Manfredini Daniele, Guarda-Nardini Luca, Winocur Ephraim, Piccotti Fabio, Ahlberg Jari, Lobbezoo Frank
TMD Clinic, Department of Maxillofacial Surgery, University of Padova, Padova, Italy.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011 Oct;112(4):453-62. doi: 10.1016/j.tripleo.2011.04.021. Epub 2011 Aug 11.
The aim of this study was to summarize and systematically review the literature on the prevalence of different research diagnostic criteria for temporomandibular disorders (RDC/TMD) version 1.0 axis I diagnoses in patient and in the general populations.
For each of the relevant papers, the following data/information were recorded for meta-analysis and discussion: sample size and demographic features (mean age, female-to-male ratio); prevalence of the assigned diagnoses; prevalence of the diagnoses assigned to the left and right joints, if available; prevalence of the diagnoses assigned to the 2 genders, if available; prevalence of the different combinations of multiple diagnoses, if available; and prevalence of TMD (only for community studies).
Twenty-one (n = 21) papers were included in the review (15 dealing with TMD patient populations and 6 with community samples). The studies on TMD patients accounted for a total of 3,463 subjects (mean age 30.2-39.4 years, female-to-male ratio 3.3), with overall prevalences of 45.3% for group I muscle disorder diagnoses, 41.1% for group II disc displacements, and 30.1% for group III joint disorders. Studies on general populations accounted for a total of 2,491 subjects, with an overall 9.7% prevalence for group I, 11.4% for group IIa, and 2.6% for group IIIa diagnoses.
Prevalence reports were highly variable across studies. Myofascial pain with or without mouth opening limitation was the commonest diagnosis in TMD patient populations, and disc displacement with reduction was the commonest diagnosis in community samples.
本研究旨在总结并系统回顾关于颞下颌关节紊乱病研究诊断标准（RDC/TMD）1.0版轴I诊断在患者群体和普通人群中的患病率的文献。
对于每一篇相关论文，记录以下数据/信息用于荟萃分析和讨论：样本量和人口统计学特征（平均年龄、男女比例）；指定诊断的患病率；若有数据，左右关节指定诊断的患病率；若有数据，两种性别的指定诊断的患病率；若有数据，多种诊断的不同组合的患病率；以及颞下颌关节紊乱病的患病率（仅针对社区研究）。
本综述纳入了21篇论文（15篇涉及颞下颌关节紊乱病患者群体，6篇涉及社区样本）。关于颞下颌关节紊乱病患者的研究共纳入3463名受试者（平均年龄30.2 - 39.4岁，男女比例为3.3），其中I组肌肉紊乱诊断的总体患病率为45.3%，II组盘移位的患病率为41.1%，III组关节紊乱的患病率为30.1%。关于普通人群的研究共纳入2491名受试者，I组的总体患病率为9.7%，IIa组为11.4%，IIIa组诊断为2.6%。
各研究中的患病率报告差异很大。在颞下颌关节紊乱病患者群体中，伴或不伴张口受限的肌筋膜疼痛是最常见的诊断，而可复性盘移位是社区样本中最常见的诊断。
