Morphological changes in the temporomandibular joint after orthodontic treatment for Angle Class II malocclusion

Daigo Koide, Kazuhiro Yamada, A. Yamaguchi, Toru Kageyama, A. Taguchi
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引用次数: 8

Abstract

Abstract Objective: The aim of this study was to examine the morphological temporomandibular joint (TMJ) changes that occur after orthodontic treatment in patients with Angle Class II malocclusion. Methods: The post-treatment changes in TMJ morphology were analyzed, based on TMJ cephalometric laminographs in 19 patients with Angle Class II malocclusion and labial inclination of the upper incisors after premolar extraction. Results: The condylar pass angle, articular eminence to the Frankfort horizontal plane angle, and total, upper, and lower heights of the articular fossa increased significantly on both sides after treatment and retention. The anteroposterior width of the articular fossa decreased significantly on both sides after treatment and retention. Discussion: These results suggest that adaptive bone remodeling of the TMJ occurs during the correction of occlusion with labial inclination of the upper incisors by orthodontic treatment after premolar extraction in patients with Angle Class II malocclusion.
角ⅱ类错牙合正畸治疗后颞下颌关节形态的变化
摘要目的:观察Angleⅱ类错牙合患者正畸治疗后颞下颌关节(TMJ)形态学变化。方法:对19例前磨牙拔除后夹角型ⅱ类错颌、上切牙唇倾患者的颞下颌关节头侧x线片进行分析,分析治疗后颞下颌关节形态的变化。结果:经治疗和保留后,双侧髁突通角、关节隆起至法兰克福水平面角、关节窝总高度、上、下高度均明显增高。治疗和保留后,两侧关节窝的前后宽度明显减小。讨论:这些结果提示,在直角ⅱ类错牙合患者前磨牙拔除后正畸矫治上切牙唇倾咬合过程中,TMJ发生了适应性骨重塑。
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