再定位咬合板治疗颞下颌关节盘前移位的研究进展

Progress of Anterior Repositioning Splint Therapy for Disc Displacement-related Temporomandibular Disorders

目前颞下颌关节紊乱病患病率高发,影响患者的生活质量,其中颞下颌关节盘前移位(anterior disc displacement,ADD)占很大比例。再定位咬合板(anterior repositioning splint,ARS)被认为是治疗ADD的有效保守治疗手段之一,能有效缓解疼痛、弹响等临床症状,并改善下颌运动范围。由于ARS广泛应用,其确切机制越来越引起人们的关注。但ARS现有的操作方法、治疗机制及其长期疗效尚无定论。鉴于目前对ARS治疗的不同看法,本综述试图提供ARS相关治疗的研究进展,帮助临床医生了解并选择合适的操作方法。

Currently,the prevalence of temporomandibular joint disorders is high and affects the quality of life of patients,of which anterior disc displacement(ADD)of the temporomandibular joint(TMJ)accounts for a large proportion.Anterior repositioning splint(ARS)is considered to be one of the effective conservative treatments for ADD,which effectively relieves clinical symptoms such as pain and popping,and improves the range of motion of the jaw.Due to the wide application of this therapy,its exact mechanism has attracted increasing attention.However,the existing operation methods of ARS,its therapeutic mechanism,and its long-term efficacy are not yet finalized.In view of the current different opinions on ARS treatment,this review attempts to provide research advances in ARS-related treatments to help clinicians understand and select appropriate operational methods.