Temporomandibular disorders in adults with repaired cleft lip and palate: a comparison with controls.
Temporomandibular disorders in adults with repaired cleft lip and palate: a comparison with controls.
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唇裂和腭裂修复成人的颞下颌疾病：与对照组的比较。
DOI：
10.1093/ejo/23.2.193
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发表时间：
2001
影响因子：
2.6
通讯作者：
Samuel F. Dworkin
中科院分区：
文献类型：
--
作者：
A. Marcusson;Thomas List;G. Paulin;Samuel F. Dworkin
本研究旨在探讨颞下颌关节紊乱病（TMD）的患病率，并评估成人完全性唇腭裂（CLP）修复后的心理社会困扰。将63名患有修复性CLP的成年人（42名男性和21名女性，平均年龄24.2岁，范围19.5-29.2）（CLP组）与66名无唇腭裂的成年人（非唇腭裂组，49名男性和17名女性，平均年龄25.5岁，范围20.2-29.9）进行比较。所有受试者均接受了临床TMD检查，该检查遵循TMD研究诊断标准（RDC/TMD）中的指南。通过评估下颌功能损害问卷（MFIQ）的答案来评估下颌功能。紧张型头痛根据国际头痛协会（IHS）分类进行诊断。采用修订的症状自评量表（SCL-90-R）中的抑郁评分和非特异性躯体症状评分评估心理状况。唇腭裂组和非唇腭裂组报告的面部、下颌和/或颞下颌关节疼痛的患病率分别为14%和9%，两组之间没有显著差异。唇腭裂组与非唇腭裂组相比，下颌张开模式明显减少（P < 0.001），反牙合发生率明显增加（P < 0.05）。虽然两组的颌功能相似，但CLP组的一些项目，如言语和饮酒，比非腭裂组明显受损（P < 0.01）。两组之间在紧张型头痛或心理社会困扰方面没有显著差异。该研究发现，总体TMD疼痛或心理社会困扰在CLP组中并不比非唇腭裂组更常见。
The purpose of this study was to investigate the prevalence of temporomandibular disorders (TMD), and assess psycho-social distress in adult subjects with repaired complete cleft lip and palate (CLP). Sixty-three adults (42 males and 21 females, mean age 24.2 years, range 19.5-29.2) with repaired CLP (CLP group) were compared with a group of 66 adults without cleft (non-cleft group, 49 males and 17 females, mean age 25.5 years, range 20.2-29.9). All subjects underwent a clinical TMD examination, which followed the guidelines in the Research Diagnostic Criteria for TMD (RDC/TMD). Jaw function was assessed by evaluating answers to the mandibular function impairment questionnaire (MFIQ). Tension-type headache was diagnosed according to the International Headache Society (IHS) classification. Psychological status was assessed using the depression score and the non-specific physical symptom score with subscales of the Revised Symptom Checklist-90 (SCL-90-R). The prevalence of reported pain in the face, jaws and/or TMJs was 14 and 9 per cent for the CLP and non-cleft group, respectively, and did not differ significantly between the groups. The CLP group exhibited a significantly reduced jaw-opening pattern (P < 0.001) and a higher frequency of crossbites (P < 0.05) compared with the non-cleft group. Whilst jaw function was similar in both groups, a few items, e.g. speech and drinking, were significantly more impaired (P < 0.01) in the CLP group than in the non-cleft group. There were no significant differences between the two groups concerning tension-type headache or psycho-social distress. The study found that overall TMD pain or psycho-social distress was not more common in this CLP group than in a non-cleft group.
DOI：
10.14219/jada.archive.1990.0043
发表时间：
1990-03-01
影响因子：
3.9
作者：
DWORKIN, SF;HUGGINS, KH;SOMMERS, E
通讯作者：
SOMMERS, E
DOI：
--
发表时间：
1992
期刊：
Journal of craniomandibular disorders : facial & oral pain
影响因子：
--
作者：
S. Dworkin;L. Leresche
通讯作者：
S. Dworkin;L. Leresche
使用颞下颌疾病的研究诊断标准比较瑞典和美国 TMD 中心的 TMD 诊断和临床结果。
DOI：
--
发表时间：
1996
期刊：
Journal of orofacial pain.
影响因子：
--
作者：
List,T;Dworkin,SF
通讯作者：
Dworkin,SF