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中国正畸医生对正畸治疗与颞下颌关节紊乱病关系的态度。

Attitude of Chinese orthodontists towards the relationship between orthodontic treatment and temporomandibular disorders.

作者信息

Mao Y, Duan X H

机构信息

Prosthodontic Department, Stomatological College, The Fourth Military Medical University, Xi'an, The People's Republic of China.

出版信息

Int Dent J. 2001 Aug;51(4):277-81. doi: 10.1002/j.1875-595x.2001.tb00838.x.

Abstract

OBJECTIVE

To determine the attitude of some Chinese orthodontists towards the relationship between orthodontic treatment and temporomandibular disorders (TMDs).

SUBJECTS AND METHODS

25 orthodontists, in six public hospitals (Xi'an, the capital of Shaanxi Province, China), were asked to complete a 10-item questionnaire concerning orthodontics/TMD.

RESULTS

84% of orthodontists often asked their patients about the signs and symptoms of TMD before orthodontic treatment and 92% reported examining the TMJ region. 76% of orthodontists thought orthodontic treatment may possibly lead to a greater incidence of TMD, while 84 per cent claimed that orthodontic treatment might prevent TMD. Methods of orthodontic treatment, patient's age, and occlusal interference were regarded as risk factors leading to increased incidence of TMD.

CONCLUSIONS

Some Chinese orthodontists realise the importance of the relationship between orthodontic treatment and TMD. Most thought that unsuitable orthodontic treatment might increase the development of TMD and that orthodontic treatment could prevent TMD.

摘要

目的

确定一些中国正畸医生对正畸治疗与颞下颌关节紊乱病(TMDs)之间关系的态度。

对象与方法

在中国陕西省省会西安的六家公立医院,25名正畸医生被要求完成一份关于正畸/颞下颌关节紊乱病的10项问卷。

结果

84%的正畸医生在正畸治疗前经常询问患者颞下颌关节紊乱病的体征和症状,92%的医生报告检查了颞下颌关节区域。76%的正畸医生认为正畸治疗可能会导致更高的颞下颌关节紊乱病发病率,而84%的医生声称正畸治疗可能预防颞下颌关节紊乱病。正畸治疗方法、患者年龄和咬合干扰被视为导致颞下颌关节紊乱病发病率增加的危险因素。

结论

一些中国正畸医生意识到正畸治疗与颞下颌关节紊乱病之间关系的重要性。大多数人认为不合适的正畸治疗可能会增加颞下颌关节紊乱病的发生,并且正畸治疗可以预防颞下颌关节紊乱病。

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