Magnusson T, Carlsson G E
Acta Odontol Scand. 1980;38(5):311-20. doi: 10.3109/00016358009033598.
A follow-up study was performed in 128 patients who had started dental treatment at the Faculty of Odontology in Göteborg one year previously. 58 patients had been referred to the Department of Stomatognathic Physiology for investigation and treatment of mandibular dysfunction (TMJ patients) and 70 patients had come to the clinic for conventional dental treatment (dental patients). In addition to answering a questionnaire, all patients underwent a clinical-functional investigation of the masticatory system. 70% of the TMJ patients who had previously reported headaches stated that their headaches now occurred less often. 42% also stated that the headaches were less severe than previously. Only one TMJ patient stated that he had a headache more often and that it was more painful than previously. In the dental patients improvement and deterioration occurred approximately equally often. A decrease of the clinical dysfunction index was observed in the TMJ patients. There was no change in the dental patients. The prevalence of mandibular dysfunction in the TMJ group, however, was still significantly higher than in the dental patients. The study shows that treatment directed towards functional disturbances of the masticatory system has a beneficial effect on mandibular dysfunction and that many patients who suffer from recurrent headaches experience a reduction of the frequency and severity of their headaches after this treatment.
对128名患者进行了一项随访研究，这些患者一年前在哥德堡牙科学院开始接受牙科治疗。58名患者被转至口腔颌面部生理学系，以调查和治疗下颌功能障碍（颞下颌关节紊乱症患者），70名患者到诊所接受常规牙科治疗（牙科患者）。除了回答一份问卷外，所有患者都接受了咀嚼系统的临床功能检查。70%以前报告有头痛的颞下颌关节紊乱症患者表示，他们现在头痛的频率降低了。42%的患者还表示，头痛比以前减轻了。只有一名颞下颌关节紊乱症患者表示，他现在头痛比以前更频繁，也更痛。在牙科患者中，病情改善和恶化的情况大致相同。颞下颌关节紊乱症患者的临床功能障碍指数有所下降。牙科患者则没有变化。然而，颞下颌关节紊乱症组的下颌功能障碍患病率仍显著高于牙科患者组。该研究表明，针对咀嚼系统功能障碍的治疗对下颌功能障碍有有益影响，而且许多患有复发性头痛的患者在接受这种治疗后，头痛的频率和严重程度都有所降低。
