颞下颌关节紊乱病口腔正畸咬合器具治疗的使用建议：当前证据与临床实践
Recommendations on the Use of Oral Orthotic Occlusal Appliance Therapy for Temporomandibular Joint Disorders: Current Evidence and Clinical Practice.
作者信息
Bhargava Darpan, Chávez Farías Camilo, Ardizone García Ignacio, Mercuri Louis G, Bergman Suzie, Anthony Pogrel M, Sidebottom Andrew J, Srouji Samer, Şentürk Mehmet Fatih, Elavenil P, Moturi Kishore, Anantanarayanan P, Bhargava Preeti G, Singh Vankudoth Dal
机构信息
Joint International Consortium on Oral Orthotic Occlusal Appliance Therapy for Temporomandibular Joint Disorders, TMJ Foundation, TMJ Consultancy Services, Bhopal, Madhya Pradesh India.
Oral and Maxillofacial Surgery, People's University, Bhopal, Madhya Pradesh India.
出版信息
J Maxillofac Oral Surg. 2023 Sep;22(3):579-589. doi: 10.1007/s12663-023-01939-y. Epub 2023 Jun 27.
BACKGROUND
'Temporomandibular joint disorders (TMDs)' denote an umbrella term that includes arthritic, musculoskeletal and neuromuscular conditions involving the temporomandibular joint, the masticatory muscles, and the associated tissues. Occlusal devices are one of the common treatment modalities utilized in the conservative management of TMDs. The indications for the available 'oral splints' or 'oral orthotic occlusal devices' remain ambiguous.
METHODS
A joint international consortium was formulated involving the subject experts at TMJ Foundation, to resolve the current ambiguity regarding the use of oral orthotic occlusal appliance therapy for the temporomandibular joint disorders based on the current scientific and clinical evidence.
RESULTS
The recommendations and the conclusion of the clinical experts of the joint international consort has been summarized for understanding the indications of the various available oral orthotic occlusal appliances and to aid in the future research on oral occlusal orthotics.
CONCLUSION
The use of the oral orthotic occlusal appliances should be based on the current available scientific evidence, rather than the archaic protocols.
背景
“颞下颌关节紊乱病（TMDs）”是一个统称，包括涉及颞下颌关节、咀嚼肌及相关组织的关节炎、肌肉骨骼和神经肌肉疾病。咬合器是颞下颌关节紊乱病保守治疗中常用的治疗方式之一。现有的“口腔矫治器”或“口腔正畸咬合器”的适应证仍不明确。
方法
成立了一个国际联合协会，其中包括颞下颌关节基金会的专家，旨在根据当前的科学和临床证据，解决目前关于使用口腔正畸咬合器治疗颞下颌关节紊乱病的模糊问题。
结果
总结了国际联合协会临床专家的建议和结论，以了解各种现有口腔正畸咬合器的适应证，并有助于未来口腔正畸学的研究。
结论
口腔正畸咬合器的使用应基于当前可用的科学证据，而非陈旧的方案。
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