口腔医学研究 ›› 2021, Vol. 37 ›› Issue (7): 583-587.DOI: 10.13701/j.cnki.kqyxyj.2021.07.001

• 特约述评 •    下一篇

正畸治疗应如何规避颞下颌关节紊乱病的风险

胡敏*, 贾一凡   

  1. 吉林大学口腔医院 吉林 长春 130021
  • 收稿日期:2021-05-07 出版日期:2021-07-28 发布日期:2021-07-13
  • 通讯作者: * 胡敏,E-mail:humin@jlu.edu.cn

Avoiding Risks of Temporomandibular Disorders in Orthodontic Treatment

HU Min*, JIA Yifan   

  1. Hospital of Stomatology, Jilin University, Changchun 130021, China
  • Received:2021-05-07 Online:2021-07-28 Published:2021-07-13

摘要: 颞下颌关节紊乱病是导致口颌面非牙源性疼痛的常见原因之一,但其病因机制尚未完全阐明。传统的牙合学理念认为咬合是其病因之一,改变患者咬合的正畸治疗也就被认为可能会导致颞下颌关节紊乱病。而由于正畸治疗持续2年左右,一旦患者在治疗中出现颞下颌关节病症状,就可能产生医患纠纷。因此,正畸医生如何在越来越多患者寻求正畸治疗的情况下,尽量规避颞下颌关节紊乱病的风险也就越来越重要。

关键词: 正畸, 颞下颌关节, 紊乱病, 颌面疼痛

Abstract: Temporomandibular joint disorder is one of the common causes of non-odontogenic pains in the oral-facial region, but its etiology has not been fully elucidated. The old gnathologic perception believes that occlusion is one of the causes, which made orthodontic treatment that changes occlusion appears to cause temporomandibular joint disorders. Furthermore, a doctor-patient dispute may occur once symptoms of temporomandibular disorders happen to a patient during his/her orthodontic treatment lasting for two years or so. Therefore, it is critical for orthodontists to avoid the risks of temporomandibular disorders as more and more patients are seeking orthodontic treatment.

Key words: orthodontics, temporomandibular joint, temporomandibular disorders, oral-facial pain