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颞下颌关节紊乱病患者与无症状个体颞下颌关节骨形态的锥束计算机断层扫描对比评估

Comparative cone-beam computed tomography evaluation of the osseous morphology of the temporomandibular joint in temporomandibular dysfunction patients and asymptomatic individuals.

作者信息

Yasa Yasin, Akgül Hayati Murat

机构信息

Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Ordu University, Kumbaşı Mahallesi, Güzelyalı Mh. 94 Sk. No: 2, Altınordu, 52100, Ordu, Turkey.

Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Ataturk University, Yakutiye, 25240, Erzurum, Turkey.

出版信息

Oral Radiol. 2018 Jan;34(1):31-39. doi: 10.1007/s11282-017-0279-7. Epub 2017 Mar 16.

Abstract

OBJECTIVE

We examined the bone components of the temporomandibular joint (TMJ) in asymptomatic individuals and patients with temporomandibular dysfunction (TMD) using cone-beam computed tomography (CBCT).

METHODS

Two hundred asymptomatic individuals and 200 patients with TMD were included in this study. Condyle position, eminence height, eminence inclination, condyle shape, and fossa shape were assessed on CBCT images of the 800 temporomandibular joints.

RESULTS

The eminence inclination (P < 0.05), eminence height (P < 0.0001), mediolateral width of condyle (P < 0.0001), and anterior joint space (P < 0.0001) were significantly greater in male subjects compared with female subjects in both the asymptomatic group and TMD group. Comparisons of the asymptomatic group and TMD group revealed significant differences in the anterior joint space (P < 0.0001), ratio of anterior joint space to posterior joint space (P < 0.001), posterior joint space (P < 0.05), eminence inclination (P < 0.05), eminence height (P < 0.05), condyle shape (P < 0.0001), and fossa shape (P < 0.05).

CONCLUSIONS

As a result of our analysis, we concluded that a low eminence angle may be risk factor for TMD. The presence of TMD was associated with the condyle position in the TMJ.

摘要

目的

我们使用锥形束计算机断层扫描(CBCT)检查了无症状个体和颞下颌关节紊乱病(TMD)患者的颞下颌关节(TMJ)的骨成分。

方法

本研究纳入了200名无症状个体和200名TMD患者。在800个颞下颌关节的CBCT图像上评估髁突位置、关节结节高度、关节结节倾斜度、髁突形状和关节窝形状。

结果

在无症状组和TMD组中,男性受试者的关节结节倾斜度(P < 0.05)、关节结节高度(P < 0.0001)、髁突内外侧宽度(P < 0.0001)和前间隙(P < 0.0001)均显著大于女性受试者。无症状组和TMD组的比较显示,在前间隙(P < 0.0001)、前间隙与后间隙之比(P < 0.001)、后间隙(P < 0.05)、关节结节倾斜度(P < 0.05)、关节结节高度(P < 0.05)、髁突形状(P < 0.0001)和关节窝形状(P < 0.05)方面存在显著差异。

结论

通过我们的分析,我们得出结论,低关节结节角度可能是TMD的危险因素。TMD的存在与TMJ中的髁突位置有关。

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