CRANIOMANDIBULAR DISORDERS--LONG TERM OUTCOME STUDY

颅下颌关节紊乱病的治疗方法有保守治疗和 外科手术 纵向研究显示， 无论是干预的结果。 然而，由于缺乏 控制流行病学研究领域，相对长期 不同治疗方法的疗效尚未完全确定。 此外，先前的研究，特别是保守干预的研究， 由异质诊断组组成，因此关于 特定的诊断组是不可能的。 本研究的目的是 完成一项为期3年的纵向结果研究， 女性患者1）确定TMJ ID的进展是否没有 减少可以停止或逆转与标准化的保守 治疗与手术治疗，2）确定人口统计学， 咬合、行为或心理社会因素影响结果， 不同的治疗。 待收集的治疗前数据包括用于计算 颅下颌指数（CMI）、症状严重程度指数（SSI）、Helkimo 临床功能障碍（Di）和记忆指数（Ai）指数， 测量疼痛和功能障碍的客观和主观严重程度。 此外，口腔习惯指数（OHI），咬合不协调指数（ODI）， 疾病影响指数（III）和西港-耶鲁多维 将使用疼痛量表（MPI）评估目标， 功能异常习惯、咬合稳定性和 这种疾病对病人生活的影响 此外，本发明还提供了一种方法， 受试者将通过MRI进行特定的TM关节诊断， 断层扫描 标准化受试者选择，具体纳入 的搜索. 蓝十字蓝盾和其他第三方运营商 同意承担成像和干预的费用， 本研究 TMJ ID的体征和症状的进展或消退， 减少将由CMI、Di、Ai和SSI的变化决定。 治疗后影像学状态将通过以下变化确定： 核磁共振和断层扫描 口腔功能异常 习惯、咬合不协调、疾病影响和心理社会因素，或 这些因素的组合导致了这种进展或倒退 将被确定。 结果将用于帮助预测 非手术治疗与手术治疗的结果， 确定哪些因素影响这个过程。

Treatment for craniomandibular disorders varies between conservative and surgical interventions. Longitudinal studies have shown positive outcomes with either intervention. However, due to the lack of controlled epidemiological research in the field, the relative long-term efficacy of the different treatments has not been fully established. Also, prior studies especially with conservative intervention have been composed of heterogenous diagnostic groups, so conclusions about specific diagnostic groups is not possible. The aims of this study are to complete a 3-year longitudinal outcome study of 150 consecutive female patients to 1) determine if the progression of TMJ ID without reduction can be halted or reversed wiith standardized conservative treatment versus surgical treatment, 2) deterinine what demographic, occlusal, behavioral or psychosocial factors affect outcome with different treatments. Pre-treatment data to be collected includes data to calculate the Cranio-mandibular Index (CMI), Symptom Severity Index (SSI), Helkimo's Clinical Dysfunction (Di) and Anamnestic Indices (Ai) indices that measure the objective and subjective severity of pain and dysfunction. Also, the Oral Habit Index (OHI), the Occlusal Dysharmony Index (ODI), the Illness Impact Index (III) and the West Haven-Yale Multidimensional Pain Inventory (MPI) will be utilized to assess the objective and subjective indicators of parafunctional habits, occlusal stability and the impact the disorder has on the patients' life. In addition, subjects will have specific TM joint diagnosis by using MRI and tomography. Subject selection is standardized with specific inclusion criteria. Blue Cross Blue Shield and other third part carriers have agreed to underwrite the cost of the imaging and interventions used in this study. The progression or regression of signs and symptoms of TMJ ID without reduction will be determined by the change in CMI, Di, Ai and SSI. Post-treatment radiographic status will be detemined by the change in the MRIs and tomograms. The relationship that oral parafunctional habits, occlusal disharmony, illness impact and psychosocial factors or a combination of these factors have wlth this progression or regression will be determined. The results will be used to help predict the consequences of nonsurgical treatment versus surgical treatment and determining what factors influence this process.