功能锻炼治疗颞下颌关节弹响的临床研究

Clinical Study of System Functional Exercise in the Therapy of Articulation Mandibularis Clicking

目的:比较功能锻炼和板治疗颞下颌关节弹响的临床效果。方法:选择100例弹响患者,随机分为实验组和对照组,每组50例。实验组行口颌系统功能锻炼,对照组佩戴1.8mm厚的全牙弓解剖式板治疗(全天戴用)3个月。比较两种方法的治疗效果。结果:实验组50例患者均在治疗后1～7d弹响消失,追踪3～12个月无复发;对照组50例患者,3个月后有16例复发,复发率为32%,两组结果有显著性差异(P<0.05)。结论:口颌系统功能锻炼组的治疗效果显著高于板治疗组,功能锻炼能有效治疗弹响并减少患者治疗痛苦。

Objective：To compare the clinical therapeutic efficacy of system functional exercise and occlusal splint in the therapy of articulation mandibularis clicking.Methods：100 patients with articulation mandibularis clicking were selected and divided into experimental and control groups.Patients in the experimental group were taught to do system functional exercise.The patients were asked to sit up straightly with eyes gazing forward,swallow first to make apex cuspid in a interlace position for 10s,then relax to make the submaxilla in a posture position（10s）,open and close the mouth 10times from the posture position.50patients selected in the control group were treated by the biteplate of all dentalarch（wore the whole day）for 3months.They were asked to keep the mental point in the median line when open and close the mouth and limit the extent of debouchment to 35-40mm,close the mouth to the posture position of the submaxilla then pause for a while before open the mouth again,repeat such 3-4circulations as once functional exercise,and do the exercise 3-4 times one day.Results：50patients in the experimental group were all cured in 1-7 days with no recurrence in the following 3-12months while 50patients in the control group were found 16recurrences after 3 months,which meant the recurrence rate was 32% .There were significant differences between two groups（P〈0.05）.Conclusion：The therapeutic efficacy of gnathostomatic system functional exercise significantly surpasses that of biteplate.Functional exercise is able to cure the clicking effectly and relieve the pain in the therapy.