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題名 | An Epidemiological Study on the Prevalence of Signs and Symptoms of Temporomandibular Disorders Among Children and Adolescents in South Taiwan=南臺灣地區孩童及青少年顳顎症流行病學的調查 |
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作者 | 王東堯; 陳宏安; 曾春祺; | 書刊名 | 中華民國口腔顎面外科學會雜誌 |
卷期 | 5:2 1994.09[民83.09] |
頁次 | 頁49-61 |
分類號 | 416.92 |
關鍵詞 | 顳顎症; 孩童及青少年; 流行病學; Temporomandibular disorders; Epidemiology; Adolescents; Children; |
語文 | 英文(English) |
中文摘要 | 以臨床檢查及詢問方式調查8所小學及1所國中的1660位學童 (6至 15歲, 812男性及848女性) 咀嚼系統的健康狀況,發現20.06%的學童具有至少一種顳顎症 (TMD) 症狀 (意指關節 疼痛,關節噪音,肌肉疼痛或閉口度低下),症狀的流行率以關節噪音最高 (10.6%) ,以下依次為肌肉疼痛 (6.08%),關節疼痛 (6.02%) 及閉口度低下 (2.05%):統計學上男性有較高之關節噪音流行率,男性的閉口度高於女性,女性有較多的閉口度低下症狀,及較多的男性報告有臉部外傷病史。探究在具有顳顎症症狀的學童中,26.62%報告有外傷史,具有兩個或以上的症狀的學童中, 35.8%有外傷史,共三個或以上症狀的學童中, 60%有外傷史。有13位學童 報告曾發生下顎脫位,其中6位現在顯示有顳顎症的症狀。 |
英文摘要 | A total of 1660 students from eight primary schools and one junior high school in south Taiwan were surveyed in reference to the health status of the temporomandibular joint apparatus. During the interview, histories of notable facial trauma and locking open of jaw were questioned, and functional examination of the joints and the associated muscles were conducted. The overall prevalence rate of having at least one of the cardinal signs and symptoms of temporomandibular disorders (defined as joint noise, joint pain, muscle pain, and maximal mouth opening less than 35mm) was 20.06%. No gender predilection was noted except more boys displayed joint noise and more girls had reduced range of mouth opening. Joint noise was the most common finding (10.6%), followed by muscle pain (6.08%), joint pain (6.02%), and reduced MMO (2.05%). The prevalence of trauma was 26.62% in subjects having at least one sign and symptom, 35.8% in students with two or more, and 60% in those exhibiting three or more. Among the thirteen students who admitted history of open lock, six showed signs and symptoms of TMDs currently. |
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