[正畸治疗与颞下颌关节紊乱病之间的关系]
[The relationship between orthodontic treatment and temporomandibular disorders].
作者信息
Wang Sheng, Xiao Jin, Wang Guang-yao, Gu Zhi-yuan, Zhao Hong-xin
机构信息
Department of Stomatology, 118 Hospital of PLA.Wenzhou 325000, Zhejiang Province, China.
出版信息
Shanghai Kou Qiang Yi Xue. 2007 Jun;16(3):239-42.
PURPOSE
To explore the relationship between orthodontic treatment and temporomandibular joint disorder(TMD).
METHODS
The questionnaire and clinical examination were administered in 173 cases who underwent orthodontic treatment (orthodontic group),95 cases with morphologic malocclusion(malocclusion group) and 32 cases with normal occlusion (normal group) to collect symptoms and signs of TMD, the data were analyzed in the databases designed according to the modified Helkimo indices. SPSS10.0 software package was used for Wilcoxon test.
RESULTS
There were statistically significant differences between the orthodontic group and malocclusion group in the distribution of anamnestic, clinical dysfunction and occlusion indices(P<0.001). There were statistically significant differences between the orthodontic group and normal group with regard to the distribution of anamnestic, clinical dysfunction indices(P<0.001). No statistically significant differences were found between the orthodontic group and normal group in terms of occlusion indices(P>0.05).
CONCLUSION
The results suggest that patients undergoing orthodontic treatment have more symptoms and signs of TMD in the time ranged.
目的
探讨正畸治疗与颞下颌关节紊乱病（TMD）之间的关系。
方法
对173例接受正畸治疗的患者（正畸组）、95例形态学错牙合患者（错牙合组）和32例正常牙合患者（正常组）进行问卷调查和临床检查，收集TMD的症状和体征，数据在根据改良的赫尔基莫指数设计的数据库中进行分析。采用SPSS10.0软件包进行Wilcoxon检验。
结果
正畸组与错牙合组在既往史、临床功能障碍和牙合指数分布上存在统计学显著差异（P<0.001）。正畸组与正常组在既往史、临床功能障碍指数分布方面存在统计学显著差异（P<0.001）。正畸组与正常组在牙合指数方面未发现统计学显著差异（P>0.05）。
结论
结果表明，在一定时间范围内，接受正畸治疗的患者有更多TMD的症状和体征。
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