Vallon D, Ekberg E C, Nilner M, Kopp S
Department of Stomatognathic Physiology, School of Dentistry, University of Lund.
Acta Odontol Scand. 1991 Apr;49(2):89-96. doi: 10.3109/00016359109005892.
The aim of this study was to assess the short-term effect of occlusal adjustment on craniomandibular disorders. Fifty patients were randomly selected and divided into a treatment (T) and a control (C) group. The initial clinical examination and the follow-up were made by one observer and the occlusal adjustment by another. There were no significant differences between groups with regard to frequency of headaches, facial pain, pain on mandibular function, or duration of headaches and facial pain. Fifty-two percent of the patients in the treatment group and 20% of the patients in the control group reported reduced subjective symptoms overall at follow-up examination. The improvement was statistically significant within the T group and significantly greater than in the C group. There was no significant change within or between groups with regard to frequency of headaches, facial pain, or pain on mandibular movements. There was an almost significant difference between groups after treatment with regard to changes in the number of tender muscles. The results of this study indicate that occlusal adjustment provides a general subjective improvement of craniomandibular disorders.
本研究的目的是评估咬合调整对颅下颌疾病的短期影响。随机选取50例患者，分为治疗组（T）和对照组（C）。初始临床检查和随访由一名观察者进行，咬合调整由另一名观察者进行。两组在头痛频率、面部疼痛、下颌功能疼痛或头痛和面部疼痛持续时间方面无显著差异。治疗组52%的患者和对照组20%的患者在随访检查时总体主观症状减轻。治疗组内的改善具有统计学意义，且显著大于对照组。两组在头痛频率、面部疼痛或下颌运动疼痛方面无显著变化。治疗后两组在压痛肌肉数量变化方面几乎存在显著差异。本研究结果表明，咬合调整可使颅下颌疾病的总体主观症状得到改善。
