咬合板联合其他方法治疗颞下颌关节紊乱病的研究进展

Research progress of occlusal splint combined with other methods in the treatment of temporomandibular disorders

颞下颌关节紊乱病(temporomandibular disorders,TMD)是涉及颞下颌关节及其周围肌肉组织的常见口腔疾病,根据DC/TMD分类及诊断标准将颞下颌关节紊乱病临床诊断分为两大类,包括疼痛性疾病和关节疾病。由于其病因及症状的不确定性和复杂性,临床上治疗方法也具有多样性,比如针对关节盘移位的手法复位治疗、物理疗法、关节腔注射治疗、咬合板治疗和手术治疗等。近期多种方法联合治疗在临床也取得显著疗效,本文通过对近年关于咬合板联合其他方法治疗TMD的文献进行综合分析,发现可以根据不同年龄阶段、髁突骨质、关节盘形态等情况选择多种方法联合治疗TMD,从而更高效缓解患者症状,为临床提供一定的参考意见。

Temporomandibular disorders is a common oral disease involving temporomandibular joint and its surrounding muscle tissue.According to DC/TMD classification and diagnostic criteria,clinical diagnosis of temporomandibular joint disorders is divided into two categories,including painful diseases and joint diseases.Due to the uncertainty and complexity of its etiology and symptoms,clinical treatment methods are also diverse,such as manual reduction treatment for removable articular disc,physical therapy,articularcavity injection therapy,occlusal splint treatment and surgical treatment,etc.Recently,the combination treatment of multiple methods has also achieved significant clinical efficacy.Through a comprehensive analysis of the literature on the treatment of TMD with occlusal splint and other methods in recent years,it is found that multiple methods can be selected to combine TMD according to different age stages,condylar bone,articular disk morphology,etc.,so as to relieve the symptoms of patients more efficiently and provide certain reference for clinical practice.