Temporomandibular Joint Disk Displacement: Etiology, Diagnosis, Imaging, and Therapeutic Approaches

医学 颞下颌关节 髁突 夹板(药) 分散注意力 病因学 口腔正畸科 流离失所(心理学) 牙科 体格检查 人口 外科 病理 神经科学 心理治疗师 环境卫生 生物 心理学
作者
Giuseppe Minervini,Cesare D’Amico,Marco Cicciù,Luca Fiorillo
出处
期刊:Journal of Craniofacial Surgery [Lippincott Williams & Wilkins]
卷期号:34 (3): 1115-1121 被引量:73
标识
DOI:10.1097/scs.0000000000009103
摘要

An estimated 8 to 15% of women, and 3 to 10% of men currently suffer from Temporomandibular disorders, and it has been reported that sounds are a common finding and have been observed in 28% to 50% of the adult population; sounds are almost always connected to “internal derangements” a condition in which the articular disk displaced from its position on the mandibular condyle. Due to the multifactorial etiology of temporomandibular joint dysfunction, any accurate diagnosis based on clinical examination alone often proves to be difficult, so a clinical examination should be utilized together with other imaging methods to determine the relationship between the disk and condyle before and after treatment. In general, management of temporomandibular joint-related conditions is necessary when pain or dysfunction is present, so many surgical or nonsurgical methods of treatment have been reported. The Occlusal splint is 1 of the most widespread treatment it induces a slight vertical condylar distraction and eliminates the occlusal factor, which can be responsible for Temporomandibular joint disturbances, removing the influence of the teeth on the joint position by the slight distraction of the joint which, in turn, enables damaged connective tissue to heal.
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