中国实用口腔科杂志

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可复性关节盘前移位患者牙合关系特征的Meta分析

王青青曹正飞关慧娟冯翠娟   

  1. 中国医科大学附属口腔医院正畸二科,辽宁  沈阳 110002
  • 出版日期:2018-10-15 发布日期:2018-11-08
  • 基金资助:

    辽宁省自然科学基金(2017054013)

  • Online:2018-10-15 Published:2018-11-08

摘要:

目的    系统性分析及评价颞下颌关节可复性关节盘前移位患者与关节盘位置正常者的牙合关系间差异。方法    电子检索中英文数据库,包括PubMed、Embase、Cochrane Library、万方数据库、中国知网(CNKI),收集有关研究可复性关节盘前移位患者牙合关系特征的文章。检索时间为2000年1月至2018年5月。由2位研究者独立进行资料的提取,根据NOS量表对文章进行质量评价,并采用Revman 5.3软件进行Meta分析。结果    共纳入7篇相关文章,均为病例对照研究,其中双侧可复性关节盘前移位患者255例(BDDR组),双侧关节盘位置正常者279例(BN组)。Meta分析结果显示,BDDR组患者较BN组的覆牙合、覆盖、L1-MP角大,L1-FH角、U1-L1角小,组间差异均有统计学意义(均P < 0.05);两组间U1-FH角的差异无统计学意义(P > 0.05)。结论    现有研究显示,与关节盘位置正常者相比,双侧可复性关节盘前移位患者的下颌中切牙较为唇倾,上下中切牙夹角较小,覆牙合、覆盖较大。

关键词: 可复性关节盘前移位, 牙合关系, 头影测量, 磁共振成像, Meta分析

Abstract:

Objective    To systematically evaluate the difference in dental relationship between patients with disc displacement with reduction and people with normal disc position. Methods    The related compositions in Cochrane Library,Embase,PubMed,CNKI and Wanfang database were retrieved from Jan,2000 to March,2018. The two researchers extracted data independently,and assessed quality of the selected articles based on the Newcastle-Ottawa Scale. The Meta-analysis was performed by using Reman 5.3. Results    Totally 7 articles were included in the study,which were the control trials;255 patients were with disc displacement with reduction and 279 patients with normal disc position. Meta-analysis showed overbite,overjet and L1-MP were bigger,while L1-FH and U1-L1 were smaller in the group of disc displacement with reduction,and the differences were statistically significant (P < 0.05);the difference in U1-FH was not statistically significant (P > 0.05). Conclusion    The existing studies have shown that the lower incisors are more flared,the angle of upper and lower incisors is smaller,and the overbite and overjet are bigger in patients with disc displacement with reduction than in people with normal disc position.

Key words: disc displacement with reduction, dental relationship, cephalometrics, MRI, Meta-analysis