The prevalence of signs and symptoms of temporomandibular disorders in very old subjects
The prevalence of signs and symptoms of temporomandibular disorders in very old subjects
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DOI：
10.1111/j.1365-2842.2005.01449.x
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发表时间：
2005-07-01
影响因子：
2.9
通讯作者：
Hassel, A
中科院分区：
文献类型：
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作者：
Schmitter, M;Rammelsberg, P;Hassel, A
以往关于老年人颞颌关节紊乱病(TMD)体征患病率的研究使用了非标准化和无效的检查方案。因此，不同体征的TMD在这一群体中的流行情况仍不清楚。这项研究的目的是使用标准化和验证性检查方案评估高龄受试者TMD体征的患病率。此外，对年轻受试者进行了检查作为对照组。对58名老年人和44名青年受试者进行了标准化和验证性检查。两组间的差异使用Mann-Whitney U检验或t检验进行评估。老年组TMD的客观症状较多(38%打开时有关节音)，但很少有疼痛(静息痛：0%，关节痛：0%，肌肉痛：12%)。相比之下，年轻受试者很少出现客观症状(关节音：7%)，但更频繁地遭受疼痛(面部：7%，关节痛：16%，肌肉痛：25%)。年轻受试者的下颌活动范围较大。在关节音、肌肉触诊疼痛和下颌活动范围方面，两组之间的差异显著。尽管年龄较大的受试者更多地表现出TMD的客观体征(关节音)，但他们很少遭受疼痛。相比之下，年轻受试者很少表现出客观的TMD体征，但更多地出现主观体征(触诊时肌肉疼痛)和面部疼痛。
Previous studies on the prevalence of signs of temporomandibular disorders (TMD) in elderly people have used non-standardized and invalidated examination protocols. The prevalence of the different signs of TMD in this group is therefore still unclear. The aim of this study was to evaluate the prevalence of signs of TMD in subjects of advanced aged, using a standardized and validated examination protocol. Additionally, young subjects were examined as a control group. Fifty-eight old peoples' home inhabitants and 44 young subjects were examined using a standardized and validated examination protocol. Differences between the groups were assessed using Mann-Whitney U-test or t-test. Geriatric subjects more often exhibited objective symptoms of TMD (38% exhibited joint sounds on opening), but rarely suffered from pain (pain at rest: 0%, joint pain: 0%, muscle pain: 12%). In contrast, young subjects rarely exhibited objective symptoms (joint sounds: 7%), but suffered more frequently from pain (facial: 7%, joint pain: 16%, muscle pain: 25%). The mandibular range of motion was higher in young subjects. Differences between the groups with respect to joint sounds, muscular palpation pain and mandibular range of motion were significant. Although older subjects more frequently exhibited objective signs (joint sounds) of TMD, they rarely suffered from pain. In contrast, younger subjects rarely exhibited objective TMD signs but more frequently suffered from subjective signs (muscular pain on palpation) and facial pain.