Ackx J, Coppens G
Rev Belge Med Dent (1984). 1990;45(4):45-52.
Patients with malocclusions frequently function normally and retain their dentition without problems. Strong correlations between occlusal factors and mandibular dysfunction are still controversial. However, signs and symptoms of craniomandibular disorders appear to be prevalent in children as well as in adults. Almost no symptoms of dysfunction have been seen in children aged 3-6 year. Work in the developmental aspects of these disorders has to be done. Orthodontic therapy seems unable to prevent CMD or resolve these problems. Generally, it does not cause or predispose people to develop CMD. If painful symptoms arise during treatment, it may be necessary to modify active treatment. Occlusal equilibration must be carried out with very much caution.
错牙合畸形患者通常功能正常,牙列保留也无问题。咬合因素与下颌功能障碍之间的强相关性仍存在争议。然而,儿童和成人中颅下颌紊乱的体征和症状似乎都很普遍。3至6岁的儿童几乎没有功能障碍的症状。必须开展关于这些紊乱发育方面的研究。正畸治疗似乎无法预防颅下颌紊乱或解决这些问题。一般来说,正畸治疗不会导致或使人们易患颅下颌紊乱。如果在治疗期间出现疼痛症状,可能有必要调整积极治疗。进行咬合平衡时必须非常谨慎。