Institute of Dentistry, University of Eastern Finland, Kuopio, Finland.
Research Unit of Oral Health Sciences, University of Oulu, Oulu, Finland.
Acta Odontol Scand. 2020 Oct;78(7):515-521. doi: 10.1080/00016357.2020.1746395. Epub 2020 Apr 14.
To assess the prevalence of clinical signs and pain symptoms of temporomandibular disorders (TMD) and associated factors in the Finnish adult population, as well as the association between self-reported TMD pain symptoms and clinical signs. The sample consisted of 1577 Finnish adults who participated in the Health 2011 Survey (BRIF8901). Signs of TMD were assessed using clinical examination, and TMD pain symptoms were inquired using validated questions. Of the study subjects, 35% showed at least one sign of TMD, 8% reported weekly facial pain and 6% weekly pain when biting or jaw opening. According to logistic regression, female gender, poor general health and low level of education increased the risk for most TMD signs and TMD pain symptoms. Muscle or TMJ pain on palpation associated significantly with self-reported weekly facial pain or pain when biting or jaw opening. Over a third of the population showed clinical signs of TMD and less than one-tenth reported TMD pain symptoms. An assessment of a patient's general health needs to be a part of TMD diagnosis and treatment. The Finnish versions of the validated questions are applicable for screening of TMD pain.
为评估芬兰成年人群中颞下颌关节紊乱（TMD）的临床体征和疼痛症状的流行情况及相关因素，以及自报告 TMD 疼痛症状与临床体征之间的关系，选取了参加 2011 年健康调查（BRIF8901）的 1577 名芬兰成年人作为研究对象。采用临床检查评估 TMD 体征，采用经验证的问题询问 TMD 疼痛症状。研究对象中，35%至少存在 1 种 TMD 体征，8%报告每周出现面部疼痛，6%每周在咀嚼或张口时出现疼痛。根据逻辑回归分析，女性、一般健康状况差和教育程度低会增加大多数 TMD 体征和 TMD 疼痛症状的风险。触诊时肌肉或 TMJ 疼痛与自报告的每周面部疼痛或咀嚼或张口时疼痛显著相关。超过三分之一的人群存在 TMD 临床体征，不到十分之一的人群报告 TMD 疼痛症状。在 TMD 的诊断和治疗中，需要评估患者的一般健康状况。经验证的芬兰语问题版本适用于 TMD 疼痛的筛查。
