The Relationship between Early Orthodontic Treatment and Temporomandibular Disorders: Past I-Temporomandibular Disorders versus Occlusion

早期齒顎矯正治療與顳顎結構疾患之關係－顳顎疾患與咬合之相關性

林秀雄(Shiu-Shiung Lin) ； 郭安雄(An-Hsiung Kuo) ； Jeffrey P. Okeson

《臺灣兒童牙醫學雜誌》 3卷2期 (2003/06) Pp. 59-74

https://doi.org/10.6319/TJPD.2003.3(2).1

摘要

早期齒顎矯正治療在臨床上扮演重要的角色，然而早期齒顎矯正治療與顳顎結構疾患的相關性並不明確，部分原因是兒童較少有顳顎疾患的問題，同時也缺乏接受早期矯正治療的孩童之顳顎結構疾患相關數據。顳顎結構疾患是發生於咀嚼系統的肌肉骨骼疾病，臨床上最普遍的瘧狀是顳顎關節、咀嚼肌、臉部肌肉及頭頸部肌肉的疼痛；其他症狀包括顳關節聲響、開口受限或偏斜、以及咀嚼困難。異常咬合曾被認為是主要的致病因之一，近來研究顯示咬合異常與顳顎結構疾患的關係並非如此。本系列論文內容將包括(一)顳顎結構疾患之定義、特質、致病因以及咬合與顳顎疾患之相關性(二)早期齒顎矯正治療與顳顎結構疾患之相互關係(三)顳顎結構疾患之臨床檢查與治療。有關臨床病例之處置將蓋於本系列論文之第三部份討論。

關鍵字

早期齒顎矯正治療 ； 咬合 ； 顳顎結構障礙 ； 疼痛

並列摘要

Early orthodontic treatment plays an important role of daily orthodontic practice. The relationship between early orthodontic treatment and temporomandibular disorders (TMD) had not been fully investigated. It is due to partially the low prevalence of TMD in children, and partially lack of the data in terms of the TMD prevalence in children having early orthodontic treatment. TMD is basically a subgroup of musculoskeletal disorders occurring in the masticatory system. The most frequent symptom reported is pain or discomfort in or around are ear, jaw joint, and/or muscles of the jaw, face, temples and neck on one or both sides. Other symptom and signs of TMD may include TM joint noise, limited or deviant jaw opening, and chewing difficulties. Malocclusion has been historically viewed as a major etiologic factor. Nevertheless, the concept now proves not to be fully supported by current research studies. This series of articles will present the contents of (1) the definition, characteristics, etiology of TMD, and the relationship between occlusion and TMD (2) the interaction between early orthodontic treatment and TMD, and (3) the procedures of clinical assessent and treatment odalities for TMD children. Cases management will be integrated in the final part of this series of articles.

並列關鍵字

Early Orthodontic treatment ； Occlusion ； Pai ； TMD