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乳牙期儿童颞下颌关节紊乱病的体征和症状。

Signs and symptoms of temporomandibular joint dysfunction in children with primary dentition.

作者信息

Bonjardim Leonardo Rigoldi, Gaviao Maria Beatriz Duarte, Carmagnani Fabiola Grammatico, Pereira Luciano Jose, Castelo Paula Midori

机构信息

Department of Physiological Sciences, Piracicaba Dental School, State University of Campinas (FOP/UNICAMP), Piracicaba, SP, Brazil.

出版信息

J Clin Pediatr Dent. 2003 Fall;28(1):53-8. doi: 10.17796/jcpd.28.1.0772w75g91963670.

Abstract

The presence of signs and symptoms of TMD in 99 children with primary dentition was evaluated through clinical exam and a questionnaire. The results showed that 34.34% presented signs and/or symptoms of TMD. Among the children with symptoms, 50% presented at least one sign or more, differing significantly from the ones without symptoms, and from those 21.6% presented sign (p = 0.0185). The most prevalent symptom was frequent headache (7.07%) followed by jaw pain (4.04%), earache (3.03%) and difficulty in swallowing (3.03%). The most prevalent sign was jaw deviation (18.18%) followed by occlusal interferences (7.07%), asymmetric condylar movement (5.05%) and TMJ sounds (3.03%). We concluded that signs and symptoms of TMD are present in early ages, even though in a small number of children.

摘要

通过临床检查和问卷调查,对99名乳牙期儿童的颞下颌关节紊乱病(TMD)体征和症状进行了评估。结果显示,34.34%的儿童出现了TMD的体征和/或症状。在有症状的儿童中,50%至少出现了一种或多种体征,这与无症状的儿童有显著差异,且其中21.6%出现了体征(p = 0.0185)。最常见的症状是频繁头痛(7.07%),其次是颌面部疼痛(4.04%)、耳痛(3.03%)和吞咽困难(3.03%)。最常见的体征是下颌偏斜(18.18%),其次是咬合干扰(7.07%)、髁突运动不对称(5.05%)和颞下颌关节弹响(3.03%)。我们得出结论,TMD的体征和症状在儿童早期就存在,尽管数量较少。

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