Department of Life, Health and Environmental Sciences, University of L'Aquila, Italy.
Catholic University of the Sacred Heart, Rome, Italy.
J Biol Regul Homeost Agents. 2021 May-Jun;35(3 Suppl. 1):197-204. doi: 10.23812/21-3supp1-22.
The study analyzes how and if temporomandibular joint symptoms are influenced by different types of orthodontic therapy. Two-hundred-and-thirty-six adult orthodontic patients treated by different clinicians, were asked to complete a survey in which factors as the age, the gender and the type of device were considered. The questions were about the typical symptoms of temporomandibular disorders, in particular headache, bruxism, clenching, pain while opening the mouth and joint's noise. It was highlighted if these symptoms changed during the therapy and if they increased or decreased. The answers to our questionnaire revealed that the only statistically significative difference was related to bruxism, because we found a higher rate in patients treated with aligners than patients treated with metal braces, so we can suggest the fixed technique in the orthodontic patient who suffers of bruxism, even if further studies are required.
本研究分析了颞下颌关节症状是否以及如何受到不同类型的正畸治疗的影响。236 名接受不同临床医生治疗的成年正畸患者被要求完成一项调查，其中考虑了年龄、性别和矫治器类型等因素。问题是关于颞下颌关节紊乱的典型症状，特别是头痛、磨牙症、紧咬牙、张口时疼痛和关节噪音。调查还询问了这些症状在治疗过程中是否发生变化，以及是增加还是减少。我们的问卷调查结果表明，唯一具有统计学意义的差异与磨牙症有关，因为我们发现使用牙套治疗的患者比使用金属牙套治疗的患者磨牙症发生率更高，因此我们可以建议在患有磨牙症的正畸患者中使用固定技术，尽管还需要进一步的研究。
