Suvinen T, Reade P
University of Melbourne, Faculty of Dental Science, Vict., Australia.
J Prosthet Dent. 1989 Mar;61(3):355-61. doi: 10.1016/0022-3913(89)90145-5.
Fifty consecutive patients diagnosed as suffering from a temporomandibular joint pain-dysfunction syndrome that required occlusal splint therapy were studied. Particular attention was given to observable features that could be analyzed during resolution as indicated by using successive visual analogue scales for pain assessment. By photographing occlusal registrations before and after each splint adjustment visit it was shown that the stabilization of occlusal patterns as resolution progressed gave a good indication of the success of treatment in most patients. In patients in which stabilization of patterns occurred but pain continued there was an indication of a complicating psychosocial disorder.
对连续50例被诊断患有颞下颌关节疼痛功能紊乱综合征且需要咬合夹板治疗的患者进行了研究。特别关注了在症状缓解过程中可观察到的特征,这些特征可通过连续使用视觉模拟量表进行疼痛评估来分析。通过在每次调整夹板前后拍摄咬合记录照片发现,随着症状缓解,咬合模式的稳定在大多数患者中很好地表明了治疗的成功。在咬合模式稳定但疼痛仍持续的患者中,提示存在复杂的社会心理障碍。