口腔医学研究

口腔医学研究 ›› 2018, Vol. 34 ›› Issue (3): 282-285.DOI: 10.13701/j.cnki.kqyxyj.2018.03.017

• 颞下颌关节研究 • 上一篇    下一篇

再定位咬合板治疗颞下颌关节盘绞锁患者的临床疗效评价

石涛1*, 李阳2, 郭英1, 邢文忠1   

  1. 1. 大连市口腔医院修复科 辽宁 大连 116000;
    2. 大连市口腔医院颌面外科 辽宁 大连 116000
  • 收稿日期:2018-01-18 出版日期:2018-03-30 发布日期:2018-03-27
  • 通讯作者: *石涛,E-mail:272537680@qq.com
  • 作者简介:石涛(1984~ ),女,内蒙古包头市人,硕士,主治医师,主要从事口腔修复学和颞下颌关节病。

Efficacy Evaluation of Anterior Repositioning Splint in the Treatment of Temporomandibular Joint Disc Intermittent Locking.

SHI Tao1*,LI Yang2,GUO Ying1,XING Wen-zhong1   

  1. Department of Prosthodontics,Dalian Stomatological Hospotal,Dalian 116000, China;
    2. Department of Maxillofacial Surgery, Dalian Stomatological Hospotal,Dalian 116000, China
  • Received:2018-01-18 Online:2018-03-30 Published:2018-03-27

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摘要： 目的: 观察采用再定位咬合板治疗颞下颌关节盘绞锁的患者的临床疗效评价。方法: 选取2016年1月~2017年1月大连市口腔医院颞下颌关节门诊接诊的依据DC/TMD分类和诊断标准确诊为颞下颌关节盘绞锁的34例患者,采用再定位咬合板治疗,治疗期限为6个月,并在治疗后3个月、6个月进行随访,比较治疗前、治疗结束时、治疗结束后3个月,6个月复查时患者最大张口时疼痛程度、颞下颌关节功能评价(Fricton指数法)和下颌运动功能评价。结果: 34例关节盘绞锁患者经过再定位咬合板治疗后,最大张口疼痛主诉VAS分值和Fricton指数均显著下降,患者无痛最大开口度显著增加,下颌前伸距离PE变化无统计学意义,下颌的左右侧方运动距离均有显著增加,且在3个月和6个月复查时保持稳定。结论: 再定位咬合板治疗颞下颌关节盘绞锁,可有效缓解疼痛症状,解除功能障碍,增大下颌运动范围,利于关节盘获得良好的盘突关节,值得在临床推广应用。

关键词: 再定位咬合板, 颞下颌关节盘绞锁, 颞下颌关节紊乱病

Abstract: Objective: To analyze the effects of anterior repositioning splint on temporomandibular joint with intermittent locking. Methods: Thirty-four patients with disc intermittent locking were included. All of these patients wore anterior repositioning splints for 6 months and 6 months follow-by observation. Visual analogue scale (VAS), Fricton’s craniomandibular index, and mandible movement function test were used to evaluate the effectiveness of the anterior repositioning splint on temporomandibular joint with intermittent locking. Result: After the treatment, the VAS and Fricton’s craniomandibular index were significant decreased. The painless maximum opening gradually increased (P<0.05). There was no significant difference in protrusion excursion. The significant difference of lateral excursion was found and could be kept stable at the 3 and 6 months reexamination. Concluson: Anterior repositioning splint can be used as an effective way to treat patients with temporomandibular joint disc with intermittent locking.

Key words: Anterior repositioning splint, Temporomandibular joint disc intermittent locking, Temporomandibular disorder