髁突运动轨迹描记分析的临床应用与研究进展

doi:10.13591/j.cnki.kqyx.2024.12.011

摘要/Abstract

摘要：

健康人髁突运动轨迹通常具有较为一致的特征,而颞下颌关节髁突运动轨迹的变化常提示各类口腔疾病的发生,深入了解髁突运动轨迹有助于医师对口腔疾病的诊断和疗效评估。本文回顾了髁突运动描记技术的发展历程并介绍髁突运动轨迹描记分析在各类口腔疾病中的研究进展及临床应用现状,同时提出目前髁突运动描记技术的局限性以及在未来临床应用中的展望。

关键词: 髁突, 运动轨迹, 颞下颌关节

Abstract:

The condylar movement trajectories in healthy people usually have relatively consistent characteristics, while the change of the trajectory of the temporomandibular condyle often indicates the occurrence of various oral diseases. An in-depth understanding of the condylar movement can help physicians diagnose and evaluate the efficacy of oral diseases. This article reviews the development of condylar motion tracing technique, and introduces the research progress and clinical application status of condylar motion tracing analysis in various oral diseases. At the same time, the limitations of the current condylar motion tracing technique and the prospect of future clinical application are proposed.

Key words: condyle, mandibular movement, temporomandibular joint

中图分类号:

R782.6

王畅, 王雯慧, 朱芮旻, 王冰洁, 刘妍初, 赵晶, 周薇娜, 陈一楠, 季琦, 王琛. 髁突运动轨迹描记分析的临床应用与研究进展[J]. 口腔医学, 2024, 44(12): 936-940.

WANG Chang, WANG Wenhui, ZHU Ruimin, WANG Bingjie, LIU Yanchu, ZHAO Jing, ZHOU Weina, CHEN Yinan, JI Qi, WANG Chen. Clinical application and research progress of condylar motion tracing analysis[J]. Stomatology, 2024, 44(12): 936-940.

参考文献 38

[1]	孙方方, 张丽仙, 吴国锋. 下颌运动轨迹记录的数字化技术[J]. 实用口腔医学杂志, 2020, 36(6):980-984.
[2]	Jankelson B, Swain CW, Crane PF, et al. Kinesiometric instrumentation: A new technology[J]. J Am Dent Assoc, 1975, 90(4):834-840. pmid: 1055153
[3]	刘怡, 傅民魁. 正常𬌗开闭口时髁突运动的轨迹特征[J]. 口腔正畸学, 2001, 8(4):154-157.
[4]	林宗建, 陆家瑜, 吕成奇, 等. 4D下颌运动轨迹描记仪用于关系转移的精确性初探[J]. 口腔材料器械杂志, 2019, 28(1):23-29.
[5]	Schierz O, Klinger N, Schön G, et al. The reliability of computerized condylar path angle assessment[J]. Int J Comput Dent, 2014, 17(1):35-51. pmid: 24791464
[6]	Lepidi L, Grande F, Baldassarre G, et al. Preliminary clinical study of the accuracy of a digital axiographic recording system for the assessment of sagittal condylar inclination[J]. J Dent, 2023, 135:104583.
[7]	张春香, 王天齐, 刘冬巧, 等. 下颌功能运动髁突轨迹的研究进展[J]. 医学综述, 2021, 27(18):3682-3686.
[8]	王美青. 𬌗学[M]. 4版. 北京: 人民卫生出版社, 2020.
[9]	Reicheneder CA, Proff P, Baumert U, et al. Growth-related differences in maximum laterotrusion and retrusion between children and adults[J]. Angle Orthod, 2009, 79(2):265-270. doi: 10.2319/011508-21.1 pmid: 19216588
[10]	赵翰驰, 兰婷婷, 向碧璐, 等. 髁突轨迹描记曲线系统分析[J]. 华西口腔医学杂志, 2017, 35(5):555-560.
[11]	List T, Jensen RH. Temporomandibular disorders: Old ideas and new concepts[J]. Cephalalgia, 2017, 37(7):692-704. doi: 10.1177/0333102416686302 pmid: 28068790
[12]	Cho GH, Lee Y. Analysis ofmasticatory muscle activity based on presence of temporomandibular joint disorders[J]. Med Sci Monit, 2020, 26:e921337.
[13]	Yamaguchi T, Komatsu K, Okada K, et al. Condylar movements of temporomandibular disorder patients with intermittent lock: A pilot study[J]. Cranio, 2007, 25(1):50-56. pmid: 17304918
[14]	Marpaung C, van Selms MKA, Lobbezoo F. Temporomandibular joint anterior disc displacement with reduction in a young population: Prevalence and risk indicators[J]. Int J Paediatr Dent, 2019, 29(1):66-73. doi: 10.1111/ipd.12426 pmid: 30218477
[15]	周燕丽, 周薇娜, 于林凤, 等. 颞下颌关节盘移位患者髁突运动轨迹分析[J]. 口腔医学研究, 2022, 38(2):186-190. doi: 10.13701/j.cnki.kqyxyj.2022.02.018
[16]	Kijak E, Lietz-Kijak D, Frᶏczak B, et al. Assessment of the TMJ dysfunction using the computerized facebow analysis of selected parameters[J]. Biomed Res Int, 2015, 2015:508069.
[17]	Alqhtani N, Alshammery D, AlOtaibi N, et al. Correlations between mandibular asymmetries and temporomandibular disorders: A systematic review[J]. J Int Soc Prev Community Dent, 2021, 11(5):481-489. doi: 10.4103/jispcd.JISPCD_130_21 pmid: 34760791
[18]	Matsuda S, Yamaguchi T, Mikami S, et al. Can malocclusion provide clinicians with information for differential diagnosis of temporomandibular joint diseases: A review[J]. Medicine (Baltimore), 2022, 101(33):e29247.
[19]	Rivero-Millán P, Barrera-Mora JM, Espinar-Escalona E, et al. Comparison of condylar position in normal occlusion, Class Ⅱ Division 1, Class Ⅱ Division 2 and Class Ⅲ malocclusions using CBCT imaging[J]. J Clin Exp Dent, 2021, 13(12):e1216-e1226.
[20]	王晓宇, 厉松. 安氏Ⅱ-1青少年髁突运动轨迹与颞下颌关节形态的研究[J]. 北京口腔医学, 2011, 19(3):164-166.
[21]	方建强, 陈杰. 安氏Ⅱ类1分类与正常𬌗志愿者髁突运动描记的比较观察[J]. 浙江实用医学, 2011, 16(4):289-291.
[22]	Song J, Cheng MJ, Qian YF, et al. Cone-beam CT evaluation of temporomandibular joint in permanent dentition according to Angle’s classification[J]. Oral Radiol, 2020, 36(3):261-266.
[23]	Rathi S, Gilani R, Kamble R, et al. Temporomandibular joint disorder and airway in class Ⅱ malocclusion: A review[J]. Cureus, 2022, 14(10):e30515.
[24]	晋长伟, 洼田光庆, 佐藤贞雄, 等. 错𬌗与正常𬌗之间的髁突运动轨迹的比较研究[J]. 口腔正畸学, 2002(3):104-107.
[25]	方建强, 陈杰. 安氏二类二分类与正常𬌗志愿者髁突运动描记的比较[J]. 实用口腔医学杂志, 2011, 27(3):424-426.
[26]	常忠福, 陈杰. 恒牙. AngleⅢ类错𬌗伴颞下颌关节疾病患者髁突运动特征分析[J]. 上海口腔医学, 2016, 2(6):738-743.
[27]	Mimura H, Deguchi T. Relationship between sagittal condylar path and the degree of mandibular asymmetry in unilateral cross-bite patients[J]. Cranio, 1994, 12(3):161-166. pmid: 7813027
[28]	任利玲, 康宏. 单侧后牙反𬌗者髁突开闭口运动轨迹的研究[J]. 西安交通大学学报(医学版), 2005, 26(3):284-287, 290.
[29]	任利玲, 康宏. 单侧后牙反𬌗髁突前伸运动轨迹的研究[J]. 临床口腔医学杂志, 2005(11):665-666.
[30]	Sever E, Marion L, Ovsenik M. Relationship between masticatory cycle morphology and unilateral crossbite in the primary dentition[J]. Eur J Orthod, 2011, 33(6):620-627.
[31]	谭建国. 牙列重度磨耗的病因和鉴别诊断[J]. 中华口腔医学杂志, 2020, 55(8):599-602.
[32]	Liu RR, Hu AN, Niu L, et al. Association of incisal overlaps with/s/sound and mandibular speech movement characteristics[J]. Am J Orthod Dentofac Orthop, 2019, 155(6):851-859.
[33]	Moreira A, Freitas F, Marques D, et al. Aesthetic rehabilitation of a patient with bruxism using ceramic veneers and overlays combined with four-point monolithic zirconia crowns for occlusal stabilization: A 4-year follow-up[J]. Case Rep Dent, 2019, 2019:1640563.
[34]	黄大海. 过渡性修复牙列重度磨耗对下颌运动影响的研究[D]. 昆明: 昆明医学院, 2011.
[35]	陈霜, 钟群, 翁蓓军, 等. 牙列重度磨耗患者咬合重建前、后颞下颌关节的线性测量[J]. 上海口腔医学, 2019, 28(3):275-278.
[36]	张松梅, 张富强, 苏凯, 等. 联合动态MRI和下颌运动轨迹描记仪分析健康人开闭口时下颌运动轨迹特征[J]. 口腔医学研究, 2011, 27(5):399-402.
[37]	夏连凯. 下颌运动的研究进展[J]. 求医问药(下半月), 2012, 10(2):331-332.
[38]	李宁, 张旭东, 赵力如, 等. 重度磨耗患者髁道斜度的测量方法和对比研究[J]. 现代口腔医学杂志, 2022, 36(3):153-157.