Forssell H, Kirveskari P, Kangasniemi P
Acta Odontol Scand. 1986 Apr;44(2):63-9. doi: 10.3109/00016358609041309.
A group of headache patients who also had many signs and symptoms of mandibular dysfunction were randomly assigned to treatment and placebo groups. All 48 patients in the treatment group received occlusal adjustment and 19 of them also splint therapy. In the placebo group all 43 patients received mock adjustment. The changes in symptoms and signs of mandibular dysfunction were evaluated after 8 months in the treatment group and after 4 months in the placebo group, in a double-blind design. Placebo treatment and real treatment were equally effective in relieving symptoms of mandibular dysfunction, but there was significantly more reduction in signs of dysfunction in the treatment group than in the placebo group. When tested statistically, this reduction appeared to be independent of the use of splints as an aid to treatment. It can be concluded that the elimination of occlusal disturbances was an effective treatment for mandibular dysfunction.
一组同时有许多下颌功能紊乱体征和症状的头痛患者被随机分为治疗组和安慰剂组。治疗组的所有48名患者都接受了咬合调整，其中19人还接受了夹板治疗。安慰剂组的所有43名患者都接受了模拟调整。在双盲设计中，治疗组在8个月后、安慰剂组在4个月后评估下颌功能紊乱的症状和体征变化。安慰剂治疗和实际治疗在缓解下颌功能紊乱症状方面同样有效，但治疗组功能紊乱体征的减轻明显多于安慰剂组。经统计学检验，这种减轻似乎与使用夹板辅助治疗无关。可以得出结论，消除咬合干扰是治疗下颌功能紊乱的有效方法。
