Almășan Oana, Leucuța Daniel-Corneliu, Buduru Smaranda
Department of Prosthetic Dentistry and Dental Materials, Iuliu Hațieganu University of Medicine and Pharmacy, 32 Clinicilor Street, 400006 Cluj-Napoca, Romania.
Department of Medical Informatics and Biostatistics, Iuliu Hațieganu University of Medicine and Pharmacy, 400349 Cluj-Napoca, Romania.
Children (Basel). 2022 Aug 27;9(9):1297. doi: 10.3390/children9091297.
Subjects with facial skeletal asymmetries have a higher incidence of anterior temporomandibular joint disc displacement. The objective of the study was to consolidate existing evidence on the connection between temporomandibular joint disc displacement and mandibular asymmetry in youngsters and adolescents. A thorough examination was undertaken in the following databases: PubMed, Scopus, EMBASE, Web of Science, and Cochrane. To judge the publications' methodological quality Newcastle Ottawa Scale was used. From the 1011 identified records, eight were selected for the qualitative synthesis and five for the quantitative synthesis, amounting to 692 subjects. Fifteen cephalometric variables were meta-analyzed. The distance from menton (Me) to midline (lateral mandibular asymmetry) was significantly shorter [-1.75 (95% CI -2.43--1.07), ≤ 0.001] in subjects with disc displacement compared to those without disc displacement. The distance from articulare (Ar) to gonion (Go) was significantly longer [3.74 (95% CI 1.04-6.44), = 0.007] in subjects with disc displacement compared to those without disc displacement. The relationship between distance from articulare (Ar) to gonion (Go) or sella (S) to gonion (Go) and disc displacement was shown to be close to statistical significance level, but not for other cephalometric data. Disc displacement was associated with several cephalometric measurement variations in children and adolescents.
面部骨骼不对称的受试者颞下颌关节盘前移位的发生率更高。本研究的目的是巩固关于青少年颞下颌关节盘移位与下颌不对称之间联系的现有证据。我们在以下数据库中进行了全面检索：PubMed、Scopus、EMBASE、Web of Science和Cochrane。使用纽卡斯尔渥太华量表来判断出版物的方法学质量。从1011条检索到的记录中，选取了8篇进行定性综合分析，5篇进行定量综合分析，共计692名受试者。对15个头颅测量变量进行了荟萃分析。与无盘移位的受试者相比，有盘移位的受试者颏点（Me）到中线（下颌骨外侧不对称）的距离明显更短[-1.75（95%可信区间-2.43--1.07），P≤0.001]。与无盘移位的受试者相比，有盘移位的受试者关节点（Ar）到角点（Go）的距离明显更长[3.74（95%可信区间1.04 - 6.44），P = 0.007]。关节点（Ar）到角点（Go）或蝶鞍（S）到角点（Go）的距离与盘移位之间的关系接近统计学显著性水平，但其他头颅测量数据则不然。在儿童和青少年中，盘移位与多个头颅测量值的变化有关。
