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通过纠正咬合垂直距离减小来治疗颞下颌关节紊乱症。

Temporomandibular Disorders Treatment with Correction of Decreased Occlusal Vertical Dimension.

作者信息

Guguvcevski Ljuben, Gigovski Nikola, Mijoska Aneta, Zlatanovska Katerina, Arsova-Gigovska Ana

机构信息

Faculty for Dental Medicine, Ss Cyril and Methodius University of Skopje, Skopje, Republic of Macedonia.

Faculty for Medical Sciences, University Goce Delchev, Shtip, Republic of Macedonia.

出版信息

Open Access Maced J Med Sci. 2017 Oct 25;5(7):983-986. doi: 10.3889/oamjms.2017.201. eCollection 2017 Dec 15.

Abstract

BACKGROUND

The term decreased occlusal vertical dimension refers to the reduced distance between two anatomical points while the teeth are in a state of occlusion. The development of this situation is about some parafunctional activities of the masticatory system.

AIM

To evaluate the value of decreased occlusal vertical dimension in cases with temporomandibular disorder and to follow up the influence of corrective treatment with occlusal splints and definitive prosthetic construction upon the elimination of clinical symptoms.

MATERIAL AND METHODS

Eight cases with decreased occlusal vertical dimension accompanied with temporomandibular disorders were treated with an occlusal splint, as part of reversible occlusal treatment. After reducing, or complete elimination of the symptoms related to problems of decreased occlusal vertical dimension, the definitive prosthetic therapy was performed.

RESULTS

The mean value of decreased occlusal vertical dimension in our patients is 8.5 mm, and the mean value of therapy time with an occlusal splint in these patients was 3.5 months.

CONCLUSION

Occlusal splint is a part of reversible occlusal therapy in cases with decreased occlusal vertical dimension. After reducing the symptoms related to decreased occlusal vertical dimension definitive prosthetic therapy can be done.

摘要

背景

咬合垂直距离减小这一术语是指牙齿处于咬合状态时两个解剖点之间距离的缩短。这种情况的发生与咀嚼系统的一些副功能活动有关。

目的

评估咬合垂直距离减小在颞下颌关节紊乱病例中的价值,并随访咬合板和确定性修复体构建的矫正治疗对消除临床症状的影响。

材料与方法

8例咬合垂直距离减小并伴有颞下颌关节紊乱的患者接受了咬合板治疗,作为可逆性咬合治疗的一部分。在减轻或完全消除与咬合垂直距离减小问题相关的症状后,进行确定性修复治疗。

结果

我们患者中咬合垂直距离减小的平均值为8.5毫米,这些患者使用咬合板的平均治疗时间为3.5个月。

结论

咬合板是咬合垂直距离减小病例中可逆性咬合治疗的一部分。在减轻与咬合垂直距离减小相关的症状后,可以进行确定性修复治疗。

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