国际口腔医学杂志

国际口腔医学杂志 ›› 2026, Vol. 53 ›› Issue (5): 753-760.doi: 10.7518/gjkq.2026127

• 综述 • 上一篇    

咬合平面特征与颞下颌关节关系的研究进展

韩林艺1,2(),张丽媛1,2()   

  1. 1.内蒙古医科大学附属医院口腔科 呼和浩特 010050
    2.内蒙古医科大学口腔医学院 呼和浩特 010059
  • 收稿日期:2025-05-09 修回日期:2026-02-08 出版日期:2026-09-01 发布日期:2026-08-28
  • 通讯作者: 张丽媛
  • 作者简介:韩林艺，医师，硕士，Email：2656251673@qq.com
  • 基金资助:
    内蒙古医科大学面上项目(YKD2025MS019)

Research progress on the relationship between occlusal plane characteristics and temporomandibular joint

Linyi Han1,2(),Liyuan Zhang1,2()   

  1. 1.Dept. of Stomatology, the Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010050, China
    2.School of Stomatology, Inner Mongolia Medical University, Hohhot 010059, China
  • Received:2025-05-09 Revised:2026-02-08 Online:2026-09-01 Published:2026-08-28
  • Contact: Liyuan Zhang
  • Supported by:
    Inner Mongolia Medical University General Project(YKD2025MS019)

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摘要：

在口颌系统中，咬合平面（OP）和颞下颌关节（TMJ）相互关联并且协同作用，OP不仅影响牙齿形态和咀嚼功能，当OP出现异常时还会改变下颌的空间位置，破坏关节盘-髁突之间的正常对应关系，进而成为颞下颌关节紊乱病的潜在诱发因素。在临床正畸治疗中，随着咬合关系的调整，TMJ会进行适应性重塑来维持口颌系统的平衡，这种适应性变化有助于恢复生理性咬合接触，促进TMJ结构和功能的恢复。近年来，三维影像技术和数字化咬合分析等技术的发展为研究OP和TMJ之间的关系提供了新途径，本文通过梳理相关研究成果，旨在明确两者之间的联系，为临床正畸治疗提供理论支持和实践参考。

关键词: 咬合平面, 颞下颌关节, 颞下颌关节紊乱病

Abstract:

Within the stomatognathic system, the occlusal plane (OP) and the temporomandibular joint (TMJ) are closely interrelated and function synergistically. OP influences tooth morphology and masticatory function, and abnormalities in OP may alter the spatial position of the mandible, thereby disrupting the normal relationship between the articular disc and the condyle and acting as a potential predisposing factor for temporomandibular disorders. During clinical orthodontic treatment, as occlusal relationships are adjusted, the TMJ undergoes adaptive remodeling to maintain the functional balance of the stomatognathic system. These adaptive changes facilitate the restoration of physiological occlusal contacts and promote the recovery of TMJ structure and function. Recent advances in three-dimensional imaging techniques and digital occlusal analysis have provided new approaches for investigating the relationship between OP and TMJ. In this paper, relevant studies are reviewed and synthesized to elucidate the association between OP and TMJ, aiming to provide theoretical support and practical guidance for clinical orthodontic treatment.

Key words: occlusal plane, temporomandibular joint, temporomandibular joint disorder

中图分类号: 

  • R782.6
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