Nokubi T, Ono T, Morimitsu T, Okuno Y
Osaka Daigaku Shigaku Zasshi. 1989 Dec;34(2):423-30.
The bite plane therapy has been one of the most useful treatment methods for patients with temporomandibular joint (TMJ) dysfunction. But the bite plane usually causes esthetic and articulation disturbances and it is occasionally difficult to use during mastication. The authors have fabricated a new type of bite plane, named occlusal splints, which covers each side of the premolars and molars. The occlusal splint was constructed by a hard-resin for the occlusal part and cast clasps for the retentive part and these parts were adhered after a pre-treatment of metal by the use of a silane coupling agent (Silicoater system). The patient was a 35 year-old man, with a chief complaint of left side reciprocal TMJ clicking. The anterior repositioning type of bite plane was applied for the treatment with the diagnosis of anterior disk displacement with reduction. But he complained of esthetic and articulation disturbances especially during working and eating. After four months we fabricated an occlusal splint that can be used for a long period of time. The patient was satisfied to use this occlusal splint and no symptoms of TMJ dysfunction were found with this appliance. It is suggested that the occlusal splint consisting of a hard-resin and cast clasps is a useful appliance especially for the purpose of use during working and eating, and for evaluating the properness of mandibular position.
咬合板疗法一直是治疗颞下颌关节（TMJ）功能障碍患者最有效的治疗方法之一。但咬合板通常会引起美观和咬合干扰，而且在咀嚼时偶尔难以使用。作者制作了一种新型咬合板，称为咬合夹板，它覆盖了前磨牙和磨牙的每一侧。咬合夹板的咬合部分由硬质树脂制成，固位部分由铸造卡环制成，这些部分在使用硅烷偶联剂（Silicoater系统）对金属进行预处理后进行粘接。患者为一名35岁男性，主要症状为左侧颞下颌关节往复弹响。诊断为可复性盘前移位，采用前伸复位型咬合板进行治疗。但他抱怨美观和咬合干扰，尤其是在工作和进食时。四个月后，我们制作了一种可长期使用的咬合夹板。患者对使用这种咬合夹板感到满意，使用该矫治器未发现颞下颌关节功能障碍症状。结果表明，由硬质树脂和铸造卡环组成的咬合夹板是一种有用的矫治器，尤其适用于工作和进食时使用，以及评估下颌位置的正确性。
