Magnusson T
Swed Dent J. 1984;8(4):193-201.
The signs and symptoms of mandibular dysfunction and the treatment results were studied in 282 patients referred to the Clinic of Stomatognathic Physiology, Luleå, Sweden. Seventy two per cent of the patients were women. The most common clinical finding was muscles tender to palpation, which was found in 60% of the patients, but other signs such as TMJ-clickings (27%) and limited mandibular movement (16%) were common, as were interferences in the retruded position (33%) and on the non-working side (19%). Splint therapy, therapeutic exercises for the lower jaw and occlusal adjustment in combination with counselling were by far the most common modes of therapy. More than half of the patients had completed the course of treatment within four visits and only a few patients needed more than ten visits. Eighty one per cent of the patients reported no or only mild symptoms after treatment but in a few cases fairly severe or very severe symptoms persisted. The investigation shows that most patients referred because of mandibular dysfunction can be cured or improved with relatively simple treatment methods and after a few visits. In some cases, however, the patients need more complex and time-consuming treatment.
对转诊至瑞典吕勒奥口腔颌面部生理学诊所的282例患者的下颌功能障碍体征和症状以及治疗结果进行了研究。72%的患者为女性。最常见的临床发现是触诊时肌肉压痛，60%的患者有此症状，但其他体征如颞下颌关节弹响（27%）和下颌运动受限（16%）也很常见，后退位干扰（33%）和非工作侧干扰（19%）同样常见。夹板治疗、下颌治疗性锻炼以及咬合调整并结合咨询是目前最常见的治疗方式。超过一半的患者在四次就诊内完成了治疗疗程，只有少数患者需要超过十次就诊。81%的患者在治疗后报告无或仅有轻微症状，但在少数情况下，相当严重或非常严重的症状仍然存在。调查表明，大多数因下颌功能障碍转诊的患者通过相对简单的治疗方法并经过几次就诊即可治愈或改善。然而，在某些情况下，患者需要更复杂且耗时的治疗。
