de Boever J, Adriaens P
Rev Belge Med Dent. 1980 Nov;35(4):129-33.
Symptomatology of pain-dysfunction in the temporomandibular joints. The symptomatology of 135 patients treated for pain-dysfunction syndrome (PDS) of the temporomandibular joints has been described. They were divided into five dysfunction groups according to the clinical dysfunction-index of Helkimo (1976). 75,3% of the patients were females, especially between 25-40 years of age. Most of the patients fell into the dysfunction II and III group. 20,0% of the patients waited 0-3 months between the onset of the pain and the first demand for treatment, 41,7% waited 0-6 months. 18.0% waited even longer than 25 months to consult the dentist. Almost 40% had psychological problems. Bruxism was present in 66% and joint noises have been found in 92,0%. A deviation in the openings movement occured in 55%, a reduction of the lateral movement has been observed in 38%. No correlation could be found between the dysfunction index and the number of occluding pairs of molars (r = .03) or premolars and molars combined (r = .20). This was also the case for all other anamnestic and occlusal parameters except for the occurrence of premature contacts on the balancing side. The fact is stressed that the etiology of PDS is multifactorial.
颞下颌关节疼痛功能障碍的症状学。描述了135例因颞下颌关节疼痛功能障碍综合征（PDS）接受治疗的患者的症状学。根据Helkimo（1976年）的临床功能障碍指数，将他们分为五个功能障碍组。75.3%的患者为女性，尤其集中在25至40岁之间。大多数患者属于功能障碍II组和III组。20.0%的患者在疼痛发作至首次寻求治疗之间等待了0至3个月，41.7%的患者等待了0至6个月。18.0%的患者甚至等待了超过25个月才去看牙医。近40%的患者有心理问题。66%的患者存在磨牙症，92.0%的患者发现有关节弹响。55%的患者开口运动有偏斜，38%的患者观察到侧向运动减少。在功能障碍指数与磨牙咬合对数（r = 0.03）或前磨牙与磨牙咬合对数总和（r = 0.20）之间未发现相关性。除平衡侧出现早接触外，所有其他既往史和咬合参数的情况也是如此。强调了PDS的病因是多因素的。
