Nebbe B, Major P W, Prasad N G
TMD Investigation Unit, Faculty of Medicine and Oral Health Sciences, Alberta, Edmonton, Canada.
Am J Orthod Dentofacial Orthop. 1999 Sep;116(3):301-7. doi: 10.1016/s0889-5406(99)70241-6.
Dental practitioners continually strive to understand and determine which factors influence craniofacial morphology and how these factors may be controlled to provide the best treatment outcome for patients. Recently, an association between internal derangement of the TMJ and altered facial morphology was shown in an adolescent female sample by means of multiple regression techniques. The present study aims to determine whether similar associations are present between facial patterns exhibited by a preorthodontic male sample (n = 70) and varying degrees of TMJ internal derangement as assessed by magnetic resonance imaging. Multiple regression techniques were used to test the associations in 5 facial regions. Associations between internal derangement and craniofacial morphology differed in 3 of the facial regions when males and females were compared. However, associations between internal derangement and alteration in mandibular morphology and positioning were consistent in both gender groups.
牙科医生不断努力去理解和确定哪些因素会影响颅面形态,以及如何控制这些因素以为患者提供最佳治疗效果。最近,通过多元回归技术在一个青春期女性样本中显示了颞下颌关节内紊乱与面部形态改变之间的关联。本研究旨在确定正畸治疗前男性样本(n = 70)所表现出的面部模式与通过磁共振成像评估的不同程度的颞下颌关节内紊乱之间是否存在类似关联。使用多元回归技术测试5个面部区域的关联。比较男性和女性时,在3个面部区域中,内紊乱与颅面形态之间的关联有所不同。然而,在两个性别组中,内紊乱与下颌形态和位置改变之间的关联是一致的。