Fujii T
Department of Removable Prosthodontics, Nagasaki University School of Dentistry, Sakamoto, Nagasaki-shi, Japan.
J Oral Rehabil. 2002 Apr;29(4):323-9. doi: 10.1046/j.1365-2842.2002.00835.x.
When the signs and symptoms of temporomandibular joint disorders (TMD) are present, it is possible that occlusal conditions and mandibular movements are changed. Accordingly, the presence of occlusal interferences may be misjudged. It is therefore reasonable to consider that occlusal conditions should be examined just after the relief of symptoms. The comparison of occlusal conditions in 52 temparomandibular joint (TMJ) pain patients and 27 muscle pain patients with that in 60 asymptomatic controls was made. Occlusal examination in the patients was administered just after the relief of pain by bite plane therapy alone. The only occlusal factor which was associated with pain symptoms was no canine contact on the working side on laterotrusion. It is suggested therefore that further studies as regards this type of interference should be performed.
当出现颞下颌关节紊乱病(TMD)的体征和症状时,咬合状况和下颌运动可能会发生改变。因此,咬合干扰的存在可能会被误判。所以,有理由认为应在症状缓解后立即检查咬合状况。对52例颞下颌关节(TMJ)疼痛患者和27例肌肉疼痛患者的咬合状况与60例无症状对照者的咬合状况进行了比较。仅通过咬合板治疗缓解疼痛后,对患者进行了咬合检查。与疼痛症状相关的唯一咬合因素是侧方后牙合时工作侧无尖牙接触。因此,建议对这类干扰进行进一步研究。