PREVALENCE IN THE DUTCH ADULT-POPULATION AND A METAANALYSIS OF SIGNS AND SYMPTOMS OF TEMPOROMANDIBULAR DISORDER
PREVALENCE IN THE DUTCH ADULT-POPULATION AND A METAANALYSIS OF SIGNS AND SYMPTOMS OF TEMPOROMANDIBULAR DISORDER
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DOI：
10.1177/00220345930720110901
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发表时间：
1993-11-01
影响因子：
7.6
通讯作者：
KAYSER, AF
中科院分区：
文献类型：
--
作者：
DEKANTER, RJAM;TRUIN, GJ;KAYSER, AF
1986年进行了一项关于荷兰成年人口腔状况、治疗需求和对牙科保健态度的全国性调查。该研究的目的之一是评估颞下颌关节紊乱病（TMD）的症状和体征的患病率。一个样本的6577人（从15岁到74岁），分层的性别，年龄，地区和社会经济地位，进行了联系。在这个样本中，4496人参与了研究的行为部分，其中3526人接受了临床检查。TMD患病率基于（1）TMD的感知体征和症状，以及（2）对关节音、偏斜和下颌运动疼痛的临床检查。总共有21.5%的荷兰成年人感觉到一些功能障碍，44.4%的人表现出临床评估的TMD体征和症状。在几乎所有年龄组中，女性比男性更容易出现TMD的症状和体征。临床检查结果与记忆功能障碍指数之间的一致性具有显著性（p < 0.0001）;然而，Pearson相关系数较低（r = 0.29）。感觉到TMD体征和症状的受试者与临床评估的TMD体征和症状的比值（风险比）为2.3。调查结果进行了比较的结果进行了荟萃分析51 TMD患病率的研究。分析显示（1）感知功能障碍率为30%，（2）临床评估功能障碍率为44%，两者均基于分别超过15，000（23项研究）和超过16，000（22项研究）随机选择的受试者的化合物样本。
A nationwide survey of oral conditions, treatment needs, and attitudes toward dental health care in Dutch adults was carried out in 1986. One of the aims of the study was to assess the prevalence of signs and symptoms of temporomandibular disorder (TMD). A sample of 6577 persons (from 15 to 74 yr of age), stratified for gender, age, region, and socio-economic status, was contacted. Of this sample, 4496 persons participated in the behavioral part of the study, of whom 3526 were examined clinically. The TMD prevalence was based on (1) perceived signs and symptoms of TMD and (2) clinical examination of joint sounds, deviation, and pain on mandibular movements. A total of 21.5% of the Dutch adult population perceived some dysfunction, and 44.4% showed clinically assessed signs and symptoms of TMD. In nearly all age groups, the signs and symptoms of TMD appeared more in women than in men. Agreement between the results of the clinical examination and the anamnestic dysfunction index was significant (p < 0.0001); however, the Pearson's correlation coefficient was low (r = 0.29). The odds-value (risk-ratio) that subjects who perceived signs and symptoms of TMD would present with clinically assessed signs and symptoms of TMD was 2.3. The results of the survey were compared with results of a meta-analysis performed on 51 TMD prevalence studies. The analysis revealed (1) a perceived dysfunction rate of 30% and (2) a clinically assessed dysfunction of 44%, both based on compound samples of respectively, over 15,000 (23 studies) and over 16,000 (22 studies) randomly selected subjects.