TMJ pain and dysfunction: relation between clinical and radiographic findings in the short and long-term.
TMJ pain and dysfunction: relation between clinical and radiographic findings in the short and long-term.
复制标题
颞下颌关节疼痛和功能障碍：短期和长期临床和影像学结果之间的关系。
DOI：
10.1111/j.1600-0722.1984.tb00886.x
复制
发表时间：
1984
期刊：
影响因子：
--
通讯作者：
L. Hollender
中科院分区：
文献类型：
--
作者：
C. Mejersjö;L. Hollender
对104例颞下颌关节疼痛/功能障碍患者进行了口颌系统的临床检查和颞下颌关节（TMJ）的X线检查，包括颏下垂直、斜外侧经颅和经颌投照。7年后，这些患者进行了新的临床检查，其中54人再次接受了X线检查。另外20例未进行X线检查的患者在7年后也被召回并进行临床和X线检查。影像学检查结果与报告的症状和临床结果相关。只有少数统计学显着的相关性被发现。最初的临床功能障碍，估计与援助的Helkimo功能障碍指数，是正相关的放射学检查结果在后续行动。在这方面最重要的临床变量是关节触痛和活动度降低。捻发音与髁突结构和形状的变化有关。咔哒声与髁突的后移相关。当年龄被认为是一个混杂因素时，咬合对牙齿的数量与TMJ结构和形状的变化有关。颞下颌关节的放射学改变发展较晚，在急性期往往不存在。因此，早期放射学检查在这方面的诊断重要性较小，但可以排除其他病理条件。
Clinical examination of the stomatognathic system and radiographic examination of the temporomandibular joints (TMJ), including the submentovertical, the oblique lateral transcranial and the transmaxillary projections, were performed in 104 patients with TMJ pain/dysfunction. Seven years later these patients had a new clinical examination and 54 of them were radiographed again. Another 20 patients not primarily radiographed were also recalled after 7 yr and examined clinically and radiographically. The radiographic findings were correlated with the reported symptoms and clinical findings. Only a few statistically significant correlations were found. The initial clinical dysfunction, estimated with the aid of the Helkimo dysfunction index, was positively correlated with the radiographic findings at the follow-up. The most important clinical variables in this respect were tenderness to palpation of the joint and decreased mobility. Crepitation was associated with changes in the structure and shape of the condyle. Clicking was correlated with a posterior displacement of the condyle. The number of occluding pairs of teeth was related to changes in the TMJ structure and shape also when age was considered as a confounding factor. Radiographic changes of the TMJ develop late and are often absent in the acute phase. An early radiographic examination is therefore of less diagnostic importance in this respect, but serves the purpose of excluding other pathologic conditions.