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[颞下颌关节弹响与下颌运动的关系]

[Relationship of TMJ sounds and mandibular movements].

作者信息

Yokoyama N, Sawada A, Yamaguchi T, Maruyama M, Kimura T, Uchiyama Y

出版信息

Nihon Ago Kansetsu Gakkai Zasshi. 1989;1(1):110-21.

PMID:2489179
Abstract

TMJ sounds are very important for diagnosing the state of TMJ and for evaluation of the effect of treatment. We made a report on a recording system of TMJ sounds and mandibular movement which objectively can evaluate the relationship between TMJ sounds and mandibular movement. This time we recorded and analyzed the TMJ sounds and mandibular movement under following condition. 1. Opening and closing the mandibular on some regulated velocity. 2. Opening and closing the mandibular after clenching. Conclusion 1. In case of changing habitual opening velocity, there were significantly different position of clicking in the most of TMJ disorders patients. Especially with the increasing of the velocity, the position of closing clicking tended to come near the closed condyle position. 2. The amplitude of clicking sound increased very much at the time of opening stage after clenching on the non clicking side.

摘要

颞下颌关节(TMJ)弹响对于诊断颞下颌关节状态以及评估治疗效果非常重要。我们曾发表过一篇关于颞下颌关节弹响及下颌运动记录系统的报告,该系统能够客观地评估颞下颌关节弹响与下颌运动之间的关系。此次我们在以下条件下记录并分析了颞下颌关节弹响及下颌运动。1. 以一定的规定速度开合下颌。2. 紧咬后开合下颌。结论:1. 在改变习惯性开口速度的情况下,大多数颞下颌关节紊乱患者的弹响位置存在显著差异。尤其是随着速度增加,闭口弹响位置倾向于靠近髁突闭口位置。2. 在非弹响侧紧咬后开口阶段,弹响声音的幅度大幅增加。

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