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[颞下颌关节的形态学变异。关于其解剖特征的统计学研究]

[Morphological variations of the temporomandibular joint. Statistical studies on its anatomical features].

作者信息

Capurso U, Bonazza M

机构信息

Istituto Policattedra di Clinica Odontostomatologica e Chirurgia Maxillo Facciale, Università degli Studi di Torino.

出版信息

Minerva Stomatol. 1990 Aug;39(8):629-36.

PMID:2287332
Abstract

Data regarding the joints, skeleton and teeth, including specific measurements of condylar diameters, the height of mandibular branches and the gonial angle, were obtained from the study of 100 dry skulls from young adults of both sexes. An innovative measurement technique was required to assess the articular eminence, whereas Yale's scale and Scott's method were used to analyse condylar morphology and dental wear (attrition) respectively. The presence of elementary, uni- and bilateral joint lesions and adaptive remodelling was also assessed. Special attention was paid to the examination of possible asymmetries, which proved to be numerous, due to the supposed repercussions on mandibular arthrokinematics. The correlation between condylar alterations and the various bone and dental parameters was not significant, except in the presence of third class bone or cross bites. The sample population in question, which possessed abundant dental remains, proved to be relatively homogeneous and well distributed in terms of sex and age; it may therefore be used as a reference population for the assessment of temporomandibular morphology.

摘要

关于关节、骨骼和牙齿的数据,包括髁突直径、下颌支高度和下颌角的具体测量值,来自对100具男女青年的干燥头骨的研究。评估关节结节需要一种创新的测量技术,而分别使用耶鲁量表和斯科特方法来分析髁突形态和牙齿磨损(磨耗)。还评估了基本的、单侧和双侧关节病变以及适应性重塑的存在情况。特别关注了可能存在的不对称性检查,由于其对下颌关节运动学可能产生的影响,这种不对称性被证明是大量存在的。除了存在三类骨或反合情况外,髁突改变与各种骨骼和牙齿参数之间的相关性并不显著。所研究的样本群体拥有丰富的牙齿遗迹,在性别和年龄方面证明相对同质且分布良好;因此,它可作为评估颞下颌形态的参考群体。

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