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侧向颅面分析在颞下颌关节紊乱中的应用：颈椎姿势和舌骨位置的重要性。

Lateral Cephalometric Analytical Uses for Temporomandibular Joint Disorders: The Importance of Cervical Posture and Hyoid Position.

机构信息

Department of Maxillofacial Surgery and Implantology, Iuliu Haţieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania.

Department of Prosthetic Dentistry, Faculty of Dentistry, Iuliu Haţieganu University of Medicine and Pharmacy, 32 Clinicilor Street, 400012 Cluj-Napoca, Romania.

出版信息

Int J Environ Res Public Health. 2022 Sep 4;19(17):11077. doi: 10.3390/ijerph191711077.

DOI:10.3390/ijerph191711077
PMID:36078792
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9518302/
Abstract

The temporomandibular joint disorder (TMD) is a syndrome that affects the masticatory muscles and temporomandibular joint (TMJ). Its pathophysiology is not yet fully known. Cephalometric analysis is used for routine evaluation regarding orthodontic treatment and other purposes. The aim of this study was to assess if using cephalometric analysis and TMJ conservative therapy to evaluate the hyoid bone position and the cervical posture reduced symptoms in adults with TMDs compared to no intervention. The authors conducted a systematic review of the literature (PubMed, Cochrane, Web of Science, Scopus, and Embase) for clinical studies of TMDs with conservative treatment and lateral cephalometric analysis of the hyoid and cervical posture. To assess the risk of bias for non-randomized clinical trials ROBINS-I tool was used. Out of 137 studies found, 6 remained to be included. Most of them found a link between TMD and lateral cephalometric analysis, but there was a high risk of bias. This review found a possible link between TMDs, the neck and cervical posture. There is a benefit reported regarding the use of the lateral cephalometry as a treatment, but more extensive prospective randomized clinical trials are necessary to be able to draw definitive conclusions.

摘要

颞下颌关节紊乱（TMD）是一种影响咀嚼肌和颞下颌关节（TMJ）的综合征。其病理生理学尚未完全清楚。头影测量分析用于常规评估正畸治疗和其他目的。本研究旨在评估与不干预相比，使用头影测量分析和 TMJ 保守治疗来评估舌骨位置和颈椎姿势是否能减轻 TMD 成人的症状。作者对 TMD 保守治疗和舌骨和颈椎姿势的侧位头影测量分析的临床研究进行了系统的文献回顾（PubMed、Cochrane、Web of Science、Scopus 和 Embase）。为了评估非随机临床试验的偏倚风险，使用了 ROBINS-I 工具。在发现的 137 项研究中，有 6 项仍然被纳入。他们中的大多数人发现 TMD 与侧位头影测量分析之间存在联系，但存在很高的偏倚风险。本综述发现 TMD、颈部和颈椎姿势之间可能存在联系。有报道称使用侧位头影测量作为治疗方法有一定益处，但需要进行更广泛的前瞻性随机临床试验，才能得出明确的结论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d540/9518302/85b8d0b2e24b/ijerph-19-11077-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d540/9518302/33e27d7cd4b9/ijerph-19-11077-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d540/9518302/85b8d0b2e24b/ijerph-19-11077-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d540/9518302/33e27d7cd4b9/ijerph-19-11077-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d540/9518302/85b8d0b2e24b/ijerph-19-11077-g002.jpg

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J Oral Maxillofac Surg. 2020 Dec;78(12):2183.e1-2183.e12. doi: 10.1016/j.joms.2020.08.006. Epub 2020 Aug 12.
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Effects on migraine, neck pain, and head and neck posture, of temporomandibular disorder treatment: Study of a retrospective cohort.
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