影响下颌偏斜的因素:回顾性临床研究

Jiong Zhao, Simo Xia, Shijing Yue, Yi Luo, P. Shen, Chi Yang
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摘要

本研究旨在探讨椎间盘前移位(ADD)患者下颌偏位(MD)与可能的临床因素之间的相关性。这项回顾性临床研究纳入了2015年至2018年期间通过磁共振成像确诊的296名ADD患者。研究人员仔细检查并记录了这些患者的临床症状和病史。下颌偏斜是主要结果变量,由临床检查和面部照片或后正位头颅照片共同确认。主要预测变量是ADD分期。次要预测变量包括髁突高度和椎间盘移位距离。其他预测变量包括年龄、性别、病程、口腔副功能、抑郁和骨矿密度。我们使用逻辑回归来检验 MD 与所有预测变量之间的相关性。χ2检验和方差分析用于排除预测变量之间的相关性。在这项研究中,278 名 ADD 患者的 MD 患病率为 77%。双侧 ADD 分期明显导致双侧 MD。几率随着椎间盘移位的恶化而增加。本研究表明,ADD分期会影响髁突高度和MD,在治疗MD时应考虑关节盘位置。
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Factors Influencing Mandibular Deviation: A Retrospective Clinical Study
This study aimed to investigate the correlation between mandibular deviation (MD) and possible clinical factors in patients with anterior disc displacement (ADD). This retrospective clinical study enrolled 296 patients with ADD, diagnosed using magnetic resonance imaging, from 2015 to 2018. The clinical symptoms and medical histories of these patients were carefully examined and recorded. Mandibular deviation was the primary outcome variable confirmed by a combination of clinical examination and facial photographs or posteroanterior cephalograms. The primary predictor variable was ADD staging. Secondary predictor variables included condylar height and distance of disc displacement. Other predictor variables were age, sex, disease course, oral parafunctions, depression, and bone mineral density. We used logistic regression to examine the correlation between the MD and all predictor variables. The χ2 test and analysis of variance were used to exclude the correlation between the predictor variables. In this study, the prevalence of MD was 77% among 278 patients with ADD. Bilateral ADD staging significantly contributed to MD on both sides. The odds ratio increased with the deterioration of disc displacement. The present study demonstrated that the ADD staging influences the condylar height and MD, and that articular disk position should be considered while treating MD.
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