颞下颌关节特发性髁突吸收患者的特征
Characteristics of patients with temporomandibular joint idiopathic condylar resorption.
作者信息
Shen Pei, Zhang Dahe, Luo Yi, Abdelrehem Ahmed, Yang Chi
机构信息
Department of Oral Surgery, Shanghai Ninth People's Hospital; Shanghai Key Laboratory of Stomatology, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases, Shanghai, China.
Department of Craniomaxillofacial and Plastic Surgery, Faculty of Dentistry, Alexandria University, Egypt.
出版信息
Cranio. 2025 Jan;43(1):151-157. doi: 10.1080/08869634.2022.2100973. Epub 2022 Jul 26.
OBJECTIVE
To investigate characteristics of temporomandibular joint (TMJ) idiopathic condylar resorption (ICR) and analyze the related factors.
METHODS
A total of 755 consecutive patients (150 with ICR and 605 with anterior disc displacement [ADD]) from July 2015 to December 2018 were recruited. A comprehensive questionnaire characterizing the multidimensional impact of the TMJ was designed. Clinical examination and radiological evaluation were also performed. The odds ratio for each variable in the ICR group versus the ADD group was computed using logistic regression analysis.
RESULTS
Multivariate logistic regression analysis showed significant correlations between mouth opening restriction, disease course, mandibular retrusion, mandibular retrusion progression, skeletal Class II profile, and overjet in ICR patients.
CONCLUSION
These results suggest that a longer ADD disease course might have a strong relationship with ICR.
目的
探讨颞下颌关节（TMJ）特发性髁突吸收（ICR）的特征并分析相关因素。
方法
纳入2015年7月至2018年12月期间连续就诊的755例患者（150例ICR患者和605例关节盘前移位[ADD]患者）。设计了一份全面的问卷，以描述TMJ的多维度影响。还进行了临床检查和影像学评估。使用逻辑回归分析计算ICR组与ADD组中每个变量的比值比。
结果
多因素逻辑回归分析显示，ICR患者的张口受限、病程、下颌后缩、下颌后缩进展、骨骼Ⅱ类面型和覆盖与ICR之间存在显著相关性。
结论
这些结果表明，ADD病程较长可能与ICR有密切关系。
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