Kiss Géza, Pácz Miklós, Kiss Péter
Megyei Markusovszky Kórház, Szombathely Gnathologiai és Rekonstrukciós Prothetikai Szakrendelés.
Fogorv Sz. 2011 Sep;104(3):93-102.
A practising dentist often meets pains of different location and limited ability of mouth opening, locomotor disorder, the cause of which is difficult to identify and explain. There is a particular group of patients with functional disorder who turn to several doctors with their varied and colorful symptoms. Most of these patients suffer from cranio-mandibular disfunction (CMD). You must not indicate any treatment especially not an invasive one without a diagnosis. While relieving the patient's pains, you have to determine the cause and effect. The authors suggest discussing the issue of giving a unanimous definition of masticatory organ disfunction as an interdisciplinary diagnosis which is in accord with international bibliography. They review the algorithm of diagnosis, indication of medical examination by demonstrating some typical cases. They share their experience gained during several decades of clinical practise involving about 2,000 patients.
执业牙医经常遇到不同部位疼痛、张口受限、运动障碍等情况，而这些症状的病因很难识别和解释。有一类特殊的功能性障碍患者，他们带着各种各样的症状辗转于多位医生之间。这些患者大多患有颅下颌功能紊乱（CMD）。在未确诊之前，切勿进行任何治疗，尤其是侵入性治疗。在缓解患者疼痛的同时，必须确定因果关系。作者建议讨论咀嚼器官功能紊乱的统一定义问题，将其作为一种符合国际文献的跨学科诊断。他们通过展示一些典型病例回顾了诊断算法和医学检查指征。他们分享了在几十年临床实践中积累的经验，涉及约2000名患者。
