Gazit E, Lieberman M, Eini R, Hirsch N, Serfaty V, Fuchs C, Lilos P
J Oral Rehabil. 1984 Jul;11(4):307-17. doi: 10.1111/j.1365-2842.1984.tb00581.x.
The prevalence of mandibular dysfunction in a sample of 369 Israeli schoolchildren was found to be 56.4%, indicating that one or more of the cardinal symptoms were present. It increased with age from about 51% in the 10-13 year old group to 67.8% in the 16-18 year olds. The most common cardinal sign of dysfunction was joint sounds (35.8%), which increased with age from 28% in the youngest group to 44.3% in the oldest group. The second most common sign was joint sensitivity to palpation (30.4%), which showed a slight increase in the oldest group. Sensitivity of the superficial muscles was recorded third, with 20%. Joint pain and restriction of mandibular movement appeared infrequently. Two of the more common cardinal symptoms, namely joint sounds and muscle sensitivity, were statistically related to several possible aetiological factors and to age and sex. Analysis of association showed that the probability of muscle sensitivity increased in the presence of malocclusion and/or joint sensitivity to palpation. It also showed that age, occlusal wear, locking of the jaw and joint sensitivity to palpation increased the probability of joint sounds.
在369名以色列学童样本中，下颌功能障碍的患病率为56.4%，这表明存在一种或多种主要症状。患病率随年龄增长，从10至13岁组的约51%增至16至18岁组的67.8%。功能障碍最常见的主要体征是关节弹响（35.8%），其随年龄增长，从最年轻组的28%增至最年长组的44.3%。第二常见体征是关节触诊敏感（30.4%），在最年长组略有增加。浅表肌肉敏感记录为第三，占20%。关节疼痛和下颌运动受限较少出现。两种较常见的主要症状，即关节弹响和肌肉敏感，在统计学上与几种可能的病因以及年龄和性别相关。关联分析表明，在存在错牙合和/或关节触诊敏感的情况下，肌肉敏感的可能性增加。分析还表明，年龄、牙合面磨损、牙关紧闭和关节触诊敏感会增加关节弹响的可能性。
