Download PDF
ZWR - Das Deutsche Zahnärzteblatt 2013; 122(4): 138-144
DOI: 10.1055/s-0033-1347030
CME-Fortbildung
© Georg Thieme Verlag Stuttgart · New York

Die Rolle der Okklusion in der Ätiologie von kraniomandibulären Dysfunktionen

D R Reißmann
1   Poliklinik für Zahnärztliche Prothetik, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland
2   Department of Diagnostic and Biological Sciences, University of Minnesota, Minneapolis MN, USA
,
M T John
2   Department of Diagnostic and Biological Sciences, University of Minnesota, Minneapolis MN, USA
3   Division of Epidemiology and Community Health, University of Minnesota, Minneapolis MN, USA
,
I Sierwald
1   Poliklinik für Zahnärztliche Prothetik, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland
› Author Affiliations
Further Information

Publication History

Publication Date:
14 May 2013 (online)

Also available at
    Permissions and Reprints

Lernziele

Nach dem Durcharbeiten des Artikels sollte der Leser

  • die Ätiologie von kraniomandibulären Dysfunktionen (CMD) nicht mehr als monokausal ansehen,

  • reflektiert haben, dass die Okklusion als Risikofaktor für CMD in den letzten Jahren zunehmend infrage gestellt wurde,

  • erfahren haben, dass nach aktuellem Wissenstand okklusale Faktoren keinen wesentlichen Risikofaktor für CMD darstellen und

  • erläutert bekommen haben, dass dauerhafte Veränderungen der Okklusion nur zur Prävention von CMD nicht empfohlen werden können.

 

  • Literatur

  • 1 Fletcher RH, Fletcher SW, Wagner EH. Clinical epidemiology: the essentials. Auflage. Baltimore: Williams & Wilkins; 1996. 3.
    Google Scholar
  • 2 DGFDT und DGPZW. Terminologieliste der Deutschen Gesellschaft für Funktionsdiagnostik und Therapie (DGFDT) und der Deutschen Gesellschaft für zahnärztliche Prothetik und Werkstoffkunde (DGzPW). 2005;
    PubMedGoogle Scholar
  • 3 Dworkin SF, LeResche L. Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J Craniomandib Disord 1992; 6: 301-355
    PubMedGoogle Scholar
  • 4 Okeson JP. Orofacial pain: Guidelines for assessment, diagnosis, and management. Carol Stream: Quintessence 1996;
    PubMedGoogle Scholar
  • 5 NIDCR – National Institut of Dental and Craniofacial Research. Facial Pain. Im Internet: http://www.nidcr.nih.gov/DataStatistics/FindDataByTopic/FacialPain/ Stand 2010
    PubMedGoogle Scholar
  • 6 Reissmann DR, John MT, Schierz O et al. Functional and psychosocial impact related to specific temporomandibular disorder diagnoses. J Dent 2007; 35: 643-650
    CrossrefPubMedGoogle Scholar
  • 7 LeResche L. Epidemiology of temporomandibular disorders: implications for the investigation of etiologic factors. Crit Rev Oral Biol Med 1997; 8: 291-305
    CrossrefPubMedGoogle Scholar
  • 8 List T, Dworkin SF. Comparing TMD diagnoses and clinical findings at Swedish and US TMD centers using research diagnostic criteria for temporomandibular disorders. J Orofac Pain 1996; 10: 240-253
    PubMedGoogle Scholar
  • 9 Reissmann DR, John MT. Ist Kiefergelenkknacken ein Risikofaktor für Schmerzen im Kiefergelenk?. Schmerz 2007; 21: 131-138
    CrossrefPubMedGoogle Scholar
  • 10 Costen JB. A syndrome of ear and sinus symptoms dependent upon disturbed function of the temporomandibular joint. Ann Otol Rhinol Laryngol 1934; 43: 1-15
    PubMedGoogle Scholar
  • 11 Suvinen TI, Reade PC, Kemppainen P et al. Review of aetiological concepts of temporomandibular pain disorders: towards a biopsychosocial model for integration of physical disorder factors with psychological and psychosocial illness impact factors. Eur J Pain 2005; 9: 613-633
    CrossrefPubMedGoogle Scholar
  • 12 LeResche L. Epidemiology of orofacial pain. In: Lund JP, Lavigne GJ, Dubner R, Sessle BJ, Hrsg. Orofacial pain From basic science to clinical managment The transfer of knowledge in pain from research to education. Chicago: Quintessence; 2001: 15-25
    Google Scholar
  • 13 Becker IM. Occlusion as a causative factor in TMD. Scientific basis to occlusal therapy. N Y State Dent J 1995; 61: 54-57
    PubMedGoogle Scholar
  • 14 Greene CS. The etiology of temporomandibular disorders: implications for treatment. J Orofac Pain 2001; 15: 93-116
    PubMedGoogle Scholar
  • 15 Pullinger AG, Seligman DA, Gornbein JA. A multiple logistic regression analysis of the risk and relative odds of temporomandibular disorders as a function of common occlusal features. J Dent Res 1993; 72: 968-979
    CrossrefPubMedGoogle Scholar
  • 16 John M. Ätiopathogenese von funktionellen Kiefergelenkserkrankungen unter besonderer Berücksichtigung der Okklusion. Dtsch Zahnärztl Z 1996; 51: 441-447
    PubMedGoogle Scholar
  • 17 Rollman GB, Gillespie JM. The role of psychosocial factors in temporomandibular disorders. Curr Rev Pain 2000; 4: 71-81
    CrossrefPubMedGoogle Scholar
  • 18 Smith SB, Maixner DW, Greenspan JD et al. Potential genetic risk factors for chronic TMD: genetic associations from the OPPERA case control study. J Pain 2011; 12 (Suppl. 11) 92-101
    PubMedGoogle Scholar
  • 19 Reissmann DR, John MT, Schierz O et al. Stress-related adaptive versus maladaptive coping and temporomandibular disorder pain. J Orofac Pain 2012; 26: 181-190
    PubMedGoogle Scholar
  • 20 Yap AU, Tan KB, Chua EK et al. Depression and somatization in patients with temporomandibular disorders. J Prosthet Dent 2002; 88: 479-484
    CrossrefPubMedGoogle Scholar
  • 21 Yap AU, Chua EK, Dworkin SF et al. Multiple pains and psychosocial functioning/psychologic distress in TMD patients. Int J Prosthodont 2002; 15: 461-466
    PubMedGoogle Scholar
  • 22 Yap AU, Chua EK, Tan KB et al. Relationships between depression/somatization and self-reports of pain and disability. J Orofac Pain 2004; 18: 220-225
    PubMedGoogle Scholar
  • 23 Nilges P. Psychosoziale Faktoren bei Gesichtsschmerzen. Schmerz 2002; 16: 365-372
    CrossrefPubMedGoogle Scholar
  • 24 Celic R, Jerolimov V, Panduric J. A study of the influence of occlusal factors and parafunctional habits on the prevalence of signs and symptoms of TMD. Int J Prosthodont 2002; 15: 43-48
    PubMedGoogle Scholar
  • 25 Schmitter M, Balke Z, Hassel A et al. The prevalence of myofascial pain and its association with occlusal factors in a threshold country non-patient population. Clin Oral Investig 2007; 11: 277-281
    CrossrefPubMedGoogle Scholar
  • 26 Celic R, Jerolimov V. Association of horizontal and vertical overlap with prevalence of temporomandibular disorders. J Oral Rehabil 2002; 29: 588-593
    CrossrefPubMedGoogle Scholar
  • 27 Marklund S, Wanman A. Risk factors associated with incidence and persistence of signs and symptoms of temporomandibular disorders. Acta Odontol Scand 2010; 68: 289-299
    CrossrefPubMedGoogle Scholar
  • 28 Pullinger AG, Seligman DA, Solberg WK. Temporomandibular disorders. Part II: Occlusal factors associated with temporomandibular joint tenderness and dysfunction. J Prosthet Dent 1988; 59: 363-367
    CrossrefPubMedGoogle Scholar
  • 29 Simmons 3rd HC, Oxford DE, Hill MD. The prevalence of skeletal Class II patients found in a consecutive population presenting for TMD treatment compared to the national average. J Tenn Dent Assoc 2008; 88: 16-18
    PubMedGoogle Scholar
  • 30 Egermark I, Carlsson GE, Magnusson T. A 20-year longitudinal study of subjective symptoms of temporomandibular disorders from childhood to adulthood. Acta Odontol Scand 2001; 59: 40-48
    CrossrefPubMedGoogle Scholar
  • 31 Fantoni F, Chiappe G, Landi N et al. A stepwise multiple regression model to assess the odds ratio between myofascial pain and 13 occlusal features in 238 Italian women. Quintessence Int 2010; 41: 54-61
    PubMedGoogle Scholar
  • 32 John MT, Hirsch C, Drangsholt MT et al. Overbite and overjet are not related to self-report of temporomandibular disorder symptoms. J Dent Res 2002; 81: 164-169
    CrossrefPubMedGoogle Scholar
  • 33 Minagi S, Watanabe H, Sato T et al. Relationship between balancing-side occlusal contact patterns and temporomandibular joint sounds in humans: proposition of the concept of balancing-side protection. J Craniomandib Disord 1990; 4: 251-256
    PubMedGoogle Scholar
  • 34 Kirveskari P, Jamsa T. Health risk from occlusal interferences in females. Eur J Orthod 2009; 31: 490-495
    Google Scholar
  • 35 Al-Ani MZ, Davies SJ, Gray RJ et al. Stabilisation splint therapy for temporomandibular pain dysfunction syndrome. Cochrane Database Syst Rev CD 002778 2004;
    PubMedGoogle Scholar
  • 36 Koh H, Robinson PG. Occlusal adjustment for treating and preventing temporomandibular joint disorders. Cochrane Database Syst Rev CD 003812 2003;
    PubMedGoogle Scholar
  • 37 NIDCR – National Institut of Dental and Craniofacial Research. TMJ Disorders. Bethesda: National Oral Health Information Clearinghouse; 2013
    Google Scholar