不正咬合者の顎関節症状および下顎側方偏位量の実態調査

  • 栗原 恵子
    東京医科歯科大学歯学部歯科矯正学第一講座
  • 藤田 幸弘
    東京医科歯科大学歯学部歯科矯正学第一講座
  • 相馬 邦道
    東京医科歯科大学歯学部歯科矯正学第一講座

書誌事項

タイトル別名
  • Aninvestigationintotherelationshipbetween, teporoandibulardisorders and mandibular lateral displacement in patients with malocclusion
  • Sampling of orthodontic patients
  • 受診患者を標本集団として

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The purpose of this study was to examine the relationship between the incidence of temporomandibular dysfunction symptoms, elicited by questionnaire, and mandibular deviation in the postero-anterior cephalogram of these patients with malocclusion.<br>Data were obtained from 433 orthodontic patients (140 males and 293 females, aged 10-53 years).<br>According to age, the patients were divided into three groups: G1 (137 patients, aged 10-14 years), G2 (95 patients, aged 15-18 years) and G3 (201 patients, aged 19-53 years). In each group, the characteristics of the craniofacial morphology were examined. Furthermore, the incidence of TMJ pain, disturbance of mandibular movement, or TMJ noise with mandibular deviation were examined.<br>The results obtained were as follows:<br>(1) The incidence of temporomandibular disorders was 41.1% of the total samples, 16.8% in G1, 39.0% in G2 and 58.7% in G3.<br>(2) In general the occlusal plane inclined superiorly toward the mandibular displaced side. The mandibular displaced side was more frequently found on the left side than on the right side.<br>(3) In G3, the more the mandibular deviation, the more the incidence of TMJ disorders. This incidence was found neither in G1 nor in G2.

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