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[成人不同咬合类型下颞下颌关节关节面的形态学特征]

[MORPHOMETRIC CHARACTERISTICS OF THE ARTICULAR SURFACES OF THE TEMPOROMANDIBULAR JOINT IN DIFFERENT TYPES OF OCCLUSION IN ADULT PERSONS].

作者信息

Gaivoronskaya M G, Gaivoronskiy I V, Nikolenko V N

出版信息

Morfologiia. 2015;148(4):32-6.

Abstract

Using 200 skull specimens of adult persons, morphometric characteristics of the articular surfaces of the temporomandibular joint were studied in different types of physiological and pathological occlusion. For systematization of the skulls studied by occlusion type, the classification of V. N. Trezubov was applied. It was found that the sizes of the head of the mandible, the mandibular fossa and articular tubercle in orthognathic occlusion and transient forms were practically the same. Maximum differences in these parameters (sagittal head diameter, anteroposterior size and depth of the mandibular fossa) was found between the groups of skulls with orthognatic and abnormal types of occlusion. It is shown that in the anomalous types of occlusion not only the morphological characteristics of the articular surfaces of the temporomandibular joint were changed, but mostly the intra-articular topography of the articulating joint surfaces. These changes can serve as the major. causes of development of dysfunction of the temporomandibular joint.

摘要

利用200个成人颅骨标本,研究了颞下颌关节关节面在不同类型生理和病理咬合情况下的形态测量特征。为了按照咬合类型对所研究的颅骨进行系统化,采用了V. N. 特列祖博夫的分类方法。结果发现,正颌咬合和过渡型咬合中下颌头、下颌窝及关节结节的大小实际上是相同的。在正颌咬合类型和异常咬合类型的颅骨组之间,这些参数(下颌头矢状径、下颌窝前后径和深度)存在最大差异。结果表明,在异常咬合类型中,不仅颞下颌关节关节面的形态特征发生了改变,而且关节面的关节内局部解剖结构也大多发生了变化。这些变化可能是颞下颌关节功能障碍发生的主要原因。

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