磨牙症各类牙合垫的临床治疗研究现状与展望

摘要/Abstract

摘要： 牙合垫是治疗磨牙症的常用方法，通过机械性地隔离上下颌牙齿之间的直接接触、促进咀嚼肌放松、解除牙合干扰等，有效减轻磨牙症对口颌系统功能的损害。牙合垫的种类多样，不同制作方法、覆盖范围、材料、咬合接触方式的牙合垫特点不同，对磨牙症的治疗效果也存在差异。随着数字化技术、生物反馈技术、人工智能技术的发展，新型牙合垫的研发和临床应用逐渐成为研究热点。该文通过综述不同类型牙合垫的特点以及在磨牙症治疗中的效果，为临床上不同表现的磨牙症选择合适的牙合垫提供依据，同时为未来牙合垫的临床研究方向提供建议。

关键词: 磨牙症, 牙合垫, 治疗效果

Abstract: Occlusal splint is a commonly used method for treating bruxism. By mechanically isolating the direct contact between maxillary and mandibular teeth, relaxing the masticatory muscles and eliminating occlusal interference, it can effectively reduce the symptoms of bruxism and its damage to the function of stomatognathic system. There are many kinds of occlusal splints in clinical practice. Different manufacturing methods, coverage area, materials and occlusal contact modes bring different treatment outcomes. Especially with the development of digital technology, biofeedback technology and artificial intelligence technology, researches on new occlusal splints have gradually become a hotspot. In this paper, the characteristics of different types of occlusal splints and their clinical effects on treating bruxism were reviewed. It is proposed to provide suggestions for clinical selection of appropriate occlusal splints for bruxism and to enlighten future clinical researches.

Key words: bruxism, occlusal splint, treatment effect

中图分类号:

R782.6

喻靓汪淑华郑园娜. 磨牙症各类牙合垫的临床治疗研究现状与展望[J]. 口腔医学, 2021, 41(10): 928-931.

参考文献 32

[1]	Lobbezoo F, Ahlberg J, Raphael K G, et al.International consensus on the assessment of bruxism: Report of a work in progress[J]. Journal of Oral Rehabilitation, 2018, 45(11).[J].Journal of Oral Rehabilitation, 2018, 45(11):-
[2]	Manfredini D, Winocur E, Guarda-Nardini L, et al.Epidemiology of Bruxism in Adults: A Systematic Review of the Literature[J].Journal of Orofacial Pain, 2013, 27(2):99-110
[3]	Zofia Maciejewska-Szaniec, Barbara Maciejewska, Katarzyna Mehr, et al.Assessment of the symptoms of bruxism in young people in the last high-school grades[J].Family Medicine & Primary Care Review, 2016, 18(3):282-285
[4]	Nogueira Coutinho Emidgio, Pereira Rodrigues Dos Santos Kelly, Henrique Barros Ferreira Eduardo, et al.Association between self-reported sleep bruxism and temporomandibular disorder in undergraduate students from Brazil[J].Cranio : the journal of craniomandibular practice, 2020, 38(2):91-98
[5]	Nogueira Coutinho Emidgio, Pereira Rodrigues Dos Santos Kelly, Henrique Barros Ferreira Eduardo, et al.Association between self-reported sleep bruxism and temporomandibular disorder in undergraduate students from Brazil[J].Cranio : the journal of craniomandibular practice, 2020, 38(2):91-98
[6]	NashedA, LanfranchiP, RompreP, et al.Sleep bruxism is associated with a rise in arterial blood pressure[J].Sleep, 2012, 35(4):529-536
[7]	李建社.磨牙症的病因研究与治疗进展[J].全科口腔医学电子杂志, 2019, 6(26):52-53
[8]	Lobbezoo F, van der Zaag J, van Selms M K A, et al.Principles for the management of bruxism[J].Journal of Oral Rehabilitation, 2008, 35(7):509-523
[9]	Cristiane R Macedo, Ademir B Silva, Marco Antonio C Machado, et al.Occlusal splints for treating sleep bruxism (tooth grinding)[J]. Cochrane Database Syst Rev, 2007:(4).[J].Cochrane Database Syst Rev, 2007, :-
[10]	Seifollah Gholampour1, Hanie Gholampour, Hamed Khanmohammadi.Finite element analysis of occlusal splint therapy in patients with bruxism[J].BMC Oral Health, 2019, 19(205):3-9
[11]	Lilian Chrystiane Giannasi, Israel Reis Santos, Thays Almeida Alfaya, et al.Effect of an occlusal splint on sleep bruxism in children in a pilot study with a short-term follow up[J].Journal of Bodywork and Movement Therapies, 2013, 17(4):418-422
[12]	Cinthia S.M. Amorim,Adriana SEspirito Santo,Marjorie Sommer,et al. Effect of Physical Therapy in Bruxism Treatment: A Systematic Review[J].Journal of manipulative and physiological therapeutics, 2018, 41(5):389-404
[13]	Wang LF, Long Hu, Deng M, et al.Biofeedback treatment for sleep bruxism: a systematic review[J].Sleep Breath, 2014, 18(2):235-242
[14]	Ommerborn MA, Taghavi J, Singh P, et al.Therapies most frequently used for the management of bruxism by a sample of German dentists[J].J Prosthet Dent, 2011, 105(3):194-202
[15]	谷志远，傅开元，张震康.颞下颌关节紊乱病[M].北京：人民卫生出版社，2008：242-250.
[16]	王时敏，李峥，王冠博，等.全程数字化夜磨牙保护牙合垫的制作和初步应用[J].北京大学学报医学版, 2019, 51(1):105-110
[17]	Christian Berntsen, Martin Kleven, Marianne Heian, et al.Clinical comparison of conventional and additive manufactured stabilization splints[J].Acta Biomater Odontol Scand, 2018, 4(1):81-89
[18]	马慧芬，李玉超，林雪芬，等.青年磨牙症伴深覆牙合患者使用前牙平面导板治疗前后的咬合分析[J].国际口腔医学杂志, 2009, 36(4):387-390
[19]	薛芳，吴昊.夜磨牙症患者咬合及睡眠特征和弹性牙合垫的矫治作用分析[J].临床口腔医学杂志, 2018, 34(5):285-288
[20]	胡爱平，刘忠响.两种全牙列牙合垫治疗儿童夜磨牙的临床效果比较[J].全科口腔医学杂志, 2018, 5(31):3-12
[21]	Shilpa Shetty, Varun Pitti, C.L. Satish Babu, et al.Bruxism: A Literature Review[J]. The Journal of Indian Prosthodontic Society, 2010, 141-148.[J].The Journal of Indian Prosthodontic Society, 2010, 10(3):141-148
[22]	林瑞，郁春华，孙健.用于三维打印咬合板的聚碳酸酯材料性能研究[J].上海口腔医学, 2019, 28(5):467-471
[23]	Merve Benli, Beril Eker Gümü, Yusuf Kahraman, et al.Surface roughness and wear behavior of occlusal splint materials made of contemporary and high-performance polymers[J].Odontology, 2020, 108(6):240-250
[24]	C Candirli, YT Korkmaz, M Celikoglu, et al.Dentists’ knowledge of occlusal splint therapy for bruxism and temporomandibular joint disorders[J].Nigerian journal of clinical practice, 2016, 19(4):496-501
[25]	孙炜，赵莹琼.软性牙合垫和硬性牙合垫治疗夜磨牙或紧咬牙的临床效果观察[J].口腔疾病防治, 2016, 24(12):733-735
[26]	Karakis D, Dogan A, Bek B.Evaluation of the effect of two different occlusal splints on maximum occlusal force in patients with sleep bruxism: a pilot study[J].Adv Prosthodont, 2014, 6(2):103-8
[27]	J P, Okeson.The effects of hard and soft occlusal splints on nocturnal bruxism[J].Journal of the American Dental Association, 1987, 114(6):788-91
[28]	刘伟才，王海波，李强.和稳定咬合板治疗磨牙症的多导睡眠监测研究[J].华西口腔医学杂志, 2012, 30(1):54-56
[29]	Manfredini D, Ahlberg J, Winocur E, et al.Management of sleep bruxism in adults: a qualitative systematic literature review[J].Journal of Oral Rehabilitation, 2015, 42(11):862-874
[30]	Riley Philip, Glenny Anne-Marie, Worthington Helen V, et al.Oral splints for patients with temporomandibular disorders or bruxism: a systematic review and economic evaluation[J]. British Dental Journal, 2020, 228:191-197.[J].British Dental Journal, 2020, 228:191-197
[31]	Antonia Tanzil.Peran ‘Oral Splint’ pada Bruxisme[J].Journal of Dentistry Indonesia, 2013, 15(1):36-43
[32]	Jinxia Gao, Longjun Liu, Peng Gao, et al.Intelligent Occlusion Stabilization Splint with Stress-Sensor System for Bruxism Diagnosis and Treatment[J].Sensors, 2020, 20(1):89-