Fu Kaiyuan, Zhang Hao, Ma Xuchen, Zhang Zhenkang, Zhao Yangping
Center for TMD and Orofacial Pain, Peking University School of Stomatology, Beijing 100081, China.
Zhonghua Kou Qiang Yi Xue Za Zhi. 2002 Jan;37(1):36-8.
To evaluate a new treatment method for temporomandibular joint acute disk displacement without reduction.
Twenty-one patients diagnosed as acute anterior disk displacement without reduction were treated by manipulation with the aid of joint cavity extension followed by anterior repositioning splint. All and eleven of twenty-one patients were re-examined two weeks after insertion of splint and at the end of treatment (3 approximately 6 months later).
(1) Degree of maximum mouth opening was increased from 25.8 mm before treatment to 46.6 mm 2 weeks after, 48.1 mm at the end of treatment; (2) Mean pain level (VAS) dropped from 2.62 before treatment to 0.43 2 weeks after, 0.18 at the end of treatment; (3) Fricton's TMJ dysfunction index and craniomandibular index decreased from 0.337 and 0.185 respectively before treatment to 0.021 and 0.011 respectively 2 weeks after, 0.031 and 0.018 respectively at the end of treatment.
The treatment method should be considered for acute anterior disk displacement without reduction if medication and physical therapy failed to have disk successfully reduced.
评估一种治疗颞下颌关节急性不可复性盘前移位的新方法。
对21例诊断为急性不可复性盘前移位的患者，采用关节腔扩张辅助手法复位，随后佩戴前伸复位夹板进行治疗。21例患者均在佩戴夹板后2周及治疗结束时（约3至6个月后）进行复查，其中11例患者还进行了额外复查。
（1）最大开口度从治疗前的25.8毫米增加至佩戴夹板后2周的46.6毫米，治疗结束时为48.1毫米；（2）平均疼痛程度（视觉模拟评分法）从治疗前的2.62降至佩戴夹板后2周的0.43，治疗结束时为0.18；（3）Fricton颞下颌关节功能障碍指数和颅下颌指数分别从治疗前的0.337和0.185降至佩戴夹板后2周的0.021和0.011，治疗结束时分别为0.031和0.018。
如果药物治疗和物理治疗未能成功使盘复位，对于急性不可复性盘前移位可考虑采用该治疗方法。
