口腔正畸患者颞下颌关节骨关节病的临床分析

Clinical analysis of temporomandibular osteoarthrosis in orthodontic patients

目的分析口腔正畸患者颞下颌关节骨关节病的临床特点。方法对我院收治的口腔正畸患者予以选取.实验时间限定于2020年5月-2022年8月,收录该时段105例样本,对其临床资料进行回顾性分析,统计颞下颌关节骨关节病的发生率,比较不同性别、年龄阶段、安氏分类患者发生颞下颌关节骨关节病的情况。结果105例口腔正畸患者中有16例发生颞下颌关节骨关节病。女性患者有13例发生颞下颌关节骨关节病,其发生率(22.41%)相较于男性(6.38%)要高(P<0.05);10-30岁(15.09%)、31-50岁(11.11%)、51-70岁口腔正畸患者的颞下颌关节骨关节病发生率(25.00%)均相近(P<0.05);安氏Ⅱ类患者颞下颌关节骨关节病发生率(19.15%)相较于安氏I类患者(10.00%)、安氏Ⅱ类患者(14.29%)均要高(P<0.05)。结论口腔正畸患者发生颞下颌关节骨关节病的概率较高,任何年龄段均可能患病,且其发生率与安氏分类、性别有较高相关性,安氏II类患者、女性口腔正畸患者更容易发生颞下颌关节骨关节病.对此临床应提高此类患者疾病预防重视度,并为其提供相应预防及治疗措施。

Objective To analyze the clinical characteristics of orthodontic patients.Methods Our hospital treated orthodontic patients,experimental time limited to May 2020-August 2022,included the period of 105 samples,a retrospective analysis of the clinical data,statistics of the incidence of temporomandibular joint,compare the probability of temporomandibular joint,gender,age,Ann classification patients.Results 16 of the 105 orthodontic patients.Thirteen women had a higher incidence(22.41%)than men(6.38%)(P<0.05).The incidence of TMJ arthrosis(25.00%)was 10-30(11.11%),and 51.70(15.09%)(P<0.05).The incidence of osteoarthropathy in Ann 1 patients(19.15%)was higher than in Ann 1 patients(10.00%)and Ann I patients(14.29%)(P<0.05).Conclusion orthodontic patients with temporomandibular joint disease probability is higher,any age may be sick,and its incidence and Ann classification,gender have high correlation,Ann orthodontic patients,women are more likely to occur temporomandibular joint disease,the clinical should improve such patients disease prevention degree,and provide the corresponding prevention and treatment measures.