Capurso U, Audisio P, Neirotti A, Luparia D
Istituto Policattedra di Clinica Odontostomatologica e Chirurgia Maxillo-Facciale, Università degli Studi di Torino.
Minerva Stomatol. 1990 Apr;39(4):319-25.
Data collected on 224 patients of both sexes aged between 9 and 72 and suffering from temporomandibular dysfunctional algias have been examined. The observed prevalence of the female sex and young adults is in agreement with other researches. The most frequent, variously imbricated pathologies were the meniscal (62%), musculoligamentous (53%) and inflammatory and degenerative (21%). Having confirmed the multifactorial aetiology, and individual treatment plan was worked out. Of the initial therapies, active gymnastics, repositioning and stabilisation occlusion measures, relaxation practices, bland aspecific drugs were of particular importance. The final therapy contemplated above all prostheses and orthodontia as structural measures with a deliberate choice of conservative approach.
对224名年龄在9岁至72岁之间、患有颞下颌关节功能紊乱性疼痛的男女患者收集的数据进行了检查。观察到的女性和年轻人的患病率与其他研究一致。最常见的、相互交织的各种病理情况为半月板病变（62%）、肌肉韧带病变（53%）以及炎症和退行性病变（21%）。在确认了多因素病因后，制定了个体化治疗方案。在初始治疗中，主动体操、复位和稳定咬合措施、放松练习、温和的非特异性药物尤为重要。最终治疗主要考虑使用假体和正畸作为结构性措施，并特意选择保守方法。
