颞下颌关节紊乱病在正畸治疗中的研究进展

Advances in the temporomandibular joint problems related to orthodontics

在正畸治疗中颞下颌关节紊乱病(TMD)的发生、发展与某些咬合因素有关,但它们之间的相互联系也存在着争议。其中功能[牙合]学对颞下颌关节(TMJ)的影响成为当今口腔领域讨论的热点和重点。本文针对错[牙合]畸形与TMD的关系以及功能[牙合]理论在正畸诊疗TMD患者中的应用及相关热点问题进行综述,为治疗伴有TMD的正畸患者以及正畸治疗中应对关节问题的考量提供临床指导,使患者达到功能咬合,实现口颌系统的稳定,进而减少TMD的发生或缓解TMD的症状。

In orthodontic treatment,the occurrence and development of temporomandibular disorder(TMD)is related to some occlusal factors,but the relationship between them is controversial.Besides these,functional occlusion theory on the influence of the temporomandibular joint(TMJ)has become hot spots in the field of stomatology today.This article reviews the relationship between malocclusion and TMD,as well as the application of functional occlusion theory in orthodontic diagnosis and treatment of TMD and related hot issues,providing clinical guidance for the clinical treatment of orthodontic patients with TMD and the consideration of joint problems in orthodontic treatment.Hope that patients can achieve functional occlusion,realize stability of oral and maxillofacial system,and then reduce the occurrence of TMD or alleviate the symptoms of TMD.