不同颞下颌关节紊乱症的颞下颌关节位置和尺寸特征:横断面比较研究。

IF 2 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Cranio-The Journal of Craniomandibular & Sleep Practice Pub Date : 2024-09-01 Epub Date: 2022-01-21 DOI:10.1080/08869634.2022.2028115
Amira A Aboalnaga, Nehal M Amer, Maged S Alhammadi, Mona M Salah Fayed
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引用次数: 0

摘要

目的:研究不同颞下颌关节疾病(TMD)的颞下颌关节形态和位置特征:研究不同颞下颌关节紊乱症(TMD)的颞下颌关节(TMJ)形态和位置特征:将 143 名 TMD 患者分为三组:第 1 组:肌痛(M);第 2 组:椎间盘移位伴缩减(DDWR):第 2 组:椎间盘移位并缩小(DDWR);第 3 组:椎间盘移位但未缩小(DDWOR)。使用锥形束计算机断层扫描(CBCT)评估颞下颌关节的三维位置和尺寸参数,包括下颌窝、髁状突和颞下颌关节间隙。结果下颌骨髁状突的位置明显偏向垂直、后方和内侧方向,髁状突移位组的髁状突宽度减小(p 结论:下颌骨髁状突移位组的髁状突宽度明显减小,髁状突移位组的髁状突宽度减小:在骨骼相似的样本中,被诊断为椎间盘移位的患者的髁突位置和关节间隙与肌痛组相比有明显差异。
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Positional and dimensional TMJ characteristics in different temporomandibular disorders: A cross-sectional comparative study.

Objective: To investigate the morphological and positional temporomandibular joint (TMJ) characteristics of different temporomandibular disorders (TMDs).

Methods: One hundred forty-three TMD patients were divided into three groups: Group 1: Myalgia (M), Group 2: Disc displacement with reduction (DDWR), and Group 3: Disc displacement without reduction (DDWOR). Three-dimensional positional and dimensional parameters of the TMJ, including mandibular fossa, condyle, and TMJ spaces were evaluated using cone beam computed tomography (CBCT). The significance level was p < 0.05.

Results: Mandibular condyles were significantly positioned in more vertical, posterior, and medial directions, with the reduced condylar width in the DD groups (p < 0.001). Anterior joint space was significantly higher in the DDWR group than the myalgia group; the superior joint spaces were more reduced in DD groups than the myalgia group.

Conclusion: Patients diagnosed with disc displacement showed significantly different condylar positions and joint spaces compared to the myalgia group in a skeletally comparable sample.

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来源期刊
Cranio-The Journal of Craniomandibular & Sleep Practice
Cranio-The Journal of Craniomandibular & Sleep Practice DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
4.50
自引率
12.50%
发文量
92
审稿时长
>12 weeks
期刊介绍: CRANIO: The Journal of Craniomandibular & Sleep Practice is the oldest and largest journal in the world devoted to temporomandibular disorders, and now also includes articles on all aspects of sleep medicine. The Journal is multidisciplinary in its scope, with editorial board members from all areas of medicine and dentistry, including general dentists, oral surgeons, orthopaedists, radiologists, chiropractors, professors and behavioural scientists, physical therapists, acupuncturists, osteopathic and ear, nose and throat physicians. CRANIO publishes commendable works from outstanding researchers and clinicians in their respective fields. The multidisciplinary format allows individuals practicing with a TMD emphasis to stay abreast of related disciplines, as each issue presents multiple topics from overlapping areas of interest. CRANIO''s current readership (thousands) is comprised primarily of dentists; however, many physicians, physical therapists, chiropractors, osteopathic physicians and other related specialists subscribe and contribute to the Journal.
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