Engström Anna-Lena, Wänman Anders, Johansson Anders, Keshishian Patrik, Forsberg Mona
Department of Clinical Oral Physiology, Faculty of Medicine, Gothenburg University, Gothenburg, Sweden.
J Orofac Pain. 2007 Spring;21(2):120-6.
To compare the development of symptoms of temporomandibular disorders (TMD) in a sample of patients with juvenile arthritis (JA) and a matched control sample.
In 1986, 40 patients with JA (28 girls and 12 boys; mean age +/- SD, 18 +/- 4.5 years) and an age- and sex-matched control sample were examined for signs and symptoms of TMD. Fifteen years later in 2001, a questionnaire concerning symptoms of TMD was sent to these subjects. Twenty-eight individuals (68%) in the JA sample (20 women and 8 men; mean age +/- SD, 35 +/- 5.2 years) and 26 controls (19 women and 7 men; 34 +/- 4.0 years) were available for the follow-up.
The overall prevalence of symptoms of TMD increased between the 2 examinations in both groups. The prevalence of reported TMD symptoms, such as jaw pain, fatigue in the jaws, and difficulty opening the jaws wide, as well as awareness of tooth clenching, headaches, neck and shoulder pains, was significantly greater among the JA sample than among the controls at the follow-up.
The study indicates that prevalence of pain and dysfunction in the craniofacial or cervical regions of JA patients is increased more than 20 years after the onset of JA compared to healthy individuals.
比较青少年特发性关节炎（JA）患者样本和匹配的对照样本中颞下颌关节紊乱病（TMD）症状的发展情况。
1986年，对40例JA患者（28名女性和12名男性；平均年龄±标准差，18±4.5岁）以及年龄和性别匹配的对照样本进行TMD体征和症状检查。15年后的2001年，向这些受试者发送了一份关于TMD症状的问卷。JA样本中有28人（68%）（20名女性和8名男性；平均年龄±标准差，35±5.2岁）以及26名对照（19名女性和7名男性；34±4.0岁）可供随访。
两组在两次检查之间TMD症状的总体患病率均有所增加。在随访时，JA样本中报告的TMD症状患病率，如下颌疼痛、下颌疲劳、难以张大嘴巴以及磨牙、头痛、颈部和肩部疼痛的意识，均显著高于对照组。
该研究表明，与健康个体相比，JA患者发病20多年后颅面部或颈部区域疼痛和功能障碍的患病率有所增加。
