口腔医学研究

口腔医学研究 ›› 2015, Vol. 31 ›› Issue (1): 76-77.

• 临床研究论著 • 上一篇    下一篇

稳定牙合垫治疗颞下颌关节不可复性盘前移位临床分析

齐东元*,马俊涛,张锐,王如   

  1. 大连医科大学附属第一医院口腔科 辽宁 大连 116011
  • 收稿日期:2014-03-19 出版日期:2015-01-28 发布日期:2016-04-29
  • 通讯作者: 齐东元,电话:0411-83635963-3285
  • 作者简介:齐东元(1963~),男,辽宁大连人,主任医师,主要从事口腔颌面外科临床工作。

Clinical Investigation of Stabilization Splint in the Treatment of Anterior Disc Displacement Without Reduction.

QI Dong-yuan, MA Jun-tao, ZHANG Rui, et al   

  1. Department of Stomatology, The First hospital of Dalian Medical University, Dalian 116011
  • Received:2014-03-19 Online:2015-01-28 Published:2016-04-29

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摘要： 目的:分析稳定牙合垫治疗颞下颌关节不可复性盘前移位的疗效。方法:使用稳定牙合垫治疗不可复性盘前移位患者36例,疗程3个月,分别记录治疗前后患者疼痛值(VAS)和开口度变化,进行统计学分析。 结果:患者VAS由治疗前的5.66±1.28减小到1.46±1.14;开口度由(26.93±2.64) mm增大到(38.35±2.04) mm, 具有显著性差异(P＜0.001),但治疗后MRI显示关节盘并未复位。结论:稳定牙合垫治疗颞下颌关节不可复性盘前移位有良好的临床效果,但并非恢复关节盘的位置,而是通过促进关节盘双板区的适应性改建来实现的。

关键词: 稳定牙合垫, 颞下颌关节不可复性盘前移位

Abstract: Objective: To analyse the efficacy of the stabilization splint in the treatment of anterior disk displacement without reduction. Methods: Thirty-six patients (29 females, 7 males) of anterior disk displacement without reduction were treated with stabilization splint.The period of treatment was 3 months. Visual analog pain scale (VAS) and mouth opening were recorded before and immediately after the insertion of splint. T-test for matched pairs was used to assess the effectiveness of the splint. Results: After 3-month-treatment, VAS reduced from 5.66±1.28 to 1.46±1.14 and mouth opening increased from 26.93±2.64mm to 38.35±2.04mm. Analysis showed a statistically significant difference of P<0.001. However, postinsertion MRI showed no recapture of disks. Conclusion: The stabilization splint is effective in treating anterior disk displacement without reduction ,despite its effect is helping bilaminar zone of temporomandibular joint remodeled to function as a disc, not recapture of disks.

Key words: Stabilization splint , Anterior disk displacement without reduction

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