Sabbagh H, Sabbagh A, Heppner A, Auer C, Wichelhaus A, Hoffmann L
Senior Physician, Department of Orthodontics and Dentofacial Orthopedics, University Hospital, LMU Munich, Munich, Germany.
DMD, Private Orthodontic Practice, Erlangen, Germany.
BDJ Open. 2022 Feb 5;8(1):4. doi: 10.1038/s41405-022-00096-7.
To evaluate temporomandibular disorder (TMD) treatment with a prefabricated, hydrostatic oral splint (HOS) based on self-reported patient's symptoms using a standardized questionnaire.
Two hundred fifty-eight questionnaires from patients diagnosed with TMD and subsequently treated with HOS were collected from two independent private practices. Based on patient's comfort the questionnaire recorded TMD symptoms and symptom regression. Descriptive and comparative statistics was carried out using SPSS.
A total of 221 questionnaires were analyzed. Patients reported TMD symptoms such as pain (93.2%), TMJ clicking (66.1%), headache (25.8%), cervical spine disorders (23.5%), restricted mouth opening (22.6%) and tinnitus (11.8%). For most symptoms, improvement was reported mostly after two weeks, except for tinnitus, where positive effects were usually reported after four weeks.
HOS seem to be effective for immediate treatment of pain and other TMD symptoms. Based on the available data, a treatment period of four weeks can be recommended.
使用标准化问卷，基于患者自我报告的症状，评估预制静水口腔矫治器（HOS）治疗颞下颌关节紊乱病（TMD）的效果。
从两家独立的私人诊所收集了258份来自被诊断为TMD并随后接受HOS治疗的患者的问卷。问卷根据患者的舒适度记录TMD症状和症状消退情况。使用SPSS进行描述性和比较性统计分析。
共分析了221份问卷。患者报告了TMD症状，如疼痛（93.2%）、颞下颌关节弹响（66.1%）、头痛（25.8%）、颈椎疾病（23.5%）、张口受限（22.6%）和耳鸣（11.8%）。对于大多数症状，大多在两周后报告有改善，耳鸣除外，耳鸣通常在四周后报告有积极效果。
HOS似乎对TMD疼痛和其他症状的即时治疗有效。根据现有数据，建议治疗期为四周。
