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颞下颌关节内紊乱的微型夹板治疗试验——手法复位未成功病例的应用

[A trial of mini-splint therapy for internal derangement of TMJ--application for cases without reduction by manipulation technique].

作者信息

Mori M, Kawasaki T, Yamaguchi Y, Naitoh A, Kobayashi T, Yamamoto G, Sawatari S, Yoshitake K

出版信息

Nihon Ago Kansetsu Gakkai Zasshi. 1989;1(2):23-30.

PMID:2519908
Abstract

The mini-splint was applied to 21 patients with internal derangement of the temporomandibular joint (TMJ) who had failed in treatment by the manipulation technique. This appliance was constructed of two splints, which were built on the bilateral upper first bicuspids (teeth number 14 & 24, FDI) by methyl-meta-acrylate. As a result, the mean of the maximum interincisal distance was improved from 25.0 mm before to 41.0 mm after splint therapy. Among 21 patients, 18 patients were improved in interincisal opening, 12 patients were free from TMJ pain, and 3 patients were relieved from joint noise. Our studies indicate that this technique is useful as one of the treatment methods of TMJ internal derangement.

摘要

对21例经手法治疗失败的颞下颌关节内紊乱(TMJ)患者应用微型夹板。该矫治器由两个夹板组成,用甲基丙烯酸甲酯制作在双侧上颌第一双尖牙(FDI编号14和24)上。结果,最大切牙间距离的平均值从夹板治疗前的25.0mm提高到治疗后的41.0mm。21例患者中,18例切牙间开口度改善,12例TMJ疼痛消失,3例关节弹响减轻。我们的研究表明,该技术作为TMJ内紊乱的治疗方法之一是有用的。

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