Goharian R K, Neff P A
J Prosthet Dent. 1980 Aug;44(2):206-8. doi: 10.1016/0022-3913(80)90139-0.
The etiology of TMJ syndrome is usually multifactorial. The anatomic structures which may be involved are the dentition, the masticatory muscles, and the TMJ itself. The etiologic region is usually the dentition and its occlusal relationships. The symptoms are usually minimized during treatment, and a high percentage are eliminated. Among the diagnostic symptoms, the deviation of the mandible to the opposite side from the occlusal interference is the most frequent objective symptoms. The lateral pterygoid muscle is usually involved if the patient has (1) occlusal interference and (2) lateral deviation of the mandible. The clinical response in this study to the occlusal splint and occlusal adjustment indicate that 88% of muscle involvement improved and that 84% of the TMJ syndrome responded favorably to the occlusal splint.
颞下颌关节综合征的病因通常是多因素的。可能涉及的解剖结构包括牙列、咀嚼肌和颞下颌关节本身。病因通常在于牙列及其咬合关系。治疗期间症状通常会减轻，且很大比例的症状会消除。在诊断症状中，下颌向与咬合干扰相反的一侧偏斜是最常见的客观症状。如果患者有（1）咬合干扰和（2）下颌侧方偏斜，则通常累及翼外肌。本研究中对咬合板和咬合调整的临床反应表明，88%的肌肉受累情况得到改善，84%的颞下颌关节综合征对咬合板反应良好。
