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颞下颌关节盘移位:病因、诊断、影像学和治疗方法。

Temporomandibular Joint Disk Displacement: Etiology, Diagnosis, Imaging, and Therapeutic Approaches.

机构信息

Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania, Naples, Italy.

School of Dentistry Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy.

出版信息

J Craniofac Surg. 2023 May 1;34(3):1115-1121. doi: 10.1097/SCS.0000000000009103. Epub 2022 Nov 4.

Abstract

An estimated 8 to 15% of women, and 3 to 10% of men currently suffer from Temporomandibular disorders, and it has been reported that sounds are a common finding and have been observed in 28% to 50% of the adult population; sounds are almost always connected to "internal derangements" a condition in which the articular disk displaced from its position on the mandibular condyle. Due to the multifactorial etiology of temporomandibular joint dysfunction, any accurate diagnosis based on clinical examination alone often proves to be difficult, so a clinical examination should be utilized together with other imaging methods to determine the relationship between the disk and condyle before and after treatment. In general, management of temporomandibular joint-related conditions is necessary when pain or dysfunction is present, so many surgical or nonsurgical methods of treatment have been reported. The Occlusal splint is 1 of the most widespread treatment it induces a slight vertical condylar distraction and eliminates the occlusal factor, which can be responsible for Temporomandibular joint disturbances, removing the influence of the teeth on the joint position by the slight distraction of the joint which, in turn, enables damaged connective tissue to heal.

摘要

据估计,8%至 15%的女性和 3%至 10%的男性目前患有颞下颌关节紊乱症,据报道,声音是一种常见的发现,在 28%至 50%的成年人群中观察到;声音几乎总是与“内部紊乱”有关,即关节盘从下颌髁突上的位置移位。由于颞下颌关节功能障碍的多因素病因,仅基于临床检查的任何准确诊断往往都很困难,因此应结合其他影像学方法,在治疗前后确定关节盘和髁突之间的关系。一般来说,当出现疼痛或功能障碍时,需要对颞下颌关节相关病症进行治疗,因此已经报道了许多手术或非手术治疗方法。咬合夹板是最广泛的治疗方法之一,它会引起轻微的垂直髁突牵引,并消除咬合因素,咬合因素可能是颞下颌关节紊乱的原因,通过关节的轻微牵引消除牙齿对关节位置的影响,反过来,使受损的结缔组织得以愈合。

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