正畸就诊患者中颞下颌关节结构异常的类型分析

中国口腔颌面外科杂志 ›› 2014, Vol. 12 ›› Issue (4): 337-343.

正畸就诊患者中颞下颌关节结构异常的类型分析

刘加强, 吴勇, 孙良严, 王洁, 赵晶蕾, 代庆刚, 房兵

上海交通大学医学院附属第九人民医院·
口腔医学院口腔颅颌面科, 上海市口腔医学重点实验室,上海 200011

收稿日期:2013-10-12 出版日期:2014-07-10 发布日期:2014-08-20
通讯作者: 房兵,E-mail: braces_dr@hotmail.com
作者简介:刘加强（1977-）,男,博士后,主治医师,E-mail: liujqmj@163.com
基金资助:
国家自然科学基金（81371178）; 上海市教育委员会科研专项基金（ZZjdyx12101）; 上海市科学技术委员会重点项目（12JC1405700）

Analysis of temporomandibular joint structural abnormalities in orthodontic patients

LIU Jia-qiang, WU Yong, SUN Liang-yan, WANG Jie, ZHAO Jing-lei, DAI Qing-gang, FANG Bing.

Department of Oral and Craniomaxillofacial Science, Ninth People’s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine;
Shanghai Key Laboratory of Stomatology. Shanghai 200011, China

Received:2013-10-12 Online:2014-07-10 Published:2014-08-20
Supported by:
Supported by National Natural Science Foundation of China (81371178), Research Fund of Shanghai Municipal Education Commission(ZZclyx12101) and Research Fund of Science and Technology Committee of Shanghai Municipality (12JC1405700)

摘要/Abstract

摘要： 目的颞下颌关节问题在口腔正畸治疗中日益受到重视,本研究针对正畸就诊患者中颞下颌关节结构常见的问题进行系统分析,为颞下颌关节结构异常患者正畸方案的制订提供参考。方法：随机选取近2年在我科就诊的正畸患者255例作为受试对象,其中男80例,女175例,年龄10~45岁。常规拍摄X线片及双侧颞下颌关节开闭口位磁共振片,并对关节结构进行观察。采用SPSS 17.0软件包对结果进行统计学分析。结果： 255例患者中,颞下颌关节结构异常176例,占69.02%。80例男性患者中,关节结构异常48例,占60.00%;175例女性患者中,关节结构异常128例,占73.14%,显著多于男性患者。结论：颞下颌关节结构异常在正畸就诊人群中的比例很高,约占2/3,但大部分患者没有临床症状,是一种潜在的风险,女性患者显著多于男性。

关键词: 正畸治疗, 颞下颌关节, 结构异常

Abstract: PURPOSE: Temporomandibular joint (TMJ) problems are becoming more and more important in orthodontic patients. This study analyzed TMJ problems in orthodontic patients in order to provide reference for treating orthodontic patients with TMJ problems. METHODS: Two hundred and fifty five orthodontic patients were randomly selected in our department during the recent 2 years, including 80 males and 175 females, aged from 10 to 45 years old. X-ray film and MRI on TMJ of both sides at bite and open position were used to analyze TMJ problems. The results were analyzed with SPSS 17.0 software package. RESULTS: Of all 255 patients, 176 had TMJ problems, accounting for 69.02%. Of all 80 male patients, 48 had TMJ problems, accounting for 60.00%. Of all 175 female patients, 128 had TMJ problems, accounting for 73.14%, significantly higher than the male patients. CONCLUSION: The results showed that nearly two third of orthodontic patients have TMJ problems. Most patients have no obvious clinical symptom but at a potential risk for orthodontic treatment. Females are more susceptible to TMJ problems.

Key words: Orthodontic treatment, Temporomandibular joint, Structural abnormalities

中图分类号:

R782.6

刘加强, 吴勇, 孙良严, 王洁, 赵晶蕾, 代庆刚, 房兵. 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.

LIU Jia-qiang, WU Yong, SUN Liang-yan, WANG Jie, ZHAO Jing-lei, DAI Qing-gang, FANG Bing.. Analysis of temporomandibular joint structural abnormalities in orthodontic patients[J]. China J Oral Maxillofac Surg, 2014, 12(4): 337-343.

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