Bonjardim Leonardo Rigoldi, Gaviao Maria Beatriz Duarte, Carmagnani Fabiola Grammatico, Pereira Luciano Jose, Castelo Paula Midori
Department of Physiological Sciences, Piracicaba Dental School, State University of Campinas (FOP/UNICAMP), Piracicaba, SP, Brazil.
J Clin Pediatr Dent. 2003 Fall;28(1):53-8. doi: 10.17796/jcpd.28.1.0772w75g91963670.
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.
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。