de Leeuw R, Boering G, Stegenga B, de Bont L G
Department of Oral and Maxillofacial Surgery, University Hospital, Groningen, The Netherlands.
J Orofac Pain. 1994 Winter;8(1):18-24.
To evaluate the clinical course of temporomandibular joint osteoarthrosis and internal derangement, 99 patients who had received nonsurgical treatment for temporomandibular problems were reexamined 30 years after the original treatment. Results were compared with information obtained from patients' clinical examinations before and a few years after the original treatment as well as information from the clinical examination of 35 control subjects. During the first years after treatment, the main signs of temporomandibular joint osteoarthrosis and internal derangement decreased significantly. In the next three decades, very few changes were noticed. Clicking and crepitus were the most common remaining signs. These signs, however, did not appear to be bothersome to the patients. It was concluded that the disorders in question eventually reach a state of quiescence.
为评估颞下颌关节骨关节炎和关节内紊乱的临床病程，对99例曾接受颞下颌问题非手术治疗的患者在初始治疗30年后进行了复查。将结果与患者初始治疗前及治疗后数年的临床检查信息以及35名对照受试者的临床检查信息进行了比较。在治疗后的最初几年，颞下颌关节骨关节炎和关节内紊乱的主要体征显著减轻。在接下来的三十年里，几乎没有观察到变化。弹响和摩擦音是最常见的残留体征。然而，这些体征似乎并未给患者带来困扰。得出的结论是，所讨论的疾病最终会进入静止状态。
