术前正畸对颞下颌关节关节盘及髁突位置和形态的影响

doi:10.19439/j.sjos.2021.05.010

中国口腔颌面外科杂志 ›› 2021, Vol. 19 ›› Issue (5): 439-444.doi: 10.19439/j.sjos.2021.05.010

术前正畸对颞下颌关节关节盘及髁突位置和形态的影响

王天鸽¹, 周志捷¹, 林怡君¹, 孙仪庭¹, 陈昱¹, 孙华², 毛丽霞¹, 刘加强¹

1.上海交通大学医学院附属第九人民医院口腔颅颌面科,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 200011;
2.联勤保障部队临潼康复疗养中心,陕西西安 710600

收稿日期:2020-11-13 修回日期:2021-01-27 出版日期:2021-09-20 发布日期:2021-10-20
通讯作者: 刘加强,E-mail:liujqmj@163.com
作者简介:王天鸽（1995-）,女,在读硕士研究生,E-mail:teaganwang@163.com
基金资助:
上海市卫生和计划生育委员会面上项目（201740035）

Effect of pre-surgical orthodontic treatment on the position and morphology of articular disc and condyle of temporomandibular joint

WANG Tian-ge¹, ZHOU Zhi-jie¹, LIN Yi-jun¹, SUN Yi-ting¹, CHEN Yu¹, SUN Hua², MAO Li-xia¹, LIU Jia-qiang¹

1. Department of Oral and Craniomaxillofacial Surgery, 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 200011;
2. Lintong Sanatorium Center of PLA. Xi'an 710600, Shaanxi Province, China

Received:2020-11-13 Revised:2021-01-27 Online:2021-09-20 Published:2021-10-20

摘要/Abstract

摘要： 目的探讨术前正畸对颞下颌关节关节盘及髁突位置和形态的影响。方法选择骨性错畸形患者30例,在颞下颌关节磁共振图像上进行测量。通过关节间隙测量,判定髁突位置;通过髁突头长度、宽度和高度测量,判定髁突形态;关节盘位置和形态由直接观察判定,采用SPSS 24.0软件包对所得数据进行统计学分析,比较骨性Ⅰ、Ⅱ和Ⅲ类畸形患者在术前正畸前、后关节盘及髁突位置和形态变化。结果术前正畸前、后关节间隙和关节间隙指数,髁突头长度、宽度和高度、关节盘前移角及关节盘形态差异均无统计学意义（P>0.05）。结论术前正畸治疗不会导致骨性错畸形患者关节盘及髁突位置和形态改变。

关键词: 术前正畸, 颞下颌关节, 磁共振成像

Abstract: PURPOSE: To investigate the effect of pre-surgical orthodontic treatment on the position and morphology of articular disc and condyle of temporomandibular joint(TMJ). METHODS: Thirty patients with skeletal malocclusion was selected. The measurements were taken on MRI of TMJ. The condylar position was determined by measuring the joint space. The condylar morphology was determined by measuring the length, width and height of condyle head. The position and morphology of articular disc was determined by direct observation. The changes of the position and morphology of articular disc and condyle before and after pre-surgical orthodontic treatment in patients with skeletal Class Ⅰ,Ⅱ and Ⅲ malocclusion were observed and analyzed with SPSS 24.0 software package. RESULTS: There was no significant difference in joint spaces and joint space index, the length, width and height of condyle head, the degree of anterior disc displacement and the morphology of articular disc before and after the pre-surgical orthodontic treatment(P>0.05). CONCLUSIONS: Pre-surgical orthodontic treatment does not cause the change of the position and morphology of articular disc and condyle in patients with skeletal malocclusion.

Key words: Pre-surgical orthodontic treatment, Temporomandibular joint, Magnetic resonance imaging

中图分类号:

R782.2

王天鸽, 周志捷, 林怡君, 孙仪庭, 陈昱, 孙华, 毛丽霞, 刘加强. 术前正畸对颞下颌关节关节盘及髁突位置和形态的影响[J]. 中国口腔颌面外科杂志, 2021, 19(5): 439-444.

WANG Tian-ge, ZHOU Zhi-jie, LIN Yi-jun, SUN Yi-ting, CHEN Yu, SUN Hua, MAO Li-xia, LIU Jia-qiang. Effect of pre-surgical orthodontic treatment on the position and morphology of articular disc and condyle of temporomandibular joint[J]. China J Oral Maxillofac Surg, 2021, 19(5): 439-444.

参考文献

[1] 沈国芳, 房兵. 正颌外科学[M]. 杭州: 浙江科学技术出版社, 2012:111.
[2] 王天鸽, 陈雪莲, 周志捷, 等. 术前正畸对骨性Ⅲ类畸形患者颞下颌关节关节盘和髁突位置影响的MRI研究[J].中华口腔正畸学杂志, 2021, 28(2): 68-73.
[3] Wilkes CH.Internal derangements of the temporomandibular joint. Pathological variations[J]. Arch Otolaryngol Head Neck Surg, 1989, 115(4): 469-477.
[4] Hoppenreijs TJ, Freihofer HP, Stoelinga PJ, et al.Condylar remodelling and resorption after Le Fort I and bimaxillary osteotomies in patients with anterior open bite. A clinical and radiological study[J]. Int J Oral Maxillofac Surg, 1998, 27(2): 81-91.
[5] Kinzinger G, Kober C, Diedrich P.Topography and morphology of the mandibular condyle during fixed functional orthopedic treatment --a magnetic resonance imaging study[J]. J Orofac Orthop, 2007, 68(2): 124-147.
[6] Ueki K, Nakagawa K, Takatsuka S, et al.Temporomandibular joint morphology and disc position in skeletal Class Ⅲ patients[J]. J Craniomaxillofac Surg, 2000, 28(6): 362-368.
[7] Taskaya-Yilmaz N, Oigütcen-Toller M.Magnetic resonance imaging evaluation of temporomandibular joint disc deformities in relation to type of disc displacement[J]. J Oral Maxillofac Surg, 2001, 59(8): 860-865.
[8] 崔燕, 唐天琪, 刘琳. 不同矢状骨面型患者颞下颌关节形态特征锥形束CT研究[J]. 中国实用口腔科杂志, 2016, 9(6): 348-353.
[9] Kaur A, Natt AS, Mehra SK, et al.Improved visualization and assessment of condylar position in the glenoid fossa for different occlusions: a CBCT study[J]. J Contemp Dent Pract, 2016, 17(8): 679-686.
[10] Iguchi R, Yoshizawa K, Moroi A, et al.Comparison of temporomandibular joint and ramus morphology between Class Ⅱ and Class Ⅲ cases before and after bi-maxillary osteotomy[J]. J Craniomaxillofac Surg, 2017, 45(12): 2002-2009.
[11] Ueki K, Yoshizawa K, Moroi A, et al.Relationship between occlusal force and condylar morphology in Class Ⅱ and Ⅲ after bimaxillary osteotomy[J]. J Craniomaxillofac Surg, 2018, 46(12): 2103-2107.
[12] 郭美玲,黄臻,王宠,等.术前正畸对骨性Ⅲ类错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): 417-421.
[13] 王丹, 方梦如, 李强, 等. 正畸正颌联合治疗骨性Ⅲ类错畸形颞下颌关节变化[J].口腔生物医学,2020,11(3):176-180.
[14] 原玉娟,冯云霞,任娟,等.颞下颌关节紊乱病和咬合因素的相关研究[J].口腔医学研究, 2018, 34(3): 226-228.
[15] 邹冰爽, 马绪臣. 正畸治疗中颞下颌关节问题的应对策略[J]. 中华口腔医学杂志, 2012, 47(1): 22-25.
[16] 贺红, 刘志坚. 正畸相关的颞下颌关节问题及临床应对策略[J].中华口腔医学杂志, 2019, 54(12): 808-814.

术前正畸对颞下颌关节关节盘及髁突位置和形态的影响

Effect of pre-surgical orthodontic treatment on the position and morphology of articular disc and condyle of temporomandibular joint

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]	李响, 丁若仪, 王秀梅, 何冬梅, 王冬梅. 标准型人工颞下颌关节假体在开口运动中的特征分析[J]. 中国口腔颌面外科杂志, 2024, 22(4): 353-359.
[2]	李晨曦, 方昌, 龚忠诚, 邵博. 累及颞下颌关节整体结构的软骨黏液样纤维瘤：手术切除及关节重建1例报告[J]. 中国口腔颌面外科杂志, 2024, 22(4): 409-412.
[3]	米娜, 安玮, 金雪梅, 谢帅, 姚志涛. 叶黄素对兔创伤性颞下颌关节强直的预防作用研究[J]. 中国口腔颌面外科杂志, 2024, 22(3): 216-221.
[4]	何美娟, 夏滴, 白果, 赵界云, 俞蕾蕾, 顾雅洁. 多学科协作模式在颞下颌关节强直肋骨肋软骨重建术患者护理中的应用[J]. 中国口腔颌面外科杂志, 2023, 21(6): 553-558.
[5]	陈云亮, 满城, 李晓宇, 伍靖, 魏柳琼, 李文龙. 创伤性颞下颌关节强直与异位骨化发病机制相似性的实验研究[J]. 中国口腔颌面外科杂志, 2023, 21(5): 461-466.
[6]	邓李妮, 陈传俊, 王祎, 项先旺. 颞下颌关节二水焦磷酸钙结晶沉积症1例报告及文献复习[J]. 中国口腔颌面外科杂志, 2023, 21(5): 522-525.
[7]	余也可, 丁若仪, 孙家莉, 张志愿, 何冬梅. 大鼠颞下颌关节骨关节炎中髁突软骨与骨髓的单细胞转录组分析[J]. 中国口腔颌面外科杂志, 2023, 21(4): 332-339.
[8]	闫婷婷, 张静, 庄立琨, 王莉莉, 张鹏, 袁荣涛. 脂多糖对大鼠三叉神经节Nav1.7表达的调控及机制研究[J]. 中国口腔颌面外科杂志, 2023, 21(4): 345-351.
[9]	司呈云, 刘梦秋, 翁海燕, 章礼玉, 安星妃, 周瑜. MRI测量和评估口腔黏膜鳞状细胞癌临床分期指标的准确性分析[J]. 中国口腔颌面外科杂志, 2023, 21(4): 390-396.
[10]	吾尔古丽·阿力甫, 热伊莱·阿不都克热木, 柳江龙, 买买提吐逊·吐尔地. 双线锚固钉在颞下颌关节盘锚固术中的应用效果评价[J]. 中国口腔颌面外科杂志, 2023, 21(4): 397-402.
[11]	岳史婧, 赵炅, 白果, 陈敏洁, 杨驰. 标准型颞下颌关节假体置换术中保存翼外肌附着的效果评价[J]. 中国口腔颌面外科杂志, 2022, 20(6): 548-553.
[12]	李莉玫, 朱耀旻, 王昱萌, 戴娟, 张丹迪, 梁潇. 23例颞下颌关节手术联合面部除皱术临床疗效分析[J]. 中国口腔颌面外科杂志, 2022, 20(6): 554-559.
[13]	陈静, 朱敏. 稳定型咬合板联合关节灌洗术治疗颞下颌关节紊乱病的疗效评价[J]. 中国口腔颌面外科杂志, 2022, 20(6): 565-570.
[14]	张大河, 沈佩, 杨驰. 青少年颞下颌关节盘前移位患者就诊情况分析[J]. 中国口腔颌面外科杂志, 2022, 20(5): 437-442.
[15]	张大河, 沈佩, 杨驰. 青少年颞下颌关节盘前移位患者就诊情况分析[J]. 中国口腔颌面外科杂志, 2022, 20(5): 443-448.