颞下颌疾病:最新综述

M. Mahabob
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引用次数: 0

摘要

与颞下颌关节(TMJ)有关的一组疾病被称为“颞下颌关节紊乱”(TMD)。根据TMD的发生频率、病因学和解剖学对TMD进行了几种分类,但它们都有一些不足,其中最被接受的是诊断标准/TMD分类。TMD是一组临床问题;它涉及TMJ或其相关结构单独或组合。任何影响系统一部分的因素都可能对其他部分产生影响,因此在考虑TMD的可能体征和症状时,必须仔细对待。约有20%-30%的成年人不同程度地患有TMD,以中青年为主。女性的TMD患病率是男性的两倍。TMD的病因尚不明确,目前认为多种因素在TMD中起作用。由于它是多因素的,治疗应根据这一点来计划,并因人而异。大多数轻中度TMD患者采用保守治疗优于手术治疗,结果令人满意。这篇综述的目的是评估最近的最新进展,并为TMD患者提出解决方案。
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Temporomandibular disorders: An updated review
A group of conditions related to temporomandibular joint (TMJ) is called as “temporomandibular disorder” (TMD). Several attempts were made to classify TMD based on the frequency of occurrence, etiology, and anatomy, but they have had some shortfalls, and one mostly accepted is diagnostic criteria/TMD classification. TMD is a group of clinical problems; it involves either TMJ or its associated structures separately or combination. Any factor that affects one part of the system is likely to have an impact on the other parts also, so it is essential to approach carefully when considering likely signs and symptoms of TMD. About 20%–30% of the adult populations are affected to some degree of TMD, and it is predominately affected young and middle-aged adults. The prevalence rate of TMD problems twice common in females than the males. The etiology of TMD is inconclusive, and now, it has been accepted that multiple factors play a role in TMD. Since it is multifactorial, treatment should be planned according to that and varies patient to patient. Majority of the patients having mild-to-moderate TMD and conservative treatment approach over surgery results in satisfactory outcomes. The aim of this review is to evaluate the recent updates and propose solutions for patients with TMD.
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