Christensen L V, Donegan S J, McKay D C
Marquette University, School of Dentistry, Milwaukee, Wisconsin, USA.
J Oral Rehabil. 1996 Oct;23(10):686-98. doi: 10.1046/j.1365-2842.1996.d01-177.x.
In 46 non-patients and 46 patients, the authors examined the presence (+) and the absence (-) of laterotrusive (LG) and mediotrusive (MG) tooth guidance, i.e. dynamic dental articulation events in contrast to static dental occlusion events. During a right and left laterotrusion/mediotrusion of the mandible, the number of compound, mutually exclusive and exhaustive tooth guidance events (possibilities) was six. In addition, the presence and the absence of temporomandibular joint (TMJ) sounds, provoked TMJ pains, and the associations between TMJ sounds and tooth guidance events were examined. In non-patients, LG+ and MG+ was relatively infrequent (30%) while LG+ and MG- was relatively frequent (70%). In patients, LG+ and MG+ was relatively frequent (58%) while LG+ and MG- was relatively infrequent (42%). LG- and MG+ was absent in non-patients and rare in patients (3%). Either unilateral or bilateral MG+ was relatively infrequent in non-patients (30%) and relatively frequent in patients (59%). Bilateral MG+ was relatively infrequent in non-patients (20%) and relatively frequent in patients (52%). Either unilateral or bilateral TMJ sounds were relatively infrequent in non-patients (39%) and relatively frequent in patients (74%). Either unilateral or bilateral provoked TMJ pains were absent in non-patients and relatively frequent in patients (72%). The authors found no evidence that TMJ sounds were associated with the ipsilateral absence of so-called balancing contacts (MG-) in non-patients and patients. Finally, no evidence supporting the use of a so-called positive predictive value, and "extension concept' of probability theory was found.
在46名非患者和46名患者中，作者检查了侧向磨耗（LG）和正中磨耗（MG）牙齿引导的存在（+）和缺失（-）情况，即与静态牙合事件相对的动态牙齿咬合事件。在下颌进行左右侧向磨耗/正中磨耗时，复合、相互排斥且详尽无遗的牙齿引导事件（可能性）数量为六种。此外，还检查了颞下颌关节（TMJ）声音的存在与缺失、诱发的TMJ疼痛以及TMJ声音与牙齿引导事件之间的关联。在非患者中，LG+和MG+相对较少见（30%），而LG+和MG-相对较常见（70%）。在患者中，LG+和MG+相对较常见（58%），而LG+和MG-相对较少见（42%）。LG-和MG+在非患者中不存在，在患者中也很罕见（3%）。非患者中单侧或双侧MG+相对较少见（30%），而在患者中相对较常见（59%）。双侧MG+在非患者中相对较少见（20%），而在患者中相对较常见（52%）。非患者中单侧或双侧TMJ声音相对较少见（39%），而在患者中相对较常见（74%）。非患者中不存在单侧或双侧诱发的TMJ疼痛，而在患者中相对较常见（72%）。作者没有发现证据表明TMJ声音与非患者和患者同侧所谓的平衡接触（MG-）缺失有关。最后，没有发现支持使用所谓的阳性预测值和概率论“扩展概念”的证据。
