经咬合板治疗和物理治疗后,颞下颌关节紊乱症患者舌骨位置及鼻咽和口咽尺寸的变化

Position of the Hyoid Bone and Dimension of Nasopharynx and Oropharynx after Occlusal Splint Therapy and Physiotherapy in Patients Diagnosed with Temporomandibular Disorders.

作者信息

Derwich Marcin, Pawlowska Elzbieta

机构信息

ORTODENT, Specialist Orthodontic Private Practice in Grudziadz, 86-300 Grudziadz, Poland.

Department of Orthodontics, Medical University of Lodz, 90-419 Lodz, Poland.

出版信息

J Clin Med. 2022 Aug 23;11(17):4939. doi: 10.3390/jcm11174939.

Abstract

: The aim of the study was to assess the position of the hyoid bone, as well as the width of the nasopharynx and oropharynx after occlusal splint therapy combined with physiotherapy in patients diagnosed with temporomandibular disorders (TMD). : This was a clinical trial study. The study group consisted of 40 patients diagnosed with TMD, who were qualified for the treatment combining physiotherapy and occlusal splint therapy. Hyoid bone position as well as the width of the nasopharynx and oropharynx were assessed in lateral cephalograms taken before and after the end of the treatment. There were 15 generally healthy participants included into the control group, who had taken lateral cephalograms twice within the period of 1 to 2 years and did not receive any occlusal treatment in the meantime. : The position of the hyoid bone was significantly lowered and the dimension of the lower part of the oropharynx was significantly decreased after the end of the long-term occlusal splint therapy combined with physiotherapy in patients diagnosed with TMD. : Long-term occlusal splint therapy combined with physiotherapy affected the position of the hyoid bone and the dimension of the lower part of the oropharynx.

摘要

本研究旨在评估经咬合板治疗联合物理治疗的颞下颌关节紊乱病(TMD)患者的舌骨位置以及鼻咽和口咽的宽度。

这是一项临床试验研究。研究组由40名被诊断为TMD的患者组成,他们符合物理治疗和咬合板治疗相结合的治疗条件。在治疗开始前和结束后拍摄的头颅侧位片中评估舌骨位置以及鼻咽和口咽的宽度。对照组纳入了15名一般健康的参与者,他们在1至2年内拍摄了两次头颅侧位片,在此期间未接受任何咬合治疗。

在被诊断为TMD的患者中,长期咬合板治疗联合物理治疗结束后,舌骨位置显著降低,口咽下部尺寸显著减小。

长期咬合板治疗联合物理治疗影响了舌骨位置和口咽下部尺寸。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8d2/9456572/d9a5b280d458/jcm-11-04939-g001.jpg

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