Wyatt W E
Am J Orthod Dentofacial Orthop. 1987 Jun;91(6):493-9. doi: 10.1016/0889-5406(87)90006-0.
The temporomandibular joint is one of the most complicated working assemblies in the human body. We are just now beginning to understand it and give it the respect and careful treatment it deserves as an integral functioning part of the dental anatomy. No orthodontic procedure can be performed in isolation without considering its possible effect on the temporomandibular joint. Therefore, the following recommendations are made for diagnosis and treatment planning. Etiologic factors that might cause upward and backward pressures on the mandible should be reduced as much as possible. Mechanotherapy that may cause upward and backward pressures on the condyles is not recommended. Final detailed correction of dental abnormalities should always consider optimal temporomandibular health and function. Retention procedures should be planned to provide a proper path of closure to minimize or prevent possible retrogressive posttreatment changes. It is the author's hope that the hypotheses and suggestions in on TMJ problems and on the preventive role of orthodontics in the patient's treatment.
颞下颌关节是人体中最复杂的工作组件之一。我们才刚刚开始了解它，并给予它应有的尊重和精心护理，因为它是牙体解剖结构中不可或缺的功能部分。任何正畸治疗都不能孤立进行，而不考虑其对颞下颌关节可能产生的影响。因此，针对诊断和治疗计划提出以下建议。应尽可能减少可能导致下颌骨向上和向后压力的病因因素。不建议采用可能导致髁突向上和向后压力的机械疗法。牙齿异常的最终详细矫正应始终考虑颞下颌关节的最佳健康和功能。应规划保持程序，以提供适当的闭合路径，以尽量减少或防止治疗后可能出现的退行性变化。作者希望本文中关于颞下颌关节问题以及正畸在患者治疗中的预防作用的假设和建议。
