Mercuri Louis G
TMJ Concepts, 1793 Eastman Avenue, Ventura, CA 93003, USA.
Oral Maxillofac Surg Clin North Am. 2008 May;20(2):169-83, v-vi. doi: 10.1016/j.coms.2007.12.007.
The term "osteoarthritis" has classically been defined as a low-inflammatory arthritic condition. The term "osteoarthrosis," a synonym for osteoarthritis in the medical orthopedic literature, has recently come to be identified in the dental/temporomandibular joint (TMJ) disorders literature with any noninflammatory arthritic condition that results in similar degenerative changes as in osteoarthritis. The term "idiopathic condylar resorption," also known as "progressive condylar resorption," is described as a dysfunctional remodeling of the TMJ manifested by morphologic change, decreased ramal height, progressive mandibular retrusion in the adult, or decreased mandibular growth in the juvenile. This article discusses the diagnosis and management of osteoarthritic TMJ disorders and idiopathic condylar resorption.
术语“骨关节炎”传统上被定义为一种低炎症性关节炎病症。术语“骨关节病”,在医学骨科文献中是骨关节炎的同义词,最近在牙科/颞下颌关节(TMJ)紊乱文献中被用于指代任何导致与骨关节炎类似退行性改变的非炎症性关节炎病症。术语“特发性髁突吸收”,也称为“进行性髁突吸收”,被描述为颞下颌关节的一种功能失调性重塑,表现为形态改变、升支高度降低、成人下颌渐进性后缩或青少年下颌生长减少。本文讨论骨关节炎性颞下颌关节紊乱和特发性髁突吸收的诊断与治疗。