颞下颌关节紊乱病的分类、诊断及治疗进展

doi:10.13591/j.cnki.kqyx.2024.01.002

口腔医学 ›› 2024, Vol. 44 ›› Issue (1): 6-10.doi: 10.13591/j.cnki.kqyx.2024.01.002

颞下颌关节紊乱病的分类、诊断及治疗进展

傅开元(),雷杰

北京大学口腔医学院·口腔医院颞下颌关节病及口颌面疼痛诊治中心;国家口腔医学中心;国家口腔疾病临床医学研究中心,北京(100081)

收稿日期:2023-11-20 出版日期:2024-01-28 发布日期:2024-01-22
通讯作者: 傅开元 Tel:(010)82195342 E-mail:kqkyfu@bjmu.edu.cn
作者简介:傅开元,教授、主任医师、博士生导师。1988年毕业于浙江医科大学,1991年华西医科大学获硕士学位,1994年北京医科大学获博士学位。1996—1998年美国北卡罗莱纳大学牙学院博士后。2002年美国北卡罗莱纳大学医学院生理学系访问教授,2007—2008年美国哈佛大学麻省总医院疼痛研究中心高级研究员。曾任北京大学口腔医学院医学影像科主任、中华口腔医学会颞下颌关节病学及牙合学专业委员会主任委员、美国北卡罗莱纳大学牙学院诊断科学系兼职教授。现任北京口腔医学会口腔颌面影像学专业委员会主任委员,北京口腔医学会颞下颌关节病学及牙合学专委会候任主任委员。以第一作者和通信作者发表论文120余篇,其中SCI收录60余篇。主编专著(教材)3本,参加编写专著或教材25本。
基金资助:
国家自然科学基金(82170979);北京市科技计划“首都特色”专项(Z141107002514157);首都卫生发展科研专项(CFH 2020-4-4106);国家临床重点专科建设项目(PKUSSNKP-202103);国家口腔医学中心适宜技术推广项目(2023NCSHTP02)

Update of the classification, diagnosis and management of temporomandibular disorders

FU Kaiyuan(),LEI Jie

Center for Temporomandibular Disorders & Orofacial Pain, Peking University School and Hospital of Stomatology; National Center for Stomatology; National Clinical Research Center for Oral Diseases, Beijing 100081, China

Received:2023-11-20 Online:2024-01-28 Published:2024-01-22

摘要/Abstract

摘要：

近年来关于颞下颌关节紊乱病的分类和诊断已基本取得共识。颞下颌关节紊乱病是一种具有明显生物-心理-社会模式特点的心身疾病,除了临床诊断外,还要评价疼痛相关的功能丧失和心理状况。尽管外科手术治疗的水平有了很大的进步,但仍要强调治疗首选是非手术的保守治疗。相当一部分患者症状体征轻微或完全没有任何症状体征,颞下颌关节紊乱病治疗应充分考虑其症状体征对患者的影响程度,而不是仅仅根据临床诊断和影像检查结果而作出是否需要治疗的结论。

关键词: 颞下颌关节, 颞下颌关节紊乱病, 分类, 诊断, 治疗

Abstract:

In recent years, there has been a general consensus on the classification and diagnosis of temporomandibular disorders(TMD). TMD is a psychosomatic disorder with distinct biopsychosocial characteristics. In addition to clinical diagnosis, it is essential to assess pain-related functional impairment and psychological conditions. Despite significant advancements in surgical techniques, it must be emphasized that conservative management remains the preferred approach. A considerable proportion of patients may exhibit mild symptoms or be entirely asymptomatic. The decision to make a treatment plan should thoroughly consider the impact of symptoms and signs on the patient rather than solely relying on clinical diagnoses and imaging results.

Key words: temporomandibular joint, temporomandibular disorders, classification, diagnosis, management

中图分类号:

R782.6

傅开元, 雷杰. 颞下颌关节紊乱病的分类、诊断及治疗进展[J]. 口腔医学, 2024, 44(1): 6-10.

FU Kaiyuan, LEI Jie. Update of the classification, diagnosis and management of temporomandibular disorders[J]. Stomatology, 2024, 44(1): 6-10.

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颞下颌关节紊乱病的分类、诊断及治疗进展

Update of the classification, diagnosis and management of temporomandibular disorders

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