Department of Prosthodontics, Medical University of Warsaw, 59 Nowogrodzka St., Bldg. XIA, 02-006, Warsaw, Poland,
Adv Exp Med Biol. 2013;788:181-8. doi: 10.1007/978-94-007-6627-3_27.
Studies suggest an association between orofacial pain, accompanying temporomandibular disorders of myogenous origin, and headache, especially its tension-type. The occlusal appliance therapy is one of the options for the treatment of orofacial pain due to masticatory muscles tenderness. The aim of the present study was to assess the effectiveness of occlusal stabilization splint therapy in myofascial pain and tension-type headache in patients with sleep-disordered breathing. Forty three such patients were enrolled into the study group. The patients were treated with stabilization occlusal splint of vertical thickness at vertical jaw separation, established individually for each patient using a cephalometric analysis. The intensity of orofacial pain (numeric rating scale) and headache (analog rating scale), frequency of headache (%), and jaw qualitative function were assessed at baseline and after 2 and 6 months. Medians of headache and orofacial pain intensity were reduced after 6 months of treatment compared with baseline: 6.0 vs. 2.0 (p < 0.0001) and 6.0 vs. 1.0 (p < 0.0001), respectively. Pain decreased below 3 score points in 61.8 % of the patients with headache (p = 0.23) and in 85.3 % of patients with orofacial pain (p < 0.0001). Overall, the improvement in both signs and symptoms of orofacial pain was observed 81.4 % of patients after using occlusal stabilization splint for 6 months. We conclude that occlusal stabilization splint was effective in reducing painful symptoms of temporomandibular disorders of myogenous origin, a frequent feature of sleep disordered breathing.
研究表明，口颌面部疼痛、伴有肌源性颞下颌关节紊乱和头痛（尤其是紧张型头痛）之间存在关联。咬合矫正器治疗是治疗咀嚼肌压痛引起的口颌面部疼痛的方法之一。本研究旨在评估咬合稳定夹板治疗睡眠呼吸障碍患者的肌筋膜疼痛和紧张型头痛的疗效。43 名符合条件的患者被纳入研究组。使用头影测量分析为每位患者单独建立垂直颌间距离的垂直厚度的稳定咬合夹板对患者进行治疗。在基线、治疗后 2 个月和 6 个月评估口颌面部疼痛（数字评分量表）和头痛（模拟评分量表）强度、头痛频率（%）和下颌定性功能。与基线相比，治疗 6 个月后头痛和口颌面部疼痛强度的中位数降低：6.0 对 2.0（p<0.0001）和 6.0 对 1.0（p<0.0001）。61.8%的头痛患者（p=0.23）和 85.3%的口颌面部疼痛患者（p<0.0001）的疼痛评分降至 3 分以下。总的来说，81.4%的患者在使用咬合稳定夹板治疗 6 个月后，口颌面部疼痛的体征和症状均有改善。我们的结论是，咬合稳定夹板治疗肌源性颞下颌关节紊乱引起的疼痛症状有效，这是睡眠呼吸障碍的常见特征。
