Lochmiller W, Bumann A, Groot Landeweer G
Klinik für Kieferorthopädie, Christian-Albrechts-Universität zu Kiel.
Fortschr Kieferorthop. 1991 Oct;52(5):268-73. doi: 10.1007/BF02166726.
Recent years have brought an increasing number of electronic jaw-tracking devices for instrumental analysis on the market. However sophisticated they may be, their diagnostic value for temporomandibular diseases is not well supported by scientific evidence. On the other hand, "manual examination"--a very refined diagnostic means acknowledged by orthopedians and adapted to the properties of the TMJ--yields a more reliable diagnosis which fits well to MRT data. We were hereby solicited to compare the information gained by jaw-tracking and manual examination. It was found that the recorded condylar movements gave no additional, diagnostically relevant insight that went beyond the manual examination. Nevertheless, the accuracy of jaw-tracking, with regard to the visualisation of internal derangements of the TMJ, was enhanced by the techniques of manual examination.
近年来，市场上出现了越来越多用于仪器分析的电子下颌跟踪设备。无论它们多么先进，其对颞下颌疾病的诊断价值都缺乏科学证据的有力支持。另一方面，“手动检查”——一种被骨科医生认可并适应颞下颌关节特性的非常精细的诊断方法——能得出更可靠的诊断结果，且与磁共振成像（MRT）数据非常吻合。因此，我们受邀比较下颌跟踪和手动检查所获得的信息。结果发现，记录的髁突运动并没有提供超出手动检查的额外的、具有诊断相关性的见解。然而，手动检查技术提高了下颌跟踪在可视化颞下颌关节内部紊乱方面的准确性。
