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Myogenous Temporomandibular Disorder: A Persistent Pain Condition Associated with Hyperalgesia and Enhanced Temporal Summation of Pain

机译:骨肉颞下颌疾病:与痛觉过敏症的持续疼痛病症,增强疼痛的时间总结

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Temporomandibular disorders (TMDs) are a heterogeneous family of musculoskeletal disorders that represent the most common chronic orofacial pain condition (Dworkin et al. 1992; Okeson et al. 1996). The most common and debilitating forms of TMD are associated with persistent pain in the region of the temporomandibular joint, the periauricular region, and muscles of the head and neck (Dworkin et al. 1992; Okeson et al. 1996). Reports of the prevalence of TMD range from 5% to 50% in worldwide epidemiological studies, with most reporting a prevalence rate of approximately 10% (Okeson et al. 1996). The percentage of the population between the ages of 18 and 45 that will develop painful TMD in a given year has been estimated to be just over 2%, with females tending to show a higher annual incidence rate than males (Von Korff et al. 1993). In addition to producing substantial personal suffering, TMD generates staggering health care costs of about $1 billion per year (Lipton et al. 1993).TMD results in about 17.8 million lost work days per year for every 100 million working adults in the United States (Dworkin and LeResche 1993).
机译:颞下颌关节紊乱(TMDS)是代表最常见的慢性疼痛口面条件肌肉骨骼病症的异质家族(德沃金等人1992; Okeson等人,1996)。 TMD的最常见和衰弱形式与颞下颌关节,所述耳周区域的区域持续性疼痛,以及头和颈的肌肉相关联(德沃金等1992; Okeson等人,1996)。 TMD的患病率的报告范围从5%到全球流行病学研究50%,大多数报告的大约10%的患病率(Okeson等人,1996)。 18和45岁,将在某一年制定痛苦TMD之间的人口比例估计刚刚超过2%,而女性倾向于表现出更高的年发病率比男性(冯科尔夫等人。1993年)。除了生产大量个人痛苦,TMD产生令人咋舌的约十亿$每年的医疗费用(立顿等人。1993).TMD导致每年约1780万失去工作日内在美国每100万周就业的成年人(德沃金和LeResche 1993年)。

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