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正畸治疗期间安氏I类和安氏II类1分类错牙合的改变及其与颞下颌关节紊乱问题的关联

Modifications in Class I and Class II Div. 1 malocclusion during orthodontic treatment and their association with TMD problems.

作者信息

Giray Bilgin, Sadry Sanaz

机构信息

Department of Orthodontics, Istanbul Nisantasi University , İstanbul, Turkey.

Department of Orthodontics, İstanbul Aydın University , İstanbul, Turkey.

出版信息

Cranio. 2021 Jan;39(1):65-73. doi: 10.1080/08869634.2019.1572282. Epub 2019 Feb 11.

Abstract

: To observe changes in tooth movements of patients with Class I and Class II malocclusion during the first 6 months of orthodontic treatment and to investigate the relation between TMJ problems and these changes. : The sample was comprised of 63 individuals (20 control, 25 Class I malocclusion, 18 Class II Div. 1 malocclusion). Occlusion analysis was performed through T-Scan® record and chewing pattern examination before and after the 6-month period. The existence of TMD was evaluated using joint vibration analysis (JVA). Patients with malocclusion had active fixed orthodontic treatment. : Disclusion time reduced in the patients group during the treatment period. No association was observed between the first 6-month period of the orthodontic treatment and TMD. : It is suggested that occlusion analyses should be done before any orthodontic treatment, and disclusion time should be minimized as much as possible.

摘要

观察安氏Ⅰ类和Ⅱ类错颌畸形患者正畸治疗前6个月牙齿移动的变化,并研究颞下颌关节问题与这些变化之间的关系。样本包括63名个体(20名对照,25名安氏Ⅰ类错颌畸形,18名安氏Ⅱ类1分类错颌畸形)。在6个月前后通过T-Scan®记录和咀嚼模式检查进行咬合分析。使用关节振动分析(JVA)评估颞下颌关节紊乱病(TMD)的存在情况。错颌畸形患者接受了积极的固定正畸治疗。治疗期间患者组的脱离接触时间缩短。在正畸治疗的前6个月与TMD之间未观察到关联。建议在任何正畸治疗前进行咬合分析,并尽可能缩短脱离接触时间。

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