State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Chengdu, China.
Orthod Craniofac Res. 2021 Aug;24(3):305-313. doi: 10.1111/ocr.12454. Epub 2020 Dec 14.
To review and summarize the data on the relationship between craniofacial morphology features and internal derangement (ID) of the temporomandibular joint (TMJ).
A systematic review was designed and registered at PROSPERO, CRD42019132731. The PubMed, Embase and Scopus databases were searched for cephalometric studies comparing craniofacial morphology between female patients with TMJ ID and controls. The Newcastle-Ottawa Scale (NOS) was used for quality assessment. Weighted mean differences for cephalometric measurements were pooled for subsequent meta-analysis.
From the establishment date to August 2020, 14 of 1038 collected records were selected, which consisted of 772 patients with TMJ ID and 423 controls. These records were eventually pooled for the designed statistical analysis after the NOS quality assessment. Compared with the controls, TMJ ID patients had obviously smaller, retruded and clockwise-rotated mandible, showing significantly decreased S-Na, S-Go, Go-Me, Ar-Pog, Ar-Go, SNB, Na perp Pog, and increased FH-MP, SN-MP, PP-MP, SN to Ar-Go, S-Ar-Go and ANB.
Certain craniofacial morphology features were found strongly associated with the presence of TMJ ID, especially the size and position of the mandible.
回顾和总结颅面形态特征与颞下颌关节（TMJ）内部紊乱（ID）之间关系的数据。
设计了一项系统评价，并在 PROSPERO 注册，CRD42019132731。检索了比较女性 TMJ ID 患者和对照组颅面形态的头影测量研究的 PubMed、Embase 和 Scopus 数据库。使用纽卡斯尔-渥太华量表（NOS）进行质量评估。对后续进行荟萃分析的头影测量值进行加权均数差异汇总。
从建立日期到 2020 年 8 月，从 1038 条收集记录中筛选出 14 条，其中包括 772 名 TMJ ID 患者和 423 名对照。这些记录经过 NOS 质量评估后最终被纳入设计的统计分析中。与对照组相比，TMJ ID 患者的下颌明显更小、后缩和顺时针旋转，表现为 S-Na、S-Go、Go-Me、Ar-Pog、Ar-Go、SNB、Na perp Pog 显著减小，FH-MP、SN-MP、PP-MP、SN 到 Ar-Go、S-Ar-Go 和 ANB 显著增加。
某些颅面形态特征与 TMJ ID 的存在密切相关，尤其是下颌的大小和位置。
