Lipp M J
N Y State Dent J. 1990 Nov;56(9):58-66.
The role of occlusal factors in the etiology of temporomandibular disorders (TMD) is reviewed. The rediscovery of TMD by J.B. Costen in 1934 and the origin of this concept are historically linked. Difficulties in scientifically studying TMD are addressed. TMD lacks specific indicators (signs and symptoms), are episodic and respond to placebos. Clinical success with specific literature (experimental, epidemiological and clinical studies) reviewed fails to support the concept that occlusal factors play a significant role in the etiology of TMD. The remodeling capacity of the temporomandibular joint demonstrates that the joint can accommodate and adapt to various occlusal conditions.
本文综述了咬合因素在颞下颌关节紊乱病（TMD）病因学中的作用。1934年J.B. 科斯坦对TMD的重新发现及其概念的起源有着历史联系。文中探讨了科学研究TMD所面临的困难。TMD缺乏特异性指标（体征和症状），呈发作性且对安慰剂有反应。对特定文献（实验性、流行病学和临床研究）的综述表明，临床研究结果并不支持咬合因素在TMD病因学中起重要作用这一观点。颞下颌关节的重塑能力表明，该关节能够适应各种咬合情况。
