Todić Jelena, Lazić Dragoslav, Radosavljević Radiovoje
University Pristina - Kosovska Mitrovica, Clinic of Prosthodontics, Kosovska Mitrovica, Serbia.
Vojnosanit Pregl. 2011 Jul;68(7):594-601. doi: 10.2298/vsp1107594t.
BACKGROUND/AIM: Complex etiology and symptomatology of craniomandibular dysfunction make the diagnosing and therapy of this disorder more difficult. The aim of this work was to assess the value of clinical and instrumental functional analyses in diagnosing of this type of disorders.
In this study 200 subjects were examined, 15 with temporomandibular joint disorder. They were subjected to clinical functional analysis (Fricton-Shiffman) and instrumental functional analysis by using the method of gothic arch. The parameters of the gothic arch records were analyzed and subsequently compared among the subjects of the observed groups.
In the examined group of the population 7.5% of them were with craniomandibular dysfunction. The most frequent symptoms were sound in temporomandibular joint, painful sensitivity of the muscles on palpation and lateral turning of the lower jaw while opening the mouth. By analyzing the gothic arch records and comparing the obtained values between the observed groups it was assessed that: lateral and protrusion movements, lateral amplitude and the size of gothic arch were much bigger in the healthy subjects, and latero-lateral asymmetry was larger in the sick subjects. Latero-lateral dislocation of apex was recorded only in the sick subjects with average values of 0.22 +/- 0.130 mm. The correlation between the values of Fricton-Shiffman craniomandibular index and the parameters of the gothic arch records and latero-lateral amplitude and dislocation of apex records were established by correlative statistical analysis.
Functional analysis of orofacial system and instrumental analysis of lower jaw movements (gothic arch method) can be recommended as precise and simple methods in diagnosing craniomandibular dysfunctions.
背景/目的：颅下颌功能紊乱的病因和症状复杂，使得该疾病的诊断和治疗更加困难。本研究的目的是评估临床和仪器功能分析在诊断此类疾病中的价值。
本研究共检查了200名受试者，其中15名患有颞下颌关节紊乱。他们接受了临床功能分析（Fricton-Shiffman法）和使用哥特弓方法进行的仪器功能分析。对哥特弓记录的参数进行分析，随后在观察组受试者之间进行比较。
在被检查的人群组中，7.5%的人患有颅下颌功能紊乱。最常见的症状是颞下颌关节弹响、触诊时肌肉疼痛敏感以及张口时下颌向外侧偏斜。通过分析哥特弓记录并比较观察组之间获得的值，评估得出：健康受试者的侧向和前伸运动、侧向幅度和哥特弓大小更大，而患病受试者的左右不对称性更大。仅在患病受试者中记录到顶点的左右脱位，平均值为0.22±0.130mm。通过相关统计分析建立了Fricton-Shiffman颅下颌指数值与哥特弓记录参数以及侧向幅度和顶点脱位记录之间的相关性。
口面部系统的功能分析和下颌运动的仪器分析（哥特弓方法）可作为诊断颅下颌功能紊乱的精确且简单的方法推荐。
