Research Progress of Problems of Temporomandibular Joint in Orthodontic Treatment

正畸治疗作为改善牙齿排列和咬合关系的重要手段，其与颞下颌关节(Temporomandibular joint, TMJ)健康之间的关联备受关注。然而，包括咬合不良能否引发颞下颌关节紊乱病(Temporomandibular disorders, TMD)、正畸治疗能否治疗TMD、正畸治疗是否增加TMD的发生率、伴TMJ症状和体征的患者能否进行正畸治疗等相关问题目前仍处于长期争议中。本文就正畸治疗相关的TMJ问题做一综述，阐释目前咬合不良和正畸治疗与TMD之间的相关性的研究现状，并为正畸治疗中应对关节问题的考量提供依据。As an important means to improve tooth alignment and occlusal relationship, orthodontic treatment has drawn much attention for its association with temporomandibular joint (TMJ) health. However, issues such as whether malocclusion can cause temporomandibular disorders (TMD), whether orthodontic treatment can treat TMD, whether orthodontic treatment increases the incidence of TMD, and whether patients with TMJ symptoms and signs can undergo orthodontic treatment remain in long-term controversy. This article reviews risks of TMJ in orthodontic treatment and explains the current research status of the correlation between malocclusion, orthodontic treatment and TMD, in order to provide a basis for considering joint issues in orthodontic treatment.