Miller V J, Zeltser R, Zeltser C H, Yoeli Z
Department of Prosthodontics, Hebrew University Hadassah School of Dental Medicine, Jerusalem, Israel.
J Oral Rehabil. 1996 Jun;23(6):392-4. doi: 10.1111/j.1365-2842.1996.tb00869.x.
The relation of age to asymmetry index of the condyles of the temporomandibular joint differs for groups of patients with a myogenous and arthrogenous origin of pain. It was decided to investigate if this has clinical diagnostic significance. Twenty-eight patients complaining of temporomandibular disorders (TMD) were included in this study. All were dentate with a maximum of five missing teeth including third molars allowed. Condylar asymmetry was measured according to the method of Habets, and this was used to compute the expected patient age for both curves. The patient was assigned to the group with computed age closest to true age. The association between category derived from graphs and that from clinical diagnosis was studied. There was agreement clinically and graphically in 25 of 28 patients. The Kappa statistic to explore the agreement between the two methods gave a value of 0.78, which allows rejection of the hypothesis that agreement was based on chance alone.
对于疼痛源于肌源性和关节源性的患者群体，年龄与颞下颌关节髁突不对称指数的关系有所不同。研究人员决定探究这是否具有临床诊断意义。本研究纳入了28名主诉颞下颌关节紊乱（TMD）的患者。所有患者均有牙列，允许最多有五颗缺失牙，包括第三磨牙。根据哈贝茨方法测量髁突不对称性，并以此计算两条曲线的预期患者年龄。将患者分配到计算年龄最接近实际年龄的组。研究了从图表得出的分类与临床诊断得出的分类之间的关联。28名患者中有25名在临床和图表方面达成一致。用于探究两种方法之间一致性的Kappa统计量值为0.78，这使得可以拒绝一致性仅基于偶然的假设。
