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Войти в исследования Cranio : the journal of craniomandibular practice · 2026
Mechanobiologic modulation of TMJ loading in juvenile idiopathic arthritis.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Standerwick Richard G, Twilt Marinka, Yen Edwin H K, Roberts W Eugene
Аннотация
OBJECTIVE: TMJ arthritis is common in juvenile idiopathic arthritis (JIA). Condylar height loss can shift mandibular loading and increase compressive TMJ stress, which may persist even when synovitis is controlled with biologics. We hypothesize that light elastics delivered via anchorage devices (TADs) can partially unload the joint.
METHODS: This hypothesis driven biomechanical model integrates condylar support loss, lever geometry, hyperdivergent susceptibility, and feasibility of routing low forces through a perioral soft tissue corridor. A cephalad inter implant elastic vector of ~25 to 50 g is evaluated.
RESULTS: Condylar height loss is predicted to promote backward mandibular rotation about the pterygomasseteric sling, increasing compression and vertical destabilization, especially in leptoprosopic patterns. The cephalad elastic vector is predicted to generate a counter moment, support posterior vertical neutrality, and reduce joint reaction forces.
CONCLUSION: A low force, TAD based adjunct may complement systemic therapy by addressing loading. Imaging studies are needed to confirm.
METHODS: This hypothesis driven biomechanical model integrates condylar support loss, lever geometry, hyperdivergent susceptibility, and feasibility of routing low forces through a perioral soft tissue corridor. A cephalad inter implant elastic vector of ~25 to 50 g is evaluated.
RESULTS: Condylar height loss is predicted to promote backward mandibular rotation about the pterygomasseteric sling, increasing compression and vertical destabilization, especially in leptoprosopic patterns. The cephalad elastic vector is predicted to generate a counter moment, support posterior vertical neutrality, and reduce joint reaction forces.
CONCLUSION: A low force, TAD based adjunct may complement systemic therapy by addressing loading. Imaging studies are needed to confirm.