Correlation between the increased vertical dimensions and the temporomandibular joint spaces in patients with severe tooth wear

doi:10.3969/j.issn.1006-7795.2016.03.005

Abstract

Abstract: Objective To explore the correlation between the increased vertical dimensions and the temporomandibular joint spaces before treatment in patients with severe tooth wear during occlusal reconstruction. Methods The temporomandibular joint spaces and the condylar positions of 42 patients were measured by cone-beam computed tomography (CBCT) before treatment. Then the 3 different transitional removable dentures with 2 mm, 4 mm, 6 mm increased vertical dimensions were manufactured for each subject. The subjects chose the most comfortable one by themselves after wearing 3 transitional dentures. We compared the temporomandibular joint spaces in 3 groups of different increased vertical dimensions, and tried to analyze the correlation between the 3 different increased vertical dimensions and the temporomandibular joint spaces. Results The mean superior space in the group of 2 mm and 4 mm increased vertical dimensions was (3.58±0.98)mm,(3.07±0.60)mm respectively. The mean superior space in the 4 mm group was narrower than the 2 mm group(P <0.05). No significant linear correlation was found between increased vertical dimension with temporomandibular joint spaces, condylar positions, gender and age(P >0.05). Conclusion The results presented a tendency that the narrower the superior space is, the higher the transitional removable denture that patient choose is. On account of many factors, the temporomandibular joint spaces and the condylar positions in patients with severe tooth wear have not yet been found to be significant indicators affecting the increased vertical dimensions.

Key words: temporomandibular joint space, condylar position, increased vertical dimension, occlusal reconstruction

CLC Number:

Zhou Yixiao, Zhang Renjie, Wen Ying, Tan Jing, Gu Bin, Zheng Dongxiang. Correlation between the increased vertical dimensions and the temporomandibular joint spaces in patients with severe tooth wear[J]. Journal of Capital Medical University, 2016, 37(3): 275-280.

0
/ / Recommend

Add to citation manager EndNote|Reference Manager|ProCite|BibTeX|RefWorks

URL: https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/10.3969/j.issn.1006-7795.2016.03.005

https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/Y2016/V37/I3/275

References

[1] Williams D R. A rationale for the management of advanced tooth wear[J]. J Oral Rehabil,1987,14(1):77-89.
[2] 田慧颖,周继林,田晓玲,等. 髁状突与关节窝位置关系的三维定量测量[J].中日友好医院学报,1998,12(2):117-121.
[3] 张震康,赵福运,孙广熙. 正常成人颞颌关节100侧X线分析[J]. 中华医学杂志, 1975,55(2):130-132.
[4] Kamelchuk L S,Grace M G,Major P W. Post-imaging temporomandibular joint space analysis[J]. Cranio,1996,14(1):23-29.
[5] 叶进湖.颞下颌关节骨性结构的定量测定及三维重建[D].上海:复旦大学影像医学与核医学,2001.
[6] 李平,冯海兰,周崇阳. 牙齿重度磨耗患者咬合重建中髁突位置的调整[J]. 中华口腔医学杂志,2011,46(5):297-299.
[7] KalamkarovKh A,Margvelashvili V V,Losev F F,et al. Functional disorders of the masticatory muscles and temporomandibular joint in pathological tooth abrasion[J]. Stomatologiia,1994, 73(3):49-53.
[8] 李波,易新竹. 牙列重度磨耗患者的颞下颌关节形态测量分析[J]. 华西口腔医学杂志,2005,23(6):539-541.
[9] 陈丹鹏,易新竹,史宗道,等. 牙列重度磨耗对髁突位置影响的X线研究[J].口腔医学纵横,1997,13(3):161-164.
[10] Stewart B. Restoration of the severely worn dentition using a systematized approach for a predictable prognosis [J]. Int J Periodontics Restorative Dent,1998,18(1):46-57.
[11] Woda A,Gourdon A M, Fara J M. Occlusal contacts and tooth wear[J]. J Prosthet Dent,1987,57(1):85-93.
[12] Koyano K, Tsukiyama Y, Kuwatsuru R. Rehabilitation of occlusion—science or art? [J]. J Oral Rehabil,2012,39(7):513-521.
[13] Hurst D. What is the best way to restore the worn dentition? [J]. Evid Based Dent,2011,12(2):55-56.
[14] Alfadda S A. A conservative and reversible approach for restoring worn teeth: a clinical report [J]. J Prosthet Dent,2014,112(1):18-21.
[15] 林雪芬,张维波,马惠芬,等. 低位咬合伴颞下颌关节结构紊乱患者的咬合重建治疗临床效果分析[J]. 口腔颌面修复学杂志,2008,9(3):173-176.
[16] 何明宜,聂丽萍,何明弟,等. 颌垫式可摘局部义齿修复TMD患者牙列缺损的探讨[J]. 口腔颌面修复学杂志,2002,3(4):232-234.