Mongini F
J Prosthet Dent. 1980 May;43(5):568-77. doi: 10.1016/0022-3913(80)90333-9.
Seven men and 15 women with TMJ pain dysfunction syndrome were selected. After clinical examination, polytomography of the TMJ was performed in centric occlusion in different planes. Open-mouth projections were also made in three patients, frontal tomography in one patient, and transcranial radiographs in 16 patients. Occlusal analysis was performed on the articulator. Twenty patients showed various patterns of condylar displacement with flattening of the anterior, superior, or posterior condylar walls in 11 patients, including three with arthritic lesions. Therapy included occlusal splints (21 patients), selective grinding (seven patients), prosthodontic rehabilitation (10 patients), and orthodontic treatment (two patients). After therapy, tomographic examination was repeated at intervals of 9 to 44 months. A distinct reshaping of the condyle was seen in seven patients. The new shape tended to be rounded. The three patients with degenerative changes before treatment showed regression of the lesions. No change was seen in condyles which were rounded before therapy.
选取了7名男性和15名患有颞下颌关节疼痛功能紊乱综合征的女性。经过临床检查后，在不同平面的正中咬合位进行了颞下颌关节的断层摄影。还对3名患者进行了开口位投照，1名患者进行了额部断层摄影，16名患者进行了经颅X线摄影。在牙合架上进行了咬合分析。20名患者表现出各种髁突移位模式，11名患者的髁突前壁、上壁或后壁出现扁平，其中3名伴有关节炎性病变。治疗方法包括咬合夹板（21名患者）、选择性调磨（7名患者）、修复治疗（10名患者）和正畸治疗（2名患者）。治疗后，每隔9至44个月重复进行断层摄影检查。7名患者的髁突出现了明显的重塑。新形状趋于圆形。治疗前有退行性改变的3名患者病变出现了消退。治疗前呈圆形的髁突未见变化。
