Int J Stomatol

Int J Stomatol ›› 2020, Vol. 47 ›› Issue (5): 567-573.doi: 10.7518/gjkq.2020083

• Reviews • Previous Articles     Next Articles

Internal structural changes of the temporomandibular joint associated with mandibular lateral displacement

Yin Xiaoli1(),Liu Yang2,Wang Jun1()   

  1. 1.State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
    2.State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Temporomandibular Joint, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2019-12-09 Revised:2020-05-21 Online:2020-09-01 Published:2020-09-16
  • Contact: Jun Wang E-mail:996632788@qq.com;wangjunv@scu.edu.cn
  • Supported by:
    National Natural Science Foundation of China(81771114)

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Abstract:

Mandibular lateral displacement is a common craniomaxillofacial deformity in clinical practice, which manifests as various forms of mandibular deviation. In addition to changes in appearance, this deformity is often associated with changes in the internal structure of the temporomandibular joint (i.e., condyle and temporomandibular joint disc) and functions of the oral and maxillofacial systems, which increase the difficulty of conducting clinically comprehensive diagnosis and treatment of mandibular lateral displacement. To resolve such difficulty, the forms of mandibular deviation and the changes in the internal structure of the temporomandibular joint must be analyzed and clarified. However, the existing research on this topic is not sufficient. Therefore, this study reviews the possible relationship between the changes in the internal structure of the temporomandibular joint and the mandibular deviation in patients with mandibular lateral displacement to provide reference to clinicians.

Key words: mandibular lateral displacement, temporomandibular joint, condyle, disc

CLC Number: 

  • R782.6

TrendMD: 

Fig 1

Normal structure of the temporomandibular joint"

Fig 2

The center of rotation is in the dentition"

Fig 3

The center of rotation is on the shifted side of the condyle"

Fig 4

The center of rotation is on the nonshifted side of the condyle"

Fig 5

Condylar position changes accompanied with changes of motion trajectory"

Tab 1

Influence of the rotation center position of the mandible on the internal structures of the temporomandibular joint"

旋转中心 分侧 髁突位置 关节盘位置 髁突运动 病因 治疗效果
牙列 偏斜侧 后上 前下移位多见 髁突运动幅度变大,前伸髁道斜度变陡 有一定功能性因素 可改善
非偏斜侧 前下 正常或者前下移位多见 髁突运动幅度变小,前伸髁道斜度变缓
偏斜侧髁突 偏斜侧 关节窝中央 正常多见 基本正常 - -
非偏斜侧 后上 前下移位多见 髁突运动幅度变大,前伸髁道斜度变陡 骨性 无法改善
前下 正常或者前下移位多见 髁突运动幅度变小,前伸髁道斜度变缓 有一定功能性因素 可改善
非偏斜侧髁突 偏斜侧 后上 前下移位多见 髁突运动幅度变大,前伸髁道斜度变陡 有一定功能性因素 可改善
前下 正常或者前下移位多见 髁突运动幅度变小,前伸髁道斜度变缓 骨性 无法改善
非偏斜侧 关节窝中央 正常多见 基本正常 - -
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