[各种类型椎间盘移位的频率及其与咬合的关系]。

Acta stomatologica Belgica Pub Date : 1996-06-01
A Akl, M Kuliralo, J Van Reck
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引用次数: 0

摘要

本研究的目的是观察颞下颌关节不同类型的椎间盘移位(d.d.)的发生频率,并评估这些类型是否与错咬合有关。100名患者和13名无症状志愿者接受了全面的临床检查。矢状面MRI(张嘴和闭口)和冠状面MRI(闭口)。不同类型的椎间盘移位被记录下来,并在频率和与几个咬合标准的关系中累积起来。与一般认为前内侧偏位(d.d.a -m)在内部紊乱中最常见的观点不同,本研究的结果显示,前外侧偏位(d.d.a -l)在患者(35.1%)和一般无症状志愿者中更常见,特别是在错颌(前重叠和后交叉咬合过度)的情况下。该研究提出了前外侧椎间盘移位的病因问题,并推翻了外侧翼状肌在椎间盘移位中起根本作用的假设。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[The frequency of various types of disk displacement and its relation to occlusion].

The aim of this study is to observe the frequency of the different types of disc displacements (d.d.) of the TMJ (ATM) and to evaluate if these types are related or not with malocclusions. One hundred patients and 13 asymtomatic volunteers underwent full clinic examination. sagittal MRI (mouth open and closed) and coronal MRI (mouth closed). The different types of disc displacements were noted and cumulated in frequency and in relation with several occlusal criteria. Unlike the general opinion stating that the antero-medial d.d. (d.d. a-m) are the most frequent amongst the internal derangements, the result of this study reveals that the antero-lateral d.d. (d.d. a-l) are more frequent amongst the patients (35.1%) and the asymptomatic volunteers in general and particularly in view of a malocclusion (exagerated anterior overlapping and posterior cross bite). The study gives rise to the question of the etiology of a antero-lateral d.d. and sets back the hypothesis of the lateral pterygoid muscle fundamental role in the disc displacements.

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