错牙合与颞下颌关节紊乱病-条件logistic回归分析  

Malocclusion and temporomandibular disorders-conditional logistic regression analysis

作　　者：薛飞[1] 姚博[1] 宋新亮[1] 高晓峰[1] 戴庆[1] 卜宏 

机构地区：[1]空军临潼航空医学鉴定训练中心,陕西西安710600 [2]第四军医大学口腔医院解剖生理教研室,陕西西安710032

出　　处：《中国美容医学》2015年第12期64-66,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨颞下颌关节紊乱病与错牙合的关系。方法:主诉颞下颌关节紊乱病、连续病例613例(TMD组),单纯牙列不齐要求正畸治疗的连续病例682例。记录各病例错牙合情况,对两组人群作配对多因素条件logistic回归分析。结果:进入logistic回归模型的因素有对刃牙合、前牙反牙合、后牙反牙合、锁牙合,OR值分别为0.523、0.270、1.824,1.946。结论:对刃、前牙反牙合、后牙反牙合及锁牙合与颞下颌关节紊乱病有相关关系,其中影响美观的前牙异常正畸治疗需求高,后牙反牙合、锁牙合是危险因素,后牙异常可能易患TMD。Objective To investigate the relationship between temporomandibular disorders（TMD）and malocclusion. Methods The TMD group included 613 patients diagnosed TMD.The control group included 682 patients who sought orthodontic treatment because of pute irregular dentition.The malocclusions of the patients were recorded.The patients of the two groups were analyzed by the paired multivariate logistic regression. Results The factors including edge to edge occlusion,anterior crossbite,posterior crossbite、scissors bite were took into the logistic regression model.The odds ratio was 0.523,0.270,1.824,1.946. Conclusion Edge to edge occlusion,anterior crossbite,posterior crossbite,scissors bite were associated with TMD.The one with abnormal anterior teeth that infecting his appearance is more will to accept orthodontic treatment.Posterior crossbite、scissors bite were risk factors.The one with abnormal posterior teeth is easy to suffer from TMD.

关 键 词：颞下颌关节紊乱病 错牙合 咬合 LOGISTIC回归分析 

分 类 号：R783.5[医药卫生—口腔医学]