口腔医学研究

口腔医学研究 ›› 2018, Vol. 34 ›› Issue (3): 298-301.DOI: 10.13701/j.cnki.kqyxyj.2018.03.021

• 颞下颌关节研究 • 上一篇    下一篇

稳定性咬合板在颞下颌关节盘穿孔术后的应用研究

米热古丽·图尔荪江, 李健, 龙星, 柯金, 孟庆功, 蔡恒星, 吴春, 徐玉丽, 冉明, 邓末宏*   

  1. 武汉大学口腔医院颞下颌关节、唇腭裂及涎腺外科,口腔基础医学省部共建国家重点实验室培育基地和口腔生物医学教育部重点实验室 湖北 武汉 430079
  • 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: *邓末宏,E-mail:dengmohong@163.com
  • 作者简介:米热古丽·图尔荪江(1990~ ),女,新疆和田人,硕士在读,主要从事口腔颌面外科学研究。

Application of Stabilization Splint on Remodeling of Condyle after Surgical Treatment with Temporomandibular Joint Disc Perforation.

MIREGULI Tuersunjiang, LI Jian, LONG Xing, Ke Jin, MENG Qing-gong, CAI Heng-xing, WU Chun, XU Yu-li, RAN Ming, DENG Mo-hong*   

  1. The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine Ministry of Education, School & Hospital of Stomatology, Wuhan University. Wuhan 430079, China
  • Received:2018-01-25 Online:2018-03-30 Published:2018-03-27

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摘要： 目的: 探寻在颞下颌关节盘穿孔术后应用稳定性咬合板对髁突改建的作用。方法: 选取35例关节盘穿孔患者(50侧关节),术后咬合板治疗的患者分为观察组,术后未应用咬合板治疗的患者分为对照组。随访3、6、12个月,用锥形束CT (cone beam computed tomography,CBCT) 评定髁突术前的破坏程度和术后的改建程度,SPSS21.0软件对测量结果进行统计学处理,进行单因素方差分析。结果: 观察组和对照组均有髁突改建,观察组的改建程度比对照组修复速度快,修复程度高。结论: 颞下颌关节盘术后进行稳定性咬合板治疗可以促进髁突骨质改建。

关键词: 颞下颌关节, 关节盘穿孔, 稳定型咬合板, 髁突改建

Abstract: Objective: To explore the effect of stabilization splint on the remodeling of the condyle after surgical treatment with temporomandibular joint disc perforation. Methods: Thirty-five patients (50 sides) with temporomandibular joint disc perforation were divided into two groups: the observation group who underwent stabilization splint treatment after surgical repair and the control group who did not underwent stabilization splint treatment after surgical repair. 3, 6, 12-month follow-ups were taken to evaluate the remolding of the condyle with the cone beam CT (CBCT) and two groups were compared by one-way analysis of variance. Results: Reconstruction of the condyle was found in both groups. The reconstruction degree of the observation group was faster and higher than that of the control group. Conclusion: The treatment of stabilization splint can promote the remodeling of condyle after surgical treatment with temporomandibular joint disc perforation.

Key words: Temporomandibular joint, Disc perforation, Stabilization splint, Remolding of condyle