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Anatomische und physiologische Aspekte bei der Behandlung von Kiefergelenkstörungen

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Zusammenfassung

Die Behandlung von Kiefergelenkstörungen erfordert genaue Kenntnisse auf dem Gebiet der Anatomie und Physiologie. Es werden wichtige Aspekte zur Anatomie und Physiologie der Gelenkkapsel und des Diskus aufgezeigt und diskutiert, um die breit gefächerten Probleme besser verstehen zu können. Auf dieser Grundlage besteht eher die Wahrscheinlichkeit einer erfolgreichen Therapie. Die Therapie von Kiefergelenkfehlfunktionen sollte bereits in den frühen Phasen darauf abzielen, die komplexe physiologische und anatomische Funktion während potentiell schädigender, parafunktioneller Bewegungen zu berücksichtigen.

Summary

The speciality of orthodontics and its relationship to TMJ problems is in the thick of controversy. Several anatomic and physiologic aspects are discussed so as to improve the understanding of the multi-faceted problems. The use of this biologically-based information is likely to make therapy more successful. From a therapeutic point of view, it is incumbent on the dentist to institute early preventive or interceptive procedures.

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Literatur

  1. Bernick, S.: The vascular and nerve supply to the temporomandibular joint of the rat. Oral Surg. 15 (1962), 488–498.

    PubMed  Google Scholar 

  2. Blume, D. G.: A roentgenographic study of the mandible in malocclusion of the teeth. Master's dissertation, Northwestern University, Chicago 1947.

    Google Scholar 

  3. Boman, V.: A roentgenographic study of the mandible. Master's dissertation, Northwestern Univ. Chicago 1947.

    Google Scholar 

  4. Cartwright, R.: Making brain waves. Chicago Tribune Mag, 1-7-90, p. 10–25.

  5. christensen, L. V.: Facial pain in negative and positive work of human jaw muscles. J. dent. Res. 84 (1976), 327–332.

    Google Scholar 

  6. Christensen, L. V.: Cumulative electromyography of the human masseter muscle during fatiguing isometric contractions. J. oral Rehab. 11 (1984), 341–349.

    Google Scholar 

  7. Christensen, L. V., S. J. Donegan: Observations in the time and frequency domains of surface electromyograms of experimental brief teeth clenching in man. J. oral. Rehab. 17 (1990), 473–486.

    Google Scholar 

  8. Christensen, L. V., S. E. Mohammed, J. D. Harrison: Delayed onset of masseter pain in clenching. J. prosth. Dent. 48 (1982), 579–584.

    Google Scholar 

  9. Christensen, L. V., D. Roberts, S. Kopp, J. R. Thompson: CT-assisted evaluation of variation in length and angulation of the medial pterygoid muscle. J. prosth. Dent. 59 (1988), 616–621.

    Google Scholar 

  10. Hellsing, E.: Increased overbite and craniomandibular disorders — a clinical approach. Amer. J. Orthodont. & Dentofac. Orthop. 98 (1990), 516–522.

    Google Scholar 

  11. Holmlund, A., G. Hellsing, S. Axelsson: The temporomandibular joint: A comparison of classical and arthroscopic findings. J. prosth. Dent. 62 (1989), 61–65.

    Google Scholar 

  12. Isberg, A.: Temporomandibular joint clicking. Doctoral dissertation, Karolinska Institut, Huddinge 1980.

    Google Scholar 

  13. Isberg, A., G. Isacsson: Tissue reactions associated with internal derangement of the temporomandibular joint. Acta. odont scand. 40 (1986), 159–166.

    Google Scholar 

  14. Isberg-Holm, A., P. L. Westesson: Movement of the disc and condyle in temporomandibular joints with clicking. Acta. odont. scand. 40 (1982), 153–166.

    Google Scholar 

  15. Johnston, L. E.: Gnathologic assessment of centric slides in postretention orthodontic patients. J. prosth. Dent. 60 (1988), 712–714.

    Google Scholar 

  16. Koritzer, R., A. H. Schwartz, R. R. Harris, L. E. St. Hoyme: The multidimensional articular disc — temporal muscle relations and clinical implications. Amer. J. Orthodont & Dentofac. Orthop., (1991), in press.

  17. Kydd, W. L., C. Daly: Duration of nocturnal tooth contacts during bruxing. J. prosth. Dent. 53 (1985), 717–721.

    Google Scholar 

  18. Mongini, F.: The stomatognathic system: Function, dysfunction and rehabilitation. Quintessence, Chicago 1984.

    Google Scholar 

  19. Mongini, F., W. Schmid: Treatment of mandibular asymmetries during growth: a longitudinal study. Europ. J. Orthodont. 9 (1987), 51–67.

    Google Scholar 

  20. Posselt, U.: Studies in the mobility of the human mandible. Acta odont. scand. 10, Suppl. 10 (1952).

    Google Scholar 

  21. Rugh, J. D., G. T. Montgomery: Physiological reactions of patients with TMJ disorders vs. symptom-free controls on a physical stress task. J. craniomand. Disord. fac. oral Pain 1 (1987), 251–256.

    Google Scholar 

  22. Rugh, J. D., W. K. Solberg: Electromyographic studies of bruxist behaviour before and during treatment. J. dent. Res. 54 (1975), 563–569.

    Google Scholar 

  23. Thilander, B.: Innervation of the temporomandibular joint capsule in man. Trans. roy. Soc. Dent., Umea (1961).

  24. Ward, D. M., R. G. Behrents, J. S. Goldberg: Temporomandibular synovial fluid pressure response to altered mandibular positions. Amer. J. Orthodont. & Dentofac. Orthop. 98 (1990), 22–28.

    Google Scholar 

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Additional information

Herrn Professor Dr. Dr.G. P. F. Schmuth zum 65. Geburtstag.

Übersetzung aus dem Englischen: Dr. med. dent.Frank Schnegelsberg, Freie Universität Berlin, Fachbereich Zahn-, Mund- und Kieferheilkunde, Poliklinik für Kieferorthopädie. Aßmannshauser Str. 4-6, D-1000 Berlin 33.

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Graber, T.M. Anatomische und physiologische Aspekte bei der Behandlung von Kiefergelenkstörungen. Fortschritte der Kieferorthopädie 52, 126–132 (1991). https://doi.org/10.1007/BF02173244

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  • DOI: https://doi.org/10.1007/BF02173244

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