Datarkar Abhay, Daware Surendra, Dande Ravi
Department of Oral and Maxillofacial Surgery, Government Dental College and Hospital, Nagpur, India.
Department of Dentistry, Government Medical College and Hospital, Nagpur, India.
J Maxillofac Oral Surg. 2017 Sep;16(3):342-346. doi: 10.1007/s12663-016-0991-6. Epub 2016 Dec 17.
Temporomandibular disorders (TMDs) represent a group of painful conditions involving the muscles of mastication and the temporomandibular joint (TMJ) that frequently encountered in general clinical practice. This study is designed to assess the utility of vacuum pressed silicon sheet as a bite raising appliance in the management of TMJ dysfunction syndrome.
The patients for this study were selected from those with the chief complaint of TMJ disorder. Out of 200 patients, 104 patients were diagnosed with subluxation and 96 patients were diagnosed with internal derangement of temporomandibular joint. All the reported cases were managed conservatively with physiotherapy and muscle relaxant therapy for one week period and followed with silicon bite raising appliance over both the arches in the subsequent period.
All the patients had pain relief within six months duration as graded over verbal analog scale. ANOVA scale was used for comparision of VAS scores.
The use of vacuum pressed bite raising appliance in the management of TMJ disorder was found to be satisfactorily effective in alleviation of pain symptom in our study group.
颞下颌关节紊乱病（TMDs）是一组涉及咀嚼肌和颞下颌关节（TMJ）的疼痛性疾病，在普通临床实践中经常遇到。本研究旨在评估真空压制硅片作为一种咬合升高矫治器在颞下颌关节功能障碍综合征管理中的效用。
本研究的患者选自以颞下颌关节紊乱为主诉的患者。在200例患者中，104例被诊断为半脱位，96例被诊断为颞下颌关节内紊乱。所有报告的病例均先进行为期一周的保守治疗，包括物理治疗和肌肉松弛剂治疗，随后在接下来的时期使用硅质咬合升高矫治器覆盖上下牙弓。
所有患者在六个月内疼痛缓解，疼痛程度通过视觉模拟量表进行分级。采用方差分析量表比较视觉模拟量表（VAS）评分。
在我们的研究组中，发现使用真空压制咬合升高矫治器治疗颞下颌关节紊乱病在缓解疼痛症状方面具有令人满意的效果。
