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使用锥形束计算机断层扫描(CBCT)评估安氏I类、II类和III类错牙合患者的髁突位置及其与单侧颞下颌关节紊乱病的相关性。

Assessment of Condylar Position and Its Association with Unilateral TMD in Patients with Angle's Class I, II, and III Malocclusions Using CBCT.

作者信息

Mehta Dollchi, Swaminarayan Dhruv, Patel Nikita, Arsheed Noor Addeen Abo, Rai Narendra Prakash, Fakhra Ismat

机构信息

Department of Oral Medicine and Radiology, Pacific Dental College, Udaipur, Rajasthan, India.

Department of Oral Medicine and Radiology, Pacific Dental College and Hospital, Udaipur, Rajasthan, India.

出版信息

J Pharm Bioallied Sci. 2024 Dec;16(Suppl 4):S3973-S3975. doi: 10.4103/jpbs.jpbs_947_24. Epub 2024 Dec 12.

Abstract

INTRODUCTION

With cone beam computed tomography (CBCT) as a diagnostic tool, we compare and analyze the condylar position and its relationship with unilateral temporomandibular disorder (TMD) in patients with Angle's Class I, II, and III malocclusions.

MATERIALS AND METHODS

The association between TMD and age, gender, vertical condyle position, horizontal condyle position, and steepness of articular eminence in individuals with various malocclusions was examined using 30 CBCT images.

RESULTS

The asymptomatic group shared the concentric location of the condyle in their respective mandibular fossae, which is also a typical hallmark of Class II and Class III malocclusion on the left temporomandibular joint. Patients with TMD were more likely to be in the posterior condylar position. In all malocclusions and TMD cases, the condylar head's vertical position was mostly normal and slightly elevated. All malocclusions and TMD patients had moderate to severe articular eminence steepness. In individuals with TMD and malocclusions, the mesiodistal breadth of was considerable on the left side.

CONCLUSION

Future research should be done with a larger sample size and an emphasis on assessing how the condyle's location will change after therapy for patients with TMD.

摘要

引言

以锥形束计算机断层扫描(CBCT)作为诊断工具,我们比较并分析安氏Ⅰ类、Ⅱ类和Ⅲ类错牙合患者的髁突位置及其与单侧颞下颌关节紊乱病(TMD)的关系。

材料与方法

使用30张CBCT图像检查不同错牙合个体中TMD与年龄、性别、髁突垂直位置、水平位置以及关节结节陡度之间的关联。

结果

无症状组的髁突在各自下颌窝内呈同心位置,这也是左侧颞下颌关节Ⅱ类和Ⅲ类错牙合的典型特征。TMD患者更易处于髁突后位。在所有错牙合和TMD病例中,髁突头部的垂直位置大多正常且略有升高。所有错牙合和TMD患者的关节结节陡度为中度至重度。在患有TMD和错牙合的个体中,左侧的近远中宽度相当可观。

结论

未来研究应以更大样本量进行,并着重评估TMD患者治疗后髁突位置的变化情况。

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