De Rossi Scott S, Greenberg Martin S, Liu Frederick, Steinkeler Andrew
Oral Medicine, Oral Health & Diagnostic Sciences, Georgia Regents University, 1120, 15th Street, Augusta, GA 30912, USA; Dermatology, Georgia Regents University, 1120, 15th Street, Augusta, GA 30912, USA; Otolaryngology/Head & Neck Surgery, Georgia Regents University, 1120, 15th Street, Augusta, GA 30912, USA.
Department of Oral Medicine, Hospital Affairs, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Med Clin North Am. 2014 Nov;98(6):1353-84. doi: 10.1016/j.mcna.2014.08.009. Epub 2014 Sep 22.
Temporomandibular disorders remain a common cause of visits to primary care physicians, internists, pediatricians, and emergency departments. Advances in the clinical diagnosis, radiographic imaging, and classification of these disorders have improved long-term management. There are several types of disorders of the masticatory muscles and the temporomandibular joint as well as associated structures and each may have a complex cause, clinical course, and response to therapy. Host susceptibility plays a role at several stages of these disorders. Future research offers greater possibility in defining this heterogeneous group of disorders and providing more focused and effective treatment strategies.
颞下颌关节紊乱病仍然是患者前往初级保健医生、内科医生、儿科医生处就诊以及急诊的常见原因。这些疾病在临床诊断、影像学检查和分类方面的进展改善了长期治疗效果。咀嚼肌、颞下颌关节以及相关结构存在多种类型的紊乱，每种紊乱可能都有复杂的病因、临床过程及对治疗的反应。宿主易感性在这些疾病的多个阶段都发挥作用。未来的研究在明确这一异质性疾病群体并提供更有针对性和更有效的治疗策略方面具有更大的可能性。
