Reisine S T, Weber J
Community Dent Health. 1989 Sep;6(3):257-70.
A sample of 30 patients with temporomandibular joint dysfunction was studied in order to investigate the sensitivity of quality of life indicators to the impact of this condition. Patients from four private dental practices were referred into the study and they completed mailed questionnaires at their initial visit to the dentist, at one month and at six months from the first visit. The questionnaire collected data on sociodemographic characteristics, symptoms, perceptions and functional capacity. Indicators of social dysfunction, pain and anxiety were most sensitive to the condition, showing significant changes over time with treatment. However, clinical measures of perceived oral functioning, such as clicking, popping and biting ability, did not change significantly over time. The findings suggest that social dysfunction associated with this condition is likely to recur given that problems with oral functioning are not resolved. Future research should be aimed at investigating the social and psychological conditions under which temporomandibular problems lead to exacerbation of pain and resulting social dysfunction.
为了研究生活质量指标对颞下颌关节功能紊乱这种病症影响的敏感性，对30例颞下颌关节功能紊乱患者进行了研究。来自四家私人牙科诊所的患者被纳入该研究，他们在首次看牙医时、首次就诊后一个月和六个月时填写邮寄的问卷。问卷收集了社会人口学特征、症状、认知和功能能力的数据。社会功能障碍、疼痛和焦虑指标对该病症最为敏感，随着治疗时间的推移显示出显著变化。然而，诸如弹响、爆裂声和咬合能力等口腔功能感知的临床测量指标随时间并未有显著变化。研究结果表明，鉴于口腔功能问题未得到解决，与该病症相关的社会功能障碍可能会复发。未来的研究应旨在调查在何种社会和心理条件下，颞下颌问题会导致疼痛加剧及由此产生的社会功能障碍。
