Prosthodontic and Orthodontic Department, Dental Institute, Jagiellonian University Medical College, Kraków, Poland.
Department of Rehabilitation in Internal Diseases, Institute of Physiotherapy, Faculty of Health Science, Jagiellonian University, Kraków, Poland.
Folia Med Cracov. 2022 Dec 29;62(4):45-56. doi: 10.24425/fmc.2022.144082.
TMD is a disease within the masticatory system that increases its reach among the society every year in the third and fourth decade of life. The etiology of TMD is complex and it is often difficult to establish the cause in a specific case. The a i m of the study was to determine the impact of TMD on pathomorphological changes within the temporomandibular joints, evaluated in USG examinations and evaluation the assessment of differences in the number of pathological changes between various forms of TMD.
The study material included a group of 386 patients, both sexes, aged 20 to 46 years, who came for prosthetic treatment due to symptoms of TMD. Ultrasound examination of the temporomandibular joints supplemented the clinical diagnosis of TMD in all the subjects. Axis I of the DC/TMD were used.
Group I included 116 women and 89 men, group II consisted of 102 women and 79 men. Pathological morphological changes in the temporomandibular joints were found in all the examined patients. The changes in soft tissue structures were significantly increased in group II, but numerous pathomorphological changes were also present in the group of patients with the muscle form of TMD.
The results of the conducted studies with the use of USG temporomandibular joints revealed numerous pathomorphological changes within the temporomandibular joints. This indicates the usefulness of the USG examination in additional diagnostic tests in the group of patients with TMD.
TMD 是咀嚼系统疾病，在第三和第四十年纪，其在社会中的发病率逐年上升。TMD 的病因复杂，在特定病例中往往难以确定病因。本研究旨在确定 TMD 对颞下颌关节内的病理形态变化的影响，通过 USG 检查评估，并评估各种 TMD 形式之间病理变化数量的差异。
研究材料包括一组 386 名年龄在 20 至 46 岁之间的男女患者，因 TMD 症状前来接受修复治疗。所有受试者均进行颞下颌关节超声检查以补充 TMD 的临床诊断。使用 DC/TMD 的轴 I。
第 I 组包括 116 名女性和 89 名男性，第 II 组包括 102 名女性和 79 名男性。所有检查患者均发现颞下颌关节存在病理形态变化。在第 II 组中，软组织结构的变化显著增加，但在 TMD 肌性形式的患者组中也存在许多病理形态变化。
使用 USG 颞下颌关节进行的研究结果显示，颞下颌关节内存在许多病理形态变化。这表明 USG 检查在 TMD 患者的附加诊断测试中具有有用性。
