Davidson R M, Mohl N D
Department of Oral Biology, School of Dentistry, University at Buffalo, New York.
Dent Clin North Am. 1987 Oct;31(4):615-26.
The subject of pain is intimately related to that of mandibular function. It is now clear that certain types of temporomandibular disorders, particularly myofascial pain dysfunction, result, in part, from rhythmic muscle activity produced by parafunctional oral habits such as diurnal or nocturnal bruxism. Furthermore, in addition to phasic hyperactivity, evidence also suggests that masticatory muscles of patients with MPD are tonically hyperactive. The pain associated with such hyperactive musculature prompts many patients to seek professional help. This article provides an updated historical review of one important aspect of mandibular function and gives insight into the general "state of the art."
疼痛的主题与下颌功能密切相关。现在很清楚,某些类型的颞下颌关节紊乱,特别是肌筋膜疼痛功能障碍,部分是由诸如日间或夜间磨牙症等副功能口腔习惯产生的节律性肌肉活动所致。此外,除了相位性活动亢进外,有证据还表明,颞下颌关节紊乱病患者的咀嚼肌存在持续性活动亢进。与这种活动亢进的肌肉组织相关的疼痛促使许多患者寻求专业帮助。本文对下颌功能的一个重要方面进行了最新的历史回顾,并深入探讨了总体的“技术现状”。