Gebeile-Chauty Sarah, Robin Olivier, Messaoudi Yassine, Aknin Jean-Jacques
Département d'Orthopédie Dento-Faciale, Faculté d'Odontologie, 11 rue Guillaume Paradin, 69372 Lyon Cedex 08, France.
Orthod Fr. 2010 Mar;81(1):85-93. doi: 10.1051/orthodfr/2010009. Epub 2010 Apr 1.
While considered for years to play the primary role in the etiology of temporo-mandibular joint disturbances (TMD), occlusal discrepancies are now considered to be just one causative factor among many. Recent studies, literature reviews or meta-analyses, and longitudinal studies with follow-up of children treated for many years all conclude that there is no risk of orthodontic treatment giving rise to episodes of temporo-mandibular disorders. The signs of TMD appearing during the course of orthodontic treatment should be considered in the context of the epidemiology of the disorder, which is characterized by a strong increase in its occurrence during adolescence. In conclusion, it should be stated that if orthodontic treatment can no longer be considered as one of the etiopathogenic factors in the TMD complex, there are no scientific arguments to justify the converse, that there are indications for orthodontic treatment whose sole goal would be the treatment of TMD.
虽然多年来咬合差异被认为在颞下颌关节紊乱病（TMD）的病因中起主要作用，但现在它只是众多致病因素之一。最近的研究、文献综述或荟萃分析，以及对接受多年治疗的儿童进行随访的纵向研究均得出结论，正畸治疗不会引发颞下颌关节紊乱病。在正畸治疗过程中出现的TMD症状应结合该疾病的流行病学情况来考虑，其特点是在青春期发病率大幅上升。总之，应该指出的是，如果正畸治疗不再被视为TMD综合征的病因之一，那么也没有科学依据来证明相反的观点，即存在仅以治疗TMD为唯一目标的正畸治疗适应证。
