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牙科医师在诊疗颞下颌关节疾病时,发现其中大部分病人伴有关节声响。其声响有咔嗒声,碎裂声和噼啪响等改变。尽管这些患者伴有不同程度的疼痛症状,但有大部分患者仅只要求治疗关节声响。然而医生对这部分病人的处治是区别对待的。因为仅有关节声响,就不能肯定是TMJDS。因此在处治那些特别注重关节声响不注意其他症状的患者时,医生在作出鉴别诊断后,把关节声响在疾病中所占的重要性应告诉病人。流行病学文献指出,关节声响在人群中十分普遍,发生率高于50％。Gross等指出有关节声响的个体应视为异常。但如果半数以上人确有关节声响,能否认为无声响的人属不正常呢?能否认为正常人的关节声响是被诱发的。因此对这问题感兴趣的人在治疗关节声响的重要性方面有两种观点。一
Dentists in the diagnosis of temporomandibular joint disease, found that most patients with joint sound. The sound of the clicks, crackles and pops and other changes. Although these patients have varying degrees of painful symptoms, most patients only require the treatment of joint acoustics. However, the treatment of this part of the patients is treated differently by doctors. Because only joint sound, it can not be sure TMJDS. Therefore, in treating patients who have a special focus on joint sound without paying attention to other symptoms, the doctor should tell the patient the importance of joint acoustics in the disease after making the differential diagnosis. Epidemiological literature indicates that joint acoustics is prevalent in the population and occurs at rates above 50%. Gross et al. Indicated that individuals with articulation should be considered abnormal. However, if more than half of the people do have the sound of the festival, can people who think that the silent people are not normal? Can we think that the normal human joint acoustics is induced? Therefore, those interested in this issue have two perspectives on the importance of treating articulation. one