These data appear to agree with other epidemiologic studies and depict the TMD treatment-seeking population as a predominantly female population during child-bearing years with multiple chronic pain complaints.
这项回顾性研究的目的是确定前往一家诊所诊断和治疗口面部疼痛和/或颞下颌关节紊乱症的人群的主观和客观特征。
从1993年开始，对连续转诊至那不勒斯费德里科二世大学的825例患者进行检查，并将他们的记录录入数据库。这些数据由经过培训的临床医生收集。根据颞下颌关节紊乱症研究诊断标准（RDC）确定诊断亚组。
79%的患者为女性，样本的平均年龄为31.3±13岁（范围：5至74岁），大多数患者年龄在15至39岁之间。根据诊断亚组，患者分为：肌源性疼痛患者（59%）、关节源性疼痛患者（13%）、关节源性和肌源性疼痛患者（16%）以及纤维肌痛患者（4%）。63%的样本报告近期有头痛，53%报告有副功能，28%报告既往有创伤。81%报告有自发痛，其中83%为慢性疼痛。大多数患者（78%）具有相对较高的文化背景。
这些数据似乎与其他流行病学研究一致，表明寻求颞下颌关节紊乱症治疗的人群主要是育龄期女性，有多种慢性疼痛主诉。
