【摘要】：目的:研究青少年上頜Wilson曲線與顳下頜關(guān)節(jié)紊亂病(TMD)的癥狀之間的相關(guān)性。方法:選取2017年1月至8月的就診于新疆醫(yī)科大學(xué)第一附屬醫(yī)院的青少年TMD患者及自愿參加本研究的無(wú)顳下頜關(guān)節(jié)紊亂病的大學(xué)生105名。把研究對(duì)象分為T(mén)MD組與正常組,對(duì)研究對(duì)象進(jìn)行肌肉疼痛與關(guān)節(jié)彈響癥狀進(jìn)行檢查,并通過(guò)CBCT測(cè)量技術(shù)分別測(cè)量?jī)山M上頜Wilson曲線的角度,結(jié)果采用單因素方差分析與t檢驗(yàn)進(jìn)行統(tǒng)計(jì)分析。結(jié)果:TMD組與正常對(duì)照組Wilson曲線的角度相比較,差異具有統(tǒng)計(jì)學(xué)意義,TMD組Wilson曲線的平均角度較正常對(duì)照組大。有關(guān)節(jié)彈響癥狀的患者彈響關(guān)節(jié)同側(cè)的磨牙頰舌向軸傾度比非彈響側(cè)磨牙的頰舌向軸傾度較大,差異有統(tǒng)計(jì)學(xué)意義。彈響關(guān)節(jié)對(duì)側(cè)非彈響的磨牙頰舌向傾斜度與正常組相比,差異無(wú)統(tǒng)計(jì)學(xué)意義。有肌肉彈響、無(wú)肌肉疼痛的患者Wilson曲線的角度相比較,差異無(wú)統(tǒng)計(jì)學(xué)意義。結(jié)論:TMD患者較正常對(duì)照組呈現(xiàn)更深的Wilson曲線。顳下頜關(guān)節(jié)紊亂病的患者彈響側(cè)的磨牙頰舌向傾斜角度大于非彈響側(cè),較深的Wilson曲線會(huì)導(dǎo)致TMD患病風(fēng)險(xiǎn)增加。而顳下頜關(guān)節(jié)紊亂病的肌肉疼痛癥狀與Wilson曲線的角度并無(wú)顯著的相關(guān)性。
[Abstract]:Objective: to study the correlation between maxillary Wilson curve and (TMD) symptoms in adolescents with TMJ. Methods: from January to August 2017, TMD patients from the first affiliated Hospital of Xinjiang Medical University and 105 college students who volunteered to participate in the study were selected. The subjects were divided into TMD group and normal group. Muscle pain and joint bounce symptoms were examined, and the angles of maxillary Wilson curves were measured by CBCT measurement technique. The results were statistically analyzed by single factor variance analysis and t test. Results: compared with the normal control group, the angle of Wilson curve in TMD group was significantly different from that in normal control group. The average angle of Wilson curve in TMD group was larger than that in normal control group. The axial inclination of the buccal tongue of the molars on the same side of the bouncing joint was significantly higher than that of the non-elastic molars, and the difference was statistically significant. There was no significant difference in buccal and lingual inclination between the flacking joint and the normal group. There was no significant difference in the angle of Wilson curve in patients with muscle bounce and no muscle pain. Conclusion: the Wilson curve of TMD patients is deeper than that of normal control group. In patients with TMJ, the buccal and tongue tilt angle of molars on the flapping side is larger than that on the non-elastic side, and the deeper Wilson curve will increase the risk of TMD. However, there was no significant correlation between muscle pain symptoms and the angle of Wilson curve in TMJ.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2018
【分類(lèi)號(hào)】：R782.6

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 毓天昊;戰(zhàn)德松;賈興亞;閻旭;;中老年患者Spee曲線與顳下頜關(guān)節(jié)紊亂病癥狀的關(guān)系研究[J];中國(guó)實(shí)用口腔科雜志;2017年04期

2 王云軍;王云娥;趙世俊;回紀(jì)芳;紀(jì)坤;;改良唇擋擴(kuò)弓后牙齒及牙槽骨變化的CBCT研究[J];臨床口腔醫(yī)學(xué)雜志;2016年11期

3 王海濤;余敏;王增全;涂少勤;吳斯媛;;下頜第三磨牙近中阻生患者垂直向咬合狀況與TMD的關(guān)系探討[J];口腔疾病防治;2016年02期

4 秦金煒;張靜露;秦妍;陳文靜;;安氏Ⅱ類(lèi)2分類(lèi)錯(cuò)伴顳下頜關(guān)節(jié)紊亂病患者的平面導(dǎo)板矯治器臨床治療效果分析[J];口腔醫(yī)學(xué);2015年09期

5 張丹;;顳下頜關(guān)節(jié)紊亂病的正畸考量[J];中國(guó)實(shí)用口腔科雜志;2015年08期

6 J.C.Turp;H.Schindler;劉曉東;徐柯;;顳下頜關(guān)節(jié)病的病因問(wèn)題:咬合因素的流行病學(xué)和病因?qū)W依據(jù)[J];實(shí)用口腔醫(yī)學(xué)雜志;2015年03期

7 朱興志;王楠;侯?lèi)?ài)兵;;單側(cè)磨牙正鎖牙合者下頜邊緣運(yùn)動(dòng)軌跡的研究[J];安徽醫(yī)科大學(xué)學(xué)報(bào);2014年04期

8 李婧;郝玉梅;李洪發(fā);;恒牙期單側(cè)正鎖患者髁突形態(tài)錐形束CT分析[J];天津醫(yī)科大學(xué)學(xué)報(bào);2014年01期

9 毓天昊;張寧;王佟輝;戰(zhàn)德松;鐘麗芳;;Spee曲線與顳下頜關(guān)節(jié)紊亂病的相關(guān)性[J];中國(guó)實(shí)用口腔科雜志;2013年12期

10 馮永強(qiáng);;第三磨牙的位置與TMD相關(guān)性的研究[J];臨床口腔醫(yī)學(xué)雜志;2012年08期

相關(guān)碩士學(xué)位論文 前2條

1 劉虎;顳下頜關(guān)節(jié)彈響與單側(cè)第二磨牙正鎖（牙合）的相關(guān)性研究[D];青島大學(xué);2015年

2 朗么磋;單側(cè)后牙反(牙合)患者顳下頜關(guān)節(jié)形態(tài)結(jié)構(gòu)的CBCT研究[D];瀘州醫(yī)學(xué)院;2015年

，

本文編號(hào)：2510204