Temporomandibular joint findings in pediatric populations and young adults: a critical review.
Temporomandibular joint findings in pediatric populations and young adults: a critical review.
复制标题
儿科人群和年轻人的颞下颌关节发现：批判性回顾。
作者：
Ross H. Tallents;Joseph Catania;Edward W. Sommers
TMJ疼痛和功能障碍的病因、诊断和治疗是一个有争议的课题。关于咬合(错牙合)在下颌功能障碍发展中的作用，以及咬合改变(正畸和修复)对疼痛和功能障碍的发展的作用，有不同的意见。流行病学调查表明，儿科人群中有较高的主客观症状发生率。对切牙关系、髁突位置和关节声音的观察，以及与对照组的比较似乎表明，这些因素并不是疼痛或功能障碍的原因。这篇综述的目的是：(1)引起临床医生的注意，现有的已发表的报道儿童症状的信息，(2)评估在年轻人中选择的信息，(3)质疑关于TMJ问题的病因的轶事信息。确定TMJ功能障碍的全部病因不在本文的讨论范围之内。
The etiology, diagnosis and treatment of temporomandibular joint (TMJ) pain and dysfunction is a controversial subject. There are varying opinions regarding the contribution of occlusion (malocclusion) to the development of mandibular dysfunction and further, the contribution of occlusal alterations (orthodontic and restorative) to the development of pain and dysfunction. Epidemiologic investigations suggest there is a high incidence of subjective and objective symptoms in the pediatric population. Observations on incisal relationships, condyle position and joint sounds, and comparisons to controls seem to suggest that these factors are not the cause of pain or dysfunction. The purpose of this review is: (1) to bring the clinician's attention existing published information reporting the presence of symptoms in children, (2) to evaluate selected information in young adults, (3) to question anecdotal information on the etiology of TMJ problems. It is not in the purview of this paper to determine the overall etiology of TMJ dysfunction.