口腔颌面修复学杂志2024,Vol.25Issue(6) :462-467.DOI:10.19748/j.cn.kqxf.1009-3761.2024.6.011

下颌偏斜患者关节结构改变与颞下颌关节紊乱病的关系研究进展

Research progress of the relationship between temporomandibular joint structure changes and temporomandibular disorders in patients with mandibular deviation

张润东 章燕珍
口腔颌面修复学杂志2024,Vol.25Issue(6) :462-467.DOI:10.19748/j.cn.kqxf.1009-3761.2024.6.011

下颌偏斜患者关节结构改变与颞下颌关节紊乱病的关系研究进展

Research progress of the relationship between temporomandibular joint structure changes and temporomandibular disorders in patients with mandibular deviation

张润东 1章燕珍2
扫码查看

作者信息

  • 1. 浙江大学医学院附属第二医院综合牙科 杭州 310009;浙江大学医学院国际健康研究院 义乌 322000
  • 2. 浙江大学医学院附属第二医院综合牙科 杭州 310009
  • 折叠

摘要

下颌偏斜是一种临床较常见的颜面部不对称畸形,表现为下颌颏部偏离面中线2 mm或4 mm以上.偏颌不仅影响面部美观,在功能方面,一些偏颌患者常伴发有关节弹响、耳前区疼痛和下颌运动异常等颞下颌关节紊乱病的典型表现.这可能与下颌偏斜患者颞颌关节内部结构发生形态改建,相关结构的紊乱使其较正常人群更易发生颞下颌关节紊乱病有关.另一方面,青少年生长发育期间发生颞下颌关节紊乱病,可能会影响髁突及下颌骨的发育,导致偏颌畸形的发生.目前国内外对二者之间的关系研究较少,本文对下颌偏斜患者颞下颌关节中髁突及关节盘的形态与位置等进行分析,探讨下颌偏斜患者颞颌关节形态与颞下颌关节紊乱病之间的相互关系,为临床上下颌偏斜患者早期预防颞下颌关节紊乱病提供参考.

Abstract

Mandibular deviation is a common facial asymmetric deformity in clinical practice,manifested as a deviation of the mandibular chin from the facial midline by 2 mm or more than 4 mm.It not only affects aesthetics,patients with mandibular deviation are often accompanied by joint click,pain and abnormal mandibular movements.This may be related to the morphological alterations that occur within the joint in patients with mandibular deviation,which may lead to the occurrence of temporomandibular disorders(TMDs).On the other hand,TMDs that occur during the growth and development of adolescents may affect the development of the condyle and mandible,leading to the occurrence of malocclusion.Currently,there is limited research on the relationship between these two issues domestically and internationally.This paper analyzes the morphology and position of the condylar process and articular disc of patients with mandibular deviation to explore the relationship between the structure of the temporomandibular joint in patients with mandibular deviation and TMDs,and to provide reference for the early prevention of TMDs in patients with mandibular deviation.

关键词

下颌偏斜/颞下颌关节紊乱病/关节形态/颞下颌关节

Key words

mandibular deviation/temporomandibular disorders(TMDs)/morphology of articular/temporomandibular joint

引用本文复制引用

出版年

2024
口腔颌面修复学杂志
首都医科大学附属北京口腔医院 解放军总医院

口腔颌面修复学杂志

CSTPCD
影响因子:0.893
ISSN:1009-3761
浏览量1
段落导航相关论文