Thomas Davis C, Singer Steven R, Markman Stanley
Department of Diagnostic Sciences, Rutgers School of Dental Medicine, 110 Bergen Street, Newark, NJ 07103, USA; Eastman Institute of Oral Health, Rochester, NY 14642, USA.
Department of Diagnostic Sciences, Rutgers School of Dental Medicine, 110 Bergen Street, Newark, NJ 07103, USA.
Dent Clin North Am. 2023 Apr;67(2):299-308. doi: 10.1016/j.cden.2022.11.002. Epub 2023 Feb 1.
Throughout the recorded history in the literature of temporomandibular disorders (TMD) there have been a variety of opinions as to its primary cause. Those supporting an occlusal basis of TMD opined that occlusal dysfunction is either the primary cause for or a significant etiopathogenic factor in the causation of TMD. Most of the current literature, however, points to evidence in another direction and questions the causal role of occlusion and occlusal disharmony in TMD etiopathogenesis. Recognition of this evidence-based literature is paramount in eliminating and preventing the chances of overtreatment of patients with TMD.
在颞下颌关节紊乱病(TMD)的文献记载历史中,对于其主要病因存在多种观点。那些支持TMD咬合基础论的人认为,咬合功能障碍要么是TMD的主要病因,要么是其发病机制中的一个重要致病因素。然而,目前大多数文献指出了另一个方向的证据,并对咬合和咬合不协调在TMD发病机制中的因果作用提出质疑。认识到这一基于证据的文献对于消除和预防TMD患者过度治疗的可能性至关重要。