牙合垫——颞下颌关节紊乱病治疗中的类型及疗效
Occlusal splints-types and effectiveness in temporomandibular disorder management.
作者信息
Albagieh Hamad, Alomran Ibrahim, Binakresh Abdulrahman, Alhatarisha Nawaf, Almeteb Meteb, Khalaf Yousef, Alqublan Abdulrahman, Alqahatany Mohammad
机构信息
Oral Medicine and Diagnostic Sciences Department, College of Dentistry, King Saud University, Riyadh, Saudi Arabia.
College of Dentistry, King Saud University, Riyadh, Saudi Arabia.
出版信息
Saudi Dent J. 2023 Jan;35(1):70-79. doi: 10.1016/j.sdentj.2022.12.013. Epub 2022 Dec 28.
BACKGROUND
Occlusal splints are routinely used in dental offices to diagnose and treat abnormalities of the masticatory system. There are different occlusal splints, each of which can address various conditions. They may treat individuals with temporomandibular disorders (TMDs) and bruxism or be used for occlusal stabilization and dentition wear reduction.
METHODS
The literature in the National Library of Medicine's Medline Database was reviewed using the Mesh terms 'occlusal splints' AND 'Temporomandibular Disorders.
CONCLUSION
Occlusal splints can treat a wide variety of TMDs. They can treat bruxism, headaches, postural imbalances related to TMDs, and decreased vertical dimension of occlusion (VDO). However, there is no clear evidence that occlusal splints are superior to physiotherapy in treating TMDs. In the long-term follow-up, they were equally effective as other therapies.
背景
牙合垫常用于牙科诊所，以诊断和治疗咀嚼系统异常。牙合垫种类多样，每种都可应对多种情况。它们可用于治疗颞下颌关节紊乱病（TMD）和磨牙症患者，或用于咬合稳定及减少牙列磨损。
方法
使用医学主题词“牙合垫”和“颞下颌关节紊乱病”检索美国国立医学图书馆的医学文献数据库（Medline）中的文献。
结论
牙合垫可治疗多种颞下颌关节紊乱病。它们可治疗磨牙症、头痛、与颞下颌关节紊乱病相关的姿势失衡以及咬合垂直距离（VDO）降低。然而，没有明确证据表明牙合垫在治疗颞下颌关节紊乱病方面优于物理治疗。在长期随访中，它们与其他疗法效果相当。
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