目的:本研究旨在评估在意大利东北大学诊所寻求牙科治疗的普通牙科患者样本中颞下颌关节紊乱病(TMD)的患病率。
方法:首次向Maggiore医院牙科部门提交的所有患者的记录,意大利,收集了2016年1月1日至2017年12月31日之间的数据。患者包括向牙科诊所提出非TMD投诉的患者,谁,经过一般检查,被发现有TMD体征,并被转诊进行TMD评估。数据被提取和分析,回顾性。TMD的患病率,年龄,性别,标志,并对症状进行了评估。
结果:在研究的18,774名患者中,284有TMD的迹象。女性占主导地位(73%),45-50岁的患者是TMD人群中最常见的亚人群。点击是最常见的症状(26.8%),在该样本中,关节痛是最常见的诊断(30.7%)。相当多的患者患有肌肉疾病(肌痛和肌筋膜疼痛,分别占10.1%和20.7%,分别)。发现肌筋膜疼痛与退行性疾病和椎间盘移位减少的患者之间存在显着关联,另一方面。此外,一侧减少的椎间盘位移与另一侧没有减少的位移有关。
结论:相当多的牙科主诉患者可能有无症状的TMD。这突出了对牙科患者进行系统筛查作为一般评估的一部分的重要性。
OBJECTIVE: This study aimed to evaluate the prevalence of temporomandibular disorders (TMDs) in a sample of general dental patients seeking dental treatments in a northeastern Italian university clinic.
METHODS: Records of all patients presented for the first time to the dental division of Maggiore Hospital, Italy, between January 1, 2016, and December 31, 2017, were collected. Patients comprised those presenting to the dental clinics for non-
TMD complaints, who, upon general examination, were found to have
TMD signs and were referred for
TMD evaluation. Data were extracted and analyzed, retrospectively. The prevalence of TMDs, age, gender, signs, and symptoms were evaluated.
RESULTS: Out of the 18,774 patients studied, 284 had signs of
TMD. Women predominance was evident (73%), and patients aged 45-50 were the most frequent sub-population within the
TMD population. Clicking was the most commonly present symptom (26.8%), and arthralgia was most commonly diagnosed among this sample (30.7%). A considerable number of patients suffered from muscular disease (myalgia and myofascial pain with 10.1% and 20.7% of the patients, respectively). Significant associations were found among those with myofascial pain on the one hand and degenerative disease and disc displacement with reduction, on the other hand. Furthermore, disc displacement with reduction on one side was associated with displacement without reduction on the other side.
CONCLUSIONS: A considerable number of patients presenting with dental complaints may have asymptomatic TMDs. This highlights the importance of systematic screening of dental patients for TMDs as part of general assessment.