Lešić Nikolina, Seifert Davor, Dragičević Dora, Pul Luka, Petrović Dorotea, Čelebić Asja, Pezo Hrvoje
Department of Dental Medicine, Faculty of Dental Medicine and Health Osijek, J.J. Strossmayer University of Osijek, 31 000 Osijek, Croatia.
Private Dental Practice Seifert d.o.o., Martićeva ulica 43, 10000 Zagreb, Croatia.
Dent J (Basel). 2023 Aug 14;11(8):195. doi: 10.3390/dj11080195.
Sports activities may induce long-lasting changes in mandibular trajectories. The aim was to compare condylar and mandibular movements in athletes with orofacial injuries with values measured in non-injured athletes. The group of 132 athletes without mandibular injury included asymptomatic athletes with a history of a blow to the right side (N = 43) and the group included asymptomatic athletes with a history of a blow to the left side (N = 41) of the mandible. The injured athletes suffered from stiffness/pain and/or limitation of jaw movements. The symptoms disappeared shortly after the injury. Athletes with a history of injury have smaller mean values of Bennett angle on the side of impact, and Bennett angle on the opposite side is greater than the mean found in non-injured athletes. Significantly smaller Bennett angle values in athletes with a history of a blow to one side of the mandible are due to the adaptability of the orofacial system. The larger Bennett angle on the opposite side of the injury is also due to the adaptive mechanism of the TMJ. Clinical Relevance: An individualized approach to TMJ values is mandatory in restorative procedures in every patient, especially in patients with a history of trauma to the orofacial system.
体育活动可能会引起下颌运动轨迹的长期变化。目的是比较有口面部损伤的运动员与未受伤运动员的髁突和下颌运动情况。132名无下颌损伤的运动员组包括有右侧下颌受击史的无症状运动员（N = 43）和有左侧下颌受击史的无症状运动员（N = 41）。受伤运动员存在下颌运动的僵硬/疼痛和/或受限情况。这些症状在受伤后不久就消失了。有受伤史的运动员在受击侧的Bennett角平均值较小，而对侧的Bennett角大于未受伤运动员的平均值。下颌一侧有受击史的运动员的Bennett角值明显较小是由于口面部系统的适应性。损伤对侧较大的Bennett角也是由于颞下颌关节的适应机制。临床相关性：在每个患者的修复程序中，尤其是有口面部系统创伤史的患者，必须采用个体化的颞下颌关节值评估方法。
