Three-dimensional morphology was used to analyze the influence of posterior teeth loss on temporomandibular joint

Chongzhi Yin, Yuanli Zhang
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Abstract

Objective: To explore the influence of posterior teeth loss on temporomandibular joint by three-dimensional morphological analysis. Methods: 3D data were obtained by holographic scanning and measuring the models of teeth and chin, and the 3D models were constructed by computer. Results: Under normal conditions, the maximum compressive stress of temporomandibular joint is located in the anterior medial side of condylar cartilage, the stress of condylar head is higher than that of medial and lateral sides, and the compressive stress of articular disc is the highest in medial and lateral sides. The compressive stress of the anterior condyle slope is significantly higher than that of the corresponding part of the articular disc (P<0.01). Conclusion: The change of temporomandibular joint pressure caused by tooth loss will be greatly improved after denture restoration. Therefore, in the case of missing posterior teeth, especially when a large number of molars and loose ends are missing, in order to prevent periodontal disease and temporomandibular joint disease, it is strongly required to repair them as soon as possible.
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采用三维形态学方法分析后牙脱落对颞下颌关节的影响
目的:通过三维形态学分析探讨后牙脱落对颞下颌关节的影响。方法:通过全息扫描测量牙齿和下巴模型,获得三维数据,并通过计算机建立三维模型。结果:正常情况下,颞下颌关节的最大压应力位于髁软骨的前内侧,髁头的应力高于内侧和外侧,关节盘的压应力在内侧和外侧最高。前髁坡的压应力显著高于关节盘相应部位(P<0.01)。结论:假牙修复后,因牙齿脱落引起的颞下颌关节压力变化将得到明显改善。因此,在后牙缺失的情况下,特别是当大量臼齿和松动末端缺失时,为了预防牙周病和颞下颌关节疾病,强烈要求尽快修复。
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