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使用新型全口义齿治疗后颞下颌关节紊乱病的变化

Changes in temporomandibular disorders after treatment with new complete dentures.

作者信息

Dervis E

机构信息

Department of Prosthodontics, Faculty of Dentistry, University of Istanbul, Istanbul, Turkey.

出版信息

J Oral Rehabil. 2004 Apr;31(4):320-6. doi: 10.1046/j.1365-2842.2003.01245.x.

Abstract

A total of 250 edentulous patients (118 non-denture and 132 denture wearing) awaiting treatment for new complete dentures were examined for signs and symptoms of temporomandibular disorders. Signs and symptoms of temporomandibular disorder (TMD) were evaluated before prosthetic treatment, 3 months and 3 years after denture insertion by means Helkimo's Anamnestic and Clinical Dysfunction Indices. Before treatment began, patients were observed to have a low prevalence of signs and symptoms of TMD. This prevalence decreased, but was not statistically significant, in the 3 months and 3 years after denture insertion. No statistically significant correlations were found between signs and symptoms of TMD and denture retention, stability, occlusal errors, freeway space, age of present denture, or number of sets of dentures.

摘要

共有250名等待新全口义齿治疗的无牙颌患者(118名未戴义齿者和132名戴义齿者)接受了颞下颌关节紊乱病体征和症状的检查。通过赫尔基莫记忆和临床功能指数,在修复治疗前、义齿佩戴后3个月和3年对颞下颌关节紊乱病(TMD)的体征和症状进行评估。在治疗开始前,观察到患者TMD体征和症状的患病率较低。在义齿佩戴后的3个月和3年,该患病率有所下降,但无统计学意义。未发现TMD体征和症状与义齿固位、稳定性、咬合误差、息止间隙、现有义齿使用年限或义齿套数之间存在统计学上的显著相关性。

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