在青少年患者中区分急性和慢性TMD
Yeon-Hee Lee1,2, Q-Schick Auh3, Seonggwang Jeon4
1Department of Orofacial Pain and Oral Medicine, Kyung Hee University Dental Hospital, Kyung Hee University School of Dentistry, #613 Hoegi-Dong, Dongdaemun-Gu, Seoul, 02447, Korea. omod0209@gmail.com.
Scientific reports
|October 28, 2025
概括
青少年的慢性部疾病 (TMD) 与更长的治疗时间和结构变化有关,如中线差异和椎间盘位移. 早期诊断和管理对于预防进展至关重要.
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:
- 关节障碍 (TMD) 是一种影响青少年的普遍疾病.
- 区分急性和慢性TMD对于有效管理至关重要.
- 了解导致青少年TMD慢性化的因素对于改善患者的治疗结果至关重要.
研究的目的:
- 为了比较慢性TMD与青少年急性TMD的临床和成像特征.
- 在这个人群中确定与TMD症状的慢性性相关的因素.
主要方法:
- 对158名青少年TMD患者进行了回顾性横截面研究.
- 分类为急性 (症状持续时间<6个月) 和慢性 (症状持续时间≥6个月) 组.
- 对临床报告,全景放射 (PR) 和磁共振成像 (MRI) 进行关节评估的审查.
主要成果:
- 慢性TMD患者在PR上表现出明显较小的前后关节空间.
- 在MRI上更高的前盘位移 (ADD) 患病率和慢性TMD中鼻 (Na-Mx) 中线差异.
- 与慢性TMD相关的因素包括更长的治疗持续时间,ADD,Na-Mx差异,,不良姿势,睡眠问题,头痛和不规则的饮食.
结论:
- 青少年TMD的症状慢性与治疗时间延长和特定的结构变化有关.
- 面部中线偏差和前盘位移是青少年慢性TMD的重要指标.
- 早期诊断和及时管理对于预防TMD进展和减轻长期后果至关重要.
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