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3毫米厚度夹板疗法对颞下颌关节紊乱病(TMDs)的评估

Evaluation of the 3 mm Thickness Splint Therapy on Temporomandibular Joint Disorders (TMDs).

作者信息

Akbulut Nihat, Altan Ahmet, Akbulut Sibel, Atakan Cemal

机构信息

Associate Professor, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Gaziosmanpaşa University, Tokat, Turkey.

Assistant Professor, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Gaziosmanpaşa University, Tokat, Turkey.

出版信息

Pain Res Manag. 2018 Dec 5;2018:3756587. doi: 10.1155/2018/3756587. eCollection 2018.

Abstract

. This study aimed at finding out whether the 3 mm thickness of stabilization splints has positive or negative effects on all temporomandibular disorder (TMD) symptoms. . The statistical calculation included 25 (22 females; 3 males) TMD patients who received 3 mm thickness stabilization splint therapy. They were evaluated according to follow-up treatment period, TMD pain, muscle pain, mouth opening, diet score, and splint usage time per day. . There was important treatment success that 22 (88%) of patients were totally healed. There was not any remarkable effect or advancement of splints on total healings of TMDs in first 3 months' period (11/25 patients, 44%). The mouth opening mean reached 38, 67 mm at 6 months and 41 mm at 12 months with remarkable success. Except one (4%) patient, other 24 (96%) patients had a normal diet score of 3 at the end of splint therapy. There was no correlation between splint usage duration a day and total healing of TMDs. . We conclude that 3 mm splint therapy should maintain at least 6 months to achieve remarkable results. Splint should be used at least 12 h a day consistent with our results. Finally, diet score should be incorporated with TMD pain and amount of mouth opening; hence, we advise to use in one term as "total healing."

摘要

本研究旨在探究厚度为3毫米的稳定型咬合板对所有颞下颌关节紊乱病(TMD)症状产生的是积极还是消极影响。统计计算纳入了25名(22名女性;3名男性)接受3毫米厚度稳定型咬合板治疗的TMD患者。根据随访治疗期、TMD疼痛、肌肉疼痛、张口度、饮食评分以及每天咬合板使用时间对他们进行评估。有显著的治疗成功案例,22名(88%)患者完全康复。在最初3个月期间(11/25名患者,44%),咬合板对TMD的完全康复没有任何显著效果或进展。6个月时张口度平均值达到38.67毫米,12个月时达到41毫米,取得显著成功。除1名(4%)患者外,其他24名(96%)患者在咬合板治疗结束时饮食评分为正常的3分。每天咬合板使用时长与TMD的完全康复之间没有相关性。我们得出结论,3毫米咬合板治疗应持续至少6个月以取得显著效果。根据我们的结果,咬合板每天应至少使用12小时。最后,饮食评分应与TMD疼痛和张口度相结合;因此,我们建议将其作为“完全康复”统一使用。

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