咬合异常与颞下颌关节紊乱症的关系再思考

doi:10.13591/j.cnki.kqyx.2024.01.006

口腔医学 ›› 2024, Vol. 44 ›› Issue (1): 24-30.doi: 10.13591/j.cnki.kqyx.2024.01.006

咬合异常与颞下颌关节紊乱症的关系再思考

朱锦怡¹,龚衍吉¹,郑芳杰²,于世宾³,尹德强²,刘洋¹()

1 国家口腔医学中心,国家口腔疾病临床医学研究中心,四川大学华西口腔医院颞下颌关节科,四川成都(610041)
2 重庆大学航空航天学院,重庆(400044)
3 国家口腔疾病临床医学研究中心,陕西省口腔疾病国际联合研究中心,空军军医大学第三附属医院解剖生理学教研室,陕西西安(710032)

收稿日期:2023-10-13 出版日期:2024-01-28 发布日期:2024-01-22
通讯作者: 刘洋 E-mail: liu@scu.edu.cn
作者简介:于世宾,教授,博士研究生导师。现任空军军医大学口腔医院颞下颌关节病科主任。1995—2006就读于第四军医大学口腔医学专业,获博士学位。2005—2006年、2012—2013年先后留学于芬兰奥卢大学牙学院、美国匹兹堡大学医学院。长期专注于颞下颌关节紊乱病、咬合病的诊治及机制研究。先后主持了多项颞下颌关节紊乱病相关的国家级和省部级科研项目,并在国际高水平科研期刊发表论文数十篇。先后担任多部规划教材编委。|尹德强,副教授、博士研究生导师。现任重庆大学航空航天学院基础力学系副系主任。2002—2012年先后就读于重庆大学和思克莱德大学(英国),获博士学位。毕业后先后于四川大学、东北大学(日本)和重庆大学,长期专注于纳米涂层界面结构与性能和颞下颌关节的生物力学研究。先后主持了多项国家级和省部级科研项目;在Nature Materials、PNAS、ACS Nano、Carbon及Powder Technology等国际高水平科研期刊上发表论文五十余篇;并参与编撰专著Manufacturing Engineering and Technology。|刘洋,副教授,硕士研究生导师。现任四川大学华西口腔医院颞下颌关节科副主任。2000—2012年就读于四川大学华西口腔医学院,并于2010—2012年赴美国留学,2012年回国后获得口腔修复学博士学位。毕业后于颞下颌关节科就职,长期专注于颞下颌关节病的诊治和咬合重建的临床研究。先后主持了多项针对口颌面部软骨生理的国家级和省部级科研项目,并在国际高水平科研期刊上发表论文数十篇,先后担任多部规划教材编委。目前著有《咬合功能分析》《调牙合》《咬合重建病例集》等专著。
基金资助:
四川省自然科学基金项目(2023NSFSC0568);四川大学华西口腔交叉学科创新项目(RD-03-202005);四川大学华西口腔医院临床医学研究项目(LCYJ2023-YF-3)

Reevaluation of the association between the malocclusion and temporomandibular disorders

ZHU Jinyi¹,GONG Yanji¹,ZHENG Fangjie²,YU Shibin³,YIN Deqiang²,LIU Yang¹()

National Center for Stomatology & National Clinical Research Center for Oral Diseases, Department of Temporomandibular Joint, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China

Received:2023-10-13 Online:2024-01-28 Published:2024-01-22

摘要/Abstract

摘要：

咬合异常与颞下颌关节紊乱症(temporomandibular disorders, TMD)之间的关系一直备受争议。过去的研究通过观察性和干预性临床研究、动物实验、机制研究以及三维有限元模拟技术等手段,试图揭示二者之间的相关性。然而,研究结果存在较大分歧,使得这种关系迄今仍不够清晰。最近的研究重新考察了此前的研究结果,发现静态的咬合异常与TMD关系确实不够明确。但牙列和髁突之间的相对位置关系对关节的生物力学性能和功能状态都有明显影响,这为我们深入理解和治疗TMD提供了新的思路和方向。尽管咬合异常与TMD之间的关系还需进一步研究以得到明确的证实,但对牙列和髁突之间相对位置的影响机制的研究可能有助于更好地理解TMD,并为其诊断和治疗提供更有效的方式。

关键词: 颞下颌关节紊乱症, 咬合异常, 临床研究, 三维有限元模拟, 髁突相对牙合平面的高度

Abstract:

The contribution of malocclusion to temporomandibular disorders (TMD) has been a subject of ongoing debate. Many observational and interventional clinical studies, animal experiments, mechanical studies, and three dimensional finite element simulations have been conducted to investigate this relationship. However, significant discrepancies among research findings have made it challenging to establish a clear understanding. Based on previous findings, it is believed that while there may be some potential associations, malocclusion is not considered a primary etiological factor for TMD. Although further research is required to confirm the association between malocclusion and TMD, it is still noteworthy that the positional relationship between the dentition and the condyle may potentially affect the biomechanical and functional status of the joints. The purpose of this article is to provide a review of current research and offer our interpretation of this topic, presenting new perspectives and approaches for understanding and treating TMD.

Key words: temporomandibular disorders, malocclusion, clinical research, 3D finite element simulation, condyle height to the occlusion

中图分类号:

R782.63

朱锦怡, 龚衍吉, 郑芳杰, 于世宾, 尹德强, 刘洋. 咬合异常与颞下颌关节紊乱症的关系再思考[J]. 口腔医学, 2024, 44(1): 24-30.

ZHU Jinyi, GONG Yanji, ZHENG Fangjie, YU Shibin, YIN Deqiang, LIU Yang. Reevaluation of the association between the malocclusion and temporomandibular disorders[J]. Stomatology, 2024, 44(1): 24-30.

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咬合异常与颞下颌关节紊乱症的关系再思考

Reevaluation of the association between the malocclusion and temporomandibular disorders

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