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使用T-scan III分析正中关系与最大牙尖交错位之间的差异作为颞下颌关节紊乱病发展的可能原因。

Differences between centric relation and maximum intercuspation as possible cause for development of temporomandibular disorder analyzed with T-scan III.

作者信息

Lila-Krasniqi Zana D, Shala Kujtim Sh, Pustina-Krasniqi Teuta, Bicaj Teuta, Dula Linda J, Guguvčevski Ljuben

机构信息

Department of Prosthetics, Faculty of Medicine, School of Dentistry, Pristina, Kosovo.

Department of Prosthetics, Faculty of Dentistry, Skopje, Macedonia.

出版信息

Eur J Dent. 2015 Oct-Dec;9(4):573-579. doi: 10.4103/1305-7456.172627.

Abstract

OBJECTIVE

To compare subjects from the group with fixed dentures, the group who present temporomandibular disorders (TMDs) and a control group considering centric relation (CR) and maximum intercuspation (MIC)/habitual occlusion (Hab. Occl.) and to analyze the related variables also compared and analyzed with electronic system T-scan III.

MATERIALS AND METHODS

A total of 54 subjects were divided into three groups; 17 subjects with fixed dentures, 14 with TMD and 23 controls-selection based on anamnesis-responded to a Fonseca questionnaire and clinical measurements analyzed with electronic system T-scan III. Occlusal force, presented by percentage (automatically by the T-scan electronic system) was analyzed in CR and in MIC.

RESULTS

Data were presented as mean ± standard deviation and differences in P < 0.05 were considered significant. After measurements of the differences between CR and MIC in the three groups were noticed varieties but the P > 0.05 it was not significant in all three groups.

CONCLUSION

In our study, it was concluded that there are not statistically significant differences between CR and MIC in the group of individuals without any symptom or sign of TMD although there are noticed in the group with TMD and fixed dentures disharmonic relation between the arches with overload of the occlusal force on the one side.

摘要

目的

比较佩戴固定义齿的受试者组、患有颞下颌关节紊乱病(TMDs)的受试者组和一个对照组在正中关系(CR)和最大牙尖交错位(MIC)/习惯性咬合(Hab. Occl.)方面的情况,并使用电子系统T-scan III对相关变量进行比较和分析。

材料与方法

总共54名受试者被分为三组;17名佩戴固定义齿的受试者、14名患有TMD的受试者和23名对照组受试者——根据问诊进行选择——回答了丰塞卡问卷,并使用电子系统T-scan III对临床测量结果进行分析。分析了在CR和MIC中以百分比形式呈现的咬合力(由T-scan电子系统自动生成)。

结果

数据以平均值±标准差表示,P < 0.05的差异被认为具有统计学意义。在测量三组中CR和MIC之间的差异后,发现存在差异,但P > 0.05,在所有三组中差异均不显著。

结论

在我们的研究中,得出的结论是,在没有任何TMD症状或体征的个体组中,CR和MIC之间没有统计学上的显著差异,尽管在患有TMD的组和佩戴固定义齿的组中,发现牙弓之间存在不协调关系,且一侧存在咬合力过载。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bb8/4745241/1e72580c4291/EJD-9-573-g001.jpg

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