伴颞下颌关节紊乱病安氏Ⅱ类1分类错患者咀嚼运动中髁突轨迹分析

doi:10.19439/j.sjos.2022.04.018

上海口腔医学 ›› 2022, Vol. 31 ›› Issue (4): 429-434.doi: 10.19439/j.sjos.2022.04.018

伴颞下颌关节紊乱病安氏Ⅱ类1分类错患者咀嚼运动中髁突轨迹分析

张春香¹, 王天齐^1,2,3, 刘冬巧^1,2, 段小妮^1,4, 智铖^1,2, 王静^1,4, 林晨^1,4

1.天津市口腔医院正畸科,天津市口腔功能重建重点实验室,天津 300041;
2.南开大学医学院口腔医学系,天津 300071;
3.天津市第五中心医院,天津 300450;
4.天津医科大学口腔医学院,天津 300070

收稿日期:2020-12-14 修回日期:2021-04-09 出版日期:2022-08-25 发布日期:2022-08-30
通讯作者: 张春香,E-mail：zhang_chunxiang@sina.com
作者简介:张春香（1979-）,女,博士,副主任医师
基金资助:
天津市卫生行业重点攻关项目（15KG119）; 天津市首批卫生计生行业高层次人才选拔培养工程[津人才（2018）19号]; 天津市医学重点专科第二轮建设项目（TJYXZDXK-024A）

Characteristics of condylography during masticatory movement in patients with Class Ⅱ division 1 malocclusion and temporomandibular disorders

ZHANG Chun-xiang¹, WANG Tian-qi^1,2,3, LIU Dong-qiao^1,2, DUAN Xiao-ni^1,4, ZHI Chen^1,2, WANG Jing^1,4, LIN Chen^1,4

1. Department of Orthodontics, Tianjin Stomatological Hospital, Tianjin Key Laboratory of Oral Function Reconstruction. Tianjin 300041;
2. School of Medicine, Nankai University. Tianjin 300071;
3. Tianjin Fifth Central Hospital. Tianjian 300450;
4. Department of Stomatology, Tianjin Medical University. Tianjin 300070, China

Received:2020-12-14 Revised:2021-04-09 Online:2022-08-25 Published:2022-08-30

摘要/Abstract

摘要： 目的: 探讨伴颞下颌关节紊乱病（temporomandibular disorders,TMD）的安氏Ⅱ类1分类（Ⅱ¹）错患者咀嚼运动中髁突轨迹特征,进一步分析TMD和安氏Ⅱ¹错因素对咀嚼运动中髁突轨迹的影响。方法: 按照实验纳入标准分别收集无TMD的正常组（nTMD-N）10例、无TMD的安氏Ⅱ¹组（nTMD-Ⅱ¹）10例、伴TMD的安氏Ⅱ¹组（TMD-Ⅱ¹）14例患者。采用Cadiax Ⅳ 记录3组实验对象咀嚼运动时的髁突轨迹,利用GDSW软件测量并分析咀嚼运动轨迹的各项数据指标。采用SPSS 26.0软件包对所得结果进行统计学分析。结果: nTMD-Ⅱ¹组和TMD-Ⅱ¹组的咀嚼运动轨迹特征与nTMD-N组相比有所差异。左侧或右侧单侧咀嚼运动时,nTMD-N组、nTMD-Ⅱ¹组和TMD-Ⅱ¹组的各项数据无统计学差异。双侧咀嚼运动时,nTMD-Ⅱ¹组的SCI值显著大于nTMD-N组,nTMD-N组的S值显著大于nTMD-Ⅱ¹组（P<0.05)。结论: 单侧咀嚼运动时,TMD和安氏Ⅱ¹错因素对咀嚼运动轨迹影响较小。安氏Ⅱ¹类错因素对双侧咀嚼运动有影响,Ⅱ¹患者正常咀嚼时髁突整体运动幅度较正常者小。双侧咀嚼运动时,TMD对Ⅱ¹类患者咀嚼运动轨迹无明显影响。

关键词: 个别正常, 安氏Ⅱ类错, 颞下颌关节紊乱病, 咀嚼运动, 髁突运动轨迹

Abstract: PURPOSE: To investigate the characteristics of condylography of masticatory movement in patients of Class Ⅱ division 1 malocclusion with temporomandibular disorders (TMD), and the effects of TMD and Angle Ⅱ¹malocclusion factors on the condylography of masticatory movement. METHODS: According to the inclusion criteria of the experiment, ten normal occlusion subjects without TMD（nTMD-N）, ten Angle Ⅱ¹ patients without TMD（nTMD-Ⅱ¹）and 14 Angle Ⅱ¹ patients with TMD（TMD-Ⅱ¹）were included. Cadiax IV was used to record the condylography of the subjects during mastication, and the data of condylography was measured and analyzed by GDSW software. The results were analyzed with SPSS 26.0 software package. RESULTS: The characteristics of condylography in nTMD-Ⅱ¹ and TMD-Ⅱ¹ groups were different from those of nTMD-N group. During unilateral mastication on the left or right side, there was no significant difference among nTMD-N group, nTMD-Ⅱ¹ group and TMD-Ⅱ¹ group. During bilateral mastication, the SCI value of nTMD-Ⅱ¹ group was significantly higher than that of nTMD-N group, and the S value of nTMD-N group was significantly higher than that of nTMD-Ⅱ¹ group (P<0.05). CONCLUSIONS: During unilateral masticatory movement, TMD and Angle Ⅱ¹ malocclusion has little effect on the masticatory movement trajectory. Angle Ⅱ¹ malocclusion has influence on bilateral masticatory movement, and the amplitude of condylar movement in patients with ClassⅡdivision 1 malocclusion is smaller than that in normal mastication. TMD has no significant effect on the masticatory movement condylography of the patients.

Key words: Individual normal malocclusion, Angle Class Ⅱ malocclusion, Temporomandibular joint disorder, Masticatory movement, Condylography

中图分类号:

R782.6

张春香, 王天齐, 刘冬巧, 段小妮, 智铖, 王静, 林晨. 伴颞下颌关节紊乱病安氏Ⅱ类1分类错患者咀嚼运动中髁突轨迹分析[J]. 上海口腔医学, 2022, 31(4): 429-434.

ZHANG Chun-xiang, WANG Tian-qi, LIU Dong-qiao, DUAN Xiao-ni, ZHI Chen, WANG Jing, LIN Chen. Characteristics of condylography during masticatory movement in patients with Class Ⅱ division 1 malocclusion and temporomandibular disorders[J]. Shanghai Journal of Stomatology, 2022, 31(4): 429-434.

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伴颞下颌关节紊乱病安氏Ⅱ类1分类错患者咀嚼运动中髁突轨迹分析

Characteristics of condylography during masticatory movement in patients with Class Ⅱ division 1 malocclusion and temporomandibular disorders

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