[Adaptive remodeling of temporomandibular joint following anterior disc displacement and treatment decision making].

Anterior disc displacement (ADD) of temporomandibular joint (TMJ) is one of the common oral diseases. The TMJ can be remodeled after disc displacement. The author's recent studies show that remodeled bilaminar zone is similar to the disc in composition and functions. The remodeled condyle can match the disc-like bilaminar zone. The new disc-condylar relationship can, to a certain extent, restore the function of the TMJ. Based on these studies, the author believes that the adaptive remodeling in TMJ has important guiding significance for clinical treatment and discusses the views of the treatment decision for various stages of temporomandibular disorders.颞下颌关节盘前移位是常见的口腔疾病，关节盘移位后，相关组织可发生适应性改建。笔者近年研究显示，绝大多数改建后的双板区类似于关节盘，并行使关节盘功能；改建后髁突形态与双板区类关节盘形态相互适应，形成新的关节盘-髁突关系，可在一定程度上恢复颞下颌关节的功能，这些适应性改建对临床治疗有重要的指导意义。基于这些研究结果，笔者针对可复性盘前移位、不可复性盘前移位和继发性退行性关节病等阶段的治疗，谈谈自己的看法。.