Dibbets J M, van der Weele L T, Meng H P
Abteilung für Kieferorthopädie, Philipps-Universität, Marburg, Deutschland.
Schweiz Monatsschr Zahnmed. 1993;103(2):162-8.
The fist part of this study concerns a literature review on temporomandibular dysfunction (TMD). There exists an equal amount of literature relating occlusal interferences to TMD, as there are reports denying any causal relationship. It is remarkable, however, that the latter reports are relatively recent. The relationship between the Angle classification and TMD is reported to be only weak in a "normal" orthodontic population. The relationship between morphologic malocclusion, e.g. deep bites or crossbites, with TMD seems to be somewhat stronger. The vast majority of the reports did not find any relationship between TMD and orthodontic treatment or extractions. Our own longitudinal prospective study could not reveal any systematic relationship between orthodontic treatment or extractions and TMD.
本研究的第一部分是关于颞下颌关节紊乱病（TMD）的文献综述。关于咬合干扰与TMD之间关系的文献数量相当，同时也有报告否认两者存在任何因果关系。然而，值得注意的是，后一类报告相对较新。据报道，在“正常”正畸人群中，安氏分类与TMD之间的关系很弱。形态学错牙合（如深覆牙合或反牙合）与TMD之间的关系似乎稍强一些。绝大多数报告未发现TMD与正畸治疗或拔牙之间存在任何关系。我们自己的纵向前瞻性研究也未发现正畸治疗或拔牙与TMD之间存在任何系统性关系。
