关节功能障碍对椎关节系统的影响:一项回顾性研究
Kübra Öztürk1, Hikmetnur Danışman2, Fatma Akkoca3
1Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Nuh Naci Yazgan University, Kayseri, Turkey.
Journal of oral rehabilitation
|November 20, 2023
概括
椎旋转,特别是在头骨-天文图书馆和天文图书馆轴之间,与关节障碍 (TMD) 有显著的关联. 评估这些-宫旋转对于理解和治疗TMD至关重要.
科学领域:
- ортодонтика 和 牙科 牙科
- 生物力学 生物力学
- 骨关节疾病 骨关节疾病
背景情况:
- 部部疾病 (TMD) 是普遍存在的引起疼痛和功能障碍的面部疾病.
- 椎脊柱对齐和TMD之间的关系仍然不完全理解.
- 宫姿势和-宫对齐越来越被认为是导致TMD的潜在因素.
研究的目的:
- 为了研究特定的-椎旋转和TMD存在之间的关联.
- 在患有和没有TMD的患者中,量化骨图谱,图谱轴和下图谱之间的旋转.
- 为了确定头骨部区域的特定旋转模式是否与TMD症状相关.
主要方法:
- 利用圆束计算机断层扫描 (CBCT) 对176名患者进行扫描 (97名女性,79名男性,平均年龄为25.7岁).
- 患者被分为两组:关节功能障碍患者 (n=88) 和没有TMD的对照组 (n=88).
- 使用定义的解剖学地标,平面和角度测量了头骨-天文图书馆,天文图书馆轴和下天文图书馆旋转;用 TURCOSA 统计软件分析了数据.
主要成果:
- 与对照组相比,在TMD组中观察到明显更高的头骨图谱旋转 (p < .001).
- 阿特拉斯轴旋转在TMD组中也显著增加 (p < .001).
- 两组之间没有发现底-亚特拉斯旋转的显著差异 (p = .546),但旋转的方向差异显著 (p < .001).
结论:
- 研究结果表明,-椎骨结构和TMD之间存在显著的关系.
- 头骨图书馆和图书馆轴旋转似乎是TMD的重要病因因素.
- 对于全面的TMD诊断和治疗规划,建议对头骨-天文图谱-轴旋转进行评估.
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