颞下颌关节（TMJ）弹响是患侧颞下颌关节疼痛的危险因素吗？

[Is temporomandibular joint (TMJ) clicking a risk factor for pain in the affected TMJ].

作者信息

Reissmann D R, John M T

机构信息

Poliklinik für Zahnärztliche Prothetik und Werkstoffkunde, Universität Leipzig, Nürnberger Strasse 57, 04103, Leipzig, Deutschland.

出版信息

Schmerz. 2007 Apr;21(2):131-8. doi: 10.1007/s00482-006-0518-z.

DOI:10.1007/s00482-006-0518-z

PMID:17265018

Abstract

AIMS

To investigate the association between TMJ clicking and pain in the affected TMJ.

PATIENTS AND METHODS

In this study a total of 454 consecutive patients seeking treatment for their pain in the region of the temporomandibular joint (TMJ) or the masticatory muscles were recruited. Patients were examined using the German version of the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMJ-G). Clicking in the clinical examination was considered the potential risk factor (exposure). The outcome was pain in the TMJ. To characterize the exposure-outcome association, a relative risk was calculated using a stratified analysis (Mantel-Haenszel method).

RESULT

The relative risk of developing pain in the TMJ due to joint clicking was 0.9 (95% confidence interval: 0.8-1.1). Thus, no association between clinical TMJ clicking and pain in the affected TMJ could be found.

CONCLUSION

Based on these results, TMJ clicking requires no treatment to prevent pain in the affected TMJ.

摘要

目的

研究颞下颌关节弹响与患侧颞下颌关节疼痛之间的关联。

患者与方法

本研究共招募了454例因颞下颌关节（TMJ）区域或咀嚼肌疼痛而连续就诊的患者。使用德文版的颞下颌关节紊乱研究诊断标准（RDC/TMJ-G）对患者进行检查。临床检查中的弹响被视为潜在危险因素（暴露因素）。结局指标是颞下颌关节疼痛。为描述暴露因素与结局之间的关联，采用分层分析（Mantel-Haenszel法）计算相对危险度。