Tallents R H, Catania J, Sommers E
Department of Orthodontics, Eastman Dental Center, Rochester, NY 14620.
Angle Orthod. 1991 Spring;61(1):7-16. doi: 10.1043/0003-3219(1991)061<0007:TJFIPP>2.0.CO;2.
The etiology, diagnosis and treatment of temporomandibular joint (TMJ) pain and dysfunction is a controversial subject. There are varying opinions regarding the contribution of occlusion (malocclusion) to the development of mandibular dysfunction and further, the contribution of occlusal alterations (orthodontic and restorative) to the development of pain and dysfunction. Epidemiologic investigations suggest there is a high incidence of subjective and objective symptoms in the pediatric population. Observations on incisal relationships, condyle position and joint sounds, and comparisons to controls seem to suggest that these factors are not the cause of pain or dysfunction. The purpose of this review is: (1) to bring the clinician's attention existing published information reporting the presence of symptoms in children, (2) to evaluate selected information in young adults, (3) to question anecdotal information on the etiology of TMJ problems. It is not in the purview of this paper to determine the overall etiology of TMJ dysfunction.
颞下颌关节（TMJ）疼痛及功能障碍的病因、诊断和治疗是一个存在争议的话题。关于咬合（错牙合）对下颌功能障碍发展的影响，以及进一步地，咬合改变（正畸和修复）对疼痛和功能障碍发展的影响，存在不同观点。流行病学调查表明，儿科人群中主观和客观症状的发生率很高。对切牙关系、髁突位置和关节弹响的观察，以及与对照组的比较似乎表明，这些因素不是疼痛或功能障碍的原因。本综述的目的是：（1）引起临床医生对现有已发表的关于儿童症状存在情况的信息的关注，（2）评估青年成人中的选定信息，（3）质疑关于颞下颌关节问题病因的传闻信息。确定颞下颌关节功能障碍的总体病因不在本文的范围内。
