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成人正畸多带环治疗对口颌系统功能状态的影响

[Changes in the functional status of the stomatognathic system due to orthodontic multiband treatment in the adult].

作者信息

Zimmer B, Jäger A, Radlanski R J

机构信息

Kieferorthopädische Abteilung, Universität Göttingen.

出版信息

Fortschr Kieferorthop. 1990 Feb;51(1):29-35. doi: 10.1007/BF02165209.

Abstract

Ten patients who undergo an orthodontic therapy with a full-band modified straight-wire-appliance were examined clinically and by means of an electronic axiographic device (SAS-system) at the beginning of treatment and after an average of 12.6 months, respectively. While the clinical functional status showed only minor changes, alterations of all examined axiographic parameters could be detected. This finding reemphasizes the necessity of modern axiographic means to get additional information about the functional status of the TMJ. The alterations point to a shift in the functional pattern of articular and muscular components during orthodontic treatment. In the majority of cases, axiographic parameters remained constant, however. In that respect, it might be of special interest that even uncoordinated tracings, mainly in the horizontal plane, kept up its characteristic appearance. These findings show clearly, that alterations of occlusal relationships must not influence articular functional patterns immediately.

摘要

十名接受全带改良直丝矫治器正畸治疗的患者,分别在治疗开始时和平均12.6个月后接受了临床检查,并通过电子轴描记装置(SAS系统)进行检查。虽然临床功能状态仅显示出轻微变化,但所有检查的轴描记参数均有改变。这一发现再次强调了现代轴描记方法对于获取有关颞下颌关节功能状态额外信息的必要性。这些改变表明正畸治疗期间关节和肌肉组成部分的功能模式发生了转变。然而,在大多数情况下,轴描记参数保持不变。在这方面,特别值得注意的是,即使是不协调的描记,主要是在水平面,也保持了其特征性外观。这些发现清楚地表明,咬合关系的改变不一定会立即影响关节功能模式。

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