The validity and utility of disease detection methods and of occlusal therapy for temporomandibular disorders
The validity and utility of disease detection methods and of occlusal therapy for temporomandibular disorders
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DOI：
10.1016/s1079-2104(97)90099-8
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发表时间：
1997-01-01
影响因子：
--
通讯作者：
Simmons, M
中科院分区：
文献类型：
--
作者：
Clark, GT;Tsukiyama, Y;Simmons, M
我们对诊断或治疗颞下颌关节紊乱的设备的临床应用进行了评估。疾病(TMD)得出的结论是，目前TMD的唯一黄金标准是全球临床检查，因为没有一种工具只能提供辅助文件，也没有一种工具具有已证明的诊断有效性或实用性。关于咬合调整的治疗效果，我们还没有发现测试咬合调整在预防TMD方面的有效性的比较研究。我们回顾的有关咬合与TMD关系的研究还不够令人信服、有力或实用，不足以提出任何关于因果关系的建议。
Our evaluation of the clinical usefulness of devices for the diagnosis or treatment of temporomandibular. disorders (TMD) led to the conclusion that the only current gold standard for TMD is a global clinical examination, because none of the instruments can be said to provide more than ancillary documentation and none have proven diagnostic validity or utility. Regarding the therapeutic efficacy of occlusal adjustment, we could find no comparative studies that test the efficacy of occlusal adjustment in preventing TMD. The studies we reviewed on the relationship of occlusion to TMD are not convincing, powerful, or practical enough to make any recommendations about a causal association.