Factors involved in the etiology of temporomandibular disorders - a literature review.
Factors involved in the etiology of temporomandibular disorders - a literature review.
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DOI：
10.15386/cjmed-485
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发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Chisnoiu R
中科院分区：
文献类型：
--
作者：
Chisnoiu AM;Picos AM;Popa S;Chisnoiu PD;Lascu L;Picos A;Chisnoiu R
本文就颞下颌关节紊乱病（TMD）发病机制中最常见的因素作一综述。我们对2000年1月至2014年12月期间的文献进行了严格的回顾，以确定与TMD发展和持续性相关的因素。TMD的病因是多方面的：生物力学，神经肌肉，生物心理社会和生物因素可能有助于疾病。咬合超负荷和功能异常（磨牙症）经常涉及的生物力学因素，雌激素水平的增加被认为是影响颞下颌关节的生物学因素。在生物心理社会因素中，经常遇到压力、焦虑或抑郁。这种情况的发病机制知之甚少，因此TMDs难以诊断和管理。早期和正确识别可能的病因将使适当的治疗方案的应用，以减少或消除TMDs衰弱的体征和症状。
This review aims at presenting a current view on the most frequent factors involved in the mechanisms causing temporomandibular disorders (TMD). We conducted a critical review of the literature for the period January 2000 to December 2014 to identify factors related to TMD development and persistence. The etiology of TMD is multidimensional: biomechanical, neuromuscular, bio-psychosocial and biological factors may contribute to the disorder. Occlusal overloading and parafunctions (bruxism) are frequently involved as biomechanical factors; increased levels of estrogen hormones are considered biological factors affecting the temporo-mandibular-joint. Among bio-psychosocial factors, stress, anxiety or depression, were frequently encountered. The etiopathogenesis of this condition is poorly understood, therefore TMDs are difficult to diagnose and manage. Early and correct identification of the possible etiologic factors will enable the appropriate treatment scheme application in order to reduce or eliminate TMDs debilitating signs and symptoms.