Ioi Hideki, Matsumoto Ryusuke, Nishioka Masato, Goto Tazuko K, Nakata Shunsuke, Nakasima Akihiko, Counts Amy L
Department of Orthodontics, Faculty of Dentistry, Kyushu University, Fukuoka, Japan.
World J Orthod. 2008 Winter;9(4):329-36.
To test whether there is a relationship between head and cervical posture and dentofacial morphology in patients with temporomandibular joint osteoarthritis/osteoarthrosis (OA).
The subjects consisted of 34 Japanese females with TMJ OA (aged 24.7 +/- 6.1 years). Six craniocervical angular measurements were constructed for head posture. Two angular and 6 linear measurements were constructed for the skeletal relationship, while 1 angular and 6 linear measurements were constructed for the dental relationship. Pearson correlation coefficients were calculated between head posture and dentofacial variables.
In the skeletal relationship, increased craniocervical angulations were significantly associated with a more posterior position of the maxilla, a decreased Frankfort to mandibular plane angle, decreased mandibular length, and a decreased lower facial height. In the dental relationship, increased craniocervical angulations were significantly associated with more posterior positions of the anterior teeth to the basal bone and decreased alveolar height of the anterior-posterior teeth.
The hypothesis was rejected. These results suggest that an association may exist between head and cervical posture and dentofacial morphology in patients with TMJ OA.
检验颞下颌关节骨关节炎/骨关节病(OA)患者的头部与颈椎姿势和牙颌面形态之间是否存在关联。
研究对象为34名患有颞下颌关节OA的日本女性(年龄24.7±6.1岁)。对头位进行了六项颅颈角测量。对骨骼关系进行了两项角度测量和六项线性测量,对牙齿关系进行了一项角度测量和六项线性测量。计算头部姿势与牙颌面变量之间的Pearson相关系数。
在骨骼关系方面,颅颈角度增加与上颌骨位置更靠后、法兰克福平面至下颌平面角减小、下颌长度减小以及面下高度减小显著相关。在牙齿关系方面,颅颈角度增加与前牙相对于基骨的位置更靠后以及前后牙牙槽高度降低显著相关。
该假设被否定。这些结果表明,颞下颌关节OA患者的头部与颈椎姿势和牙颌面形态之间可能存在关联。