再定位咬合板治疗颞下颌关节盘可复性前移位疗效观察

目的评价再定位咬合板治疗颞下颌关节盘可复性前移位的临床疗效。方法选择28名颞下颌关节盘可复性前移位患者。患者戴用再定位咬合板治疗后3个月、6个月、1年、2年复诊，行关节常规检查并拍x线片，评价治疗效果。结果经过再定位咬合板治疗，18名弹响患者中13名（72．22％）弹响完全消失，10名疼痛患者中8名（80．00％）疼痛消失，14名下颌运动异常患者中10名（71．43％）转为正常。26名患者认为治疗有效（92．86％）。结论再定位咬合板对治疗颞下颌关节盘前移位具有较好的疗效。

Clinical evaluation of repositioning splint therapy for TMD

Objective To assess the effect of repositioning splint therapy for anterior disc displacement with reduction of the temporomandibular joint.Methods Twenty-eight patients with anterior disc displacement with reduction were treated by repositioning splint.The patients were followed up for three months,six months,one year and two years after treatment.The clinical effects were evaluated by clinical examination and X-ray.Results Among the 18 patients with clicking joint,13 patients′ symptoms(72.22%) disappeared.Of all the 28 patients,26 patients(92.86%) agreed that the treatment was effective.Conclusion Repositioning splint is effective for the treatment of the anterior disc displacement with reduction.