Rugh J D
University of Texas Health Science Center, San Antonio.
Curr Opin Dent. 1991 Aug;1(4):497-502.
Temporomandibular disorders are varied in terms of etiology, pathophysiology, chronicity, and the disability they involve. The majority of adults in the Western world have some minor symptoms of these disorders, but only about 5% need treatment. Reversible therapies, including medication, physical therapy, behavioral therapy, and bite appliances, are popular today because of the lack of knowledge concerning the natural course of the disorders and the long-term effects of nonreversible treatments. Review articles and published guidelines generally support the use and efficacy of behavioral therapies for temporomandibular disorders. However, because these results are based on studies with methodical weaknesses, the recommendations must be viewed with caution, and further study must be conducted.
颞下颌关节紊乱病在病因、病理生理学、慢性程度以及所涉及的功能障碍方面各不相同。在西方世界，大多数成年人都有这些疾病的一些轻微症状，但只有约5%的人需要治疗。由于对这些疾病的自然病程以及不可逆治疗的长期影响缺乏了解，包括药物治疗、物理治疗、行为治疗和咬合器具在内的可逆性治疗如今很受欢迎。综述文章和已发表的指南普遍支持行为疗法对颞下颌关节紊乱病的应用和疗效。然而，由于这些结果是基于存在方法学缺陷的研究，因此对这些建议必须谨慎看待，还必须进行进一步的研究。
