Rieder C E, Martinoff J T
J Prosthet Dent. 1984 Oct;52(4):572-80. doi: 10.1016/0022-3913(84)90351-2.
Lateral transcranial radiographs of 926 patients were analyzed for condylar position, TMJ space, and obvious condylar morphologic changes. Differences in condylar position and joint space variations were noted between men and women. An increase in nonconcentric condylar position, joint space variations, and condylar morphologic changes were found with advancing age. There was a significant correlation of condylar position, joint space variations, and condylar morphology with mandibular dysfunction profile scores. Mandibular dysfunction is manifested by a wide range of signs and symptoms, none of which is always present with the disorder. Although TRs are limited in their total diagnostic value, their use in discerning major TMJ changes serves as an important adjunct in the examination and diagnosis of mandibular dysfunction.
对926例患者的经颅侧位X线片进行分析，以观察髁突位置、颞下颌关节间隙及明显的髁突形态变化。发现男性和女性在髁突位置和关节间隙变化方面存在差异。随着年龄增长，髁突非同心位置增加、关节间隙变化及髁突形态改变。髁突位置、关节间隙变化和髁突形态与下颌功能障碍概况评分之间存在显著相关性。下颌功能障碍表现为广泛的体征和症状，其中没有一种症状在该疾病中总是出现。尽管经颅侧位X线片的总体诊断价值有限，但它们在识别颞下颌关节主要变化方面的应用是下颌功能障碍检查和诊断中的一项重要辅助手段。
