Iacopino A M, Wathen W F
Molecular Biology Laboratory, Baylor College of Dentistry, Dallas, Texas 75246.
J Orofac Pain. 1993 Winter;7(1):38-53.
This paper represents a general review of basic age-related changes that take place in the craniomandibular apparatus and the most frequently presenting conditions associated with craniomandibular disorders (CMD) in the elderly. The evaluation of geriatric patients with signs or symptoms of CMD must consider (1) normal age-related changes in the craniomandibular apparatus and their impact on both normal function and responses to stress; (2) the role of dentition status and dental prosthesis in CMD; and (3) the contribution of malignant disease, psoriasis, arthritic conditions, pseudogout, granulomatous vascular conditions, and metaplastic involvement of tissue to the pathosis of CMD. The clinician must also be aware of various effects of psychologic, sociologic, and biologic aspects of aging on the development of headache and atypical facial pain as components of CMD in the geriatric patient.
本文对颅下颌装置中发生的与年龄相关的基本变化以及老年人中与颅下颌疾病（CMD）相关的最常见病症进行了全面综述。对有CMD体征或症状的老年患者进行评估时，必须考虑以下几点：（1）颅下颌装置中与年龄相关的正常变化及其对正常功能和应激反应的影响；（2）牙列状况和假牙在CMD中的作用；（3）恶性疾病、银屑病、关节炎病症、假性痛风、肉芽肿性血管病症以及组织化生累及对CMD病理过程的影响。临床医生还必须了解衰老的心理、社会和生物学方面对老年患者头痛和非典型面部疼痛（作为CMD的组成部分）发生发展的各种影响。
