Analysis of Structural Abnormality of Temporomandibular Joint in 175 Cases before Orthodontic

Li ZHANG; Wan-yuan YUE; Shuang YANG; Shan-yong ZHANG

doi:10.12259/j.issn.2095-610X.S20210411

Volume 42 Issue 4

Apr. 2021

Turn off MathJax

Article Contents

Article Navigation > Journal of Kunming Medical University > 2021 > 42(4): 57-60

Li ZHANG, Wan-yuan YUE, Shuang YANG, Shan-yong ZHANG. Analysis of Structural Abnormality of Temporomandibular Joint in 175 Cases before Orthodontic[J]. Journal of Kunming Medical University, 2021, 42(4): 57-60. doi: 10.12259/j.issn.2095-610X.S20210411

Citation:

Li ZHANG, Wan-yuan YUE, Shuang YANG, Shan-yong ZHANG. Analysis of Structural Abnormality of Temporomandibular Joint in 175 Cases before Orthodontic[J]. Journal of Kunming Medical University, 2021, 42(4): 57-60. doi: 10.12259/j.issn.2095-610X.S20210411

Citation:

PDF( 665 KB)

Analysis of Structural Abnormality of Temporomandibular Joint in 175 Cases before Orthodontic

doi: 10.12259/j.issn.2095-610X.S20210411

1.
Dept. of Oral Surgery
2.
Orthodontics，The 2nd People’s Hospital of Yunnan Province，Kunming Yunnan 650021
3.
Dept. of Oral and Maxillofacial Surgery，College of Stomatology，The 9th People’s Hospital，School of Medicine，Shanghai Jiao Tong University Shanghai ，Shanghai 200011，China

Received Date: 2020-12-27
Publish Date: 2021-04-01

Abstract

Abstract

Objective To investigate the abnormal structure of temporomandibular joint （TMJ） in patients before orthodontic treatment, and to provide guidance for clinical treatment. Methods A total of 175 patients aged 10-40 years before orthodontic treatment in our hospital from October 2015 to October 2019 were enrolled as study subjects. Based on age, the 175 patients were divided into three groups.Anteroposterior radiographs of the head and skull, oral panoramic radiographs, and bilateral temporomandibular joint open and closed position MRI were routinely taken; age, gender, classification of malocclusion and the incidence of temporomandibular joint structural abnormality were analyzed. Result Among the 175 patients, 114 cases had TMJ structural abnormality, and the abnormality rate was 65.14%. among 84 patients aged from 10 to 20 years, 71 were abnormal, the abnormal rate was 84.52%; among 68 patients aged from 21 to 30 years, 32 cases were abnormal, the abnormal rate was 47.06%.; among the 23 patients aged from 31 to 40 years, 11 were abnormal, with an abnormal rate of 47.83%. The abnormal rate of joint structure in 10-20-year group was higher than that in the other two groups, the difference was statistically significant （P < 0.05）. Analysing based on malocclusion deformity type, the abnormal rate of Angle II is 92.68%, Angle I is 37.25% and Angle III is 40.48%. The abnormal rate of Angle II is significantly higher than that of Angle I class and III class, the difference is statistically significant （P < 0.05）. The abnormal rate was 90.27% in female and 19.35% in male. The gender difference was statistically significant （P < 0.05）. Conclusion Temporomandibular joint disorder are very common among the patients seeking orthodontic treatment, and the clinical manifestations of such patients are often mild and tend to be ignored. Especially those 10-20-year-old Angle Ⅱ class deformity of female patients should raise more attention of orthodontic doctors.
- Temporomandibular joint structural anomaly,
- Orthodontics,
- Malocclusion deformity,
- Magnetic resonance imaging （MRI）

FullText(HTML)

References(16)

References

[1]	张志愿. 口腔颌面外科学[M]. 第7版, 北京: 人民卫生出版社, 2012: 373.
[2]	Rusanen J,Pirttiniemi P,Tervonen O,et al. MRI of TMJ in patients with severe skeletal malocclusion following surgical/orthodontic treatment[J]. Cranio,2008,26(3):182-190. doi: 10.1179/crn.2008.024
[3]	杨增龙,何道文,王戎,等. 口腔正畸治疗与颞下颌关节疾病相关性的研究进展[J]. 甘肃医药,2014,33(8):111-113.
[4]	Nelson G,Ahn H W,Jesong S H,et al. Three-dimensional retraction of anterior teeth with orthodontic miniplaters miniplates in patients with temporomandibular disorder[J]. Am J Orthod Dentofacial Orthop,2012,142(5):720-726. doi: 10.1016/j.ajodo.2011.07.029
[5]	Kuroda S,Kuroda Y,Tomita Y,et al. Long-term stability of conservative orthodontic treatment in a patient with rheumatoid arthritis and severe condylar resorption[J]. Am J Orthod Dentofacial Orthop,2012,141(3):352-362. doi: 10.1016/j.ajodo.2010.04.036
[6]	朱英芹. 口腔正畸患者颞下颌关节骨关节病的临床分析[J]. 中外医疗,2019,38(22):45-47.
[7]	王泓. 保守正畸治疗颞下颌关节紊乱病的长期稳定性研究[J]. 中国现代医学杂志,2018,28(18):98-102. doi: 10.3969/j.issn.1005-8982.2018.18.019
[8]	张丹. 颞下颌关节紊乱病的正畸考量[J]. 中国实用口腔科杂志,2015,8(8):453-457.
[9]	詹寅典,陈铭,王娱,等. 两种牙合型全口义齿对老年无牙颌患者颞下颌关节紊乱病影响的比较[J]. 中国医疗美容,2018,8(8):68-70.
[10]	王小旻,李琥,陈文静,等. "手术优先"正畸正颌治疗对颞下颌关节紊乱病的影响[J]. 口腔医学,2017,37(12):1079-1082,1103.
[11]	吴媛媛. 成人正畸患者颞下颌关节紊乱病临床分析[J]. 中外医疗,2017,36(10):63-66.
[12]	Thais Gonzalez da Silveira Coelho,Hugo Cesar Pinto Marques Caracas. Perception of the relationship between TMD and orth-odontic treatment among orthodontists[J]. Dental Press J Orthod,2015,20(1):45-51. doi: 10.1590/2176-9451.20.1.045-051.oar
[13]	刘加强,吴勇,孙良严,等. 不同年龄段正畸初诊患者颞下颌关节结构分析[J]. 口腔颌面修复学杂志,2016,11(17):340.
[14]	陈欣慰,张善勇,杨驰. 青少年颞下颌关节髁突特发性吸收[J]. 中国口腔颌面外科杂志,2017,10(6):326-328.
[15]	陈建中,杨春,王维琦,等. 下颌骨三维有限元模型分析模拟咬合创伤对髁突的力学影响[J]. 昆明医科大学学报,2018,39(6):84.
[16]	梁妍华. 颞下颌关节紊乱与正畸治疗的探索[J]. 甘肃医药,2016,65(6):422.

Relative Articles(20)

Relative Articles

[1]	Yihan CHEN, Shanyong ZHANG, Yu DING, Li ZHANG. Research Progress on the Molecular Pathogenesis of Temporomandibular Joint Osteoarthritis. Journal of Kunming Medical University, 2024, 45(7): 1-5. doi: 10.12259/j.issn.2095-610X.S20240701
[2]	Jing ZHOU, Liqiong CHEN, Wenjuan FENG, Changyun WU, Su SUN, Changquan LI, Quan WANG. Application of Oral Digital Positioning System Combined with CBL in The Teaching of Orthodontic Bracket Bonding and Positioning. Journal of Kunming Medical University, 2023, 44(1): 151-155. doi: 10.12259/j.issn.2095-610X.S20230127
[3]	Qiqi YANG, Mengting CHEN, Jiangtian HU, Ting ZHOU. Clinical Study on the Occlusal Change of Skeletal Class Ⅰ Malocclusion Treated with Invisible Appliance and Fixed Appliance. Journal of Kunming Medical University, 2023, 44(12): 127-132. doi: 10.12259/j.issn.2095-610X.S20231220
[4]	Jiye XIE, Xin WEN, Chun LI, Runqin ZHANG, Xuemei YANG, Jianli ZHANG, Yanhua XU. Analysis of the Characteristics of Tibetan Patients with Orthodontic Treatment in Shangri-la of Diqing Prefecture. Journal of Kunming Medical University, 2023, 44(7): 52-56. doi: 10.12259/j.issn.2095-610X.S20230718
[5]	Haifeng MA, Kuiming JIANG. Value of 3.0T Magnetic Resonance Cholangiopancreatography in Diagnosing Pancreaticobiliary Maljunction in Children. Journal of Kunming Medical University, 2022, 43(10): 110-114. doi: 10.12259/j.issn.2095-610X.S20221014
[6]	Qi-qi YANG, Ya-li CHEN, Yuan ZHOU, Jiang-tian HU. Clinical effect of Invisible MA Appliance and Twin-block Appliance in Treatment of Early Skeletal Class II Mandibular Retrusion Malocclusion. Journal of Kunming Medical University, 2021, 42(3): 29-34. doi: 10.12259/j.issn.2095-610X.S20210308
[7]	Li ZHANG, Li-rong YUE, Rui WANG, Yong CHEN, Wan-yuan YUE, Yu DING. Diagnostic Value of Magnetic Resonance Imaging in Immediate Injury of Temporomandibular Joint Without Condylar Fracture. Journal of Kunming Medical University, 2021, 42(12): 106-111. doi: 10.12259/j.issn.2095-610X.S20211228
[8]	Ru-jun ZHENG, Yue-xiao LI, Ya-lan YANG, Yu-mei HUANG, Shi-nan ZHANG, Yan-hong LI. The Prevalence and Related Factors of Malocclusion on 3-to 5 Years-old Children with Primary Dentition in Kunming. Journal of Kunming Medical University, 2021, 42(1): 94-98. doi: 10.12259/j.issn.2095-610X.S20210142
[9]	Wu Xiao Tao , Li Chuan Jun , Wu Xin , Zhong Shi Yan . . Journal of Kunming Medical University, 2017, 38(03): 98-102.
[10]	Huang Zhen Hua , Shi Xin , Wang Hui Tao , Zhang Jing Song , Wang Guang , Hao Jin Gang , Liu Jian He . Application Value of DWI in Diagnosis of T Staging of Bladder Cancer. Journal of Kunming Medical University, 2016, 37(12): 67-71.
[11]	Liu De Hong , Shao Ju Wei , Xiang Shu Tian , Liu Chen , Wang Peng , Li Ying Wen . Comparison of BRAVO Sequence and TRICKS Sequence on Cerebral Venous Sinus Thrombosis. Journal of Kunming Medical University, 2016, 37(11): 121-125.
[12]	Yang Shao Hua . . Journal of Kunming Medical University,
[13]	Liu Qi Hong . . Journal of Kunming Medical University,
[14]	Zhao Ying . . Journal of Kunming Medical University,
[15]	Zuo Zhi Hui . . Journal of Kunming Medical University,
[16]	Liu Hong . . Journal of Kunming Medical University,
[17]	Yang Li . . Journal of Kunming Medical University,
[18]	Xie Xiao 晞. . Journal of Kunming Medical University,
[19]	Wang Zhen . . Journal of Kunming Medical University,
[20]	Hao Jin Gang . . Journal of Kunming Medical University,