Shetty Rajesh
Department of Prosthodontics including Crown and Bridge and Implantology, Yenepoya Dental College, Deralakatte, Mangalore, Karnataka 575 018 India.
J Indian Prosthodont Soc. 2010 Jun;10(2):96-101. doi: 10.1007/s13191-010-0018-9. Epub 2010 Dec 8.
Patients having complete dentures with reduced vertical dimension generally do not manifest Temporomandibular Joint problems. It is not understood as to why the closure of jaws in dentulous individuals can predispose to Temporomandibular Joint problems, while the same etiology in edentulous subjects does not cause any concern. This study was planned to find out the prevalence of various Temporomandibular Joint dysfunction signs in subjects who were edentulous for a period of 6 months to 2 year. The various signs were obtained from a population of 100 healthy asymptomatic edentulous subjects by a questionnaire and then were clinically examined for the presence or absence of signs of Temporomandibular Joint dysfunction. 59% of the subjects exhibited one or more signs of Temporomandibular Joint dysfunction, 41% of the subjects did not show any signs of Temporomandibular Joint dysfunction. 56.6% of males reported signs of Temporomandibular Joint dysfunction when compared with females which was 62.5%. 43.3% of males did not show any signs of Temporomandibular Joint dysfunction when compared with those of the females which was 37.5%. The number of subjects who showed two signs was 29%, subjects who had only one sign was 25%. It was found that dysfunction was prevalent among both men and women in more than half of the asymptomatic subjects examined. 59% had one or as many as three signs of Temporomandibular dysfunction. The most commonly seen Joint dysfunction was the joint sounds which was 47%
垂直距离减小的全口义齿患者一般不会出现颞下颌关节问题。目前尚不清楚为什么有牙个体的下颌闭合会易患颞下颌关节问题,而无牙个体同样的病因却不会引起任何问题。本研究旨在找出无牙6个月至2年的受试者中各种颞下颌关节功能障碍体征的患病率。通过问卷调查从100名健康无症状的无牙受试者群体中获取各种体征,然后对其进行临床检查,以确定是否存在颞下颌关节功能障碍体征。59%的受试者表现出一种或多种颞下颌关节功能障碍体征,41%的受试者未表现出任何颞下颌关节功能障碍体征。报告有颞下颌关节功能障碍体征的男性占56.6%,而女性为62.5%。与女性的37.5%相比,43.3%的男性未表现出任何颞下颌关节功能障碍体征。表现出两种体征的受试者占29%,仅有一种体征的受试者占25%。发现在接受检查的超过一半的无症状受试者中,男女均普遍存在功能障碍。59%的人有一到三种颞下颌功能障碍体征。最常见的关节功能障碍是关节弹响,占47%