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全牙列冶垫治疗颞下颌关节痛的临床疗效观察
引用本文:张筱薇,张强,周立伟.全牙列冶垫治疗颞下颌关节痛的临床疗效观察[J].广东牙病防治,2010,18(1):26-29.
作者姓名:张筱薇  张强  周立伟
作者单位:1. 深圳市第二人民医院口腔科,广东,深圳,518035
2. 南方医科大学附属深圳市妇幼保健院口腔病防治中心,广东深圳,518048
基金项目:深圳市科技基金资助(200204069)
摘    要:目的研究全牙列[牙合]垫治疗颞下颌关节痛的临床效果。方法选取颞下颌关节疼痛患者分为治疗组和对照组,治疗组360例,其中低龄组(小于35岁)194例,高龄组(大于或等于35岁)166例,接受全牙列[牙合]垫治疗;对照组100例,接受健康宣教。分别于治疗(或宣教)前和治疗(或宣教)后2周、2个月、3个月对2组患者进行视觉模拟尺(visual analog scale,VAS)疼痛评价。结果戴入[牙合]垫后1~2周,治疗组患者的疼痛、弹响、张口受限等关节紊乱症状均有缓解。全牙列[牙合]垫组和对照组疗效差异有统计学意义(χ2=297.11,P〈0.05)。低龄组治疗后3个月的VAS评分低于高龄组,差异有统计学意义(t=5.159,P〈0.05)。结论全牙列垫能有效缓解颞下颌关节痛患者的临床症状,低龄组患者[牙合]垫治疗的远期效果好于高龄组。

关 键 词:颞颌关节疼痛  胎垫  调[牙合]

Clinical Observation of the Derangement of Temporomandibular Joint Treatment Using the Whole Dentition Occlusal Splint
ZHANG Xiao-wei,ZHANG Qiang,ZHOU Li-wei.Clinical Observation of the Derangement of Temporomandibular Joint Treatment Using the Whole Dentition Occlusal Splint[J].Journal of Dental Prevention and Treatment,2010,18(1):26-29.
Authors:ZHANG Xiao-wei  ZHANG Qiang  ZHOU Li-wei
Affiliation:. (Department of Stomatology, the Second People's Hospital of Shenzhen, Shenzhen 518035, China)
Abstract:Objective The aim of this clinical observation was to investigate the clinical therapeutic effect of the whole dentition occlusal splint on the patient with the derangement of temporomandibular joint. Methods A total of 360 patients,who reported having suffered from temporomandibular joint disorders and serious tooth attrition,were interviewed. A kind of soft film made by Dental Resources Inc. was chosen,with different thickness. Before using of the occlusal splint,we adjusted the cusps of teeth in the dent...
Keywords:Pain of temporomandibular joint  Occlusal splint  Occlusal adjustment  
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