中国实用口腔科杂志

中国实用口腔科杂志

• 专题笔谈 • 上一篇    下一篇

颞下颌关节紊乱病的正畸考量

张    丹   

  1. 中国医科大学口腔医学院正畸教研室 辽宁省口腔医学研究所 辽宁省转化医学研究中心，沈阳  110002
  • 出版日期:2015-08-15 发布日期:2015-09-09
  • 作者简介:张丹，副教授、副主任医师。辽宁省口腔医学会颞下颌关节与合学专业委员会委员。2002年毕业于中国医科大学，从事口腔正畸临床、科研、教学工作十余年。主要研究方向：颞下颌关节疾病的多学科联合治疗。发表研究论文十余篇，其中多篇被SCI收录，在颞下颌关节疾病的正畸-修复-牙周-关节外科联合治疗、髁突自溶性吸收的正畸-正颌-关节外科联合治疗、磨牙症的正畸治疗等方面具有丰富的临床经验。

  • Online:2015-08-15 Published:2015-09-09

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摘要：

颞下颌关节紊乱病（TMDs）是临床较为常见的口腔疾病，表现为疼痛、弹响、开口受限和下颌运动异常等。随着生活水平的提高和医疗知识的普及，越来越多的人开始认识和接受正畸治疗。近年来，关于能否通过正畸治疗改善患者咬合并进一步改善其关节症状，以及正畸治疗能否导致TMDs的发生等问题引起了国内外学者的广泛关注。流行病学研究发现，TMDs与很多类型的错牙合均有相关性。本文从咬合和颞下颌关节功能相关性的角度出发，分析错牙合畸形和TMDs的内在联系，探讨TMDs与正畸治疗以及正畸治疗后稳定性的关系，以期为正畸临床预防和治疗TMDs提供一定的理论参考。

关键词: 关键词：颞下颌关节紊乱, 正畸治疗, 咬合, 错牙合畸形

Abstract:

Temporomandibular disorders（TMDs）is a kind of commen disease in stomatology. The most common symptoms are pain， click， functional limitation and abnormal in movement of the mandible. Coupled with the general awareness of the importance of oral health， more and more people have recognized and accepted orthodontic treatment. Whether the symptoms of TMDs can be improved by orthodontic treatment and the relationship between TMDs and orthodontic treatment has raised many concerns recently. Malocclusions may have several harmful consequences on individual health， such as pain and functional limitations. These are also common symptoms of TMDs. This article tries to discuss the relationship between human functional occlusion and TMDs，malocclusion and TMDs and the relationship between orthodontic treatment and TMDs. The aim of this article is to provide effective advices for orthodontists to prevent and treat TMDs during orthodontic treatments.

Key words: temporomandibular disorders, orthodontic treatments, occlusion, malocclusion