与单侧和双侧关节结节倾斜度相关的咬合平面特征:一项横断面CBCT研究
Characteristics of the Occlusal Plane Associated with Unilateral and Bilateral Articular Eminence Inclination: A Cross-Sectional CBCT Study.
作者信息
Camacho-Álvarez Fátima Erandi, Martínez-Contreras Silvia Paulina, Rodríguez-Chávez Jacqueline A, Martínez-Suárez Gerardo, González-Aragón Pineda Álvaro Edgar, Ramos-Montiel Ronald Roossevelt, Ramírez-Martínez Carla Monserrat, Sánchez-García Sergio, Cruz-Hervert Luis Pablo, Jiménez-Corona María Eugenia
机构信息
Especialidad de Ortodoncia y Ortopedia Maxilar, Universidad Cuauhtémoc, San Luis Potosí 78290, Mexico.
Departamento de Clínicas Odontológicas Integrales, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara 44340, Mexico.
出版信息
Dent J (Basel). 2024 Sep 29;12(10):316. doi: 10.3390/dj12100316.
The characteristics of the temporomandibular joint (TMJ) are essential in orthodontic and prosthetic treatments. Previous studies have suggested an association between articular eminence inclinations (AEI) and occlusal plane characteristics using radiographs, but no bilateral analysis has been conducted using cone beam computed tomography (CBCT). This study aimed to investigate the specific characteristics of the occlusal plane inclinations associated with unilateral and bilateral AEI using CBCT. We conducted a cross-sectional study to evaluate 200 temporomandibular joints (TMJs) from 100 records obtained at the orthodontic department. We evaluated the association between the AEI, and occlusal plane characteristics like the cant of the occlusal angle, occlusal plane angles, inclination of the upper incisor to the Frankfort plane and palatal plane using both bivariate and multivariate analyses both unilaterally and bilaterally. Our findings suggested statistically significant associations ( < 0.050) between AEI (bilateral) and occlusal inclination parameters, including the cant of the occlusal plane (Coef. -0.38; 95%CI -0.70:-0.06; = 0.017), occlusal plane angle (Coef. -0.39; 95%CI -0.740:-0.05; = 0.024), and position of the upper incisor relative to the palatal plane (Coef. -0.34; 95%CI -0.63:-0.06; = 0.016). This study suggests an association between dental inclinations and AEI, which reflects the anatomical characteristics of TMJ and its related dental structures.
颞下颌关节(TMJ)的特征在正畸和修复治疗中至关重要。以往研究通过X线片提示关节结节倾斜度(AEI)与咬合平面特征之间存在关联,但尚未使用锥形束计算机断层扫描(CBCT)进行双侧分析。本研究旨在利用CBCT研究与单侧和双侧AEI相关的咬合平面倾斜度的具体特征。我们进行了一项横断面研究,以评估从正畸科获取的100份记录中的200个颞下颌关节(TMJ)。我们使用双变量和多变量分析,单侧和双侧评估AEI与咬合平面特征之间的关联,如咬合角偏斜、咬合平面角度、上切牙相对于法兰克福平面和腭平面的倾斜度。我们的研究结果表明,AEI(双侧)与咬合倾斜参数之间存在统计学显著关联(<0.050),包括咬合平面偏斜(系数 -0.38;95%CI -0.70:-0.06;P = 0.017)、咬合平面角度(系数 -0.39;95%CI -0.740:-0.05;P = 0.024)以及上切牙相对于腭平面的位置(系数 -0.34;95%CI -0.63:-0.06;P = 0.016)。本研究提示牙齿倾斜度与AEI之间存在关联,这反映了TMJ及其相关牙齿结构的解剖特征。