安徽卫生职业技术学院学报
安徽衛生職業技術學院學報
안휘위생직업기술학원학보
Journal of Anhui Health Vocational & Technical College
2015年
5期
30-31
,共2页
口腔正畸%颞下颌关节%相关
口腔正畸%顳下頜關節%相關
구강정기%섭하합관절%상관
Orthodontic%Temporomandibular joint%Correlation
目的：探析口腔正畸治疗对颞下颌关节疾病的临床影响。方法：选取采用正畸治疗的48例患者作为研究对象，依据患者Helkimo指数分为对照组33例与观察组15例，对照组均无颞颌关节症状，而观察组均存在局部症状，观察两组患者治疗过程中颞下颌关节疾病发生率，并依次在治疗前、治疗过程中与治疗后观察两组病例的关节盘移位及关节间隙线距等情况。结果：两组患者正畸治疗过程中的颞下颌关节疾病发生率具有显著差异（P<0.05）；观察组关节盘移位情况显著高于对照组（P<0.05）；治疗过程中关节盘移位情况加重，关节前间隙增加，且关节上间隙与后间隙降低。结论：正畸治疗过程中可能发生颞下颌关节疾病，而存在颞颌关节症状患者的临床风险更高，正畸治疗前需开展颞颌关节评估。
目的：探析口腔正畸治療對顳下頜關節疾病的臨床影響。方法：選取採用正畸治療的48例患者作為研究對象，依據患者Helkimo指數分為對照組33例與觀察組15例，對照組均無顳頜關節癥狀，而觀察組均存在跼部癥狀，觀察兩組患者治療過程中顳下頜關節疾病髮生率，併依次在治療前、治療過程中與治療後觀察兩組病例的關節盤移位及關節間隙線距等情況。結果：兩組患者正畸治療過程中的顳下頜關節疾病髮生率具有顯著差異（P<0.05）；觀察組關節盤移位情況顯著高于對照組（P<0.05）；治療過程中關節盤移位情況加重，關節前間隙增加，且關節上間隙與後間隙降低。結論：正畸治療過程中可能髮生顳下頜關節疾病，而存在顳頜關節癥狀患者的臨床風險更高，正畸治療前需開展顳頜關節評估。
목적：탐석구강정기치료대섭하합관절질병적림상영향。방법：선취채용정기치료적48례환자작위연구대상，의거환자Helkimo지수분위대조조33례여관찰조15례，대조조균무섭합관절증상，이관찰조균존재국부증상，관찰량조환자치료과정중섭하합관절질병발생솔，병의차재치료전、치료과정중여치료후관찰량조병례적관절반이위급관절간극선거등정황。결과：량조환자정기치료과정중적섭하합관절질병발생솔구유현저차이（P<0.05）；관찰조관절반이위정황현저고우대조조（P<0.05）；치료과정중관절반이위정황가중，관절전간극증가，차관절상간극여후간극강저。결론：정기치료과정중가능발생섭하합관절질병，이존재섭합관절증상환자적림상풍험경고，정기치료전수개전섭합관절평고。
Objective:To discuss the clinical effects of orthodontic treatment on the temporomandibular joint disease. Methods:48 cases of orthodontic treatment patients in our hospital from December 2011 to December 2014 were selected as the study objects, and were divided into the control group of 33 cases and observation group of 15 cases according to Helkimo index. The control group had no symptoms of temporomandibular joint, while the observation group had local symptoms. The temporomandibular joint disease in the treatment of these two groups was observed, and articular disc displacement and joint space line distance and other circumstances before, during and after the treatment of these two groups were successively observed. Results:There was significant difference between the temporomandibular joint disease rates during the orthodontic treatment of these two groups ( P<0.05);the articular disc displacement situation of observation group was significantly higher than that of control group ( P<0.05);during treatment the articular disc displacement situation aggravated, the joint front gap increased, and the joint up gap and behind gap decreased. Conclusion:In the orthodontic treatment, the temporomandibular joint disease may occur, and the patients with temporomandibular joint symptoms have higher clinical risk, so we should evaluate the temporomandibular joint in the orthodontic treatment.
