Almășan Oana, Kui Andreea, Duncea Ioana, Manea Avram, Buduru Smaranda
Prosthetic Dentistry and Dental Materials Department, Iuliu Hatieganu University of Medicine and Pharmacy, 32 Clinicilor Street, 400006 Cluj-Napoca, Romania.
Department of Oral and Maxillofacial Surgery, Iuliu Hatieganu University of Medicine and Pharmacy, 400029 Cluj-Napoca, Romania.
Life (Basel). 2022 Jun 17;12(6):908. doi: 10.3390/life12060908.
(1) Background: This study aimed to perform a literature review related to disk displacement (DD) in class II malocclusion or cervical vertebrae position alterations and to report a hypodivergent case with cervical pain and right anterolateral DD with reduction, left anterolateral DD with reduction, and left joint effusion. (2) Methods: A structured electronic search was conducted between March 2022 and April 2022, without time limits, following PRISMA guidelines, in the following databases: PubMed, Scopus, Embase and Cochrane; the terms "disc displacement", "disk displacement", "temporomandibular joint", "class II malocclusion" and "cervical vertebrae" are searched. (3) Results: the following thirteen publications are included in this review: two prospective studies and eleven cross-sectional studies; for evaluating disk position, eight included publications used magnetic resonance imaging (MRI), whilst six studies used lateral cephalogram to determine craniofacial morphology and relationships between the cranial base, vertical skeletal pattern, maxilla and mandible. (4) Conclusions: although the literature still shows contradictory opinions, a relationship between temporomandibular disorders and cervical posture has been shown in the presented case as well as in the literature review.
(1) 背景:本研究旨在对有关安氏II类错牙合或颈椎位置改变中的盘移位(DD)进行文献综述,并报告1例低角病例,该病例伴有颈部疼痛、右侧前外侧可复性盘移位、左侧前外侧可复性盘移位及左侧关节积液。(2) 方法:按照PRISMA指南,于2022年3月至2022年4月在PubMed、Scopus、Embase和Cochrane等数据库中进行了无时间限制的结构化电子检索;检索词为“盘移位”“颞下颌关节”“安氏II类错牙合”及“颈椎”。(3) 结果:本综述纳入了以下13篇文献:2篇前瞻性研究和11篇横断面研究;在评估盘位置方面,纳入的8篇文献使用了磁共振成像(MRI),6项研究使用头颅侧位片来确定颅面形态以及颅底、垂直骨骼型、上颌骨和下颌骨之间的关系。(4) 结论:尽管文献中仍存在相互矛盾的观点,但在本病例及文献综述中均显示颞下颌关节紊乱与颈椎姿势之间存在关联。