颞下颌关节紊乱病患者的疼痛管理：生物氧化臭氧疗法与咬合板疗法的对比
Management of pain in TMD patients: Bio-oxidative ozone therapy versus occlusal splints.
作者信息
Celakil Tamer, Muric Almina, Gökcen Roehlig Bilge, Evlioglu Gulumser
机构信息
a Faculty of Dentistry, Department of Prosthodontics , Istanbul University , Istanbul , Turkey.
出版信息
Cranio. 2019 Mar;37(2):85-93. doi: 10.1080/08869634.2017.1389506. Epub 2017 Oct 24.
OBJECTIVE
To compare the effects of bio-oxidative ozone application with occlusal splints in temporomandibular disorder (TMD) patients with pain.
METHODS
Forty participants were selected after the diagnosis of TMD and randomly divided into two groups: ozone group (OG, n = 20) and occlusal splint group (OCSG, n = 20). Ozone was applied to patients three times per week, for a total of six sessions. Patients in the OCSG were instructed to use occlusal splints every night over a period of four weeks.
RESULTS
Mandibular movements showed significant differences for the time factor in OG and OCSG. Pressure pain thresholds of the temporal and masseter muscles at follow-up were significantly higher in the OCSG group. Both treatments statistically decreased the visual analog scale (VAS) scores. However, no statistically significant difference was observed between groups after the application of treatments.
DISCUSSION
Occlusal splint treatment is still the gold treatment modality for objective pain relief in patients with TMD pain.
目的
比较生物氧化臭氧疗法与咬合板对颞下颌关节紊乱病（TMD）疼痛患者的治疗效果。
方法
选取40例经诊断为TMD的患者，随机分为两组：臭氧组（OG，n = 20）和咬合板组（OCSG，n = 20）。臭氧治疗每周3次，共6次。OCSG组患者被要求在四周内每晚佩戴咬合板。
结果
OG组和OCSG组下颌运动在时间因素上存在显著差异。随访时，OCSG组颞肌和咬肌的压痛阈值显著更高。两种治疗方法均能使视觉模拟评分（VAS）显著降低。然而，治疗后两组间未观察到统计学上的显著差异。
讨论
咬合板治疗仍是TMD疼痛患者客观缓解疼痛的金标准治疗方式。
Zotero 插件