Magnusson T, Ahlborg G, Finne K, Nethander G, Svartz K
Int J Oral Maxillofac Surg. 1986 Dec;15(6):707-14. doi: 10.1016/s0300-9785(86)80111-9.
20 patients with dentofacial anomalies were investigated with respect to signs and symptoms of temporomandibular joint pain-dysfunction, which was a common reason for requesting treatment. After surgical correction of the malocclusions, the patients were re-examined 1 week after removal of intermaxillary fixation (IMF), 6 months after surgery and, finally, after 1 to 2 1/2 years. Several of the patients complained of recurrent headaches before surgery and also reported several other subjective symptoms of temporomandibular joint pain-dysfunction. At final control, a statistically significant reduction in headache frequency, as well as for the anamnestic dysfunction index as a whole, was noted. An impairment of clinical signs of temporomandibular joint pain-dysfunction was noted 1 week after removal of IMF, but the situation then returned to that found preoperatively. At final control, a statistically significant reduction of the clinical dysfunction index used was noted. In line with other previous investigations, the patients were satisfied with the aesthetic result of the treatment. A statistically significant increase in number of occluding pairs of teeth was recorded postoperatively and the patients reported an improvement of chewing ability. It is concluded that surgical correction of dentofacial anomalies has a beneficial effect not only on aesthetic and dental occlusion but also upon signs and symptoms of temporomandibular joint pain-dysfunction.
对20例牙颌面畸形患者进行了颞下颌关节疼痛功能障碍体征和症状的调查，这是患者寻求治疗的常见原因。在错牙合畸形手术矫正后，于去除颌间固定（IMF）后1周、术后6个月以及最后在1至2年半后对患者进行复查。部分患者在手术前抱怨反复出现头痛，还报告了颞下颌关节疼痛功能障碍的其他一些主观症状。在最终检查时，发现头痛频率以及整体既往功能障碍指数有统计学意义的降低。去除IMF后1周时，发现颞下颌关节疼痛功能障碍的临床体征有所减轻，但随后情况又恢复到术前水平。在最终检查时，所使用的临床功能障碍指数有统计学意义的降低。与之前的其他研究一致，患者对治疗的美学效果感到满意。术后记录到咬合牙齿对数有统计学意义的增加，患者报告咀嚼能力有所改善。得出的结论是，牙颌面畸形的手术矫正不仅对美学和牙合有有益影响，而且对颞下颌关节疼痛功能障碍的体征和症状也有有益影响。
