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- 2017
青少年上颌Wilson曲线与颞下颌关节紊乱病的相关性研究
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Abstract:
摘要 目的: 研究青少年上颌Wilson曲线与颞下颌关节紊乱病(temporomandibular joint disorders,TMD)症状之间的关系。方法: 选取2017年1~7月的就诊于新疆医科大学第一附属医院青少年患者及自愿参加本研究的大学生105名。根据TMD诊断标准把研究对象分为TMD组与正常对照组,并对研究对象进行肌肉疼痛与关节弹响症状进行检查,并通过CBCT测量Wilson曲线的角度,结果采用单因素方差分析与t检验进行统计分析。结果: TMD组与正常对照组Wilson曲线的角度相比较,差异具有统计学意义,TMD组Wilson曲线的平均角度较大。有关节弹响症状的患者弹响关节同侧的磨牙颊舌向轴倾度大于非弹响侧磨牙的颊舌向轴倾度,差异有统计学意义。弹响关节对侧非弹响的磨牙颊舌向倾斜度与正常组相比,差异无统计学意义。有肌肉弹响、无肌肉疼痛的患者Wilson曲线的角度相比较,差异无统计学意义。结论: TMD患者较正常对照组呈现更深的Wilson曲线。弹响侧的磨牙颊舌向倾斜角度大于非弹响侧。较深的Wilson曲线会导致TMD患病风险增加。而TMD肌肉疼痛症状与Wilson曲线的角度并无明显相关性
| [1] | 王美青.颞下颌关节紊乱咬合病因研究进展[J].中国实用口腔科杂志,2009,2(3)∶131-134 |
| [2] | 张志愿.口腔颌面外科学[M].第7版.北京:人民卫生出版社,2012,376-379 |
| [3] | Badel T, Marotti M, Pavicin IS, et al. Temporomandibular disorders and occlusion [J]. Acta El in Croat, 2012, 51(3)∶419-424 |
| [4] | Handelman CS, Wang L, BeGole EA, et al. Non surgi-cal Rapid Maxillary Expansion in Adults Reporto on 47 Cases usingthe Haas Expander [J]. Angle Orthod, 2000, 70(1)∶129-44 |
| [5] | Ito H, Okimoto K, Mizumori T, et al. A clini-cal study of the Relationship Between Occlusal Curvature and Crani-omandibular Disorders [J]. Int J Prosthodont, 1997, 10(1)∶78-82 |
| [6] | Truelove E, Pan W, Look JO, et al. The research diagnostic crite-ria for temporomandibular disorders.III:validity of Axis I diagno-ses [J]. J Orofac Pain,2010,24(1)∶35-47 |
| [7] | Marshall S, Dawson D, Southard KA, et al. Transverse molar movements during growth [J]. Am J Orthod Den-tofacial Orthop, 2003, 124(6)∶615-624 |
| [8] | 张志愿.口腔颌面外科学[M].第7版.北京:人民卫生出版社,2012∶376-379 |
| [9] | Barrera JM, Liamas JM, Espinar E, et al. Wilson maxillary curve analyzed by cbct. a study on normocclusion and malocclusion individuals [J]. Med Oral Patol Oral Cir Bucal, 2013, 18 (3)∶547-552 |
| [10] | 毓天昊.中老年患者Spee曲线与颞下颌关节紊乱病症状的关系研究[J].中国实用口腔科杂志,2017,10(4)∶237-239 |
| [11] | 李楠,李新,毕良佳.颞下颌紊乱病与牙合因素关系的研究进展[J].口腔医学研究,2012,28(2)∶185-187 |
| [12] | Badel T, Marotti M, Pavicin IS, et al. Temporomandibular disorders and occlusion [J]. Acta Clin Croat,2012,51(3)∶419-424 |
| [13] | 刘怡,傅开元,傅民魁.颞下颌关节紊乱病患者正畸治疗前后牙合接触点及牙合力变化的研究[J].中华口腔正畸学杂志,2009,16(2)∶75-78 |
| [14] | 姚声,周杰,丁晓勇,等.颞下颌关节紊乱病症状、体征与心理焦虑状态的相关性分析[J].口腔医学研究,2012,28(10)∶1032-1034 |
| [15] | 方媛,王 云,汪萌芽.牙合因素异常对颞下颌关节的影响[J].中国保健营养,2016,26(23)∶310-311 |
| [16] | Ali IM, Yamada K, Alkhamrah B, et al. Relationship between occlusal curvatures and mandibular deviation in orthodontic patient with temporomandibular disorders [J]. Oral Rehabi, 2003, 30(11)∶1095-1103 |
| [17] | Surendran SV, Hussain S, Bhoominthan S, et al. Analysis of the curve of Spee and the curve of Wilson in adult Indian population: A three-dimensional measurement study [J]. Indian Prosthodont Soc,2016,16(4)∶335-339 |
