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颞下颌关节骨关节炎:临床方面和管理的综述。

Temporomandibular Joint Osteoarthrosis: A Review of Clinical Aspects and Management.

机构信息

Senior Lecturer, Glasgow Dental Hospital and School.

出版信息

Prim Dent J. 2021 Mar;10(1):132-140. doi: 10.1177/2050168420980977.

Abstract

The symptoms of TMJ Osteoarthrosis/Osteoarthritis(TMJ OA) are characteristic and in most cases specific to the disorder. There is, however, an overlap of symptoms with other TMDs.Treatment of TMJ OA is generally directed towards management of the symptoms as the temporomandibular joint does retain the capacity throughout life to repair and remodel. Non-conservative and invasive treatment is only rarely necessary.It should be remembered that the mandibular condyle retains the capacity to repair and remodel throughout life and patients should be encouraged to bear this in mind. Conservative measures are usually sufficient to treat symptoms and a period of time should be allowed to elapse before undertaking a more aggressive treatment plan, which, in the overwhelming majority of patients, will not be necessary. This disorder should be approached on the terms of 'a quality of life issue' and treatment should be directed towards patient needs.

摘要

TMJ 骨关节炎/骨关节炎(TMJ OA)的症状具有特征性,在大多数情况下,这些症状是该疾病特有的。然而,这些症状与其他 TMD 有一定程度的重叠。TMJ OA 的治疗通常针对症状的管理,因为颞下颌关节在整个生命周期中都有修复和重塑的能力。非保守和侵入性治疗很少是必要的。应该记住,下颌骨髁在整个生命周期中都有修复和重塑的能力,应该鼓励患者记住这一点。保守治疗通常足以治疗症状,并且应该在进行更积极的治疗计划之前留出一段时间,在绝大多数患者中,这种治疗计划是不必要的。这种疾病应该被视为“生活质量问题”,治疗应该针对患者的需求。

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