Condylar process

髁突
  • 文章类型: Case Reports
    髁突下颌头的自发修复和重塑是髁突切除术后很少报道的结果。该临床报告描述了四只遭受外伤的未成熟犬的con突下颌头的自发修复和随后的重塑,需要通过部分或完全的髁切除术通过关节成形术进行手术干预,或者尾下颌骨切除术.在随后的评估中,观察到所有狗都表现出临床功能性TMJ,适当的运动范围证明了这一点。这些发现得到了患者正常饮食能力的所有者报告的证实。常规和锥形束计算机断层扫描研究证明了髁突下颌头骨组织的修复和重塑。组织病理学无法评估新组织。未观察到关节内或关节外强直或骨关节炎改变的证据。
    Spontaneous repair and remodeling of the mandibular head of the condylar process is a rarely reported outcome following condylectomy. This clinical report describes the spontaneous repair and subsequent remodeling of the mandibular head of the condylar process in four immature dogs that sustained traumatic injuries, necessitating surgical intervention through arthroplasty via partial or complete condylectomy, or caudal mandibulectomy. In subsequent evaluations, it was observed that all dogs exhibited clinically functional TMJs, as evidenced by an appropriate range of motion. These findings were corroborated by the owners\' reports of the patient\'s normal eating and drinking abilities. Conventional and cone-beam computed tomography studies demonstrated the repair and remodeling of the osseous tissues of the mandibular head of the condylar process. Histopathology was unavailable to assess the novel tissues. No evidence of intraarticular or extraarticular ankylosis or osteoarthritic changes was observed.
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  • 文章类型: Journal Article
    背景:在这项研究中,wistar大鼠用于检查饮食一致性对三代上颌和下颌生长的影响。
    方法:在这项调查中,使用了60只雌性和8只雄性wistar大鼠的繁殖样本。仅对雌性动物进行测量。第一代的初级育种样本由20只30天大的雌性wistar大鼠和4只也30天大的雄性大鼠组成;从这些动物中创建了随后的两代。在100天的年龄,收集所有雄性大鼠的CBCT。选择了28个颅面标志,用于从DICOM文件中提取的stl格式的线性测量。进行Bonferroni检验进行统计分析。
    结果:所有软饮食组的测量值与硬饮食组的相应测量值相比具有显著差异。根据线性测量,第一代和第三代软饮食组之间的上颌测量值存在统计学差异,而其余的似乎没有任何统计学差异。仅第一代软饮食组与第三代软饮食组比较,下颌尺寸差异有统计学意义。
    结论:食物稠度对上颌骨和下颌骨的生长发育有显着影响。软的饮食习惯可能会导致下颌后,和狭窄的上颌骨。
    BACKGROUND: In this study, wistar rats were used to examine the impact of diet consistency on maxillary and mandibular growth over three generations.
    METHODS: In this investigation, a breeding sample of 60 female and 8 male wistar rats was used. Measuring was only performed on female animals. The first generation\'s primary breeding sample consisted of 20 female wistar rats that were 30 days old and 4 male rats that were also 30 days old; two subsequent generations were created from these animals. At the age of 100 days, CBCTs were collected of all male rats. Twenty-eight craniofacial landmarks were selected for the linear measurements on stl format extracted from the DICOM files. A Bonferroni test was performed for the statistical analysis.
    RESULTS: Means of measurements of all soft diet groups compared to corresponding measurements of the hard diet groups were significantly different. According to linear measurements, there was statistical difference on the maxillary measurements between the soft diet groups of the first and third generation, while the rest did not appear to have any statistical difference. There was significant difference for the mandibular dimensions only when the first generation soft diet group was compared with the third generation soft diet group.
    CONCLUSIONS: Food consistency has a significant impact on the growth and development of the maxilla and mandible. Soft diet habits may result in retrognathic mandible, and narrower maxilla.
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  • 文章类型: Journal Article
    下颌骨骨折是儿童颌面部区域最常见和最复杂的创伤性损伤类型之一。鉴于不适当愈合的长期后遗症,充分的诊断和管理选择,考虑到患者的年龄和骨折特征,是最重要的。
    本研究的数据来自2014年至2020年在Bogomolets国立医科大学外科牙科和小儿颌面外科治疗的患者的病历。年龄,性别,记录并分析这些患者的骨折类型和手术治疗方法。
    在研究期间,共对302名患有376例下颌骨创伤性骨折的儿童进行了治疗。最多的骨折出现在髁突区域,42%,在下颌骨的身体里,40%。大多数患者为男性,在13-17岁年龄段(147例[49%]例)。Tigerstedt的上颌-下颌固定夹板在大多数情况下使用,单独或与开放或内固定相结合。
    虽然我们系列中儿童最常见的固定类型是Tigerstedt的上颌-下颌固定夹板,它的使用仅限于可变的咬合周期。讨论了替代的固定选项。
    UNASSIGNED: Mandibular fractures are one of the most frequent and complex types of traumatic injuries of the maxillofacial region in children. Given significant long-term sequelae of inappropriate healing, adequate diagnosis and choice of management, which takes into account the patient\'s age and fracture characteristics, are paramount.
    UNASSIGNED: The data for this study were obtained from the medical records of patients treated in the Department of Surgical Dentistry and Paediatric Maxillofacial Surgery of the Bogomolets National Medical University from 2014 to 2020. Age, gender, fracture pattern and surgical treatment methods performed in these patients were recorded and analysed.
    UNASSIGNED: A total of 302 children with 376 traumatic fractures of the mandible were managed during the study period. The largest number of fractures was found in the condylar processes region, 42%, and in the body of the mandible, 40%. The majority of patients were males and in the 13-17 age group (147 [49%] cases). Tigerstedt\'s maxillary-mandibular fixation splint was used in the majority of cases, alone or in the combination with open or internal fixation.
    UNASSIGNED: Whilst the most common type of immobilisation in children in our series was Tigerstedt\'s maxillary-mandibular fixation splint, its use is limited to the variable bite period. Alternative fixation options are discussed.
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  • 文章类型: Journal Article
    背景:这项研究通过三代研究了饮食一致性对Wistar大鼠下颌骨生长的影响。
    方法:本研究使用60只雌性Wistar大鼠和8只雄性Wistar大鼠的总饲养样本。仅对雌性动物进行测量。20只30天大的雌性Wistar大鼠和4只30天大的雄性大鼠组成了第一代的初级繁殖样本,从这些动物中复制了两个不同的世代。对所有100天龄的雌性大鼠进行侧位头颅X射线检查。共选取7个颅面标志进行线性测量,并选择了12条曲线和90个标志进行横向X射线的几何形态分析。进行Bonferroni检验和置换检验进行统计分析。
    结果:与硬饮食组相比,所有软饮食组的测量平均值均明显较小。根据线性测量,仅第一代软饮食与第三代软饮食组之间存在显着差异。根据几何形态分析,髁突和下颌骨角度存在统计学差异。
    结论:软饮食可能导致下颌骨生长减少,这些信息可能会世代相传。
    BACKGROUND: This study investigated the effect of diet consistency on mandibular growth of Wistar rats through three generations.
    METHODS: A total breeding sample of 60 female and 8 male Wistar rats were used in this study. Measurements took place only on female animals. Twenty female Wistar rats at 30 days old and four male rats at 30 days old comprised the primary breeding sample of the first generation, and from these animals two different generations were reproduced. Lateral cephalometric X-rays were taken from all female rats at the age of 100 days. A total of 7 craniofacial landmarks were selected for the linear measurements, and 12 curves and 90 landmarks were selected for geometric morphometric analysis of the lateral X-rays. Bonferroni test and a permutation test were performed for the statistical analysis.
    RESULTS: Means of measurements of all soft diet groups compared to hard diet groups were significantly smaller. According to linear measurements, there was a significant difference only between the first-generation soft diet with the third-generation soft diet group. According to geometric morphometric analysis, the statistical differences appeared on the condylar process and the angle of the mandible.
    CONCLUSIONS: The soft diet could be responsible for less mandibular growth, and this information might be passing through generations.
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  • 文章类型: English Abstract
    The aim of the study is to determine the X-ray morphometric parameters of the neck of the mandible for the rational choice of fixing elements during osteosynthesis.
    Based on 145 computed tomography scans of the mandible, the parameters of the upper and lower borders, the area and thickness of the neck of the mandible were studied. The anatomical boundaries of the neck were determined using the classification of A. Neff (2014). The parameters of the neck of the mandible were studied depending on the shape of the mandible ramus, gender, age and preservation of dentition.
    The sizes of morphometric parameters of the neck of the mandible prevail in men. Statistically significant differences were found between the sizes of the neck of the mandible in men and women in the width of the lower border, area, and thickness of bone tissue. It was revealed that there are statically significant differences between hypsiramimandibular, orthoramimandibular and platyramimandibular forms in the following parameters: the width of the lower and upper borders, the middle of the neck, the area of bone tissue. When comparing the morphometric parameters of the neck of the articular process, there were no statistically significant differences between the age groups (p>0.05), and no differences were found between the groups identified by the degree of preservation of the dentition (p>0.05).
    Morphometric parameters of the neck of the mandible have individual variability, statically significant differences depending on the sex and shape of the mandibular ramus. The obtained results on the width, thickness, and area of the bone tissue of the neck of the mandible will help in clinical practice to rationally choose the length of screws; the size, number, and shape of titanium mini-plates to achieve the requirements of stable functional osteosynthesis.
    Определить морфометрические параметры шейки нижней челюсти для рационального выбора фиксирующих элементов при проведении остеосинтеза.
    На основе 145 компьютерных томографических исследований нижней челюсти изучены параметры верхней и нижней границ, площади поверхности и толщины шейки нижней челюсти. Анатомические границы шейки определялись с помощью классификации A. Neff (2014). Параметры шейки нижней челюсти изучены в зависимости от формы ветви нижней челюсти, пола, возраста и степени сохранности зубных рядов.
    Размеры морфометрических параметров шейки нижней челюсти больше у мужчин. Статистически значимые различия выявлены между размерами шейки нижней челюсти у мужчин и женщин по ширине нижней границы, площади поверхности и толщине кости. Выявлено, что между гипсирамимандибулярной, орторамимандибулярной и платирамимандибулярной формами имеются статически значимые различия по следующим параметрам: ширина нижней и верхней границ, середины шейки, площадь поверхности кости. При сравнении морфометрических параметров шейки нижней челюсти между возрастными группами статически значимых различий выявлено не было (p>0,05), а также не обнаружено различий между группами, выделенными по степени сохранности зубных рядов (p>0,05).
    Морфометрические параметры шейки нижней челюсти имеют индивидуальную вариабельность, статистически значимые различия в зависимости от пола и формы ветви нижней челюсти. Полученные результаты о ширине, толщине, площади поверхности шейки нижней челюсти помогут в клинической практике рационально осуществить выбор длины винтов; размера, количества и формы титановых мини-пластин для достижения требований стабильно-функционального остеосинтеза.
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  • 文章类型: Journal Article
    Bonwill的三角形是一个假想的等边三角形,当两个髁的中心和每个髁与下颌内侧切点相连时形成。牙齿的尺寸,头盖骨的其他骨头,身体的整个解剖结构与三角形边界的距离持续相关。它可以用来研究下颌骨的关节,完整的假牙,和牙齿咬合,并且在治疗下颌骨骨折时可能相关。目的是分析干燥的人类下颌骨中Bonwill三角形的长度变化及其对牙齿的影响。采取了40只干燥的人类下颌骨来进行这项研究。右髁突中心到下颌内侧切点中点之间的距离(A),左髁突中心到下颌内侧切点之间的距离(B),并用数字游标卡尺测量下颌骨左右髁突中心之间的距离(C)。使用统计分析软件SPSS(20.0版)评价和观察统计学,并计算平均值和标准偏差。右髁中心至下颌内侧切点的平均长度为97.76mm,左髁中心与下颌内侧切点中点为98.55mm,左右髁中心之间为97.39毫米。这些值几乎等于4英寸。下颌测量是许多临床状况的重要因素,尤其是与牙科相关的疾病。本研究结果对治疗下颌骨骨折和缺损具有重要意义。
    Bonwill\'s triangle is an imaginary equilateral triangle formed when the centers of two condyles and each condyle with the medial mandibular incisal midpoint are joined. The dimensions of the tooth, with other bones of cranium, and the entire anatomical structure of body are in persistent association with the distance of the borders of the triangle. It can be used to study articulation of the mandible, complete dentures, and dental occlusion and can be related when treating mandibular fractures. The aim is to analyze the variations in the length of Bonwill\'s triangle in dry human mandibles and its dental implications. Forty dry human mandibles were taken to carry out this study. Distances between the center of the right condylar process to the inner medial mandibular incisal midpoint (A), the distance between the center of the left condylar process to the inner medial mandibular incisal midpoint (B), and the distance between the centers of right and left condylar process of mandible (C) were measured with the aid of digital vernier caliper. The statistics was evaluated and observed using the statistical analysis software SPSS (Version 20.0) and the mean and standard deviation was calculated. The mean length between right condyle center and medial mandibular incisal midpoint is 97.76 mm, between left condyle center and medial mandibular incisal midpoint is 98.55 mm, and between the right and left condyle centers is 97.39 mm. The values are almost equal to 4 inches. The mandibular measurements serve as an important factor for many clinical conditions especially related to dentistry. The results of this study can be of great significance when treating mandibular fractures and defects.
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  • 文章类型: Journal Article
    背景:牙颌颌面复合体的生长和发育发生在牙列发育的各个阶段,以TMJ为其生长中心之一。颞下颌关节的状况可以从其髁突头形式中看到;因此,在牙列发育的不同阶段,识别髁突的正常形态至关重要。
    目的:本研究的目的是观察原发性牙列过程中髁突的形态学外观,混合牙列和永久性牙列。
    方法:收集194名男孩和296名女孩的400张全景图像,并根据牙列阶段分为三组。通过在X射线观察器上跟踪全景图像的打印来确定髁头的形状。
    结果:研究表明,在初级牙列阶段,髁头的形状以圆形为主,随着生长发育,髁头的形状变为凸形。
    结论:该研究描述了主治儿童人群下颌髁突的正常形态。牙列状态以及颅面的生长在确定髁突形态方面具有重要作用。
    BACKGROUND: Growth and development of dentocraniofacial complex occurs during various stage of development of dentition with TMJ as one of its centres of growth. The condition of temporomandibular joint can be visible from its condylar head form; therefore, it is crucial to recognize the normal morphology of condylar head during different stages of development of dentition.
    OBJECTIVE: The aim of the study is to view the morphological appearance of condylar head during primary dentition, mixed dentition and permenant dentition.
    METHODS: 400 panoramic images of 194 boys and 296 girls were collected and were divided into three groups bases on the stage of dentition. Shape of the condylar head were determined by tracing the print out of the panoramic image on an X ray viewer.
    RESULTS: The study showed that during primary dentition stage shape of the conylar head was dominated by round shape and as growth and development occurs the condylar head shape changes to convex.
    CONCLUSIONS: The study describes the normal morphology of mandibular condyles in a child population attending The dentition status as well as growth of craniofacial has a significant role in determining condylar morphology.
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  • 文章类型: Journal Article
    OBJECTIVE: The aim of this study was to evaluate anatomically the relationship between bone and muscles by detailed observation of the bone shape and the structure of muscles to facilitate an understanding of the function of the muscles involved in jaw movement.
    METHODS: 36 specimens of 24 Japanese cadavers were examined. The insertion areas were marked using a radiopaque marker and examined by micro-computed tomography. For morphological observation, we used 101 condylar processes. In addition, we made histological sections in some specimens to observe the detailed attachments of the muscle.
    RESULTS: Based on the micro-CT images and dissection findings, the lateral pterygoid muscle was found to be most frequently inserted into the anterior impression and attached to the medial impression of the process. According to the histological observations, the lateral pterygoid muscle mainly inserted to the condylar process. The micro-CT images indicated that the obvious bony ridge was lateral to the pterygoid fovea on the condylar process in all specimens. The midmedial muscle bundle of the temporalis was attached to the ridge. Based on the morphological observations, the ridge was situated on the lateral area of the condylar process.
    CONCLUSIONS: Since dysfunction of the temporomandibular joint is likely closely related to both the lateral pterygoid muscle and also the temporalis, further studies are necessary to evaluate the function of these muscles and consider jaw movement.
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