Mitchell R J
Harvard Center for Temporomandibular Disorders and Facial Pain, Harvard School of Dental Medicine, Boston.
Curr Opin Dent. 1991 Aug;1(4):471-5.
Temporomandibular (TM) disorders include a variety of conditions and disorders of the masticatory muscles and TM joints. As such, it is not appropriate or possible to discuss etiology in terms of a unified theory, as some authors and clinicians have attempted to do in the past. Recent literature reflects this awareness, and most authors now define etiology and treatment of these disorders in terms consistent with their medical counterparts. As with other musculoskeletal disorders, injuries, as well as microtrauma through parafunctional and excess functional stresses, seem to play major roles in etiology.
颞下颌关节紊乱病包括咀嚼肌和颞下颌关节的多种病症。因此,像一些作者和临床医生过去尝试做的那样,用统一理论来讨论病因既不合适也不可能。近期文献反映了这种认识,现在大多数作者根据与其他医学病症一致的术语来定义这些紊乱病的病因和治疗方法。与其他肌肉骨骼疾病一样,损伤以及由副功能和过度功能应力导致的微创伤在病因中似乎起主要作用。