期刊文献+

再定位咬合板治疗颞下颌关节紊乱病不可复性盘前移位的疗效分析 被引量:11

Clinical evaluation of anterior repositioning splint for treatment of anterior disk displacement without reduction
下载PDF
导出
摘要 目的:观察研究颞下颌关节紊乱病不可复性盘前移位患者经手法复位后采用再定位咬合板治疗的临床疗效。方法:发生不可复性盘前移位3个月内的患者经医师进行手法复位关节盘后,随机分为观察组和对照组各22例。观察组按医嘱戴用再定位咬合板3-6个月,对照组不戴再定位咬合板。分别记录患者复位前、复位后3个月和复位后6个月时的疼痛分值。比较复位前、复位后即刻、复位后3个月和6个月时两组患者的平均最大开口度和颞下颌关节功能障碍指数(DI)和紊乱指数(CMI)。在复位后3个月和6个月时分别对两组患者进行MRI检查,观察关节盘和髁突在开口位和闭口位时的相对位置情况。结果:观察组22例患者中受累关节疼痛分值VAS复位前平均为2.72,3个月和6个月时下降到0.56和0.42;对照组22例患者中受累关节疼痛分值VAS复位前平均为2.83,3个月和6个月复查时分别下降到1.21和0.78。观察组复位前平均最大开口度为25.7mm,复位后即刻增大到44.7mm,3个月和6个月复诊时平均最大开口度分别为43.8mm和43.2mm;对照组复位前平均最大开口度为26.2mm,复位后即刻增大到45.2mm,3个月和6个月复诊时平均最大开口度分别为30.4mm和38.5mm。复位后3个月和6个月时比较两组患者颞下颌关节功能障碍指数(DI)和紊乱指数(CMI)有显著性差异。(4)MRI检查结果显示:3个月时,观察组22例患者中2例患者闭口位时关节盘位于髁突前下方,开口位时关节盘可完全回复,6个月时共有3例患者开闭口位时关节盘均在髁突前;对照组22例患者复位后3个月复查时有5例开闭口位时关节盘均在髁突前方,6个月时增加到9例。结论:颞下颌关节盘紊乱病不可复性盘前移位患者经手法复位后应及时戴入再定位咬合板稳固关节盘,有效得保持复位效果。 Objective: To evaluate the efficacy of manipulative reduction followed by anterior repositioning splint for treatment of anterior disk displacement without reduction. Methods: The patients with acute anterior disk displacement without reduction were randomly divided into the observation group (22 cases) and the control group (22 cases). The obser- vation group weared anterior repositioning splint for 3-6 months, and the control group did not wear them. The pain scores VAS were recorded before and 3 mouths and 6 mouths after the reduction. The mean maximum aperture and the cran- iomandibular index (CMI) and the dysfunction index (DI) were compared between the two groups at before the reduction, immediately after the reduction and 3 and 6 months after the reduction. At 3 and 6 months after the reduction, two groups of patients were examined by MRI, and the relative position of the articular disc and position were observed. Results: OThe mean VAS score of the observation group before the reduction was 2.72, 3 and 6 months after the reduction dereased to 0.56 and 0.42. The scores of the control group respectively were 2.83, 1.21 and 0.78. ②The observation group average de- gree of the maximum mouth opening were 25.7mm, immediately after the reduction increased to 44.7mm, 3 and 6 months after treatment were 43.8mm and 43.2mm; The scores of the control group respectively were 26.2mm, 45.2mm, 30.4mm and 38.5mm. ③Compared with 3 and 6 months after the reduction, CMI and DI were significantly different between the two groups. ④MRI test results: the observation group there were 2 cases developed into anterior disc displacement with reduction when 3 months after treatment, and 3 cases developed into anterior disc displacement without reduction when 6 months after treatment; the control group there were 5 cases developed into anterior disc displacement without reduction when 3 months after treatment, and incresesd to 9 cases when 6 months. Conclusion: The patients with acute anterior disk displacement without reduction should be replaced by anterior repositioning splint after manipulative reduction, and the effect of reduction can be more effectively aintained.
作者 石涛 邢文忠 郭英 李阳 李振春 SHI Tao, XING Wen-zhong, LI Zhen-chun, GUO Ying, LI Yang.(Department of Prosthodontics, Dalian Stomatological Hospotal, Liaoning 116000, Chin)
出处 《口腔颌面修复学杂志》 2017年第6期335-339,共5页 Chinese Journal of Prosthodontics
关键词 不可复性盘前移位 再定位咬合板 颞下颌关节紊乱病 手法复位 anterior disk displacement without reduction anterior repositioning splint temporomandibular disorder ma-nipulative reduction
  • 相关文献

参考文献5

二级参考文献60

  • 1刘宁,周继林,刘洪臣,洪民.老年颞下颌关节紊乱综合征患者合夹板治疗前后CT影像的三维分析[J].中华口腔医学杂志,1994,29(2):91-93. 被引量:9
  • 2林野,Pape HD,Friedrich R,Fischboch R.磁共振成像在诊断颞下颌关节盘移位中的应用[J].华西口腔医学杂志,1994,12(1):39-41. 被引量:3
  • 3Howard A. Israel.关节镜手术和非手术治疗在处理颞下颌关节病患者中的关系(英文)[J].中国口腔颌面外科杂志,2006,4(2):83-96. 被引量:7
  • 4Farrar WB.Diagnosis and treatment of anterior dislocation of the articular disc[J].N Y J Dent,1971,41(10):348-351.
  • 5Farrar WB.Differentiation of temporomandibular joint dysfunction to simplify treatment[J].J Prosthet Dent,1972,28(6):629-636.
  • 6Solberg WK,Clark GT.Temporomandibular joint problems:Biologic diagnosis and treatment[M].2nd ed.Chicago:Quintessence Publishing Co.,1980:160.
  • 7Drace JE,Enzmann DR.Defining the normal temporomandibular joint:Closed-,partially open-,and open-mouth MR imaging of asymptomatic subjects[J].Radiology,1990,177(1):67-71.
  • 8Bell WE.Temporomandibular disorders:Classification,diagnosis,management[M].2nd ed.Chicago:Year Book Medical Publishers Inc.,1986:282-283.
  • 9Moloney F,Howard JA.Internal derangements of the temporomandibular joint.Ⅲ.Anterior repositioning splint therapy[J].Aust Dent J,1986,31(1):30-39.
  • 10McNeill C.Temporomandibular disorders[M].2nd ed.Chicago:Quintessence Publishing Co.,1993:90.

共引文献59

同被引文献97

引证文献11

二级引证文献22

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部