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两种替代疗法治疗颞下颌关节紊乱的疗效比较。

Comparison of the efficiency of two alternative therapies for the management of temporomandibular disorders.

机构信息

Department of Prosthodontics, Istanbul University, Istanbul, Turkey.

出版信息

Cranio. 2022 May;40(3):189-198. doi: 10.1080/08869634.2020.1727667. Epub 2020 Feb 15.

DOI:10.1080/08869634.2020.1727667
PMID:32065060
Abstract

: To investigate the effect of ozone and low-level laser (LLL) therapies on pain and function in patients with disc displacement with reduction.: Eighty temporomandibular joints were divided into four groups, namely ozone and laser treatment groups, and two placebo groups. Ozone and LLL therapies were applied over six sessions.: Pain on palpation scores demonstrated a statistically significant decrease over time in the treatment groups. Sham laser therapy only reduced the pain on palpation in temporomandibular joints; whereas, sham ozone only affected masseter muscle pain. The ozone treatment group demonstrated significantly better pressure pain threshold scores and mandibular movements than the other groups; however, pressure pain threshold scores of the masseter inferior were significantly higher in the laser group.: This study supports the use of ozone for pain reduction as an alternative treatment modality and LLL as a supportive therapy for temporomandibular disorders.

摘要

目的

探讨臭氧和低水平激光(LLL)疗法对可复性关节盘前移位患者疼痛和功能的影响。

方法

将 80 个颞下颌关节分为臭氧和激光治疗组及 2 个安慰剂组,共 4 组。6 个疗程中给予臭氧和 LLL 治疗。

结果

治疗组的触诊疼痛评分随时间的推移呈显著下降趋势。假激光治疗仅减轻了颞下颌关节的触诊疼痛,而假臭氧仅影响了咀嚼肌疼痛。与其他组相比,臭氧治疗组的压力疼痛阈值和下颌运动明显更好,但激光组的咀嚼肌下部压力疼痛阈值显著更高。

结论

本研究支持臭氧作为一种替代治疗方法用于减轻疼痛,LLL 作为治疗颞下颌关节紊乱的辅助治疗方法。

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