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Evaluation of temporomandibular disorders by magnetic resonance imaging

机译:磁共振成像评估颞下颌疾病

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Temporomandibular disorders (TMDs) are widely de scribed as heterogeneous conditions affecting the temporo mandibular joint (TMJ) and masticatory muscles. However, TMD is a highly generic term, referring to a group of disorders arising from the muscles (myogenic TMDs) or the joint (arthro genic TMDs). The most common arthrogenic TMDs are ante rior disc displacement of the articular discs and TMJ osteoar thritis. Each of those disorders has a complex pathophysiology and multiple risk factors, which interact in different ways in each individual(1). In addition, pain chronicity, with its central mechanisms, such as neuroplasticity and central sensitiza tion, as well as the participation of psychogenic factors, makes it especially challenging to gain a complete understanding of the pathophysiology of these disorders(2)
机译:颞下颌疾病(TMD)被广泛描述为影响颞下颌关节(TMJ)和咀嚼肌的异质性疾病。但是,TMD是一个高度通用的术语,指的是由肌肉(肌源性TMD)或关节(关节炎源性TMD)引起的一组疾病。最常见的关节炎性TMD为关节盘前盘移位和TMJ骨关节炎。这些疾病中的每一种都有复杂的病理生理学和多种风险因素,它们在每个个体中以不同的方式相互作用(1)。此外,慢性疼痛及其主要机制如神经可塑性和中枢敏化以及心理因素的参与,使得对这些疾病的病理生理学的全面了解尤其具有挑战性(2)。

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