Department and Division of Experimental Dentistry, Wroclaw Medical University, Poland.
Dent Med Probl. 2021 Jan-Mar;58(1):127-133. doi: 10.17219/dmp/132978.
Temporomandibular disorders (TMD) constitute a heterogeneous group of disorders concerning temporomandibular joints (TMJ) and the surrounding structures. The etiology is multifactorial, and comprises biological factors (e.g., internal derangements in TMJ), psychological factors (e.g., depression, anxiety and stress) and social factors (e.g., a learned response to pain). In accordance with the biopsychosocial model of health and illness, psychological factors are recognized as highly significant in the development of TMD. The aim of this review was to present the role of chosen mental disorders (depression, anxiety) in TMD and their significance for dental practitioners in the light of current knowledge. The PubMed, Scopus and Web of Science databases were searched for relevant studies. Finally, 22 studies were included in this review. The gathered literature shows convincing evidence that mental derangements play a significant role in TMD by influencing the onset of the disorder, the course of the condition and the patient's response to treatment. However, the precise role of each mental disorder still requires further clarification.
颞下颌关节紊乱症（TMD）是一组涉及颞下颌关节（TMJ）及其周围结构的疾病。其病因是多因素的，包括生物因素（如 TMJ 内部紊乱）、心理因素（如抑郁、焦虑和压力）和社会因素（如对疼痛的习得性反应）。根据健康和疾病的生物心理社会模式，心理因素被认为在 TMD 的发展中具有重要意义。本综述的目的是根据现有知识，介绍某些精神障碍（抑郁、焦虑）在 TMD 中的作用及其对牙科医生的意义。在 PubMed、Scopus 和 Web of Science 数据库中搜索了相关研究。最后，共纳入 22 项研究。收集的文献表明，精神障碍通过影响疾病的发生、疾病的进程以及患者对治疗的反应，在 TMD 中起着重要作用。然而，每种精神障碍的确切作用仍需要进一步阐明。
