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[使用铰链轴记录器对新正畸病例颞下颌关节的功能研究]

[Functional study of the temporomandibular joint in new orthodontic cases using the hinge axis recorder].

作者信息

Jähnig A, Krysewsky R

出版信息

Fortschr Kieferorthop. 1989 Apr;50(2):136-43. doi: 10.1007/BF02203070.

Abstract

The temporomandibular joint function of 66 children (mean: 11.5) with malocclusion was investigated with help of axiographic tracings. Besides other parameters of the tracings we studied the relationship between centric occlusion, centric relation and their positions in regard to the axiographic tracing line of the protrusion movement with a gauge between the front teeth. The distance between CR and CR measured as a vector was 0.7 mm (+/- 0.4 mm). Though we investigated a group with serious malocclusions the distance of CO measured perpendicular to the gauge protrusive tracing was 0 (+/- 0.4 mm). In 60 joints the CO tracing point did not coincide with the gauge protrusive line: On account of these measurements the terms compression and distraction of the joint have a graphic meaning. In 4% of the children we found tracings which were typical for joint pathology: reciprocal clicking. In 21% of the patients we found "disturbed" tracings, but their prognostic value is still unknown.

摘要

利用轴面描记法对66例(平均年龄11.5岁)错牙合儿童的颞下颌关节功能进行了研究。除了描记图的其他参数外,我们还通过在前牙间放置测量仪,研究了正中牙合、正中关系及其相对于前伸运动轴面描记线的位置之间的关系。以向量形式测量的正中关系(CR)与正中关系之间的距离为0.7毫米(±0.4毫米)。尽管我们研究的是一组严重错牙合患者,但垂直于测量仪前伸描记线测量的正中牙合(CO)距离为0(±0.4毫米)。在60个关节中,CO描记点与测量仪前伸线不重合:基于这些测量结果,关节的压缩和牵张术语具有图形学意义。在4%的儿童中,我们发现了典型的关节病理描记图:相互弹响。在21%的患者中,我们发现了“异常”的描记图,但其预后价值仍不清楚。

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