PREVALENCE OF SYMPTOMS OF FUNCTIONAL DISTURBANCES OF THE MASTICATORY SYSTEM IN SWEDISH MEN

PREVALENCE OF SYMPTOMS OF FUNCTIONAL DISTURBANCES OF THE MASTICATORY SYSTEM IN SWEDISH MEN
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DOI:
10.1111/j.1365-2842.1980.tb00435.x
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发表时间:
1980-01-01
影响因子:
2.9
通讯作者:
THILANDER, B
THILANDER, B
中科院分区:
医学2区
文献类型:
--
作者:
INGERVALL, B;MOHLIN, B;THILANDER, B

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在389名瑞典男性(中位年龄32岁)中研究了下颌功能障碍和牙尖干扰的主观和临床症状。约10%的男性出现咀嚼功能受损,26%出现不同类型的功能异常,5%经常头痛,3%出现颞下颌关节或肌肉疼痛,10%的男性出现张口困难。临床症状以下颌骨闭锁或脱位最多见(24%),其次为活动能力下降、下颌骨张开偏斜、TMJ音和肌肉压痛。60%的男性有一种或多种功能障碍的临床症状。功能障碍的主观症状与下颌骨运动能力降低、触诊时咀嚼肌和颞下颌关节压痛呈正相关。功能障碍的主观症状与非工作侧干扰以及工作侧单牙接触呈正相关。锁定或脱位的下颌骨和颞下颌关节的声音正相关的单齿接触的工作侧和颞下颌关节的声音和肌肉压痛与干扰后缩的位置的下颌骨。
Subjective and clinical symptoms of mandibular dysfunction and cuspal interferences were studied in 389 Swedish men (median age 32 years). Impaired chewing function was noted in about 10%, different types of para-function in 26%, frequent headaches in 5%, TMJ or muscle pain in 3% and difficulties in mouth opening in 10% of the men. Locking or luxation of the mandible was the most prevalent clinical symptom (24%), followed by reduced movement capacity and deviation on opening of the mandible, TMJ-sounds and muscle tenderness. Sixty per cent of the men had one or more clinical symptoms of dysfunction. Subjective symptoms of dysfunction were positively correlated with reduced movement capacity of the mandible and tenderness of the masticatory muscles and temporomandibular joints upon palpation Positive correlations were found between subjective symptoms of dysfunction and nonworking side interference as well as single tooth contact on the working side. Locking or luxation of the mandible and TMJ-sounds were positively correlated with single tooth contact on the working side and TMJ-sounds and muscle tenderness with interferences in the retruded position of the mandible.