正畸治疗与颞下颌关节功能紊乱综合征的临床研究

The Investigation on treatment of TMDS with orthodontic means

目的不协调研究应用正畸方法去除引起咀嚼肌、颞下颌关节和之间的功能的因素以治疗颞下颌关节功能紊乱综合征。方法对于仅处于功能紊乱阶段且无口系统器质性损害的患者,可利用垫与固定矫治器相结合的方法升高咬,必要时与调相结合,以减轻颞下颌关节功能紊乱症状。结果正畸矫治能明显缓解颞下颌关节紊乱症状,维持和恢复髁突的正常位置,即正中关系位。结论正畸矫治后,颞下颌关节功能紊乱综合征症状减轻、张口自如、关节弹响减少。

Objective To investigate the treatment on TMDS （Temporomandibular Dysfunction Syndrome） using orthodontic means, which is caused by disharmony between muscles, TMJ and dental occlusion Methods To those patients with functional disorder, non intra - articular destruction, combination of splint and fixed appliance to heighten and adjust occlusion can relieve TMD symptoms. Results TMD symptoms were relieved obviously, the CR position was retrieved and maintained. Conclusion Orthodontic means can improve TMD symptom partly, such as widening opening and decreasing click.