青少年和成年人患有不同磁盘-状腺关系的关节障碍:一项纵向比较研究
Wei Liu1, Zuping Wu1, Yiming Hu1
1Key Laboratory of Oral Biomedical Research of Zhejiang Province & Zhejiang Provincial Clinical Research Center for Oral Diseases, Stomatology Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Journal of oral rehabilitation
|September 27, 2025
概括
与成年人相比,患有关节疾病的青少年表现出明显的骨变化,根据盘位移类型的不同进展模式. 这凸显了对TMD的年龄分层治疗方法的需要.
科学领域:
- 牙科 牙科是指牙科的专业.
- 矯正牙科 矯正牙科是一種矯正牙科.
- 放射学 放射学是一门学科.
背景情况:
- 部疾病 (TMD) 影响青少年和年轻人,但对特定年龄的结果缺乏比较研究.
- 由于有限的比较研究,对TMD的干预和治疗策略的最佳时间仍然不清楚.
研究的目的:
- 调查青少年和成年人的关节骨结构变化与减少 (ADDwR) 或没有减少 (ADDwoR) 前盘位移.
- 使用圆束计算机断层扫描 (CBCT) 详细分析圆状骨的形态,位置和骨变化.
主要方法:
- 包括99名没有先前治疗TMD的TMD患者 (54名青少年,45名成年人).
- 进行了两个CBCT扫描,平均随访时间为11.3个月.
- 使用评分系统测量和评估了状体形态,位置和骨变化.
主要成果:
- 患有ADDwR的青少年显示状骨体积/表面积增加,但骨变化进展最小;ADDwoR显示骨变化恶化.
- 青少年的状位动态转移 (ADDwR后部,ADDwoR中部).
- 成年人显示在很大程度上稳定的状骨形态/位置与潜在的骨修复,不像青少年.
结论:
- 青少年和成年人之间存在着与TMD相关的骨变化的明显进展模式.
- 年龄和前盘位移亚型显著影响TMD进展.
- 这些发现支持基于患者年龄和病情类型的TMD分层治疗策略的必要性.
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