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作 者:周国立 袁玲君[1] 李海瑞 史文涛 房兵[1] ZHOU Guo-li;YUAN Ling-jun;LI Hai-rui;SHI Wen-tao;FANG Bing(Department of Orthodontics,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine,College of Stomatology,Shanghai Jiao Tong University,National Center for Stomatology,National Clinical Research Center for Oral Diseases,Shanghai Key Laboratory of Stomatology,Shanghai Research Institute of Stomatology,Shanghai 200011,China)
机构地区:[1]上海交通大学医学院附属第九人民医院口腔正畸科,上海交通大学口腔医学院,国家口腔医学中心,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室,上海市口腔医学研究所,上海200011
出 处:《上海口腔医学》2024年第6期656-660,共5页Shanghai Journal of Stomatology
摘 要:目的:分析错■畸形病例中颞下颌关节盘移位的患病特征及颞下颌关节盘移位的相关因素,为正畸治疗提供参考。方法:回顾性纳入2012年1月—2021年12月就诊于上海交通大学医学院附属第九人民医院口腔正畸科的连续病例1157例,根据颞下颌关节磁共振结果,分析关节盘移位在错■畸形病例中的患病情况,分析性别、年龄及骨性分类等因素与颞下颌关节盘移位的相关性。采用SPSS 25.0软件包对数据进行统计学分析。结果:1157例错■畸形病例中,关节盘位置异常672例,占58.08%。其中,关节盘前移位334例,占28.87%。关节盘移位比例女性大于男性,骨性Ⅱ类大于骨性Ⅲ类。10~18岁错■畸形病例中,颞下颌关节盘移位比例随年龄增加而升高。结论:正畸科就诊的错■畸形病例中,关节盘位置异常比例较高,年龄、性别(女性)和骨性Ⅱ类错■畸形与关节盘移位相关性较大。PURPOSE:To investigate the prevalence characteristics of temporomandibular joint disc displacement in patients with malocclusion and influencing factors of disc displacement,and to provide reference for orthodontic treatment.METHODS:A total of 1157 consecutive orthodontic cases admitted to the Department of Orthodontics at Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine from January 2012 to December 2021 were selected retrospectively.Based on temporomandibular joint MRI,the prevalence of disc displacement in orthodontic cases was investigated.The influencical factors of gender,age and skeletal classification on disc displacement was analyzed.SPSS 25.0 software package was used for data analysis.RESULTS:Among 1157 orthodontic cases,there were 672 cases(58.08%)of disc displacement,and 334 cases(28.87%)had anterior disc displacement.The prevalence of disc displacement in female was significantly higher than that in male.The prevalence of disc displacement in skeletal ClassⅡmalocclusion was significantly higher than that in skeletal ClassⅢmalocclusion.In orthodontic cases aged between 10 and 18,the prevalence of disc displacement increased with age.CONCLUSIONS:There is a high proportion of abnormal articular disc position in patients with malocclusion.Age,gender(female)and skeletal ClassⅡmalocclusion have higher correlation with temporomandibular joint disc displacement.
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