Temporomandibular Disorders, Occlusion and Orthodontic Treatment
Temporomandibular Disorders, Occlusion and Orthodontic Treatment
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颞下颌关节疾病、咬合和正畸治疗
DOI：
10.1093/ortho.30.2.129
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发表时间：
2003
影响因子：
1.3
通讯作者：
M. Nilner
中科院分区：
文献类型：
--
作者：
T. Henrikson;M. Nilner
目的 前瞻性纵向研究接受正畸固定矫治器治疗的 II 类错牙合女孩的颞下颌关节紊乱 (TMD) 症状和体征以及咬合变化，并与未经治疗的 II 类错牙合和正常咬合受试者进行比较。设计前瞻性观察队列。对象 65 名接受正畸治疗的 II 类错牙合女孩，58 名未接受治疗的女孩，60 名正常咬合的女孩。方法对女孩进行TMD症状和体征检查，并于2年后再次检查。正畸组在积极治疗期间和治疗后 1 年进行了额外记录 结果 所有三组均包括或多或少有明显 TMD 的受试者，这在正在进行的研究期间显示出个体波动。在正畸组中，治疗后 TMD 肌肉症状的发生率显着降低。两年来，所有三组的颞下颌关节咔嗒声均有所增加，但在正常组中较少见。在两次登记中，正常组的 TMD 总体患病率也低于正畸组和 II 类组。两年来，正畸组的功能性咬合干扰有所减少，但其他组的情况保持不变。结论 (i) 正畸治疗，无论是否拔牙，都不会增加 TMD 的患病率或恶化治疗前的症状和体征。 (ii) 就个体而言，TMD 随着时间的推移大幅波动，且没有可预测的模式。然而，从群体角度来看，咬合类型可能是 TMD 发生的一个促成因素。 (iii) TMD随时间的大幅波动导致我们在考虑对儿童和青少年进行口颌治疗时建议采取保守治疗方法。
Objectives To prospectively and longitudinally study symptoms and signs of temporomandibular disorders (TMD) and occlusal changes in girls with Class II malocclusion receiving orthodontic fixed appliance treatment in comparison with untreated Class II malocclusions and with normal occlusion subjects. Design Prospective observational cohort. Subjects Sixty-five girls with Class II malocclusion who received orthodontic treatment, 58 girls with no treatment, and 60 girls with normal occlusion. Method The girls were examined for symptoms and signs of TMD and re-examined 2 years later. Additional records were taken in the orthodontic group during active treatment and 1 year after treatment Results All three groups included subjects with more or less pronounced TMD, which showed individual fluctuation during the ongoing study. In the orthodontic group, the prevalence of muscular signs of TMD was significantly less common post-treatment. Temporomandibular joint clicking increased in all three groups over the 2 years, but was less common in the normal group. The normal group also had a lower overall prevalence of TMD than the orthodontic and the Class II group at both registrations. Functional occlusal interferences decreased in the orthodontic group, but remained the same in the other groups over the 2 years. Conclusions (i) Orthodontic treatment either with or without extractions did not increase the prevalence or worsen pre-treatment symptoms and signs of TMD. (ii) Individually, TMD fluctuated substantially over time with no predictable pattern. However, on a group basis, the type of occlusion may play a role as a contributing factor for the development of TMD. (iii) The large fluctuation of TMD over time leads us to suggest a conservative treatment approach when stomatognathic treatment in children and adolescents is considered.
主要 II 类咬合矫正对颞下颌体征和症状的影响。
DOI：
--
发表时间：
1998
期刊：
Journal of orofacial pain.
影响因子：
--
作者：
Rodrigues-Garcia,RC;Sakai,S;Rugh,JD;Hatch,JP;Tiner,BD;vanSickels,JE;Clark,GM;Nemeth,DZ;Bays,RA
通讯作者：
Bays,RA