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稳定夹板厚度对颞下颌关节紊乱的影响。

Influence of Stabilization Splint Thickness on Temporomandibular Disorders.

出版信息

Int J Prosthodont. 2022 Mar-Apr;35(2):163-173. doi: 10.11607/ijp.6923.


DOI:10.11607/ijp.6923
PMID:35507529
Abstract

PURPOSE: To assess the effect of stabilization splint (SS) thickness on temporomandibular disorders (TMDs). MATERIALS AND METHODS: Participants were selected from patients who applied to the clinic with a complaint of temporomandibular disorders (TMDs). Symptoms were evaluated with the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). Regarding the treatment plan, patients were divided into two groups: the 2-mm-thick splint group (2-mm TSG) and the 4-mm-thick splint group (4-mm TSG). They used SSs at night (8 hours) and were recalled 1, 2, 3, and 6 months after splint insertion. At the end of the study, 72 patients (2-mm TSG = 39, 4-mm TSG = 33) had completed the 6-month follow-up. The SPSS program was used for statistical analysis. The results of the analysis were evaluated at a significance level of .05. RESULTS: Pain in the muscles decreased significantly in the muscle disorders and combined groups (both 2- and 4-mm TSG) after 6 months of treatment (P < .05). In the combined group, TMJ sounds significantly decreased after 6 months of treatment, and there was a statistically significant difference between the 2-mm TSG and the 4-mm TSG (P = .045). Also, in the combined group, maximum unassisted opening (MUO) values of patients treated with 2-mm-thick splints decreased after 6 months of treatment (P = .022). CONCLUSION: Both 2-mm-thick and 4-mm-thick splints were effective in the treatment of muscle disorders and disc displacements, especially in muscle-related pain and TMJ sound symptoms.

摘要

目的:评估稳定夹板(SS)厚度对颞下颌关节紊乱病(TMD)的影响。

材料和方法:从因 TMD 到诊所就诊的患者中选择参与者。用颞下颌关节紊乱研究诊断标准(RDC/TMD)评估症状。关于治疗计划,将患者分为两组:2mm 厚夹板组(2mm TSG)和 4mm 厚夹板组(4mm TSG)。他们夜间(8 小时)使用 SS,并在插入夹板后 1、2、3 和 6 个月进行召回。研究结束时,72 名患者(2mm TSG=39,4mm TSG=33)完成了 6 个月的随访。使用 SPSS 程序进行统计分析。分析结果在.05 的显著性水平上进行评估。

结果:治疗 6 个月后,肌肉疾病和混合组(2mm 和 4mm TSG 均)的肌肉疼痛明显减轻(P<.05)。在混合组中,治疗 6 个月后 TMJ 声音明显减少,2mm TSG 和 4mm TSG 之间存在统计学差异(P=.045)。此外,在混合组中,用 2mm 厚夹板治疗的患者的最大自主开口(MUO)值在治疗 6 个月后降低(P=.022)。

结论:2mm 厚和 4mm 厚的夹板在治疗肌肉疾病和盘移位方面均有效,尤其是在肌肉相关疼痛和 TMJ 声音症状方面。

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Influence of Stabilization Splint Thickness on Temporomandibular Disorders.

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