错畸形患者中颞下颌关节盘移位患病情况调查分析

doi:10.19439/j.sjos.2024.06.016

上海口腔医学 ›› 2024, Vol. 33 ›› Issue (6): 656-660.doi: 10.19439/j.sjos.2024.06.016

错畸形患者中颞下颌关节盘移位患病情况调查分析

周国立, 袁玲君, 李海瑞, 史文涛, 房兵

上海交通大学医学院附属第九人民医院口腔正畸科, 上海交通大学口腔医学院, 国家口腔医学中心, 国家口腔疾病临床医学研究中心, 上海市口腔医学重点实验室, 上海市口腔医学研究所, 上海 200011

收稿日期:2023-07-18 修回日期:2023-08-20 出版日期:2024-12-25 发布日期:2025-01-07
通讯作者: 房兵,E-mail: fangbing@sjtu.edu.cn
作者简介:周国立（1996-）,男,硕士,住院医师,E-mail: 631814075@qq.com

Prevalence of temporomandibular joint disc displacement in patients malocclusion

ZHOU Guo-li, YUAN Ling-jun, LI Hai-rui, SHI Wen-tao, FANG Bing

Department of Orthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology; Shanghai Research Institute of Stomatology. Shanghai 200011, China

Received:2023-07-18 Revised:2023-08-20 Online:2024-12-25 Published:2025-01-07

摘要/Abstract

摘要： 目的: 分析错畸形病例中颞下颌关节盘移位的患病特征及颞下颌关节盘移位的相关因素,为正畸治疗提供参考。方法: 回顾性纳入2012年1月—2021年12月就诊于上海交通大学医学院附属第九人民医院口腔正畸科的连续病例1 157例,根据颞下颌关节磁共振结果,分析关节盘移位在错畸形病例中的患病情况,分析性别、年龄及骨性分类等因素与颞下颌关节盘移位的相关性。采用SPSS 25.0软件包对数据进行统计学分析。结果: 1 157例错畸形病例中,关节盘位置异常672例,占58.08%。其中,关节盘前移位334例,占28.87%。关节盘移位比例女性大于男性,骨性Ⅱ类大于骨性Ⅲ类。10~18岁错畸形病例中,颞下颌关节盘移位比例随年龄增加而升高。结论: 正畸科就诊的错畸形病例中,关节盘位置异常比例较高,年龄、性别（女性）和骨性Ⅱ类错畸形与关节盘移位相关性较大。

关键词: 错畸形, 颞下颌关节盘移位, 磁共振成像, 患病率

Abstract: PURPOSE: To investigate the prevalence characteristics of temporomandibular joint disc displacement in patients with malocclusion and influencing factors of disc displacement, and to provide reference for orthodontic treatment. METHODS: A total of 1 157 consecutive orthodontic cases admitted to the Department of Orthodontics at Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine from January 2012 to December 2021 were selected retrospectively. Based on temporomandibular joint MRI, the prevalence of disc displacement in orthodontic cases was investigated. The influencical factors of gender, age and skeletal classification on disc displacement was analyzed. SPSS 25.0 software package was used for data analysis. RESULTS: Among 1 157 orthodontic cases, there were 672 cases(58.08%) of disc displacement, and 334 cases(28.87%) had anterior disc displacement. The prevalence of disc displacement in female was significantly higher than that in male. The prevalence of disc displacement in skeletal Class Ⅱ malocclusion was significantly higher than that in skeletal Class Ⅲ malocclusion. In orthodontic cases aged between 10 and 18, the prevalence of disc displacement increased with age. CONCLUSIONS: There is a high proportion of abnormal articular disc position in patients with malocclusion. Age, gender(female) and skeletal Class Ⅱ malocclusion have higher correlation with temporomandibular joint disc displacement.

Key words: Malocclusion, Temporomandibular joint disc displacement, Magnetic resonance imaging, Prevalence rate

中图分类号:

R782.6

周国立, 袁玲君, 李海瑞, 史文涛, 房兵. 错畸形患者中颞下颌关节盘移位患病情况调查分析[J]. 上海口腔医学, 2024, 33(6): 656-660.

ZHOU Guo-li, YUAN Ling-jun, LI Hai-rui, SHI Wen-tao, FANG Bing. Prevalence of temporomandibular joint disc displacement in patients malocclusion[J]. Shanghai Journal of Stomatology, 2024, 33(6): 656-660.

参考文献

[1] Ahn SJ, Baek SH, Kim TW, et al.Discrimination of internal derangement of temporomandibular joint by lateral cephalometric analysis[J]. Am J Orthod Dentofacial Orthop, 2006, 130(3): 331-339.
[2] Xie Q, Yang C, He D, et al.Will unilateral temporomandibular joint anterior disc displacement in teenagers lead to asymmetry of condyle and mandible? a longitudinal study[J]. J Craniomaxillofac Surg, 2016, 44(5): 590-596.
[3] Xie Q, Yang C, He D, et al.Is mandibular asymmetry more frequent and severe with unilateral disc displacement[J]. J Craniomaxillofac Surg, 2015, 43(1): 81-86.
[4] Kwon HB, Kim H, Jung WS, et al.Gender differences in dentofacial characteristics of adult patients with temporomandibular disc displacement[J]. J Oral Maxillofac Surg, 2013, 71(7): 1178-1186.
[5] Sato M, Tsutsui T, Moroi A, et al.Adaptive change in temporomandibular joint tissue and mandibular morphology following surgically induced anterior disc displacement by bFGF injection in a rabbit model[J]. J Craniomaxillofac Surg, 2019, 47(2): 320-327.
[6] Katzberg RW, Westesson PL, Tallents RH, et al.Anatomic disorders of the temporomandibular joint disc in asymptomatic subjects[J]. J Oral Maxillofac Surg, 1996, 54(2): 147-153.
[7] dos Anjos Pontual ML, Freire JS, Barbosa JM, et al. Evaluation of bone changes in the temporomandibular joint using cone beam CT[J]. Dentomaxillofac Radiol, 2012, 41(1): 24-29.
[8] 刘加强, 吴勇, 孙良严, 等. 正畸就诊患者中颞下颌关节结构异常的类型分析[J].中国口腔颌面外科杂志, 2014, 12(4): 337-343.
[9] Graue AM, Jokstad A, Assmus J, et al.Prevalence among adolescents in Bergen, Western Norway, of temporomandibular disorders according to the DC/TMD criteria and examination protocol[J]. Acta Odontol Scand, 2016, 74(6): 449-455.
[10] Al-Khotani A, Naimi-Akbar A, Albadawi E, et al.Prevalence of diagnosed temporomandibular disorders among Saudi Arabian children and adolescents[J]. J Headache Pain, 2016, 17: 41-51.
[11] Wu N, Hirsch C.Temporomandibular disorders in German and Chinese adolescents[J]. J Orofac Orthop, 2010, 71(3): 187-198.
[12] Franco-Micheloni AL, Fernandes G, de Godoi Goncalves DA, et al. Temporomandibular disorders in a young adolescent brazilian population: epidemiologic characterization and associated factors[J]. J Oral Facial Pain Headache, 2015, 29(3): 242-249.
[13] Valesan LF, Da-Cas CD, Réus JC, et al.Prevalence of temporomandibular joint disorders: a systematic review and meta-analysis[J]. Clin Oral Investig, 2021, 25(2): 441-453.
[14] Christidis N, Lindström Ndanshau E, Sandberg A, et al.Prevalence and treatment strategies regarding temporomandibular disorders in children and adolescents-a systematic review[J]. J Oral Rehabil, 2019, 46(3): 291-301.
[15] Whyte AM, McNamara D, Rosenberg I, et al. Magnetic resonance imaging in the evaluation of temporomandibular joint disc displacement-a review of 144 cases[J]. Int J Oral Maxillofac Surg, 2006, 35(8): 696-703.
[16] 傅开元, 胡敏, 余强, 等. 颞下颌关节常规MRI检查规范及关节盘移位诊断标准的专家共识[J].中华口腔医学杂志, 2020, 55(9): 608-612.
[17] Shen S, Ye M, Wu M, et al.MRI and DC/TMD methods analyze the diagnostic accuracy of the change in articular disc of temporomandibular joint[J]. Comput Math Methods Med, 2022: 1770810.
[18] Naeije M, Te Veldhuis AH, Te Veldhuis EC, et al.Disc displacement within the human temporomandibular joint: a systematic review of a 'noisy annoyance'[J]. J Oral Rehabil, 2013, 40(2): 139-158.
[19] Poveda Roda R, Bagan JV, Díaz Fernández JM, et al.Review of temporomandibular joint pathology. part I: classification, epidemiology and risk factors[J]. Med Oral Patol Oral Cir Bucal, 2007, 12(4): E292-298.
[20] Mazzetto MO, Rodrigues CA, Magri LV, et al.Severity of TMD related to age, sex and electromyographic analysis[J]. Braz Dent J, 2014, 25(1): 54-58.
[21] Nilsson IM, Drangsholt M, List T.Impact of temporomandibular disorder pain in adolescents: differences by age and gender[J]. J Orofac Pain, 2009, 23(2): 115-122.
[22] Hirsch C.No increased risk of temporomandibular disorders and bruxism in children and adolescents during orthodontic therapy[J]. J Orofac Orthop, 2009, 70(1): 39-50.
[23] Macfarlane TV, Kenealy P, Kingdon HA, et al. Twenty-year cohort study of health gain from orthodontic treatment: temporomandibular disorders[J]. Am J Orthod Dentofacial Orthop, 2009, 135(6): 692.e1-e8.
[24] Cordray FE.Three-dimensional analysis of models articulated in the seated condylar position from a deprogrammed asymptomatic population: a prospective study. part 1[J]. Am J Orthod Dentofacial Orthop, 2006, 129(5): 619-630.
[25] Kandasamy S, Boeddinghaus R, Kruger E.Condylar position assessed by magnetic resonance imaging after various bite position registrations[J]. Am J Orthod Dentofacial Orthop, 2013, 144(4): 512-517.
[26] Shen P, Zhang D, Abdelrehem A, et al.Association between sexual maturation and anterior disc displacement of temporomandibular joint in adolescents aged 13-14 years[J]. Clin Oral Investig, 2022, 26(12): 7071-7081.
[27] 杜凌晨, 赵强, 田美玉, 等. 不同矢状骨面型髁突位置的锥形束CT对比研究[J]. 华西口腔医学杂志, 2014, 32(4): 382-385.
[28] Gökalp H.Disc position in clinically asymptomatic, pretreatment adolescents with Class I, II, or III malocclusion: a retrospective magnetic resonance imaging study[J]. J Orofac Orthop, 2016, 77(3): 194-202.
[29] 刘木清, 傅开元. 髁突在关节窝中的位置及其在临床诊断治疗中的意义[J]. 中国实用口腔科杂志, 2015, 8(1): 8-12.

错畸形患者中颞下颌关节盘移位患病情况调查分析

Prevalence of temporomandibular joint disc displacement in patients malocclusion

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