Caroline Mélou, Lucie Leroux, Martin Bonnesoeur, Clément Le Padellec, Valérie Bertaud, Dominique Chauvel-Lebret
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引用次数: 0
摘要
目的研究错颌畸形与颞下颌关节紊乱症（TMD）之间的联系，重点是先天性错颌畸形。同时评估 TMD 的其他病因（口腔功能障碍）：方法：对两组患者的错合畸形发生率进行相关分析：TMD 患者（病例组）和非 TMD 患者（对照组）。对涉及牙科护理的畸形情况进行了详细说明。对病例组的副功能进行了评估：结果表明，TMD 与咬合过大 >4 毫米、侧突干扰和无角度 I 级之间存在明显的统计学关联。结果：TMD 与咬合过大 >4 mm、侧隐窝干扰和无 Angle Class I 之间有统计学意义的关联，突出了先天性畸形的潜在有害影响：结论：TMD 的多因素病因得到证实，因为发现 TMD 与三种畸形之间存在关联，而且所有病例患者都有副功能。目前的建议是首先进行可逆治疗，TMD 护理应从行为再教育开始，以消除副功能。然而，在牙科治疗过程中，必须避免造成先天性错颌畸形。
Relationship between natural or iatrogenic malocclusions and temporomandibular disorders: A case control study.
Objective: To investigate the link between malocclusions and temporomandibular disorders (TMD) with a focus on iatrogenic malocclusion. Other etiologies of TMD (oral parafunctions) were also assessed.
Methods: The prevalence of malocclusions was correlated in two groups: patients with TMD (case group) and patients without TMD (control group). Malocclusions involving dental care were specified. Parafunctions in the case group were assessed.
Results: A statistically significant association between TMD and overbite >4 mm, interferences in laterotrusion, and absence of Angle Class I was shown. A potential deleterious effect of iatrogenic malocclusions was highlighted.
Conclusion: The multifactorial etiology of TMD was confirmed because an association between TMD and three malocclusions was found, and all case patients had parafunction(s). Current recommendations advising first a reversible treatment, TMD care should start with a behavioral re-education to remove parafunctions. However, it is essential to avoid creating iatrogenic malocclusion during dental care.
期刊介绍：
CRANIO: The Journal of Craniomandibular & Sleep Practice is the oldest and largest journal in the world devoted to temporomandibular disorders, and now also includes articles on all aspects of sleep medicine. The Journal is multidisciplinary in its scope, with editorial board members from all areas of medicine and dentistry, including general dentists, oral surgeons, orthopaedists, radiologists, chiropractors, professors and behavioural scientists, physical therapists, acupuncturists, osteopathic and ear, nose and throat physicians.
CRANIO publishes commendable works from outstanding researchers and clinicians in their respective fields. The multidisciplinary format allows individuals practicing with a TMD emphasis to stay abreast of related disciplines, as each issue presents multiple topics from overlapping areas of interest.
CRANIO''s current readership (thousands) is comprised primarily of dentists; however, many physicians, physical therapists, chiropractors, osteopathic physicians and other related specialists subscribe and contribute to the Journal.
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