颞下颌关节盘复位固定术后辅助咬合治疗的临床观察

上海口腔医学 ›› 2016, Vol. 25 ›› Issue (6): 755-757.

颞下颌关节盘复位固定术后辅助咬合治疗的临床观察

殷治国, 邹茵, 龚中坚

无锡市人民医院口腔科,江苏无锡 214023

收稿日期:2016-10-28 出版日期:2016-12-25 发布日期:2016-12-29
通讯作者: 邹茵,E-mail：18888040123@163.com
作者简介:殷治国（1978-）,男,学士,主治医师,E-mail：homegoing@tom.com

Clinical observation of assisted occlusion therapy for repositioning temporomandibular joint discs

YIN Zhi-guo, ZOU Yin, GONG Zhong-jian

Department of Stomatology, Wuxi People's Hospital. Wuxi 214023, Jiangsu Province, China

Received:2016-10-28 Online:2016-12-25 Published:2016-12-29

摘要/Abstract

摘要： 目的探讨颞下颌关节盘复位固定术后患者错的发生情况及术后咬合治疗的必要性。方法对2010年10月—2015年10月来无锡市人民医院口腔颌面外科就诊的颞下颌关节不可复性盘前移位行手术治疗的患者108例,术前记录咬合关系,术后辅助垫或固定矫正治疗,定期随访,评价咬合关系及关节盘-髁突的相对位置关系。结果全部颞下颌关节盘复位固定术后患者均出现患侧后牙开、中线偏向对侧情况,戴用垫3~6个月后,后牙开情况改善,针对有牙列拥挤、上前牙舌倾等情况的患者应用固定矫治器治疗,术后长期随访患者关节盘-髁关系良好。结论颞下颌关节盘复位固定术后患者常出现后牙开,可使用功能矫正器进行治疗,而后视具体错畸形情况进行固定矫治器治疗。

关键词: 颞下颌关节, 关节盘移位, 手术复位, 咬合治疗

Abstract: PURPOSE: To investigate the occurrence of postoperative malocclusion of patients with temporomandibular joint disc repositioning and the necessity of postoperative orthodontic treatment. METHODS: One hundred and eight patients who received temporomandibular joint disc repositioning from 2010.10 to 2015.10 were selected in this study. The patients' occlusion was recorded preoperatively and postoperatively. All patients received functional appliance or orthodontic treatment after surgery. The occlusion and the relative position of the articular disc and condyle were evaluated at regular follow-up. RESULTS: Postoperative malocclusion occurred in all patients. The use of functional appliance for 3-6 months may decrease the proportion of malocclusion. After orthodontic treatment, all patients had a complete recovery of malocclusion and remained good articular disc and condyle relationship during long term follow-up. CONCLUSIONS: Postoperatively malocclusion may occur after temporomandibular joint disc repositioning, and the use of functional appliance and orthodontic treatment are strongly recommended to retain good articular disc and condyle relationship.

Key words: Temporomandibular joint, Anterior disc displacement, Disc repositioning, Orthodontic treatment

中图分类号:

R782.6

殷治国, 邹茵, 龚中坚. 颞下颌关节盘复位固定术后辅助咬合治疗的临床观察[J]. 上海口腔医学, 2016, 25(6): 755-757.

YIN Zhi-guo, ZOU Yin, GONG Zhong-jian. Clinical observation of assisted occlusion therapy for repositioning temporomandibular joint discs[J]. Shanghai Journal of Stomatology, 2016, 25(6): 755-757.

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