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接受固定正畸治疗的儿童颞下颌关节紊乱病的患病率。

Prevalence of TMD among Children Provided with Fixed Orthodontic Treatment.

作者信息

Mušanović Alma, Ajanović Muhamed, Redžepagić Vražalica Lejla, Kazazić Lejla, Tosum Pošković Selma, Mlačo Durek Jasmina, Strujić Porović Sanela

机构信息

Department of Orthodontics, School of Dental Medicine, University of Sarajevo, Sarajevo, Bosnia and Herzegovina.

Department of Prosthodontics, School of Dental Medicine, University of Sarajevo, Sarajevo, Bosnia and Herzegovina.

出版信息

Acta Stomatol Croat. 2021 Jun;55(2):159-167. doi: 10.15644/asc55/2/5.

Abstract

BACKGROUND

According to available scientific references and textbooks, there are contradictory views concerning the etiology of signs and symptoms of TMD.

OBJECTIVES

The aim of this study was to determine a correlation between the incidence of signs and symptoms of TMD in children aged 12-18 who do not wear a fixed orthodontic appliance and the incidence of signs and symptoms of TMD in children who wear a fixed orthodontic appliance.

MATERIAL AND METHODS

The total number of 120 subjects were included in this survey and divided into two groups. There were 60 respondents in the experimental group that consisted of 30 boys and 30 girls with different types of malocclusion, who were treated with a fixed orthodontic straight wire technique. The remaining 60 respondents, which was a group that also consisted of 30 boys and 30 girls, were patients with neutroclusion.

RESULTS

The results of the study have shown that the TMJ clicking sound symptom, the most common symptom of TMD, occurs with almost equal prevalence in both groups of respondents; specifically, 56.4% in orthodontic patients, and 46.6% in the control group respondents. A statistically significantly higher percentage of female respondents in both groups have experienced headache problems (p <0.03).

CONCLUSION

On the basis of the statistics obtained as a result of this research, we can come to the conclusion that there is no correlation between the fixed orthodontic treatment and the development of signs and symptoms of TMD.

摘要

背景

根据现有的科学参考文献和教科书,关于颞下颌关节紊乱病(TMD)体征和症状的病因存在相互矛盾的观点。

目的

本研究的目的是确定12至18岁未佩戴固定正畸矫治器的儿童中TMD体征和症状的发生率与佩戴固定正畸矫治器的儿童中TMD体征和症状的发生率之间的相关性。

材料与方法

本调查共纳入120名受试者,分为两组。实验组有60名受试者,由30名男孩和30名女孩组成,患有不同类型的错牙合畸形,采用固定正畸直丝技术进行治疗。其余60名受试者,同样由30名男孩和30名女孩组成,为中性牙合患者。

结果

研究结果表明,TMD最常见的症状——颞下颌关节弹响症状,在两组受试者中的发生率几乎相同;具体而言,正畸患者中为56.4%,对照组受试者中为46.6%。两组中女性受试者出现头痛问题的比例在统计学上显著更高(p<0.03)。

结论

根据本研究获得的统计数据,我们可以得出结论,固定正畸治疗与TMD体征和症状的发生之间没有相关性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d73c/8255045/dabc33a3964a/ASC_55(2)_159-167-f1.jpg

相似文献

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Temporomandibular disorders, occlusion and orthodontic treatment.颞下颌关节紊乱病、咬合与正畸治疗
J Orthod. 2003 Jun;30(2):129-37; discussion 127. doi: 10.1093/ortho/30.2.129.

本文引用的文献

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Temporomandibular disorders in German and Chinese adolescents.德国和中国青少年的颞下颌关节紊乱病
J Orofac Orthop. 2010 May;71(3):187-98. doi: 10.1007/s00056-010-1004-x. Epub 2010 May 26.
7
The role of orthodontics in temporomandibular disorders.正畸在颞下颌关节紊乱中的作用。
J Oral Rehabil. 2010 May;37(6):411-29. doi: 10.1111/j.1365-2842.2010.02087.x. Epub 2010 Apr 9.

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