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The occlusal plane in the facial context:inter-operator repeatability of a new three-dimensional method 被引量:2
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作者 Riccardo Rosati Alberto Rossetti +2 位作者 Marcio De Menezes Virgilio F Ferrario Chiarella Sforza 《International Journal of Oral Science》 SCIE CAS CSCD 2012年第1期34-37,共4页
The repeatability of a non-invasive digital protocol proposed to evaluate the three-dimensional(3D) position of the occlusal plane in the face is assessed.Dental virtual models and soft tissue facial morphology of 2... The repeatability of a non-invasive digital protocol proposed to evaluate the three-dimensional(3D) position of the occlusal plane in the face is assessed.Dental virtual models and soft tissue facial morphology of 20 adult subjects were digitally integrated using a 3D stereophotogrammetric imaging system.The digital 3D coordinates of facial and dental landmarks were obtained by two different operators.Camper's(facial) and occlusal(dental) planes were individuated,and their 3D relationships were measured.The repeatability of the protocol was investigated and showed no significant differences in repeated digitizations.The angle between occlusal and Camper's planes was smaller than 26 in the frontal and horizontal projections.In the sagittal projection,the angle was observed to be,on average,4.9 6.The determined occlusal plane pitch,roll and yaw values show good agreement with previously published data obtained by different protocols.The current non-invasive method was repeatable,without inter-operator differences and can facilitate assessment of healthy subjects. 展开更多
关键词 healthy subjects occlusal plane stereophotogrammetry three-dimensional analysis
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Efficacy of biofeedback therapy via a mini wireless device on sleep bruxism contrasted with occlusal splint:a pilot study 被引量:4
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作者 WeiPing Gu Jie Yang +3 位作者 FeiMin Zhang XinMin Yin XiaoLong Wei Chen Wang 《The Journal of Biomedical Research》 CAS CSCD 2015年第2期160-168,共9页
The putative causes of bruxism are multifactorial and there are no definite measures for bruxism management.The aim of this study was to evaluate the efficacy of biofeedback therapy on sleep bruxism,compared with occl... The putative causes of bruxism are multifactorial and there are no definite measures for bruxism management.The aim of this study was to evaluate the efficacy of biofeedback therapy on sleep bruxism,compared with occlusal splint.Twenty-four volunteers with sleep bruxism were divided into two groups:the GTB group that were treated with biofeedback therapy(n 512) and the GTO group that were treated with occlusal splint(n 512).A mini pressure sensor integrated with a monitoring circuit by use of a maxillary biofeedback splint was fabricated.To foster the relaxation of the masticatory muscles and the nervous system,the wireless device received signals from bruxism events and vibrations alerted the bruxer when the threshold was exceeded.Total episodes and average duration of bruxism events during8 hours of sleep were analyzed with the monitoring program(TRMY1.0).After 6 and 12 weeks,the episodes(P 50.001) and duration(P,0.05) in the GTB group declined dramatically.In contrast,there were no significant differences in the GTO group after the treatment(P.0.05).Furthermore,the episodes had significant differences between the GTB group and the GTO group after the same period of treatment(P 5 0.000).The results suggest that biofeedback therapy may be an effective and convenient measure for mild bruxers,when compared with occlusal splint therapy.The mini wireless biofeedback method may be of value for the diagnosis and management of bruxism in the future. 展开更多
关键词 sleep bruxism BIOFEEDBACK occlusal splint MINIATURIZATION VIBRATION wireless technology
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Treatment of condylar osteophyte in temporomandibular joint osteoarthritis with muscle balance occlusal splint and long-term follow-up:A case report 被引量:1
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作者 Kai-Wen Lan Jia-Min Chen +2 位作者 Liu-Lin Jiang Yi-Fan Feng Ying Yan 《World Journal of Clinical Cases》 SCIE 2022年第13期4264-4272,共9页
BACKGROUND Condylar osteophytes,a remodeling form of temporomandibular joint osteoarthritis(TMJ OA),mainly manifest as marginal angular outgrowths of the condyle.Previous researchers have advocated surgical removal of... BACKGROUND Condylar osteophytes,a remodeling form of temporomandibular joint osteoarthritis(TMJ OA),mainly manifest as marginal angular outgrowths of the condyle.Previous researchers have advocated surgical removal of condylar osteophytes.Reports on the effect of occlusal splint on TMJ OA patients’joints have mostly focused on treatment with this splint,which can reduce the absorption of the affected condyle and promote repair and regeneration.However,the effect of the splint on the dissolution of condylar osteophytes has not yet been reported.CASE SUMMARY A 68-year-old female patient suffered from occlusal discomfort with left facial pain for 2 years.Cone beam computed tomography showed a rare osteophyte on top of her left condyle.She was finally diagnosed with TMJ OA.The patient refused surgical treatment and received conservative treatment with a muscle balance occlusal splint.The pain experienced by the patient on the left side of her face was relieved,and her chewing ability recovered after treatment.The osteophyte dissolved,and the condylar cortex remained stable during long-term follow-up observations.CONCLUSION The muscle balance occlusal splint could be a noninvasive means of treating condylar osteophytes in TMJ OA patients. 展开更多
关键词 Condylar osteophyte Temporomandibular joint osteoarthritis Mechanical environment Muscle balance occlusal splint TREATMENT Case report
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Long-term follow-up of a patient with venlafaxine-induced diurnal bruxism treated with an occlusal splint:A case report
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作者 Jia-Min Chen Ying Yan 《World Journal of Clinical Cases》 SCIE 2019年第4期516-524,共9页
BACKGROUND Bruxism is a jaw-muscle activity characterized by the clenching or grinding of teeth. It can be divided into nocturnal bruxism and diurnal bruxism(DB). DB secondary to antidepressants is rare and refractory... BACKGROUND Bruxism is a jaw-muscle activity characterized by the clenching or grinding of teeth. It can be divided into nocturnal bruxism and diurnal bruxism(DB). DB secondary to antidepressants is rare and refractory. Reports associated with antidepressant-induced DB are mostly anecdotal without long-term follow-up.The effect of drug intervention on antidepressant-induced DB is still contested.We herein report the first case of successful treatment of venlafaxine-induced DB with an occlusal splint.CASE SUMMARY This case report describes detailed 7-year follow-up of a patient with venlafaxineinduced DB treated with an occlusal splint. The patient who complained about involuntary daytime tooth grinding after taking venlafaxine for a period of 4 mo and was diagnosed with venlafaxine-induced DB. Subsequently, an occlusal splint with modified bilateral buccal-pterygoid pads was used to treat his tooth grinding and to protect the dental structures from tooth wearing. The patient reported remission of symptoms after several months of treatment. His grinding activity was gradually and stably controlled after 2 years, with an almost complete recovery from DB after 6 years.CONCLUSION The maxillary buccal-pterygoid splint can be used as a noninvasive approach to treat venlafaxine-induced DB. 展开更多
关键词 occlusal splint VENLAFAXINE DIURNAL BRUXISM TOOTH grinding Movement DISORDERS Treatment Case report
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Influence of occlusal splint thickness on the position of mandible
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作者 陈永进 长岛正 野首孝祠 《Journal of Medical Colleges of PLA(China)》 CAS 2005年第1期37-42,共6页
Objective: To investigate the influence of occlusal splint thickness on mandibular movement. Methods: Stabilization occlusal splints of 3, 5 and 7 mm thickness were respectively used during clenching from light contac... Objective: To investigate the influence of occlusal splint thickness on mandibular movement. Methods: Stabilization occlusal splints of 3, 5 and 7 mm thickness were respectively used during clenching from light contact in intercuspal position and the movement of condyles and incisor point were recorded in 5 healthy subjects. Results:The condyles moved anteriorly and superiorly without wearing occlusal splint. When wearing the occlusal splints the condyles displaced anteriorly and inferiorly. The distance of displacement increased gradually with raising the thickness of splint, though the significant difference was just found in right condyle in superior- inferior movement. The condyles went again on a path of anterior and superior direction when subjects clenched from the displaced position. In right condyle the displacement was significantly greater at 7 mm splint than that at 3 mm splint both in anterior-posterior and inferior-superior direction, while in left condyle only in anterior-posterior direction. Meanwhile, the incisal point movement was larger at 7 mm splint than at 3 mm splint in inferior-superior direction. In tapping movement there were no significant differences in condyle movement between the different thickness of occlusal splint. However, the coefficient of variation in total cycle time was the greatest when wearing the splint of 7 mm. Conclusion: Occlusal splint of 7 mm has greater effect than that of 3 mm on condyle movement, but no obvious difference with occlusal splint of 5 mm. When occlusal splint of 7 mm is inserted, the stability of condyle might be influenced during tapping movement. 展开更多
关键词 occlusal splint mandibular movement condyle position
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Clinical Value of Stereoscopic Three-dimensional Echocardiography in Assessment of Atrial Septal Defects: Feasibility and Efficiency 被引量:1
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作者 王静 王新房 +3 位作者 谢明星 贺林 吕清 王蕾 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2009年第6期791-794,共4页
Stereoscopic three-dimensional echocardiography(S-3DE) is a novel displaying technol-ogy based on real-time 3-dimensional echocardiography (RT-3DE). Our study was to evaluate the feasibility and efficiency of S-3D... Stereoscopic three-dimensional echocardiography(S-3DE) is a novel displaying technol-ogy based on real-time 3-dimensional echocardiography (RT-3DE). Our study was to evaluate the feasibility and efficiency of S-3DE in the diagnosis of atrial septal defect (ASD) and its use in the guidance for transcatheter ASD occlusion. Twelve patients with secundum ASD underwent RT-3DE examination and 9 of the 12 were subjected to transcatheter closure of ASD. Stereoscopic vision was generated with a high-performance volume renderer with red-green stereoscopic glasses. S-3DE was compared with standard RT-3D display for the assessment of the shape, size, and the surrounding tis-sues of ASD and for the guidance of ASD occlusion. The appearance rate of coronary sinus and the mean formation time of the IVC, SVC were compared. Our results showed that S-3DE could measure the diameter of ASD accurately and there was no significant difference in the measurements between S-3DE and standard 3D display (2.89±0.73 cm vs 2.85±0.72 cm, P〉0.05; r=0.96, P〈0.05). The appearance of coronary sinus for S-3DE was higher as compared with the standard 3D display (93.3% vs 100%). The mean time of the IVC, SVC for S-3DE monitor was slightly shorter than that of the standard 3D display (11.0±3.8 s vs 10.3±3.6 s, P〉0.05). The mean completion time of interven-tional procedure was shortened with S-3DE display as compared with standard 3D display (17.3±3.1 min vs 23.0±3.9 min, P〈0.05). Stereoscopic three-dimensional echocardiography could improve the visualization of three-dimensional echocardiography, facilitate the identification of the adjacent structures, decrease the time required for interventional manipulation. It may be a feasible, safe, and efficient tool for guiding transcatheter septal occlusion or the surgical interventions. 展开更多
关键词 ECHOCARDIOGRAPHY stereoscopic vision real time three-dimension atrial septal defect occlusION
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An Overview of Anterior Repositioning Splint Therapy for Disc Displacement-related Temporomandibular Disorders 被引量:8
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作者 Yan-ning GUO Sheng-jie CUI +1 位作者 Yan-heng ZHOU Xue-dong WANG 《Current Medical Science》 SCIE CAS 2021年第3期626-634,共9页
Anterior repositioning splint(ARS)therapy is considered one of the most effective therapies for treating disc displacement-related temporomandibular disorders(TMDs),which account for a large proportion of TMD cases.Ow... Anterior repositioning splint(ARS)therapy is considered one of the most effective therapies for treating disc displacement-related temporomandibular disorders(TMDs),which account for a large proportion of TMD cases.Owing to the wide application of this therapy,the exact mechanism of remission has increasingly drawn attention.Given that practitioners have different views on ARS therapy,its indications are broadened,and operating methods diverged.This review attempts to provide an overview of ARS therapy and helps practitioners establish indications and suitable operating methods.Representative views in the past 10 years were summarised,and conclusions were drawn as follows:The mechanism of ARS therapy is mainly attributed to internal derangement correction,improvement of stress distribution and recently reported joint remodeling.It has an evident effect in the short term,and the most prevalent operating methods are protruding the mandible to the edge-to-edge position and wearing the ARS for 24 hours daily for 3-6 months.However,long-term stability is not optimal,and thus indications should be selected carefully.Notably,most of the clinical studies in this field are case analyses with low-quality evidence.Well-designed RCTs are required to further validate relevant theories. 展开更多
关键词 anterior repositioning splint disc displacement occlusal splint temporomandibular joint disorders THERAPEUTICS
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RW-splint在安氏Ⅱ类1分类错畸形诊断设计中的应用 被引量:1
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作者 吴斯媛 涂少勤 +1 位作者 王增全 艾毅龙 《口腔疾病防治》 2017年第7期454-457,共4页
目的探讨在正畸前戴用RW-splint是否可引导或确定下颌处于正中关系位,以期为后期诊断设计提供帮助。方法选择安氏Ⅱ类1分类错畸形患者20例,在固定矫治前进行RW-splint治疗,测量前牙覆盖量的变化。结果治疗前的前牙覆盖量为(6.792±0... 目的探讨在正畸前戴用RW-splint是否可引导或确定下颌处于正中关系位,以期为后期诊断设计提供帮助。方法选择安氏Ⅱ类1分类错畸形患者20例,在固定矫治前进行RW-splint治疗,测量前牙覆盖量的变化。结果治疗前的前牙覆盖量为(6.792±0.795)mm,治疗后半年的前牙覆盖量为(7.720±0.930)mm,治疗前和治疗后半年前牙覆盖量差异有统计学意义(t=6.319,P<0.01),治疗后半年与治疗前前牙覆盖量变化值为(0.928±0.657)mm。结论正畸前戴用RW-splint可引导或确定下颌处于正中关系位,为后期诊断设计提供帮助。 展开更多
关键词 安氏Ⅱ类1分类错畸形 RW板 正中关系位 正中位 覆盖
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全牙列软[牙合]垫治疗儿童自伤性口腔溃疡的疗效观察
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作者 王伟 于习习 +2 位作者 王航 王彩霞 王万春 《北京口腔医学》 CAS 2024年第5期330-333,共4页
目的 观察全牙列软[牙合]垫治疗 4~13 岁儿童自伤性口腔溃疡的疗效。方法 我院黏膜科确诊的 15例自伤性口腔溃疡患者,溃疡病程最短 2 个月,最长 4 年,年龄 4~13 岁。取上下颌牙列印模,采用真空热压法制作全牙列软[牙合]垫,配戴 1~2 周,... 目的 观察全牙列软[牙合]垫治疗 4~13 岁儿童自伤性口腔溃疡的疗效。方法 我院黏膜科确诊的 15例自伤性口腔溃疡患者,溃疡病程最短 2 个月,最长 4 年,年龄 4~13 岁。取上下颌牙列印模,采用真空热压法制作全牙列软[牙合]垫,配戴 1~2 周,通过比较患者治疗前后溃疡的愈合周期,评价疗效及安全性。结果 全牙列软[牙合]垫治疗自伤性口腔溃疡后 1 周临床痊愈率为 86.67%, 2 周痊愈率为 100%,愈合周期较治疗前明显缩短(P<0.001)。结论 全牙列软[牙合]垫是治疗自伤性口腔溃疡的一种安全有效的方法。 展开更多
关键词 口腔溃疡 自伤性口腔溃疡 全牙列软[牙合]垫
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咬合板结合家庭疗法在咀嚼肌肌筋膜疼痛的疗效评价
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作者 钟晓霞 林海运 《中国现代医生》 2024年第18期18-21,37,共5页
目的评价咬合板结合家庭疗法在咀嚼肌肌筋膜疼痛的疗效。方法选取2019年6月至2021年6月于广西医科大学附属口腔医院口腔修复科进行稳定型咬合板结合家庭疗法治疗的咀嚼肌肌筋膜疼痛患者32例,分析治疗3个月后的临床有效率。于治疗前和治... 目的评价咬合板结合家庭疗法在咀嚼肌肌筋膜疼痛的疗效。方法选取2019年6月至2021年6月于广西医科大学附属口腔医院口腔修复科进行稳定型咬合板结合家庭疗法治疗的咀嚼肌肌筋膜疼痛患者32例,分析治疗3个月后的临床有效率。于治疗前和治疗后3个月行疼痛视觉模拟评分(visual analogue scale,VAS)和T-ScanⅢ数字化咬合评估系统检查,分别评估患者的疼痛程度及咬合功能,咬合功能包括:(牙合)力不对称指数(asymmetry index of occlusal force,AOF)、(牙合)力中心点位置(center of force,COF)、(牙合)接触点数(number of occlusal contacts,NOC)、闭(牙合)时间(occlusal time,OT)。结果(1)治疗后,临床有效率为93.75%;(2)VAS、AOF、COF、OT均较治疗前降低(P<0.05);NOC在治疗前后差异无统计学意义(P>0.05)。结论稳定型咬合板结合家庭疗法治疗咀嚼肌肌筋膜疼痛可有效缓解疼痛和改善咬合功能。 展开更多
关键词 稳定型咬合板 家庭疗法 咀嚼肌肌筋膜疼痛 咬合
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咬合板联合其他方法治疗颞下颌关节紊乱病的研究进展
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作者 张钰 黄冉 +1 位作者 张爱青 李英 《口腔颌面修复学杂志》 2024年第6期456-461,共6页
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... 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。 展开更多
关键词 颞下颌关节紊乱病 颞下颌关节 咬合板 联合治疗
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基于颞下颌关节思考成人安氏Ⅱ^(2)分类错[牙合]畸形的治疗
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作者 李榕 赵青 《国际口腔医学杂志》 CAS CSCD 北大核心 2024年第6期687-698,共12页
安氏Ⅱ^(2)分类错[牙合]畸形以前牙内倾型深覆[牙合]、磨牙远中关系为特征,患者的前牙切导异常,导致下颌运动轨迹被迫后退。多数患者表现出下颌后缩,并伴有咀嚼肌疼痛、关节盘移位以及髁突位置异常等颞下颌关节紊乱症状。对于安氏Ⅱ^(2... 安氏Ⅱ^(2)分类错[牙合]畸形以前牙内倾型深覆[牙合]、磨牙远中关系为特征,患者的前牙切导异常,导致下颌运动轨迹被迫后退。多数患者表现出下颌后缩,并伴有咀嚼肌疼痛、关节盘移位以及髁突位置异常等颞下颌关节紊乱症状。对于安氏Ⅱ^(2)分类的成人患者,正畸治疗和正畸正颌联合治疗主要是改善前牙舌倾、打开咬合以及协调上下牙列和颌骨的矢状向关系,但相关治疗措施对于颞下颌关节的影响尚有争议。本文综述了成人安氏Ⅱ^(2)分类患者的颞下颌关节特征、正畸治疗及正畸正颌联合治疗对颞下颌关节的影响,总结了有利于恢复正常盘-髁关系的咬合板治疗措施,以期能为成人安氏Ⅱ^(2)分类患者正畸治疗的临床诊断和方案设计提供参考,最终实现咬合和关节的协调、稳定。 展开更多
关键词 安氏Ⅱ^(2)分类错[牙合]畸形 颞下颌关节紊乱病 关节盘前移位 正畸治疗 正畸正颌联合治疗 咬合板
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有限元法分析常用咬合板对颞下颌关节应力影响
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作者 楼婷 夏衣旦·艾合买提江 +2 位作者 马家平 刘纪元 王星 《中国医疗美容》 2024年第2期66-69,共4页
目的研究对比三种咬合板对颞下颌关节的应力影响。方法:通过三维有限元方法建立上下颌骨及全牙列三维模型,分别在上颌骨模拟生成稳定型咬合板、松弛型咬合板、枢轴型咬合板,下颌骨加载相同方向及大小的力,对比不戴咬合板与临床常用的三... 目的研究对比三种咬合板对颞下颌关节的应力影响。方法:通过三维有限元方法建立上下颌骨及全牙列三维模型,分别在上颌骨模拟生成稳定型咬合板、松弛型咬合板、枢轴型咬合板,下颌骨加载相同方向及大小的力,对比不戴咬合板与临床常用的三种咬合板时髁突、关节盘、颞骨关节面的应力变化。结果:模拟三种咬合板时,髁突、关节盘、颞骨关节面的应力大小及位移大小均较不戴咬合板有所减低。结论:咬合板可以有效降低颞下颌关节的应力,对治疗颞下颌关节紊乱病(temporomandibular joint disorder TMD)有临床实际意义。 展开更多
关键词 颞下颌关节紊乱病 髁突 关节盘 三维有限元 稳定型咬合板 松弛型咬合板 枢轴型咬合板
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Effect of occlusal splints for the management of patients with myofascial pain: a randomized, controlled, double-blind study 被引量:1
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作者 ZHANG Fei-yu WANG Xiao-geng DONG Jian ZHANG Jie-fu Lu Ya-lin 《Chinese Medical Journal》 SCIE CAS CSCD 2013年第12期2270-2275,共6页
Background Occlusal splints have been the preferred modalities in the management of myofascial temporomandibular disorders (TMDs),but now controversy exists in reporting whether they are successful for TMDs treatmen... Background Occlusal splints have been the preferred modalities in the management of myofascial temporomandibular disorders (TMDs),but now controversy exists in reporting whether they are successful for TMDs treatments.The aim of this study was to give objective evidence to the assessment of treatment effect of occlusal splints for myofascial TMDs patients by clinical assessments and surface electromyography (sEMG) measurements of masseter muscles (MM).Methods Thirty-six patients (12 males and 24 females) aged 16-57 (38±11) years participated in the study.All participants diagnosed with myofascial TMD were randomized into two groups (18 of each).Patients in the first group (A) were treated with occlusal splints for 1 month,while patients in the second group (B) were treated with placebo (non-occluding palatal) splints.Clinical assessments were performed at the beginning of the study and 1 month after treatment.sEMG measurements for MM were performed at mandibular postural position (MPP) and maximum intercuspal contacted position (ICP) 1 month after the treatment.The root mean square (RMS) and the median frequency (MF) as linear indices of sEMG data were used to demonstrate muscle activity and muscle fatigue.Data were analyzed by ANOVA and post hoc SNK test.The differences were considered significant at P 〈0.05.Results It was found that 89% of group A either completely recovered (39%) or clinically improved (50%),while only 22% of group B had a spontaneous improvement.sEMG analysis showed that at MPP,the mean of RMS value of MM in group A was lower than that of group B,which shows statistical differences (P 〈0.01).At ICP,the RMS value of MM in group A was higher than that of group B,which shows statistical differences (P 〈0.01).At MPP,MF value of MM in group A was higher than that of group B (P 〈0.05).At ICP,MF value of MM was lower than that of group B (P 〈0.01).Conclusions Occlusal splint could eliminate or improve the signs and symptoms of TMD patients with myofascial pain.sEMG analysis indicates that the wearing of occlusal splints may reduce the degree of fatigue of the masticatory muscles.The splint therapy outcome has a correlation with the electromyographic changes in the masticatory muscles. 展开更多
关键词 surface electromyography myofascialpain occlusal splint masseter muscle temporomandibularjoint disorders
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正畸直丝弓矫治器与传统金属丝树脂夹板在外伤性牙齿脱位患者中的应用对比
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作者 杨宝兵 姚守慧 《中国美容医学》 CAS 2024年第8期150-153,共4页
目的:比较正畸直丝弓矫治器联合[牙合]垫弹性复位固定与传统金属丝树脂夹板复位固定在外伤性牙脱位患者中的应用价值。方法:以2019年10月-2022年7月笔者医院就诊的100例外伤性牙齿脱位患者为研究对象,采用随机数字表法将其分为对照组(... 目的:比较正畸直丝弓矫治器联合[牙合]垫弹性复位固定与传统金属丝树脂夹板复位固定在外伤性牙脱位患者中的应用价值。方法:以2019年10月-2022年7月笔者医院就诊的100例外伤性牙齿脱位患者为研究对象,采用随机数字表法将其分为对照组(传统金属丝树脂夹板复位固定,50例)及正畸组(正畸直丝弓矫治器联合[牙合]垫弹性复位固定,50例)。于治疗6个月后根据牙松动度等评价疗效,比较两组治疗前后的咬合力、龈沟液炎症因子、牙周健康及美观度。结果:正畸组的治疗总有效率高于对照组(96.00%vs.76.00%)(P<0.05)。治疗后,正畸组的牙松动度低于对照组(P<0.05),正畸组的最大咬合力、咬合速率高于对照组(P<0.05);治疗后,正畸组的白介素-1β、肿瘤坏死因子-α及前列腺素E2水平均低于对照组(P<0.05),正畸组的菌斑指数、探诊深度及出血指数均小于对照组(P<0.05),正畸组的PES、WES评分均高于对照组(P<0.05);正畸组并发症发生率低于对照组(P<0.05)。结论:相较于传统金属丝树脂夹板复位固定,正畸直丝弓矫治器联合[牙合]垫弹性复位固定治疗外伤性牙齿脱位的有效率更好,且能更好地提高咬合力,改善牙周健康,降低局部炎症水平,并能提高牙周美观度。 展开更多
关键词 外伤性牙齿脱位 正畸直丝弓矫治器 [牙合]垫弹性复位固定 传统金属丝树脂夹板复位固定 咬合力 美观度
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Bounding box extraction from spherical hologram of elementary object to synthesize hologram of arbitrary three-dimensional scene with occlusion consideration(Invited Paper) 被引量:1
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作者 Jae-Hyeung Park Hong-Gi Lim 《Chinese Optics Letters》 SCIE EI CAS CSCD 2014年第6期86-90,共5页
A novel method to extract a bounding box that contains the three-dimensional object from its spherical hologram is proposed. The proposed method uses the windowed Fourier transform to obtain the angular distribution o... A novel method to extract a bounding box that contains the three-dimensional object from its spherical hologram is proposed. The proposed method uses the windowed Fourier transform to obtain the angular distribution of the quasi-collimated beams at each position in the spherical hologram and estimates the bounding box by accumulating the quasi-collimated beams in the volume inside the spherical hologram. The estimated bounding box is then used to realize occlusion effect between the objects in the synthesis of the three-dimensional scene hologram. 展开更多
关键词 Bounding box extraction from spherical hologram of elementary object to synthesize hologram of arbitrary three-dimensional scene with occlusion consideration
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青年夜磨牙症患者经弹性牙合垫治疗前后咬合变化特征的研究 被引量:10
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作者 王志瑜 黄虹 +3 位作者 马明 穆红军 左亚新 逯宜 《实用口腔医学杂志》 CAS CSCD 北大核心 2016年第6期857-860,共4页
目的:测量并分析夜磨牙症患者使用弹性垫治疗前后各项咬合数据变化。方法:使用弹性垫对青年夜磨牙症患者(n=10)进行治疗,并在治疗前和治疗后6个月使用T-Scan咬合检测仪进行咬合检测,观察和记录实验组闭合时间、分离时间、力中心位置、... 目的:测量并分析夜磨牙症患者使用弹性垫治疗前后各项咬合数据变化。方法:使用弹性垫对青年夜磨牙症患者(n=10)进行治疗,并在治疗前和治疗后6个月使用T-Scan咬合检测仪进行咬合检测,观察和记录实验组闭合时间、分离时间、力中心位置、力不对称指数的变化,与对照组(n=10)进行对比和研究,并观察临床疗效。结果:治疗前实验组闭合时间及左、右侧分离时间均比对照组长(P<0.05),治疗后均无统计学差异(P>0.05);治疗前、后2组前伸分离时间差别无统计学意义(P>0.05);治疗前实验组和对照组力中心位置左右向偏移和右侧力百分比及力不对称指数比较均有统计学差异(P<0.05),治疗后比较均无统计学差异(P>0.05)。实验组治疗后闭合时间及左、右侧分离时间均比治疗前缩短(P<0.05);实验组治疗前、后右侧力百分比值有统计学差异(P<0.05),前伸分离时间、力中心位置偏移、左侧力百分比及力不对称指数治疗前后比较均无统计学差异(P>0.05)。结论:早接触、侧方干扰、全牙列力中心的偏移等咬合因素与磨牙症有十分密切的关系。使用弹性垫治疗磨牙症,可以有效地改善上述问题,使关系更加协调和稳定。 展开更多
关键词 磨牙症 牙合垫 闭合时间 牙尖交错牙合
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松弛性及稳定性垫对咀嚼肌肌电影响的探讨 被引量:15
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作者 程蕙娟 张富强 叶少波 《上海口腔医学》 CAS CSCD 2002年第1期22-24,共3页
目的 探讨松弛性牙合垫与稳定性牙合垫对咀嚼肌 (咬肌、颞肌前束 )肌电的影响。方法  2 0名健康志愿者不戴牙合垫与戴松弛性牙合垫和下颌稳定性牙合垫时分别作正中紧咬 ,比较颞肌前束、咬肌肌电积分值的改变。结果 戴入松弛性牙合垫... 目的 探讨松弛性牙合垫与稳定性牙合垫对咀嚼肌 (咬肌、颞肌前束 )肌电的影响。方法  2 0名健康志愿者不戴牙合垫与戴松弛性牙合垫和下颌稳定性牙合垫时分别作正中紧咬 ,比较颞肌前束、咬肌肌电积分值的改变。结果 戴入松弛性牙合垫和稳定性牙合垫后 ,颞肌前束、咬肌肌电积分值均有下降 ,戴松弛性牙合垫更显著。结论 松弛性牙合垫和稳定性牙合垫均对咀嚼肌有松弛作用。 展开更多
关键词 咀嚼肌 肌电图 HE垫 松弛性 稳定性
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鼻咽癌适形放疗中摆位误差的测定 被引量:14
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作者 潘建基 郑步宏 +3 位作者 张瑜 陈传本 李金莲 张秀春 《癌症》 SCIE CAS CSCD 北大核心 2006年第1期115-118,共4页
背景与目的:鼻咽癌适形射治疗摆位误差是决定计划靶区(planningtargetvolume,PTV)外扩范围(PTVmargin,MPTV)的关键因素,本研究应用“垫内置标记点法(垫法)”测量鼻咽癌适形放射治疗中的摆位误差,并计算出PTV外扩范围。方法:22例行适形... 背景与目的:鼻咽癌适形射治疗摆位误差是决定计划靶区(planningtargetvolume,PTV)外扩范围(PTVmargin,MPTV)的关键因素,本研究应用“垫内置标记点法(垫法)”测量鼻咽癌适形放射治疗中的摆位误差,并计算出PTV外扩范围。方法:22例行适形放射治疗的鼻咽癌患者制作垫并在其中镶上金属球作为内标记。通过比较射野影像片和定位CT上内标记点的坐标来计算摆位误差。由公式MPTV=2.5!+0.7σ分别计算出考虑和不考虑器官运动的MPTV大小。结果:22例患者在X、Y、Z轴上的摆位系统误差标准差(Σ)分别为1.13mm、1.47mm、1.31mm;摆位随机误差标准差(σ)分别为0.81mm、0.45mm、0.80mm。不考虑器官运动时在X、Y、Z轴上的MPTV大小分别为3.40mm、3.98mm、3.83mm。考虑器官运动时在X、Y、Z轴上的MPTV大小分别为3.75mm、4.35mm、4.16mm。结论:应用垫法能够比较精确地测量出符合实际情况的摆位误差值,并确定了MPTV的大小,从而使制定的适形放疗计划更具有科学性。 展开更多
关键词 鼻咽癌 摆位误差 [牙合]垫法 适形放射治疗 空间分辨率
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稳定型咬合板治疗颞下颌关节紊乱病疼痛症状的研究 被引量:14
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作者 秦海燕 王美青 袁莉 《实用口腔医学杂志》 CAS CSCD 北大核心 2006年第1期68-71,共4页
目的:探讨稳定型咬合板治疗颞下颌关节紊乱病(TMD)疼痛的疗效。方法:TMD疼痛患者61例,急性组28例(男11例,女17例);慢性组33例(男18例,女15例)。记录治疗前后疼痛指数,双侧颞肌前束(temporal anterior,TA)和咬肌(m assetermusc le,MM)牙... 目的:探讨稳定型咬合板治疗颞下颌关节紊乱病(TMD)疼痛的疗效。方法:TMD疼痛患者61例,急性组28例(男11例,女17例);慢性组33例(男18例,女15例)。记录治疗前后疼痛指数,双侧颞肌前束(temporal anterior,TA)和咬肌(m assetermusc le,MM)牙尖交错位最大紧咬时电位及最大紧咬时咬合接触情况。结果:(1)2组治疗后1月疼痛指数均明显低于治疗前(P<0.05),治疗前后疼痛强度差值及显效率2组之间无显著差异(P>0.05)。(2)治疗后无论是急性组还是慢性组TA及MM最大紧咬电位症状侧均较治疗前明显升高(P<0.05),而非症状侧治疗前后无明显差异(P>0.05)。(3)治疗后急性组TA和MM肌电不对称指数与治疗前相比均明显降低(P<0.05)。治疗后肌电不对称指数TA慢性组明显高于急性组(P<0.05),而MM无明显差异(P>0.05)。(4)2组治疗前后左、右两侧咬合接触点数、以及咬合接触不对称指数无明显差异(P>0.05)。结论:稳定型咬合板治疗可以明显缓解TMD疼痛,但对急、慢性疼痛的缓解程度无明显差异。其机制可能与肌功能活动情况易于得到明显改善等生理学基础有关。 展开更多
关键词 颞下颌关节紊乱病 稳定型咬合板 肌电 咬合接触 疼痛
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