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非侵入性关节减压:颞下颌关节病中骨髓再生和椎间盘恢复的一个重要因素。

Non-invasive joint decompression: An important factor in the regeneration of the bone marrow and disc recapture in temporomandibular arthropathies.

作者信息

Catunda I-S, Vasconcelos B-C-E, Corrêa M-V-M, Matos M-F, Nogueira E-F-C, Learreta J-A

机构信息

Dentistry School, University of Pernambuco, PhD and MsC program in Oral Maxillofacial Surgery, Av. General Newton Cavalcanti, 1650 Camaragibe, PE. Postcode: 54.753-220,

出版信息

Med Oral Patol Oral Cir Bucal. 2018 Sep 1;23(5):e506-e510. doi: 10.4317/medoral.22397.

DOI:10.4317/medoral.22397
PMID:30148461
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6167103/
Abstract

BACKGROUND

This article aims to demonstrate the importance of the TMJ (Temporomandibular Joint) decompression in the treatment of degenerative processes and disc displacements, reporting two clinical cases treated with orthopedic and decompressive correction of TMJ.

MATERIAL AND METHODS

The studies reported in this article show patients with muscle and joint pain who were evaluated pre and post-treatment through MRI (Magnetic Resonance Irradiation) to follow-up bone marrow regeneration and TMJ disc placement. Transcutaneous electrical stimulation (TENS), measurement equipment and IO (Intraoral Orthotic) were used to evaluate and treat the patients. A critical review of literature has also been conducted to confront clinical outcomes.

RESULTS

Marrow bone regeneration and disc placement were observed in both patients.

CONCLUSIONS

The use of measurement equipment associated with TENS to find the correct rest position of the Jaw an the use of IO to decompress the TMJ was an effective way to promote bone marrow regeneration and disc placement, consequently improving function and quality of life.

摘要

背景

本文旨在证明颞下颌关节(TMJ)减压在治疗退行性病变和盘移位中的重要性,报告两例采用颞下颌关节矫形和减压矫正治疗的临床病例。

材料与方法

本文报道的研究显示,患有肌肉和关节疼痛的患者在治疗前后通过磁共振成像(MRI)进行评估,以跟踪骨髓再生和颞下颌关节盘的位置。使用经皮电刺激(TENS)、测量设备和口内矫治器(IO)对患者进行评估和治疗。还对文献进行了批判性综述以对比临床结果。

结果

两名患者均观察到骨髓再生和盘复位。

结论

使用与TENS相关的测量设备来找到下颌的正确休息位置,并使用IO对颞下颌关节进行减压,是促进骨髓再生和盘复位的有效方法,从而改善功能和生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3cdb/6167103/766355d2d12c/medoral-23-e506-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3cdb/6167103/523c333e1db0/medoral-23-e506-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3cdb/6167103/a3d0504bb93f/medoral-23-e506-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3cdb/6167103/766355d2d12c/medoral-23-e506-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3cdb/6167103/523c333e1db0/medoral-23-e506-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3cdb/6167103/a3d0504bb93f/medoral-23-e506-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3cdb/6167103/766355d2d12c/medoral-23-e506-g003.jpg

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Jpn Dent Sci Rev. 2016 Nov;52(4):93-106. doi: 10.1016/j.jdsr.2016.04.004. Epub 2016 Sep 5.
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Changes in temporomandibular joint spaces after arthroscopic disc repositioning: a self-control study.关节镜下盘复位术后颞下颌关节间隙的变化:一项自身对照研究。
Sci Rep. 2017 Mar 31;7:45513. doi: 10.1038/srep45513.
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Does condylar height decrease more in temporomandibular joint nonreducing disc displacement than reducing disc displacement?: A magnetic resonance imaging retrospective study.
颞下颌关节不可复性盘移位时髁突高度的降低是否比可复性盘移位时更多?一项磁共振成像回顾性研究。
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Association of bone marrow edema with temporomandibular joint (TMJ) osteoarthritis and internal derangements.骨髓水肿与颞下颌关节(TMJ)骨关节炎及内部紊乱的关联。
Cranio. 2017 Jan;35(1):4-9. doi: 10.1080/08869634.2016.1156282. Epub 2016 Apr 8.
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Changes in the temporomandibular joint space after functional treatment of disk displacement with reduction.可复性盘移位功能治疗后颞下颌关节间隙的变化
J Craniofac Surg. 2015 Mar;26(2):e78-81. doi: 10.1097/SCS.0000000000001392.
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The use of low-dose naltrexone (LDN) as a novel anti-inflammatory treatment for chronic pain.低剂量纳曲酮(LDN)作为慢性疼痛新型抗炎治疗方法的应用。
Clin Rheumatol. 2014 Apr;33(4):451-9. doi: 10.1007/s10067-014-2517-2. Epub 2014 Feb 15.
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