稳定垫治疗颞下颌关节紊乱病的疗效分析
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摘要
目的观察采用稳定垫治疗颞下颌关节紊乱病(TMD)的临床疗效分析。方法选取2016年5月—2017年5月大连市口腔医院颞下颌关节门诊接诊的156例颞下颌关节紊乱病患者,比较采用稳定垫治疗前后临床疗效、颞下颌关节功能指数和髁突影像学改变(CBCT)。结果经过3～6个月治疗后,94.87%患者原有的颞下颌关节症状均得到改善; Fricton颞下颌关节紊乱指数明显下降; 70.51%的患者髁突骨质增生硬化,出现适应性改建。结论稳定垫可以作为有效治疗颞下颌关节紊乱病的方法之一。
Objective To analyze the effects of siabilization splinits on temporamandibular disorders( TMD). Methods Successive156 patients with tempormandibular disorders were included.To compare the clinical effects,Fricton's craniomandibular index( CMI)and condylar bone changes on radiograms before and after treatment of siabilization splinits were obtained. Results After 3-6 months,94.87% patients had good clinical effects. Fricton's CMI descreased obviously. 70.51% patients' s condyle had adaptive construction.Conclusion Siabilization splinits can be used as an effective way to treat tempormandibular disorders.
Objective To analyze the effects of siabilization splinits on temporamandibular disorders( TMD). Methods Successive156 patients with tempormandibular disorders were included.To compare the clinical effects,Fricton's craniomandibular index( CMI)and condylar bone changes on radiograms before and after treatment of siabilization splinits were obtained. Results After 3-6 months,94.87% patients had good clinical effects. Fricton's CMI descreased obviously. 70.51% patients' s condyle had adaptive construction.Conclusion Siabilization splinits can be used as an effective way to treat tempormandibular disorders.
引文
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[4]郭莅.稳定型咬合板治疗颞下颌关节紊乱病的Meta分析[J].中国医疗器械信息,2017,4(6):12-13.
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[7]陈启林,胡孝丽,龙星,等.再定位咬合板和稳定性咬合板治疗颞下颌关节紊乱病的临床疗效观察[J].临床口腔医学杂志,2015,31(7):431-434.
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[11]张玲阁,张睿,李喜红,等.透明质酸钠关节腔注射联合牙合垫治疗不可复性关节盘前移位的疗效评价[J].口腔医学研究,2016,32(8):865-867.
[12] Fernandes G,van Selms MK,Goncalves DA,et al.Factor associated with temporomandibular disorders pain in adolescents[J]. J Oral Rehabil,2015,42(2):113-119.
[13] Fricton J,Look JO,Wright E.Systematic review and meta-analysis of randomized controlled trails evaluating intraoral orthopedic appliances for temporomandibular disorders[J]. J Orofacial Pain,2010,24(3):237-254.
[14]刘光耀.改良稳定咬合板治疗颞下颌关节紊乱病54例疗效观察[J].口腔医学,2014,34(1):74-75.
[15] Okeson JP,Kemper JT,Moody PM.A study of the use of occlusion splinits in the treatment to acute and chronic patients with craniomandibular disorders[J].J Prosthet Dent,2008,48(6):708-712.
[16]姜鑫,范帅,蔡斌,等.手法复位配合运动与牙合垫治疗急性不可复性颞下颌关节盘前移位的近期疗效评价[J].上海口腔医学,2017,25(5):570-573.
[17]傅开元,马绪臣,张震康,等.颞下颌关节紊乱指数的临床应用评价[J].中华口腔医学杂志,2002,37(5):330-332.
[18]卓子昂,蔡协艺.颞下颌关节盘前移位的自然转归[J].口腔医学研究,2014,34(7):682-684.
[19]徐高丽,肖芳,霍高.颞下颌关节盘前移位后关节的适应性改建[J].口腔颌面外科杂志,2016,26(1):61-64.
[20]康红,王建卫.咬合板治疗口颌系统疾病[J].中国实用口腔科杂志,2011,4(4):212-216.
[21]黎静,刘星辰,李佳园,等.稳定咬合板治疗慢性颞下颌关节盘不可复性移位的临床随机对照试验的系统评价[J].国际口腔医学杂志,2017,44(4):405-410.
[22] Kreiner M,Betancor E,Clark GT.Occlusal stabilization appliances.Evidence of their efficacy[J].J Am Dent Assoc,2001,13(2):770-777.
[2] Ohrbach R,Bair E,Fillingim RB,et al.Clinical orofacial characteristics associated with risk of fist-onset TMD:the OPPERA prospective cohort study[J].J Pain,2013,14(12):33-50.
[3]张江山,徐昕,章燕珍.145例颞下颌关节紊乱病患者的磁共振影像分析[J].口腔医学,2015,19(6):477-479.
[4]郭莅.稳定型咬合板治疗颞下颌关节紊乱病的Meta分析[J].中国医疗器械信息,2017,4(6):12-13.
[5] Schiffman E,Ohr bach R,Truelove E,et al.Diagnostic criteria for temporomandibular disorders(DC/TMD)for clinical and research applications:recommendations of the international RDC/TMD consortium network*and orofacial pain secial interest group[J]. J Oral Facial Pain Headache,2014,28(1):6-27.
[6]张玲阁,龙星,蔡恒星.两种不同牙合垫治疗颞下颌关节紊乱病的临床疗效分析[J].口腔医学研究,2017,23(6):614-617.
[7]陈启林,胡孝丽,龙星,等.再定位咬合板和稳定性咬合板治疗颞下颌关节紊乱病的临床疗效观察[J].临床口腔医学杂志,2015,31(7):431-434.
[8]董宏.老年患者颞下颌关节紊乱病的临床分析和治疗[J].现代口腔医学杂志,2009,12(4):154-157.
[9]殷新民,张道珍.老年人颞下颌关节紊乱病的临床研究[J].口腔医学,2000,20(4):186-187.
[10]谷志远,傅开元,张震康.颞下颌关节紊乱病[M].北京:人民卫生出版社,2008:177-181.
[11]张玲阁,张睿,李喜红,等.透明质酸钠关节腔注射联合牙合垫治疗不可复性关节盘前移位的疗效评价[J].口腔医学研究,2016,32(8):865-867.
[12] Fernandes G,van Selms MK,Goncalves DA,et al.Factor associated with temporomandibular disorders pain in adolescents[J]. J Oral Rehabil,2015,42(2):113-119.
[13] Fricton J,Look JO,Wright E.Systematic review and meta-analysis of randomized controlled trails evaluating intraoral orthopedic appliances for temporomandibular disorders[J]. J Orofacial Pain,2010,24(3):237-254.
[14]刘光耀.改良稳定咬合板治疗颞下颌关节紊乱病54例疗效观察[J].口腔医学,2014,34(1):74-75.
[15] Okeson JP,Kemper JT,Moody PM.A study of the use of occlusion splinits in the treatment to acute and chronic patients with craniomandibular disorders[J].J Prosthet Dent,2008,48(6):708-712.
[16]姜鑫,范帅,蔡斌,等.手法复位配合运动与牙合垫治疗急性不可复性颞下颌关节盘前移位的近期疗效评价[J].上海口腔医学,2017,25(5):570-573.
[17]傅开元,马绪臣,张震康,等.颞下颌关节紊乱指数的临床应用评价[J].中华口腔医学杂志,2002,37(5):330-332.
[18]卓子昂,蔡协艺.颞下颌关节盘前移位的自然转归[J].口腔医学研究,2014,34(7):682-684.
[19]徐高丽,肖芳,霍高.颞下颌关节盘前移位后关节的适应性改建[J].口腔颌面外科杂志,2016,26(1):61-64.
[20]康红,王建卫.咬合板治疗口颌系统疾病[J].中国实用口腔科杂志,2011,4(4):212-216.
[21]黎静,刘星辰,李佳园,等.稳定咬合板治疗慢性颞下颌关节盘不可复性移位的临床随机对照试验的系统评价[J].国际口腔医学杂志,2017,44(4):405-410.
[22] Kreiner M,Betancor E,Clark GT.Occlusal stabilization appliances.Evidence of their efficacy[J].J Am Dent Assoc,2001,13(2):770-777.