顎関節症患者におけるこう頭かん合位のこう合所見と顎関節MRI所見の関連について

  • 櫻井 直樹
    新潟大学大学院医歯学総合研究科摂食機能再建学
  • 河野 正司
    新潟大学大学院医歯学総合研究科摂食機能再建学
  • 小林 富貴子
    新潟大学大学院医歯学総合研究科顎顔面放射線学

書誌事項

タイトル別名
  • Comparison between Occlusal Findings in the Intercuspal Position and Temporomandibular Joint Magnetic Resonance Imaging Findings in Temporomandibular Disorders Patients.

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Purpose: This study investigated the relation between magnetic resonance imaging (MRI) findings and occlusal condition of the intercuspal position in temporomandibular disorders (TMD) patients.<BR>Methods: Thirty TMD patients, and 29 control subjects, were selected for this study. Occlusal contacts and occlusal bite force in the intercuspal position were determined with occlusal registration strips, black silicon (bite checker), and Dental Prescale 50 H type R (pressure sensitive sheet), respectively. The subjects were divided into three groups based on MRI assessments: disk displacement with reduction (DDWR), disk displacement without reduction (DDWOR), and normal subjects.<BR>Results: The number of teeth with occlusal contact in the intercuspal position of the DDWOR TMD patients group was lower than in the normal control group. The number of teeth with occlusal contact on the anterior teeth showed a similar tendency. The total occlusal bite force in the intercuspal position in the DDWOR TMD patients group was lower than in the DDWR control group and the normal control group. The occlusal bite force on anterior teeth in the intercuspal position showed a similar tendency. The ratio between anterior teeth and molars occlusal bite force in the intercuspal position in the DDWOR TMD patients group was lower than in the normal control group.<BR>Conclusions: There is some relation between MRI findings and occlusal condition of the intercuspal position in TMD patients.

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