口腔医学研究 ›› 2025, Vol. 41 ›› Issue (11): 959-963.DOI: 10.13701/j.cnki.kqyxyj.2025.11.006

• 口腔颌面外科学研究 • 上一篇    下一篇

两种数字化前伸再定位咬合板在颞下颌关节紊乱病中的应用

罗淑芳1,2, 吴千驹1,2*, 邓亚群1,2, 何瑾怡3, 曾龙涛3   

  1. 1.厦门医学院附属口腔医院 厦门市口腔疾病诊疗重点实验室 福建 厦门 361000;
    2.厦门医学院附属口腔医院口腔修复二科 福建 厦门 361000;
    3.厦门医学院口腔医学院 福建 厦门 361000
  • 收稿日期:2025-05-14 出版日期:2025-11-28 发布日期:2025-11-25
  • 通讯作者: *吴千驹,E-mail:qianjuwu@163.com
  • 作者简介:罗淑芳(1984~ ),女,福建连城人,博士,副主任医师,研究方向:颞下颌关节。
  • 基金资助:
    国家自然科学基金青年科学基金项目(批准号:82301047)厦门市自然科学基金联合项目(编号:3502Z202374086)厦门医学院教学教育改革重点项目(编号:XBLG2023003)

Application of Two Types of Digital Anterior Repositioning Splints in Temporomandibular Joint Disorders

LUO Shufang1,2, WU Qianju1,2*, DENG Yaqun1,2, HE Jinyi3, ZENG Longtao3   

  1. 1. Stomatological Hospital of Xiamen Medical College, Xiamen Key Laboratory of Stomatological Disease Diagnosis and Treatment, Xiamen 361000, China;
    2. Department of Prosthodontics, Stomatological Hospital of Xiamen Medical College, Xiamen 361000, China;
    3. School of Stomatology, Xiamen Medical College, Xiamen 361000, China
  • Received:2025-05-14 Online:2025-11-28 Published:2025-11-25

摘要: 目的: 本研究旨在对比全数字化工作流程前伸再定位咬合板和半数字化工作流程前伸再定位咬合板在颞下颌关节紊乱病中的应用。方法: 通过口内法和软件法获取数字化前伸再定位咬合板的颌位,对比两组咬合板颌位设计时长、临床椅旁调改时长、患者治疗前后颞下颌关节临床症状的改善情况以及患者满意度,比较两种方法的临床应用价值。结果: 两种方法获取颌位时长及临床椅旁调改时长比较有统计学差异,两种方法的治疗效果及患者满意度比较无统计学差异。结论: 两种方法设计的数字化前伸再定位咬合板均适用于颞下颌关节紊乱病的治疗,但各有优缺点,需要依据具体情况选择。

关键词: 计算机辅助设计与制作, 前伸再定位咬合板, 颞下颌关节紊乱病

Abstract: Objective: To compare the application of full-digital workflow anterior repositioning splints and semi-digital workflow anterior repositioning splints in the treatment of temporomandibular joint disorders. Methods: The jaw position of the digital anterior repositioning splint was obtained using intraoral methods and software methods. The study compared the design time of the jaw position, the clinical chairside adjustment time, the improvement of clinical symptoms of the temporomandibular joint before and after treatment, and patient satisfaction between the two groups to explore the clinical application value of the two methods. Results: There were statistically significant differences in the time taken to obtain the jaw position and the clinical chairside adjustment time between the two methods. However, no statistically significant differences were found in the treatment outcomes and patient satisfaction. Conclusion: Both full-digital and semi-digital anterior repositioning splints are suitable for the treatment of temporomandibular joint disorders, and each has its own advantages and disadvantages. The choice should be based on specific circumstances.

Key words: computer-aided design and manufacture, anterior repositioning splint, temporomandibular joint disorders