Richards L C, Brown T
J Oral Rehabil. 1981 Jun;8(4):293-307. doi: 10.1111/j.1365-2842.1981.tb00504.x.
The extent and rate of occlusal attrition in relation to degenerative arthritis of the temporomandibular joint were studied in 101 skulls representing early Aboriginal man in Australia. Joint degenerations affected 40% of the specimens and were associated with both the rate and extent of tooth attrition. Age, unaccompanied by tooth wear, was not significant in the progress of the disease. Degenerations affected the temporal joint surface more frequently than the condyle, particularly in the lateral and central regions of the articular eminence. Patterns of degenerative joint disease in the Aboriginals illustrated a break-down in the physiological adaptability of the masticatory system resulting from increased occlusal stress consequent upon progressive tooth wear. Under these conditions, the teeth and the temporomandibular joints enter a 'wear-out' phase of occlusal function which usually commences in early adult life and becomes more severe as the conditions continue.
在101个代表澳大利亚早期原住民男性的头骨中，研究了咬合磨损的程度和速率与颞下颌关节退行性关节炎的关系。关节退变影响了40%的标本，且与牙齿磨损的速率和程度均有关联。在疾病进展过程中，未伴有牙齿磨损的年龄因素并不显著。退变更频繁地影响颞骨关节面而非髁突，尤其是在关节结节的外侧和中央区域。原住民中退行性关节疾病的模式表明，由于渐进性牙齿磨损导致咬合压力增加，咀嚼系统的生理适应性出现了破坏。在这些情况下，牙齿和颞下颌关节进入了咬合功能的“磨损”阶段，该阶段通常始于成年早期，并随着这些情况的持续而变得更加严重。
