青少年颞下颌关节盘移位对牙颌面形态的影响

doi:10.7518/hxkq.2026.2025363

华西口腔医学杂志 ›› 2026, Vol. 44 ›› Issue (1): 41-47.doi: 10.7518/hxkq.2026.2025363

• 口腔正畸学诊疗新进展 • 上一篇下一篇

青少年颞下颌关节盘移位对牙颌面形态的影响

经典(), 李亚祯, 段余峰, 房兵, 赵宁()

上海交通大学医学院附属第九人民医院口腔正畸科，上海交通大学口腔医学院，国家口腔医学中心，口腔疾病国家临床医学研究中心，上海市口腔医学重点实验室，上海市口腔医学研究所，上海 200011

收稿日期:2025-09-06 出版日期:2026-02-01 发布日期:2026-02-02
通讯作者: 赵宁 E-mail:jingdian@shsmu.edu.cn;zhaon1995@126.com
作者简介:经典，上海交通大学医学院附属第九人民医院口腔正畸科副主任医师、副研究员、硕士生导师，四川大学华西口腔医学院和美国Texas A&M university牙学院联合培养博士。兼任中华口腔医学会口腔正畸专业委员会委员、上海市口腔医学会口腔正畸专业委员会委员、上海市口腔医学会数字化专业委员会委员、中华口腔医学会口腔美学专业委员会青年委员、中国力学学会生物力学专业委员会青年委员、上海市“医苑新星”专科青年医学人才。|经典，副主任医师，博士，E-mail：jingdian@shsmu.edu.cn|赵宁，主任医师、硕士研究生导师，上海交通大学医学院附属第九人民医院口腔正畸科副主任。兼任中华口腔医学会口腔正畸专业委员会委员、中华口腔医学会颞下颌关节病学与学专业委员会委员、中华口腔医学会口腔美学专业委员会委员、中国整形美容协会牙颌颜面医疗美容分会常务理事、上海市口腔医学会口腔正畸专业委员会委员、上海市口腔医学会口腔美学专业委员会委员、英国爱丁堡皇家外科学院正畸专科认证医师。
基金资助:
国家自然科学基金(82370988);国家自然科学基金(82171011);国家自然科学基金(32201221);上海申康医院发展中心促进市级医院临床技能与临床创新三年行动计划(SHDC2023CRD020);上海市科委科技产业高质量发展计划“创新药械产品应用示范”项目(25SF1907900)

Impact of disc displacement on adolescent dento-maxillofacial morphology

Jing Dian(), Li Yazhen, Duan Yufeng, Fang Bing, Zhao Ning()

Dept. of Orthodontics, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology; Shanghai Research Institute of Stomatology, Shanghai 200011, China

Received:2025-09-06 Online:2026-02-01 Published:2026-02-02
Contact: Zhao Ning E-mail:jingdian@shsmu.edu.cn;zhaon1995@126.com
Supported by:
National Natural Science Foundation of China(82370988);Shanghai Hospital Development Center’s Three-Year Action Plan to Promote Clinical Skills and Clinical Innovation in Municipal Hospitals(SHDC2023CRD020);Innovative Drug and Device Product Application Demonstration Project of High-Quality Deve-lopment Plan of Shanghai Science and Technology Commission(25SF1907900)

摘要/Abstract

摘要：

颞下颌关节盘移位（DD）是颞下颌关节紊乱病的主要类型。青少年时期是DD开始高发的一个阶段，也是牙颌面发育最为重要的时期。青少年DD与髁突大小、升支高度、下颌形态及位置具有高度相关性，但两者是否直接相关，青少年时期DD是否会引起或进一步加重牙颌面畸形，不同类型DD与青少年颌面发育相关程度如何，仍存争议。本文将针对上述问题进行综述及分析，希望能够更加深刻理解青少年时期DD对牙颌面形态的影响，为临床医生在牙颌面畸形的病因机制、临床诊断及治疗方案设计等方面提供重要的参考依据。

关键词: 青少年, 颞下颌关节紊乱, 关节盘移位, 髁突吸收, 牙颌面畸形

Abstract:

Disc displacement (DD) is the primary type of temporomandibular disorder. Adolescence marks a period of high incidence for DD and is also a critical phase for dentofacial development. There is a strong correlation between DD and condyle size, ramus height, mandibular morphology and position. However, whether they are directly related, whether DD can cause or exacerbate dento-maxillofacial deformities, and the degree of association between different types of DD and adolescent craniofacial development remain inconclusive. This research reviews the abovementioned issues to deepen the understanding of the potential impact of DD on dento-maxillofacial development during adolescence. The aim is to offer comprehensive clinical recommendations for the etiological mechanisms, clinical diagnosis, and treatment planning of dento-maxillofacial deformities.

Key words: adolescent, temporomandibular disorder, disc displacement, condyle resorption, dento-maxillofacial deformity

中图分类号:

R783.5

经典, 李亚祯, 段余峰, 房兵, 赵宁. 青少年颞下颌关节盘移位对牙颌面形态的影响[J]. 华西口腔医学杂志, 2026, 44(1): 41-47.

Jing Dian, Li Yazhen, Duan Yufeng, Fang Bing, Zhao Ning. Impact of disc displacement on adolescent dento-maxillofacial morphology[J]. West China Journal of Stomatology, 2026, 44(1): 41-47.

图/表 1

参考文献 47

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DD类型	颌面骨型特征
双侧ADDwR	Ⅱ类骨型高角，前牙开??/前牙深覆??，后牙锁??发生率高，Ⅲ类骨型次之
双侧ADDwoR	下颌顺旋和开??趋势较ADDwR更明显
RDD	垂直向与水平向骨型较ADDwR更显著，但不如ADDwoR
单侧ADD	患侧髁突及升支高度下降，健侧代偿性生长，颏部及下颌中线向患侧偏斜，Ⅲ类骨型发生率高
ADD伴髁突吸收	双侧多见严重Ⅱ类骨型高角、开??，单侧多见颌骨偏斜

青少年颞下颌关节盘移位对牙颌面形态的影响

Impact of disc displacement on adolescent dento-maxillofacial morphology

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