Rantala Mikko A, Ahlberg Jari, Suvinen Tuija I, Savolainen Aslak, Könönen Mauno
University of Helsinki, Institute of Dentistry, Department of Stomatognathic Physiology and Prosthetic Dentistry, PO Box 41, Fin-00014, Helsinki, Finland.
J Orofac Pain. 2003 Fall;17(4):311-6.
To apply the Finnish version of the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) Axis I to assess the occurrence of symptoms, signs, and specific subgroups of TMD, and to study the associations between the most common diagnoses and categoric demographic characteristics (gender, age group, marital status, type of work).
All 30- to 55-year-old employees of the Finnish Broadcasting Company with at least 5 years at their current employment received postal questionnaires (n = 1784). Of the 1339 respondents (75%), a randomly selected one fifth were clinically examined according to the RDC/TMD Axis I (n = 241, males 48%).
Pain symptoms in the face or jaw regions were perceived by 14.9% and pain with 1 or more jaw movements by 9.1%. Diagnoses by the RDC/TMD criteria were: Group I: myofascial pain in 12.9%, myofascial pain with limited opening in 0.4%; Group II: disc displacement with reduction in the right temporomandibular joint (TMJ) in 9.1% and in the left TMJ in 10.8%; Group III: arthralgia in 0.4% and 0.8%, osteoarthritis in 0% and 0.4%, and osteoarthrosis in 1.2% and 1.2%, respectively, in the right and left TMJs. The most common diagnoses were found more often among women than among men. No TMD diagnosis based on the RDC/TMD was obtained in 73% of the subjects.
The RDC/TMD appear to be of benefit in diagnosing TMD among these multiprofessional media personnel and thus may be suggested for use among nonpatient populations.
应用芬兰语版颞下颌关节紊乱病研究诊断标准（RDC/TMD）第一轴评估颞下颌关节紊乱病的症状、体征及特定亚组的发生情况，并研究最常见诊断与分类人口统计学特征（性别、年龄组、婚姻状况、工作类型）之间的关联。
向芬兰广播公司所有年龄在30至55岁、在现职工作至少5年的员工邮寄问卷（n = 1784）。在1339名受访者（75%）中，随机抽取五分之一根据RDC/TMD第一轴进行临床检查（n = 241，男性占48%）。
14.9%的人感觉到面部或颌部区域疼痛，9.1%的人在进行1次或更多次颌部运动时疼痛。根据RDC/TMD标准的诊断结果为：第一组：肌筋膜疼痛占12.9%，开口受限的肌筋膜疼痛占0.4%；第二组：右侧颞下颌关节（TMJ）可复性盘移位占9.1%，左侧TMJ占10.8%；第三组：右侧TMJ关节痛分别占0.4%和0.8%，骨关节炎分别占0%和0.4%，骨关节病分别占1.2%和1.2%。最常见的诊断在女性中比在男性中更常见。73%的受试者未获得基于RDC/TMD的颞下颌关节紊乱病诊断。
RDC/TMD似乎有助于诊断这些多专业媒体人员中的颞下颌关节紊乱病，因此可能建议在非患者人群中使用。
