Solberg W K
Int Dent J. 1981 Sep;31(3):206-15.
In the light of recent findings, it is clear that organic changes in the tissues of the temporomandibular joint commonly occur simultaneously with neuromuscular problems. It is suggested that the term "masticatory disorder' should be adopted in order that diagnosis will fully reflect this inter-relationship. Patients with masticatory disorders will exhibit one or more of the following signs and symptoms: (a) pain and tenderness in the region of the masticatory muscles and TMJ, (b) incoordination and sounds during condylar movement and (c) limitation of mandibular movement. Diagnosis which relies solely on subjective symptoms is incomplete and the progressive nature of the condition requires careful attention to the prognosis. A diagnostic classification of masticatory disorders is given in Table II and the characteristics of each of the conditions listed is described in greater detail in the text.
根据最近的研究结果，很明显颞下颌关节组织的器质性改变通常与神经肌肉问题同时发生。建议采用“咀嚼障碍”这一术语，以便诊断能充分反映这种相互关系。咀嚼障碍患者会表现出以下一种或多种体征和症状：(a)咀嚼肌和颞下颌关节区域疼痛和压痛，(b)髁突运动时不协调和有响声，以及(c)下颌运动受限。仅依靠主观症状的诊断是不完整的，而且病情的进展性质需要对预后给予仔细关注。表二给出了咀嚼障碍的诊断分类，文中对所列每种情况的特征进行了更详细的描述。
