CAJ | 학술논문

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。
목적：탐토섭하합관절문란병여착아합적관계。방법：주소섭하합관절문란병、련속병례613례（TMD조），단순아렬불제요구정기치료적련속병례682례。기록각병례착아합정황，대량조인군작배대다인소조건logistic회귀분석。결과：진입logistic회귀모형적인소유대인아합、전아반아합、후아반아합、쇄아합,OR치분별위0.523、0.270、1.824，1.946。결론：대인、전아반아합、후아반아합급쇄아합여섭하합관절문란병유상관관계，기중영향미관적전아이상정기치료수구고，후아반아합、쇄아합시위험인소，후아이상가능역환TMD。
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.