BACKGROUND Temporomandibular joint(TMJ)disorders are closely related to high-angle and skeletal Class II malocclusion.Sometimes pathological changes in the mandibular condyle can cause open bite to occur after growth ...BACKGROUND Temporomandibular joint(TMJ)disorders are closely related to high-angle and skeletal Class II malocclusion.Sometimes pathological changes in the mandibular condyle can cause open bite to occur after growth is complete.CASE SUMMARY This article is about the treatment of an adult male patient with a severe hyperdivergent skeletal Class II base,an unusual and gradually occurring open bite and an abnormal mandibular condyle anterior displacement.Because the patient refused surgery,four second molars with cavities and root canal therapy were extracted,and four mini-screws were used for intrusion of the posterior teeth.The treatment duration was 22 mo,and after the treatment,the open bite was corrected and the displaced mandibular condyles were seated back to the articular fossa as shown by cone-beam computed tomography(CBCT).Based on the patient’s open bite history,the result of clinical examinations and CBCT comparisons,we believe it is possible that the occlusion interference was eliminated after the four second molars were extracted and the posterior teeth were intruded,and the patient's condyle spontaneously returned to its physiologic position.Finally,a normal overbite was established,and stable occlusion was achieved.CONCLUSION This case report suggested that identifying the cause of open bite is essential,and the TMJ factors for hyperdivergent skeletal Class II cases should be particularly examined.For these cases,intruding posterior teeth may place the condyle in a more appropriate position and provide an environment suitable for TMJ recovery.展开更多
目的:通过Meta分析,比较手法复位联合咬合板治疗颞下颌关节盘不可复性前移位患者疼痛与最大张口度疗效是否优于仅进行手法或仅进行咬合板治疗。方法:计算机检索Web of Science、PubMed、Cochrane Library、维普(VIP)、中国知网(CNKI)、...目的:通过Meta分析,比较手法复位联合咬合板治疗颞下颌关节盘不可复性前移位患者疼痛与最大张口度疗效是否优于仅进行手法或仅进行咬合板治疗。方法:计算机检索Web of Science、PubMed、Cochrane Library、维普(VIP)、中国知网(CNKI)、万方中手法复位联合咬合板治疗颞下颌关节盘不可复性前移位的随机对照试验(RCTs)文献,并参考Cochrane手册评估文献质量,运用RevMan5.4软件分析结局指标。结果:本研究纳入6个RCTs,患者共计393例。Meta分析结果显示,对于颞下颌关节盘不可复性前移位患者,观察组进行手法复位联合咬合板治疗,在降低疼痛评分[SMD=-0.34,95%CI(-0.54,-0.13),P=0.001]与改善最大张口度[SMD=0.51,95%CI(0.31,0.71),P<0.00001]方面疗效均比对照组较优,差异具有统计学意义(P<0.05)。结论:手法复位联合咬合板治疗改善颞下颌关节盘不可复性前移位患者疼痛和最大张口度疗效优于单独使用手法复位或单独佩戴咬合板。展开更多
以裂纹张开位移(crack open ing d isp lacem ent)特征值参量为基础,对国内燃气工业中应用日益普及的高密度聚乙烯(HDPE)管道热熔对接接头的抗开裂特性参量的分散性及统计分布进行了研究。结果表明,HDPE热熔对接接头在低温下,其抗开裂...以裂纹张开位移(crack open ing d isp lacem ent)特征值参量为基础,对国内燃气工业中应用日益普及的高密度聚乙烯(HDPE)管道热熔对接接头的抗开裂特性参量的分散性及统计分布进行了研究。结果表明,HDPE热熔对接接头在低温下,其抗开裂参量饱和启裂COD值具有一定的分散性。对其进行拟合统计检验结果表明,三参数威布尔分布为其最佳拟合分布。并且,随着温度的降低,抗开裂参量的数据的分散性变小。展开更多
文摘BACKGROUND Temporomandibular joint(TMJ)disorders are closely related to high-angle and skeletal Class II malocclusion.Sometimes pathological changes in the mandibular condyle can cause open bite to occur after growth is complete.CASE SUMMARY This article is about the treatment of an adult male patient with a severe hyperdivergent skeletal Class II base,an unusual and gradually occurring open bite and an abnormal mandibular condyle anterior displacement.Because the patient refused surgery,four second molars with cavities and root canal therapy were extracted,and four mini-screws were used for intrusion of the posterior teeth.The treatment duration was 22 mo,and after the treatment,the open bite was corrected and the displaced mandibular condyles were seated back to the articular fossa as shown by cone-beam computed tomography(CBCT).Based on the patient’s open bite history,the result of clinical examinations and CBCT comparisons,we believe it is possible that the occlusion interference was eliminated after the four second molars were extracted and the posterior teeth were intruded,and the patient's condyle spontaneously returned to its physiologic position.Finally,a normal overbite was established,and stable occlusion was achieved.CONCLUSION This case report suggested that identifying the cause of open bite is essential,and the TMJ factors for hyperdivergent skeletal Class II cases should be particularly examined.For these cases,intruding posterior teeth may place the condyle in a more appropriate position and provide an environment suitable for TMJ recovery.
文摘目的:通过Meta分析,比较手法复位联合咬合板治疗颞下颌关节盘不可复性前移位患者疼痛与最大张口度疗效是否优于仅进行手法或仅进行咬合板治疗。方法:计算机检索Web of Science、PubMed、Cochrane Library、维普(VIP)、中国知网(CNKI)、万方中手法复位联合咬合板治疗颞下颌关节盘不可复性前移位的随机对照试验(RCTs)文献,并参考Cochrane手册评估文献质量,运用RevMan5.4软件分析结局指标。结果:本研究纳入6个RCTs,患者共计393例。Meta分析结果显示,对于颞下颌关节盘不可复性前移位患者,观察组进行手法复位联合咬合板治疗,在降低疼痛评分[SMD=-0.34,95%CI(-0.54,-0.13),P=0.001]与改善最大张口度[SMD=0.51,95%CI(0.31,0.71),P<0.00001]方面疗效均比对照组较优,差异具有统计学意义(P<0.05)。结论:手法复位联合咬合板治疗改善颞下颌关节盘不可复性前移位患者疼痛和最大张口度疗效优于单独使用手法复位或单独佩戴咬合板。
文摘以裂纹张开位移(crack open ing d isp lacem ent)特征值参量为基础,对国内燃气工业中应用日益普及的高密度聚乙烯(HDPE)管道热熔对接接头的抗开裂特性参量的分散性及统计分布进行了研究。结果表明,HDPE热熔对接接头在低温下,其抗开裂参量饱和启裂COD值具有一定的分散性。对其进行拟合统计检验结果表明,三参数威布尔分布为其最佳拟合分布。并且,随着温度的降低,抗开裂参量的数据的分散性变小。
