口腔医学研究

口腔医学研究 ›› 2017, Vol. 33 ›› Issue (6): 614-617.DOI: 10.13701/j.cnki.kqyxyj.2017.06.009

• 临床研究论著 • 上一篇    下一篇

2种不同牙合垫治疗颞下颌关节紊乱病的临床疗效分析

张玲阁1, 龙星2*, , 蔡恒星2   

  1. 1. 郑州市口腔医院口腔颌面外科 河南 郑州 450000;
    2. 武汉大学口腔医院颞下颌关节外科 湖北 武汉 430079
  • 收稿日期:2016-12-14 出版日期:2017-06-20 发布日期:2017-06-26
  • 通讯作者: 龙星,电话:027－87686216
  • 作者简介:张玲阁(1985~ ),女,河南许昌人,硕士,主治医师,主要从事口腔颌面外科颞下颌关节疾病的研究。
  • 基金资助:
    国家自然科学基金项目(编号:81271171、81470761)
    郑州市2015年度科技攻关项目(编号:20150187)

Effects of Two Different Splints on Treatment of Temporomandibular Joint Disorders.

ZHANG Ling-ge1, LONG Xing2*, CAI Heng-xing2.   

  1. 1. Department of Oral and Maxillofacial Surgery, Zhengzhou Stomatological Hospital, Zhengzhou 450000, China;
    2. Department of Temporomandibular Joint, Stomatological Hospital of Wuhan University, Wuhan 430079, China.
  • Received:2016-12-14 Online:2017-06-20 Published:2017-06-26

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摘要： 目的:对比分析稳定型牙合垫和再定位牙合垫对治疗颞下颌关节紊乱病的临床疗效。方法:对采用牙合垫治疗的32例颞下颌关节紊乱病患者进行随访分析,其中使用稳定型牙合垫治疗的病例18人,再定位牙合垫14人,对比分析2组患者在治疗前、治疗后、治疗后3个月、6个月、12个月时关节弹响、疼痛程度(VAS)的变化。结果:2组患者治疗后疼痛程度及关节弹响状况与术前比较均明显改善,差异均有统计学意义(P<0.05),两种牙合垫对关节弹响的治疗效果无显著性差异,稳定型牙合垫组患者治疗后及治疗后3个月、6个月、12个月时的VAS低于再定位牙合垫组,差异有统计学意义(P<0.05)。结论:2种牙合垫均可有效地治疗颞下颌关节紊乱病,再定位牙合垫主要用于治疗可复性关节盘前移位,稳定型牙合垫治疗关节疼痛的疗效优于再定位牙合垫。

关键词: 颞下颌关节紊乱病, 稳定型牙合垫, 再定位牙合垫

Abstract: Objective: To compare the effects of stabilization splint and reposition splint on the treatment of patients with temporomandibular joint disorders. Methods: Thirty-two patients with temporomandibular disorders were selected, in which 18 patients were treated with stabilization splint and 14 patients were treated with repositioning splint, respectively. Comparative analysis was performed before, 3 months, 6 months, and 12 months after treatment for patients on the joint elastic ring and pain index (VAS). Results: After treatment, joint elastic ring and arthralgia in the two groups were significantly improved (P<0.05). No significant difference on the joint ring was found between two groups. The VAS of stabilization splint group was lower than that of reposition splint group and the differences was statistically significant (P<0.05). Conclusion: Two occlusal splints can effectively treat temporomandibular joint disorders. The repositioning splint is mainly used for anterior disc displacement with reduction and the stabilization splint is better for joint pain.

Key words: Temporomandibular joint disorders, Stabilization splint , Repositioning splint

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