›› 2013, Vol. 33 ›› Issue (10): 694-696.

• 基础与临床研究 • 上一篇    下一篇

垫式可摘局部义齿联合软垫治疗颞下颌关节紊乱病的疗效观察

迟帅,战德松   

  1. 中国医科大学口腔医学院
  • 收稿日期:2012-11-12 修回日期:2012-12-28 出版日期:2013-10-28 发布日期:2013-10-31
  • 通讯作者: 迟帅 E-mail:25658067@qq.com

Clinical evaluation of a therapy using occlusal splint removable partial denture and soft resilient splint for TMD

Shuai CHI,   

  • Received:2012-11-12 Revised:2012-12-28 Online:2013-10-28 Published:2013-10-31
  • Contact: Shuai CHI E-mail:25658067@qq.com

摘要: [摘要] 目的 观察利用垫式可摘局部义齿联合软垫对垂直距离过低的颞下颌关节紊乱病患者进行治疗的临床疗效。方法 选取16例垂直距离过低的颞下颌关节紊乱病患者对其采用垫式可摘局部义齿联合软垫的方法进行修复治疗,做3个月和半年的随访,用Fricton指数和临床症状评价效果。结果 16例患者在接受治疗后Fricton指数较治疗前有明显下降,半年较3个月下降更为明显,统计学分析显示治疗3个月和半年与治疗前比较各项数据差异均有显著性(P<0.05),治疗半年与3个月比较JP、MP、PI无统计学意义(P>0.05)。结论 垫式可摘局部义齿可以在修复牙列缺损、恢复垂直距离的同时联合软垫有效治疗颞下颌关节紊乱病。

关键词: 颞下颌关节紊乱病, 可摘局部义齿, 垫, temporomandibular joint disorder, removable partial denture, occlusal splint

Abstract: Abstract:Objective To assess the effect of occlusal splint removable partial denture and soft resilient splint therapy for temporomandibular disorders with badly decreased vertical dimension. Methods 16 patients suffering from temporomandibular disorders with badly decreased vertical dimension were treated by occlusal splint removable partial denture and soft resilient splint. Those patients were followed up for three months and half a year after the treatment .Both the clinical examination and Fricton’s Craniomandibular Index(CMI) were used to evaluated the clinical effect. Result The 16 patients’ Fricton index descent obviously after they were treated, which group with 6 months was superior to that with 3 months. And all the items are significantly discriminated between the group with 3 months and control group without treatment (P < 0.05), and 6 months and control group (P < 0.05),however, the items of JP, MP, PI of 3 months and 6 months are not(P>0.05). Conclusion Occlusal splint removable partial denture is not only appropriate for dentition defect and severely worn dentition but also effective for the treatment of TMD with soft resilient splint. splint.

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