一侧后牙缺失与颞下颌关节血流变化

Missing one side posterior teeth and blood flow of the temporomandibular joint

  • 摘要: 目的: 了解一侧后牙缺失及偏侧咀嚼对颞下颌关节血流的影响。方法: 在中国实验用小型猪拔除一侧后牙并在拔牙前后不同时间用核素三相骨显像方法观察颞下颌关节血流变化情况。结果: 一侧后牙缺失后1个月时,失牙侧关节血流相时间放射性强度曲峰值降低,血流到达时间延迟;血池相和延迟相的放射性计数值比值增大;牙缺失3个月时,失牙侧颞下颌关节血流到达时间更晚,血池相和延迟相的计数值更大。非失牙侧关节区血池相在拔牙后1个月时放射性计数值比值升高,至3个月时未再明显升高。结论: 一侧后牙缺失会影响两侧颞下颌关节的血流,以失牙侧受累为重,且随时间迁延加重。

     

    Abstract: Objective: To understand variations in blood flow of the temporomandibular joint (TMJ) after loosing one side posterior teeth.Methods: On various periods before and after extracting one side posterior teeth the quantitative changes of the blood flow of the TMJ in miniature pigs were observed by using Tc-99m MDP bone scanning.Results: After 1 month of extracting the values of the time activity curve of blood flow decreased and blood flow arriving was postponed on loosing teeth side TMJ. The more uptake of radionuclide occurred in the blood pool image and the static image in the extracting side TMJs. In this side joints there were less blood flow and more uptake of Tc-99m MDP in postextracting 3 monthes than in postextracting 1 month. Radionuclide activity count of non extracting sides TMJs increased in postoperative 1 month and remained not to go up in 3 mnthes in blood pool image.Conclusion: Loosing one side posterior teeth has an influence over bloodb flow of both sides TMJs. The extracting side joint is more deeply affected and worse as time going on.

     

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