Arbree N S, Campbell S D, Renner R P, Goldstein G R
Department of Restorative Dentistry, Tufts University School of Dental Medicine, Boston, Mass., USA.
J Prosthet Dent. 1995 Nov;74(5):512-6. doi: 10.1016/s0022-3913(05)80354-3.
The results of a temporomandibular joint survey sent to 167 members of the Greater New York Academy of Prosthodontics indicated a great variation in the diagnosis and treatment of patients with temporomandibular joint dysfunction. Although most indicated that their background in temporomandibular joint disorders was from clinical experience and/or textbooks and the dental literature, only 59% treated patients for these disorders. The most common diagnostic procedures were occlusal evaluation; joint evaluation for tenderness, crepitus, and click; evaluation of range of motion of the mandible; and a muscular evaluation. Only 35% used a formal temporomandibular joint dysfunction questionnaire. The percentage of complete denture patients with these symptoms was 5% or less. Thirty-three percent of clinicians sometimes treated asymptomatic patients who were without pain but had a click. Two thirds of the respondents believed that surgery was sometimes indicated for disk degeneration and displacement. More recent graduates are more likely to treat patients who have temporomandibular joint dysfunction than are older more experienced practitioners.
一项发送给大纽约口腔修复学会167名会员的颞下颌关节调查结果显示，颞下颌关节功能障碍患者的诊断和治疗存在很大差异。尽管大多数人表示他们在颞下颌关节疾病方面的背景来自临床经验和/或教科书及牙科文献，但只有59%的人治疗这些疾病的患者。最常见的诊断程序是咬合评估；关节压痛、摩擦音和弹响评估；下颌运动范围评估；以及肌肉评估。只有35%的人使用正式的颞下颌关节功能障碍问卷。有这些症状的全口义齿患者比例为5%或更低。33%的临床医生有时会治疗没有疼痛但有弹响的无症状患者。三分之二的受访者认为，对于盘状退变和移位，有时需要进行手术。与经验更丰富的年长从业者相比，刚毕业的学生更有可能治疗患有颞下颌关节功能障碍的患者。
