Gharaibeh Tareq M, Jadallah Khaled, Jadayel Fuad Abul
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Jordan University of Science and Technology Faculty of Dentistry, Irbid, Jordan.
J Oral Maxillofac Surg. 2010 Jul;68(7):1560-4. doi: 10.1016/j.joms.2009.06.027. Epub 2009 Dec 2.
The present study estimated the prevalence of temporomandibular disorders (TMDs) in patients with gastroesophageal reflux disease (GERD).
A study group consisting of 60 adult patients (34 women and 26 men) diagnosed with GERD was matched by age and gender to a control group of 60 patients without any signs or symptoms of GERD. The diagnosis of TMD was established using the Research Diagnostic Criteria for Temporomandibular Disorders.
Of the 60 patients in the study group, 22 (36.6%) had TMD compared with 11 (18.3%) in the control group (P = .025). Most patients with TMD in both groups were diagnosed with myofascial pain: 19 (31.7%) in the study group versus 9 (15%) in the control group (P = .031).
The increased TMD prevalence in patients with GERD should be explored further to better characterize the association between TMD and GERD. The physicians treating the 2 disorders should consider the clinical implications of this association.
本研究评估了胃食管反流病（GERD）患者颞下颌关节紊乱病（TMD）的患病率。
选取60例诊断为GERD的成年患者（34例女性，26例男性）作为研究组，按照年龄和性别匹配60例无GERD任何体征或症状的患者作为对照组。采用颞下颌关节紊乱病研究诊断标准确立TMD的诊断。
研究组60例患者中，22例（36.6%）患有TMD，而对照组为11例（18.3%）（P = 0.025）。两组中大多数TMD患者被诊断为肌筋膜疼痛：研究组19例（31.7%），对照组9例（15%）（P = 0.031）。
GERD患者中TMD患病率的增加应进一步探究，以更好地描述TMD与GERD之间的关联。治疗这两种疾病的医生应考虑这种关联的临床意义。
