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[正畸治疗合并颞下颌关节紊乱病的病理性牙磨损的疗效]

[The efficacy of the orthodontic treatment of pathological dental abrasion complicated by temporomandibular joint dysfunction].

作者信息

Kalamkarov Kh A, Kulikov R I, Sedrakian A N, Kakosian K M, Kalamkarova S Kh

出版信息

Stomatologiia (Mosk). 1991 Mar-Apr(2):57-61.

PMID:1853387
Abstract

A total of 426 patients, 215 female and 211 male ones, aged 40 to 65, were treated for abnormal abrasion of the teeth; 52 of these developed temporomandibular joint dysfunction. Orthodontic and physiotherapeutic methods were added to the complex of therapeutic measures for this patient population. Orthodontic treatment was aimed at normalization of the occlusion height (interalveolar space) and mandibular status and was carried out with a plastic cup attached to the denture for a period of up to 6 months. This was followed by rational prosthetics. Good late results were achieved in 48 patients (92.2 percent) with temporomandibular joint dysfunction. Four patients developed recurrences of such dysfunction in various periods after the treatment.

摘要

共有426例年龄在40至65岁之间的患者因牙齿异常磨损接受治疗,其中女性215例,男性211例;这些患者中有52例出现颞下颌关节功能障碍。针对该患者群体,在综合治疗措施中增加了正畸和物理治疗方法。正畸治疗旨在使咬合高度(牙槽间隙)和下颌状态正常化,通过在义齿上附着塑料杯进行,为期最长6个月。随后进行合理的修复。48例(92.2%)颞下颌关节功能障碍患者获得了良好的远期效果。4例患者在治疗后的不同时期出现了这种功能障碍的复发。

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