Dolwick M F, Dimitroulis G
Department of Oral and Maxillofacial Surgery, College of Dentistry, University of Florida, USA.
Aust Dent J. 1996 Jun;41(3):184-7. doi: 10.1111/j.1834-7819.1996.tb04853.x.
During the 1970s there was a resurgence of interest in disc displacement as being central to the pathology of internal derangement. Since then it has been proposed that a displaced disc can result in pain, mandibular dysfunction, degenerative joint disease and mandibular growth disturbances. Two decades later, and with the introduction of sophisticated investigations and treatment modalities, doubts have emerged as to true pathological significance of disc position. Evidence derived from clinical observations, autopsy material, imaging studies and surgical findings has failed to establish strong support for the central role of disc displacement in internal derangement of the temporomandibular joint.
20世纪70年代，人们对盘移位作为颞下颌关节内紊乱病理核心的兴趣再度兴起。从那时起，有人提出移位的关节盘可导致疼痛、下颌功能障碍、关节退行性疾病和下颌生长紊乱。二十年后，随着先进检查和治疗方式的引入，人们对关节盘位置的真正病理意义产生了怀疑。来自临床观察、尸检材料、影像学研究和手术发现的证据，未能有力支持关节盘移位在颞下颌关节内紊乱中起核心作用这一观点。
