颞下颌关节疼痛患者的下颌功能：一项为期3年的随访研究。

Mandibular function in patients with temporomandibular joint pain: a 3-year follow-up.

作者信息

Bakke Merete, Hansdottir Ragnheidur

机构信息

Department of Odontology, Section of Oral Medicine, Clinical Oral Physiology, Oral Pathology and Anatomy, Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark.

出版信息

Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008 Aug;106(2):227-34. doi: 10.1016/j.tripleo.2007.12.034. Epub 2008 Jun 11.

DOI:10.1016/j.tripleo.2007.12.034

PMID:18547838

Abstract

OBJECTIVE

The present follow-up study in 20 women with TMJ pain and reduced mandibular function associated with disc derangement, osteoarthritis, or inflammatory disorders aimed at investigating whether pain reduction was reflected in function.

STUDY DESIGN

After 3 years and conventional therapy, 19 of the patients and 15 of the original 20 matched controls completed a questionnaire, including RDC/TMD Jaw Disability Scale and TMJ chewing pain (VAS). Fourteen patients also accepted reexamination comprising TMJ pressure-pain thresholds (PPT), jaw opening, bite force, and jaw kinematics during chewing.

RESULTS

VAS was significantly reduced in patients at the follow-up, but PPT was unchanged, and Jaw Disability ratings were significantly higher than in controls. However, the patients' jaw opening, chewing speed, and bite force had increased significantly.

CONCLUSION

With reduction of TMJ pain, function improved in patients to a level that approached reference levels, indicating a marked ability of the nervous system in restoring motor activity.

摘要