Glowacki Jakub, Latuszewska Joanna, Okret Adam, Skowron Natalia, Misterska Ewa, Opydo-Szymaczek Justyna
Department of General Orthopaedics, Musculoskeletal Oncology and Trauma Surgery, Poznan University of Medical Sciences, 61-701 Poznan, Poland.
The Faculty of Educational Studies, Kazimiera Milanowska College of Education and Therapy, 61-473 Poznan, Poland.
J Clin Med. 2022 Mar 20;11(6):1721. doi: 10.3390/jcm11061721.
Patients with adolescent idiopathic scoliosis (AIS) more frequently suffer dysfunctions of dento-skeletal complex. To our knowledge, no study has ever evaluated the temporomandibular joint disorders (TMD) of AIS patients at least 23 years after the completion of Milwaukee brace treatment. We aimed to provide a complex assessment of TMD and AIS patients treated with a Milwaukee brace, in a minimum 23-year follow-up, using radiological, clinical, and socio-demographical data, and to adapt the TMD Disability Index Questionnaire (TMDQ) and Fonseca's questionnaire (FQ) to Polish conditions. In total, 42 healthy females and 30 AIS patients with a minimum of 23 years after a completed Milwaukee brace treatment were asked to complete the Polish version of (TMDQ-PL) and (FQ-PL). AIS patients present higher TMD levels than healthy controls. Significant differences exist between TMDQ-PL and FQ-PL (both in total scores and particular sub-sections), and AIS patients. Clinical and radiological factors affected the TMDQ-PL and FQ-PL results. Adult patients with scoliosis treated conservatively present limitations in everyday activities connected with the temporomandibular joint (TMJ). The variety of curve-related factors in a long-term follow-up of wearing the Milwaukee brace influence TMJ.
青少年特发性脊柱侧凸（AIS）患者更常出现牙-骨骼复合体功能障碍。据我们所知，尚无研究对接受密尔沃基支具治疗至少23年后的AIS患者的颞下颌关节紊乱症（TMD）进行评估。我们旨在利用放射学、临床和社会人口统计学数据，对接受密尔沃基支具治疗的TMD和AIS患者进行至少23年的随访综合评估，并使TMD残疾指数问卷（TMDQ）和丰塞卡问卷（FQ）适用于波兰的情况。总共42名健康女性和30名接受密尔沃基支具治疗至少23年的AIS患者被要求完成波兰语版的（TMDQ-PL）和（FQ-PL）。AIS患者的TMD水平高于健康对照组。TMDQ-PL和FQ-PL（总分和各特定子部分）与AIS患者之间存在显著差异。临床和放射学因素影响TMDQ-PL和FQ-PL的结果。保守治疗的成年脊柱侧凸患者在与颞下颌关节（TMJ）相关的日常活动中存在限制。长期佩戴密尔沃基支具的各种与侧弯相关的因素会影响TMJ。
