青州市应征男性青年颞下颌关节紊乱病情况调查

doi:10.19438/j.cjoms.2025.03.010

摘要/Abstract

摘要： 目的：调查参加青州市征兵体检的男性青年颞下颌关节紊乱病（temporomandibular disorders,TMD）的患病情况,观察2种不同TMD治疗方法的效果。方法：采集2021年秋季和2022年春季参加青州市应征公民征兵体检的690名男性青年的口腔病史信息,检查颞下颌关节功能,计算TMD患病率及各症状发生率。从中挑选85例TMD患者作为研究对象,随机分为A组（42例）和B组（43例）。A组采用口颌系统功能锻炼治疗,B组采用全牙弓解剖垫治疗,3个月后对TMD治疗效果进行评估,观察12个月后患者的复发情况。采用SPSS 20.0软件包对数据进行统计学分析。结果：690名应征男性青年中共发现120例TMD患者,疾病发生率为17.39%。其中,2021年秋季调查的338名男性青年中患病为18.05%（61/338）,2022年春季调查的352名男性青年患病率为16.76%（59/352）,2次调查的TMD患病率无显著差异（P>0.05）。在690名应征男性青年中,弹响发生率最高（15.65%）,其次为下颌运动异常（7.25%）和疼痛（1.30%）。120例TMD患者中,少数存在既往病史,主要表现为下颌运动异常和弹响。经过3个月治疗,A组患者全部得到显著改善,12个月后1例复发;B组23例完全治愈,9例好转,但摘除垫后12个月4例复发。结论：在应征男性青年中,TMD患病率较高,大多数为轻度,主要表现为弹响。TMD患者经功能锻炼等保守治疗后可以治愈,达到应征合格标准,应予以保留。

关键词: 颞下颌关节紊乱, 应征青年, 患病率, 保守治疗

Abstract: PURPOSE: To investigate the prevalence of temporomandibular disorders (TMD) in young men who participated in the physical examination of Qingzhou conscription, and to observe the effects of two different treatments for TMD. METHODS: The oral medical history information of 690 male youth who participated in the conscription physical examination for enlisted citizens in Qingzhou city in the autumn of 2021 and the spring of 2022 was collected. The temporomandibular joint functions were examined, and the prevalence of TMD and the incidence rates of various symptoms were calculated. Among them, totally 85 patients with TMD were selected as the research subjects and randomly divided into group A(n=42) and group B(n=43). Group A was treated with oral and maxillofacial system functional exercises, while group B was treated with full-arch anatomical occlusal splints. The therapeutic effects of TMD were evaluated after 3 months of treatment, and the recurrence of patients was observed after 12 months. The data were statistically analyzed using SPSS 20.0 software package. RESULTS: A total of 120 TMD patients were identified in 690 youths with a prevalence rate of 17.39%, with 61 cases (18.05%) among 338 young men surveyed in the fall of 2021 and 59 cases (16.76%) among 352 young men surveyed in the spring of 2022. There was no significant difference in TMD prevalence between the two investigations (P>0.05). In addition, among the 690 youths, the incidence of clicking was the highest (15.65%), followed by mandibular dyskinesia (7.25%) and pain (1.30%). A few of the 120 TMD patients had a past medical history, mainly manifested as mandibular dyskinesia and clicking. After 3 months, the symptoms of TMD patients in group A were significantly improved after functional exercise, and there was no recurrence after 12 months. Among the 43 TMD patients in group B, 23 cases were completely cured, 9 cases were improved, but 4 cases recurred after 12 months. CONCLUSIONS: There is a high prevalence rate of TMD among young male recruits, most of them are mild and mainly characterized by clicking. After conservative treatment through functional exercises, patients with TMD can be cured and meet the enlistment standards, and thus should be retained.

Key words: Temporomandibular disorder, Conscription candidate, Prevalence rate, Conservative treatment

中图分类号:

R782.6

杨永强, 孙霞, 孙婷, 徐志敏. 青州市应征男性青年颞下颌关节紊乱病情况调查[J]. 中国口腔颌面外科杂志, 2025, 23(3): 271-275.

Yang Yongqiang, Sun Xia, Sun Ting, Xu Zhimin. A survey and study on temporomandibular disorders of male enlistment youths in Qingzhou city[J]. China J Oral Maxillofac Surg, 2025, 23(3): 271-275.

参考文献

[1] Michelotti A, Alstergren P, Goulet JP, et al.Next steps in development of the diagnostic criteria for temporomandibular disorders (DC/TMD): recommendations from the International RDC/TMD Consortium Network workshop[J]. J Oral Rehabil, 2016, 43(6): 453-467.
[2] Kapos FP, Exposto FG, Oyarzo JF, et al.Temporomandibular disorders: a review of current concepts in aetiology, diagnosis and management[J]. Oral Surg, 2020, 13(4): 321-334.
[3] Li DTS, Leung YY.Temporomandibular disorders: current concepts and controversies in diagnosis and management[J]. Diagnostics (Basel), 2021, 11(3): 459.
[4] Palmer J, Durham J.Temporomandibular disorders[J]. BJA Educ, 2021, 21(2): 44-50.
[5] Hysa E, Lercara A, Cere A, et al.Temporomandibular disorders in immune-mediated rheumatic diseases of the adult: a systematic review[J]. Semin Arthritis Rheum, 2023, 61: 152215.
[6] Valesan LF, Da-Cas CD, Réus JC, et al.Prevalence of temporomandibular joint disorders: a systematic review and meta-analysis[J]. Clin Oral Invest, 2021, 25(2): 441-453.
[7] 杨永强. 男性应征青年颞下颌关节紊乱病的患病率调查及临床治疗研究[D]. 青岛: 青岛大学, 2020.
Yang YQ.Study on the prevalence and clinical treatment of temporomandibular joint disorders in young male candidates[J]. Qingdao: Qingdao University, 2020.
[8] 姜亚鹏, 杨建军.口颌系统功能锻炼治疗颞下颌关节可复位性关节盘移位[J]. 实用医药杂志, 2017, 34(9): 789-792.
Jiang YP, Yang JJ.Articulation training in the treatment of articular disc displacement with reduction in temporomandibular disorder: a clinical research[J]. Practical Journal of Medicine & Pharmacy, 2017, 34(9): 789-792.
[9] Schiffman E, Ohrbach R, Truelove E, et al.Diagnostic criteria for temporomandibular disorders (DC/TMD) for clinical and research applications: recommendations of the International RDC/TMD Consortium Network* and Orofacial Pain Special Interest Group?[J]. J Oral Facial Pain Headache, 2014, 28(1): 6-27.
[10] Bitiniene D, Zamaliauskiene R, Kubilius R, et al.Quality of life in patients with temporomandibular disorders. a systematic review[J]. Stomatologija, 2018, 20(1): 3-9.
[11] Bueno CH, Pereira DD, Pattussi MP, et al.Gender differences in temporomandibular disorders in adult populational studies: a systematic review and meta-analysis[J]. J Oral Rehabil, 2018, 45(9): 720-729.
[12] Castro-Calderón A, Roccuzzo A, Ferrillo M, et al.Hyaluronic acid injection to restore the lost interproximal papilla: a systematic review[J]. Acta Odontol Scand, 2022, 80(4): 295-307.
[13] Baad-Hansen L, Benoliel R.Neuropathic orofacial pain: facts and fiction[J]. Cephalalgia, 2017, 37(7): 670-679.
[14] Son JY, Choi OS, Kim YM.Oral habits and temporomandibular joint disorders according to stress levels among military personnel in South Korea: a cross-sectional study[J]. J Oral Rehabil, 2024, 51(8): 1499-1506.
[15] Nassif NJ, Al-Salleeh F, Al-Admawi M.The prevalence and treatment needs of symptoms and signs of temporomandibular disorders among young adult males[J]. J Oral Rehabil, 2003, 30(9): 944-950.
[16] Uhac I, Kovac Z, Muhvic-Urek M, et al.The prevalence of temporomandibular disorders in war veterans with post-traumatic stress disorder[J]. Mil Med, 2006, 171(11): 1147-1149.
[17] Minervini G, Franco R, Marrapodi MM, et al.Post-traumatic stress, prevalence of temporomandibular disorders in war veterans: systematic review with meta-analysis[J]. J Oral Rehabil, 2023, 50(10): 1101-1109.
[18] 佟宇, 孙旭东, 陈小萍, 等. 1 835名军事飞行人员颞下颌关节紊乱病的流行病学调查[J]. 口腔颌面修复学杂志, 2013, 14(4): 221-224.
Tong Y, Sun DX, Chen XP, et al.A study of epidemic investigation of temporomandibular disorders of 1 835 military flight crews[J]. Chinese Journal of Prosthodontics, 2013, 14(4): 221-224.
[19] Tsur N, Arbel Y, Abuhasira S, et al.A retrospective study of oral pathoses in Israeli military divers and non-divers: 2011-2020[J]. Dent Traumatol, 2022, 38(1): 48-52.
[20] Ferrillo M, Giudice A, Marotta N, et al.Pain management and rehabilitation for central sensitization in temporomandibular disorders: a comprehensive review[J]. Int J Mol Sci, 2022, 23(20): 12164.