口腔医学研究

口腔医学研究 ›› 2018, Vol. 34 ›› Issue (3): 294-297.DOI: 10.13701/j.cnki.kqyxyj.2018.03.020

• 颞下颌关节研究 • 上一篇    下一篇

两种咬合板治疗颞下颌关节紊乱病的临床疗效评价

张颖1, 符策广2#, 卢锦芬1, 张清彬1*   

  1. 1. 广州医科大学附属口腔医院·广州口腔病研究所·口腔医学重点实验室 广东 广州 510140;
    2. 惠州口腔医院·暨南大学医学院附属惠州口腔医院 广东 惠州 516001
  • 收稿日期:2018-01-25 出版日期:2018-03-30 发布日期:2018-03-27
  • 通讯作者: *张清彬,E-mail:519902801@qq.com;#为共同第一作者
  • 作者简介:张颖(1986~ ),女,湖北人,硕士,主要从事口腔颌面外科、颞下颌关节研究;符策广(1981~ ),男,海南人,学士,主治医师,主要从事口腔修复学临床治疗工作。
  • 基金资助:
    广东省科学技术厅项目(编号:2016ZC0147)

Effects of Two Splints on Treating Temporomandibular Disorders.

ZHANG Ying1, FU Ce-guang2#, LU Jin-fen1, ZHANG Qing-bin1*   

  1. 1. Key Laboratory of Oral Medicine, Guangzhou Institute of Oral Disease, Stomatology Hospital of Guangzhou Medical University, Guangzhou 510140, China;
    2. Huizhou Stomatology Hospital. Huizhou 516001, China
  • Received:2018-01-25 Online:2018-03-30 Published:2018-03-27

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摘要： 目的: 应用稳定性咬合板和Twin-block咬合板治疗颞下颌关节紊乱病,比较使用不同咬合板治疗颞下颌关节紊乱病的疗效。方法: 颞下颌关节紊乱病患者40例,随机分2组,分别采用稳定性咬合板和Twin-block咬合板进行治疗,在治疗前、治疗3个月、治疗半年、治疗结束后1年复查,记录患者疼痛指数、关节弹响及张口度的变化,对比两种咬合板治疗的疗效。结果: 稳定性咬合板对治疗关节疼痛、张口受限的效果优于Twin-block咬合板(P<0.05);Twin-block咬合板对治疗关节弹响的效果高于稳定性咬合板(P<0.05)。结论: 稳定性咬合板治疗关节疼痛及张口受限效果较好,twin-block咬合板对治疗关节弹响效果好,两种咬合板用于治疗颞下颌关节紊乱病各有优势。

关键词: 颞下颌关节紊乱病, 稳定性咬合板, Twin-block

Abstract: Objective: To study the curative effect of two splint treatments on the symptoms of temporomandibular disorders. Methods: Forty temporomandibular patients were randomly divided into 2 groups, with the stabilization splint and the twin-block splint treatment. The patients’ pain index, the joint clicks and mouth degrees were collected: before treatment, treatment for 3 months, treatment for 6 months, and 1 year after treatment. The curative effect of two kinds of splints was compared. Results: The effect of stabilization splint on treating joint pain and limited mouth opening was better than that of twin-block (P<0.05). Twin-block splint on treating joint clicks was more effective than that of stabilization splint (P<0.05). Conclusion: Stabilization splint has good effect on the treatment of joint pain and limited mouth opening. Twin-block splint has good effect on the treatment of joint clicks. Two kinds of splints on treating temporomandibular disorders have different advantages and indications, respectively.

Key words: Temporornandibular disorders, Stabilization splint, Twin-block