颞下颌关节紊乱病（TMDs）的最新进展
Recent Advancements in Temporomandibular Disorders (TMDs).
作者信息
Durham J, Wassell R W
机构信息
NIHR Academic Clinical Lecturer in Oral Surgery.
Senior Lecturer/Hon Consultant in Restorative Dentistry School of Dental Sciences, Newcastle University. United Kingdom.
出版信息
Rev Pain. 2011 Mar;5(1):18-25. doi: 10.1177/204946371100500104.
Abstract
TMDs are a group of conditions affecting the joint and or the muscles of mastication.TMDs consist of three main groups of conditions: myofascial pain; disc disorders; TMJ arthritides.The gold standard diagnostic criteria for research involving TMDs are the Research Diagnostic Criteria for TMDs (RDC/TMD). A pragmatic clinically applicable alternative is the Clinical examination protocol for TMDs (CEP-TMD).Signs and symptoms can include: pain in masticatory musculature and or the joint; noises associated with joint movements; locking; headache; otalgia.TMDs' aetiology is multifactorial and biopsychosocial in nature.Reversible conservative management as defined by the American Association of Dental Research is the initial management of choice for all subgroups of TMDs.
摘要
颞下颌关节紊乱病（TMDs）是一组影响颞下颌关节及咀嚼肌的病症。TMDs主要包括三类病症：肌筋膜疼痛；盘状紊乱；颞下颌关节关节炎。涉及TMDs研究的金标准诊断标准是颞下颌关节紊乱病研究诊断标准（RDC/TMD）。一个实用的临床适用替代方案是颞下颌关节紊乱病临床检查方案（CEP-TMD）。体征和症状可包括：咀嚼肌和/或关节疼痛；与关节运动相关的杂音；关节绞锁；头痛；耳痛。TMDs的病因是多因素的，本质上是生物心理社会因素的。美国牙科研究协会定义的可逆性保守治疗是所有TMDs亚组的首选初始治疗方法。
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