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学龄儿童的颞下颌关节紊乱病

Temporomandibular disorders among school children.

作者信息

Alamoudi N, Farsi N, Salako N O, Feteih R

机构信息

Department of Preventive Dental Sciences, Faculty of Dentistry, KAAU, Jeddah, Saudi Arabia.

出版信息

J Clin Pediatr Dent. 1998 Summer;22(4):323-8.

PMID:9796503
Abstract

A large volume of literature is available on the Temporomandibular Disorders (TMD) in adults. However, relatively little information is available on this condition in children. The present study is aimed at providing a comprehensive survey on Temporomandibular Joint Status in Saudi Arabian Children in the Western Region of the Kingdom. This is a report on the prevalence of TMDs in children. Five hundred and two children aged 3-7 years old were examined for signs and symptoms of TMDs in a classroom setting. Eighty-three (16.53%) presented with TMDs, with 34 (14.46%) males 49 (18.35%) female (This difference between sexes is significant P < 0.001); 39 (7.8%) of the children had TMJ sounds; 34 (6.77%) had associated muscle tenderness; 13 (2.59%) had pain during TMJ movement; 17 (3.39%) had deviation of the mandible during movement; and 9 (1.7%) had a restricted mouth opening. There is a general tendency for these signs and symptoms to be more significantly prevalent in females. None of the children had sought dental treatment for these conditions. The importance of TMJ examinations in the overall clinical assessment of the pediatric patient should not be overlooked. Identifying this subject early in life would allow us to follow up the patient and intervene in the appropriate time to avoid future problem in the TMJ apparatus.

摘要

关于成人颞下颌关节紊乱病(TMD)的文献资料很多。然而,关于儿童这种疾病的信息相对较少。本研究旨在对沙特阿拉伯王国西部地区儿童的颞下颌关节状况进行全面调查。这是一份关于儿童TMD患病率的报告。在教室环境中对502名3至7岁的儿童进行了TMD体征和症状检查。83名(16.53%)儿童患有TMD,其中男性34名(14.46%),女性49名(18.35%)(性别差异具有统计学意义,P<0.001);39名(7.8%)儿童有颞下颌关节弹响;34名(6.77%)有相关肌肉压痛;13名(2.59%)在颞下颌关节运动时有疼痛;17名(3.39%)在运动时有下颌偏斜;9名(1.7%)有张口受限。这些体征和症状总体上在女性中更为显著。没有儿童因这些病症寻求过牙科治疗。在儿科患者的整体临床评估中,颞下颌关节检查的重要性不应被忽视。在儿童早期识别该问题将使我们能够对患者进行随访,并在适当的时候进行干预,以避免颞下颌关节装置未来出现问题。

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