DI Venere D, Gaudio R M, Laforgia A, Stefanachi G, Tafuri S, Pettini F, Silvestre F, Petruzzi M, Corsalini M
Interdisciplinary Department of Medicine (DIM) - Section of Dentistry, University "Aldo Moro" of Bari, Bari, Italy.
Department of Medical Sciences, University of Ferrara, Ferrara, Italy.
Oral Implantol (Rome). 2016 Nov 16;9(4):175-184. doi: 10.11138/orl/2016.9.4.175. eCollection 2016 Oct-Dec.
The aim of this retrospective case-control study was to identify, in a group of growing children and adolescents affected by malocclusion, specific dento-skeletal characteristics which could be correlated to the onset, in the above-mentioned subjects, of craniomandibular disorders (CMD).
Among the patients treated at the Paedodontics and Orthodontics department of Bari Dental School, we recruited a group of patients with malocclusion and symptoms of temporomandibular disorders, as an experimental group. We considered as controls those patients who, match-paired to their skeletal class depending on the ANB angle, did not show any CMD sign or symptom.
Of the 128 examined patients, 15 showed signs and/or symptoms of CMD (11.7%). When compared to 15 patients non-affected by CMD, we could not detect statistically significant differences in both skeletal and occlusal characteristics. It is still interesting to notice how in CMD patients, characteristics of skeletal hyperdivergence are often to be found.
The present study seems to confirm that in growing children and adolescents, the presence of signs and/or symptoms of CMD is not associable to a specific vertical skeletal growth pattern or to other specific occlusal characteristics.
这项回顾性病例对照研究的目的是，在一组受错牙合畸形影响的儿童和青少年中，确定可能与上述受试者颅下颌紊乱（CMD）发病相关的特定牙颌面特征。
在巴里牙科学院儿童牙科和正畸科接受治疗的患者中，我们招募了一组有错牙合畸形和颞下颌紊乱症状的患者作为实验组。我们将根据ANB角与实验组骨骼类型相匹配、且未表现出任何CMD体征或症状的患者视为对照组。
在128名接受检查的患者中，15名表现出CMD的体征和/或症状（11.7%）。与15名未受CMD影响的患者相比，我们在骨骼和咬合特征方面未发现统计学上的显著差异。仍值得注意的是，在CMD患者中，常常可以发现骨骼高度分散的特征。
本研究似乎证实，在儿童和青少年生长过程中，CMD体征和/或症状的出现与特定的垂直骨骼生长模式或其他特定的咬合特征无关。
