基于RDC/TMD对波兰患者群体颞下颌关节紊乱症的诊断频率。
Frequency of temporomandibular disorders diagnoses based on RDC/TMD in a Polish patient population.
作者信息
Osiewicz Magdalena A, Lobbezoo Frank, Loster Bartłomiej W, Loster Jolanta E, Manfredini Daniele
机构信息
a Faculty of Medicine, Department of Integrated Dentistry, Dental Institute , Jagiellonian University Medical College , Kraków , Poland.
b Department of Oral Kinesiology, Academic Centre for Dentistry Amsterdam (ACTA) , University of Amsterdam and VU University Amsterdam, MOVE Research Institute Amsterdam , Amsterdam , The Netherlands.
出版信息
Cranio. 2018 Sep;36(5):304-310. doi: 10.1080/08869634.2017.1361052. Epub 2017 Aug 9.
OBJECTIVE
To assess the frequency and age distribution of Axis I and Axis II diagnoses among Polish patients with temporomandibular disorders (TMD).
METHOD
One hundred sixty-three (n = 163) consecutive adult patients seeking TMD treatment were assessed based on the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) guidelines. Descriptive statistics on the frequency of diagnoses and mean age of the diagnostic groups was performed.
RESULT
Frequency of muscle disorders, disc displacements, and other joint disorders was 56.9, 48.9, and 31%, respectively. Disc displacement was the most common diagnosis in younger patients. Severe somatization and depression were shown in 11.9 and 15.8% of patients, respectively. Only 10.5% of the patients showed severe pain-related impairment. Females tended to have higher psychosocial scores than males.
DISCUSSION
The frequency of Axis I TMD diagnoses in Polish patients is similar to other populations, whereas Axis II findings slightly differ from previous reports from other countries.
目的
评估波兰颞下颌关节紊乱病（TMD）患者中轴I和轴II诊断的频率及年龄分布。
方法
根据颞下颌关节紊乱病研究诊断标准（RDC/TMD）指南，对163例连续寻求TMD治疗的成年患者进行评估。对诊断频率和诊断组平均年龄进行描述性统计。
结果
肌肉紊乱、盘移位和其他关节紊乱的频率分别为56.9%、48,9%和31%。盘移位是年轻患者中最常见的诊断。分别有11.9%和15.8%患者存在严重躯体化和抑郁表现。仅10.5%患者存在严重疼痛相关性功能障碍。女性心理社会评分往往高于男性。
讨论
波兰患者中轴I TMD诊断的频率与其他人群相似，而轴II检查结果与其他国家先前的报告略有不同。
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