A LONG-TERM EPIDEMIOLOGIC-STUDY OF THE RELATIONSHIP BETWEEN OCCLUSAL FACTORS AND MANDIBULAR DYSFUNCTION IN CHILDREN AND ADOLESCENTS
A LONG-TERM EPIDEMIOLOGIC-STUDY OF THE RELATIONSHIP BETWEEN OCCLUSAL FACTORS AND MANDIBULAR DYSFUNCTION IN CHILDREN AND ADOLESCENTS
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DOI：
10.1177/00220345870660011501
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发表时间：
1987-01-01
影响因子：
7.6
通讯作者：
MAGNUSSON, T
中科院分区：
文献类型：
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作者：
EGERMARKERIKSSON, I;CARLSSON, GE;MAGNUSSON, T
采用问卷调查和临床检查的方法，对240名7岁、11岁和5岁的初诊儿童进行了4~5年下颌骨功能障碍体征和症状变化的纵向调查。这部分研究的目的是分析一些咬合和其他因素之间的相关性，下颌功能障碍的体征和症状在频率和严重程度上都略有增加，但大多数情况下被判断为轻度。在两次检查中，几种类型的咬合干扰经常被记录下来。牙齿磨损在随访期内增加，而运动能力和心理特征的评估结果相对稳定。在记录的变量和下颌功能障碍之间只有一种新的显著相关性，而且大多数是微弱的，而且这些发现在所有年龄组中并不一致。在所有年龄组中，TMJ音与下颌后缩接触与牙尖间位置之间的偏斜度呈正相关。一项试图分析咬合干扰与下颌功能障碍体征和症状的纵向关系的尝试没有显示出任何强烈的相关性。这一结果被解释为支持咀嚼系统功能障碍的异质性和多因素性质。
A longitudinal investigation of changes of signs and symptoms of mandibular dysfunction over four to five years was performed, by means of questionnaires and clinical examination, in 240 children, ages 7, 11, and 5 years on the first examination. The objective of this part of the study was to analyze correlations between some occlusal and other factors, and mandibular dysfunction signs and symptoms of mandibular dysfunction increased slightly in both frequency and severity but were judged to be mild in most cases. Several types of occlusal interference were frequently recorded at both examinations. Dental wear increased during the follow-up period while the results of evaluations of motor activity and psychological traits were relatively constant. There were only a new significant correlations, most of which were weak, between the recorded variables and mandibular dysfunction, and those found were not consistent in all age groups. TMJ sounds were positively correlated with lateral deviation of the mandible between retruded contact and intercuspal position in all age groups. An attempt to analyze the longitudinal relationship of occlusal interference with signs and symptoms of mandibular dysfunction did not reveal any strong correlations. The results are interpreted as supporting the heterogeneous and multifactorial nature of functional disturbances of the masticatory system.