青少年安氏Ⅱ类亚类错牙合患者颞下颌关节形态及髁突位置分析

doi:10.19439/j.sjos.2020.06.019

上海口腔医学 ›› 2020, Vol. 29 ›› Issue (6): 656-660.doi: 10.19439/j.sjos.2020.06.019

青少年安氏Ⅱ类亚类错牙合患者颞下颌关节形态及髁突位置分析

丁元凤, 宋丽娟

苏州大学附属口腔医院·苏州口腔医院正畸一科,江苏苏州 215008

收稿日期:2020-03-09 修回日期:2020-06-25 出版日期:2020-12-25 发布日期:2021-01-08
通讯作者: 宋丽娟, E-mail:408896169@qq.com
作者简介:丁元凤（1981-）,女,硕士研究生,主治医师,E-mail:971309414@qq.com

Evaluations of the morphology and position of condyle and fossa of adolescent temporomandibular joint with Class Ⅱsubdivision malocclusions

DING Yuan-feng, SONG Li-juan

Department 1 of Orthodontics, Affiliated Stomatological Hospital of Soochow University, Suzhou Stomatological Hospital. Suzhou 215008, Jiangsu Province, China

Received:2020-03-09 Revised:2020-06-25 Online:2020-12-25 Published:2021-01-08

摘要/Abstract

摘要： 目的： 研究青少年安氏Ⅱ类亚类错牙合患者颞下颌关节的关节窝形态、髁突形态、髁突位置及关节间隙的锥形束CT（CBCT）表现,为临床诊疗提供参考。方法： 选择2018年6月—2019年12月来苏州口腔医院正畸科就诊的青少年安氏Ⅱ类亚类错牙合患者30例为实验组,青少年安氏Ⅰ类错牙合患者30例为对照组,比较2组患者关节长轴、关节短轴、髁突外嵴最突点到矢状中线距离、髁突水平角、关节内间隙、关节中间隙、关节外间隙、关节前间隙、关节上间隙、关节后间隙、髁突垂直高度、关节窝宽度、关节窝深度、关节结节后壁倾斜角及双侧髁突到水平线垂直距离差。采用SPSS 23.0软件包对数据进行统计学分析。结果： 实验组安氏Ⅱ类亚类错牙合患者中性侧与远中侧关节后间隙、髁突水平角、髁突垂直高度、关节窝宽度、关节窝深度、关节结节后壁倾斜角比较,差异均有显著意义(P<0.01);对照组安氏Ⅰ类错牙合患者左右两侧关节窝形态、髁突形态及髁突位置比较,差异均无统计学意义（P>0.05）。结论： 安氏Ⅱ类亚类错牙合患者可能在髁突位置、髁突形态及关节窝形态上与安氏Ⅰ类错牙合患者存在差异,正畸治疗中需对此类患者提高警惕,在临床初诊检查时应多关注颞下颌关节区的检查。

关键词: 青少年, 安氏Ⅱ类亚类, 颞下颌关节, 锥形束CT

Abstract: PURPOSE: To evaluate the morphology and position of condyle and fossa and joint space of adolescent temporomandibular joint with Class Ⅱ subdivision malocclusion, in order to provide a reference for diagnosis before treatment. METHODS: The study sample consisted of 30 adolescent patients with Class Ⅱ subdivision malocclusions(9 males, 21 females, mean age 12.5 years) as the experimental group and 30 adolescent patients with Class Ⅰ malocclusions (11 males, 19 females, mean age 12 years) as the control group treated from June 2018 to December 2019 in Suzhou Stomatological Hospital. The long axis of condyle, short axis of condyle, the distance from the outer pole of condyle to sagittal midline, horizontal angle of condyle, Joint space(medial, inner, outer, anterior, superior, posterior), vertical height of condyle, width of joint fossa, depth of joint fossa, angle of posterior wall of the articular tubercle and vertical distance of bilateral condyle to horizontal line were measured on cone-beam CT(CBCT) images and analyzed with Dolphin Imaging 11.95. SPSS 23.0 software package was used for statistical analysis of the data. RESULTS: In Angle Class Ⅱ subdivision malocclusion patients, there were significant differences in posterior joint space, horizontal angle of condyle, vertical height of condyle, width of joint fossa, depth of joint fossa and angle of posterior wall of the articular tubercle between neutral side and distal side(P<0.01). In Angle Class Ⅰ malocclusion patients, there was no significant difference in joint fossa morphology, condyle morphology and condyle position between right side and left side (P>0.05). CONCLUSIONS: There may be differences in condyle position, condyle shape and joint fossa shape between patients with Class Ⅱ subdivision malocclusions and Class Ⅰ malocclusion patients. More attention should be paid to the temporomandibular joint in initial clinical examination and clinical orthodontic treatment.

Key words: Adolescents, Angle Class Ⅱ subdivision, Temporomandibular joint, Cone-beam CT

中图分类号:

R783.5

丁元凤, 宋丽娟. 青少年安氏Ⅱ类亚类错牙合患者颞下颌关节形态及髁突位置分析[J]. 上海口腔医学, 2020, 29(6): 656-660.

DING Yuan-feng, SONG Li-juan. Evaluations of the morphology and position of condyle and fossa of adolescent temporomandibular joint with Class Ⅱsubdivision malocclusions[J]. Shanghai Journal of Stomatology, 2020, 29(6): 656-660.

参考文献

[1] Kasimoglu Y, Tuna EB, Rahimi B, et al.Condylar asymmetry in different occlusion types[J]. Cranio,2015, 33(1):10-14.
[2] Kilic N, Kiki A, Oktay H.Condylar asymmetry in unilateral posterior crossbite patients[J]. Am J Orthod Dentofacial Orthop, 2008, 133(3): 382-387.
[3] Vitral RW, Fraga MR, de Oiveira RS, et al.Temporomandibular joint aherations after correction of a unilateral posterior crossbite in a mixed-dentition patient: a computed tomography study[J].Am J Orthod Dentofacial Orthop, 2007, 132(3): 395-399.
[4] Sonnesen L, Bakke M, Solow B.Malocclusion traits and symptoms and signs of temporomandibular disorders in children with severe malocclusion[J]. Eur J Orthod, 1998, 20(5): 543-559.
[5] Huang M, Hu Y, Yu J, et al.Cone-beam computed tomographic evaluation of the temporomandibular joint and dental characteristics of patients with Class Ⅱ subdivision malocclusion and asymmetry[J]. Korean J Orthod, 2017, 47(5): 277-288.
[6] Cassidy SE, Jackson SR, Turpin DL, et al.Classification and treatment of Class Ⅱ subdivision malocclusions[J]. Am J Orthod Dentofacial Orthod, 2014, 145(4): 443-451.
[7] Gomes LR, Gomes MR, Gonçalves JR, et al.Cone beam computed tomography-based models versus multislice spiral computed tomography-based models for assessing condylar morphology[J]. Oral Surg Oral Med Oral Pathol Oral Radiol, 2016, 121(1): 96-105.
[8] 王照五, 石校伟, 姜华, 等. 牙颌专用CT的颞颌关节成像技术[J].中国医学影像学杂志, 2006, 14(6): 444-447.
[9] 田慧颖, 周继林, 田晓玲, 等. 髁状突与关节窝位置关系的三维定量测定[J]. 中日友好医院学报, 1998, 12(2): 117-121.
[10] 姜美玲, 黄臻, 王宠, 等. 术前正畸对骨性Ⅲ类错牙合患者颞下颌关节影响的锥形束CT研究[J].华西口腔医学杂志, 2019, 37(4): 417-721.
[11] 姜华, 王照五, 刘洪臣, 等. 牙颌专用CT对颞下颌关节骨性结构的测量技术[J].中华老年口腔医学杂志, 2008, 6(2): 84-86.
[12] 谷岩. 以种植体法研究7.5~15.5岁个体髁突的生长变化[J]. 实用口腔医学杂志, 2007, 23(1): 83-85.
[13] 朱慧敏,宋欣羽,何冬梅, 等.青少年颞下颌关节盘前移位与颌骨畸形的关系研究进展[J].中国实用口腔科杂志, 2017, 10(12): 754-758.
[14] 张晓虎, 吴勇. 青少年单侧颞下颌关节盘移位患者颌骨三维变化的测量分析[J].口腔医学, 2017, 37(12): 1070-1074.
[15] Flores-Mir C, Nebbe B, Heo G, et al.Longitudinal study of temporomandibular joint disc status and eraniofacial growth[J]. Am J Orthod Dentofacial Orthop, 2006, 130(3): 324-330.
[16] 李博, 胡晟爽, 常新.牙列咬合特征与颞下颌关节紊乱综合征关系研究[J].中国实用口腔科杂志, 2016, 9(7): 423-426.
[17] 徐静, 朱双林, 潘昱,等. 安氏Ⅱ类亚类错牙合颅颌面结构三维形态分析[J]. 中国实用口腔科杂志, 2015, 8(5): 290-293.
[18] 赖晓宇,林雪峰,吴夏怡.青年安氏Ⅱ类1分类错牙合患者下颌咀嚼运动轨迹特征的研究[J].实用口腔医学杂志,2016,32(1):115-119.
[19] 刘晓东, 徐柯, 译. 颞下颌关节病的病因问题:咬合因素的流行病学和病因学依据[J]. 实用口腔医学杂志, 2015, 31(1): 417-423.
[20] Gomes LR, Gomes MR, Gonçalves JR, et al.CBCT versus MSCT-based models on assessing condylar morphology[J].Oral Surg Oral Med Oral Pathol Oral Radiol,2015,457(5): 457-459.
[21] 姜华, 王照五, 刘洪臣, 等. 右侧偏侧咀嚼对颞下颌关节形态的影响[J]. 上海口腔医学, 2010,19(6): 607-610.

青少年安氏Ⅱ类亚类错牙合患者颞下颌关节形态及髁突位置分析

Evaluations of the morphology and position of condyle and fossa of adolescent temporomandibular joint with Class Ⅱsubdivision malocclusions

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价

[1]	李苏娜, 宋文尚, 刘子略, 杜月茹, 蔡世新. 义齿咬合板联合综合物理疗法对颞下颌关节盘不可复性前移位的疗效评价[J]. 上海口腔医学, 2024, 33(3): 273-278.
[2]	李爽, 肖容容, 王明锋. 偏颌患者平面横向倾斜度与颞下颌关节间隙的相关性分析[J]. 上海口腔医学, 2024, 33(3): 318-323.
[3]	彭源浩, 庄昕仪, 喻婷, 吕冬梅, 温秀杰, 程钎. 青少年颧牙槽嵴区皮质骨厚度的锥形束CT测量及其与颈椎骨龄的相关性研究[J]. 上海口腔医学, 2023, 32(6): 623-629.
[4]	佘文珺, 谢俊良, 焦婷. 下颌运动轨迹描计法确定无牙颌颌位关系的准确性评价[J]. 上海口腔医学, 2023, 32(5): 497-500.
[5]	黄仲敏, 张赟, 李小兵. 替牙列早期上颌慢速扩弓对上颌中段牙及牙槽嵴的影响[J]. 上海口腔医学, 2023, 32(5): 501-507.
[6]	李贵宏, 谢思静, 林梓桐, 张婷, 汤旭娜, 胡勤刚. 下颌第二磨牙C形根管治疗前后根管壁厚度测量分析[J]. 上海口腔医学, 2023, 32(4): 395-400.
[7]	马晓晴, 陆雯, 叶茂, 邢允波, 钱文昊, 张玲. 下颌骨后缩伴前牙正常覆盖青少年患者Twin-block治疗效果分析[J]. 上海口腔医学, 2023, 32(4): 422-427.
[8]	李旭, 赵宁, 刘宗霖, 张善勇, 蔡圳, 朱超. 低强度Nd：YAG激光与传统药物治疗肌筋膜痛的疗效评价[J]. 上海口腔医学, 2023, 32(3): 261-265.
[9]	王文丽, 傅亚婷, 刘华, 马潇. 上颌前牙美学区牙龈三维形态的锥形束CT测量分析[J]. 上海口腔医学, 2023, 32(2): 177-182.
[10]	张薇, 陈威, 陈志方. 可调式活动牵引器治疗上颌唇侧倒置阻生中切牙效果评价[J]. 上海口腔医学, 2023, 32(2): 193-197.
[11]	唐汝萍, 刘帅, 赵震锦, 汪俊妍. 骨性Ⅲ类下颌偏斜患者颞下颌关节形态位置及上颌骨特征的三维评估[J]. 上海口腔医学, 2023, 32(1): 91-96.
[12]	唐军, 郁春华, 程蕙娟, 钱海馨, 蔡翠萍, 聂溶冰. DC/TMD推荐心理量表在颞下颌关节紊乱病诊疗中的应用[J]. 上海口腔医学, 2023, 32(1): 109-112.
[13]	宋珏, 刘好好, 刘嘉靓, 陈美华. 上颌磨牙与上颌窦黏膜增厚发生的相关性分析[J]. 上海口腔医学, 2022, 31(6): 638-642.
[14]	吕云松, 李朝晖. 颞下颌关节紊乱综合征伴偏侧咀嚼患者锥形束CT特征分析[J]. 上海口腔医学, 2022, 31(6): 653-656.
[15]	鞠雅琼, 徐晓明, 韩祥永, 马茵, 王桂香. 口腔专科护理模式对青少年正畸患者牙周健康的影响[J]. 上海口腔医学, 2022, 31(6): 657-660.