Department of Prosthodontics, Faculty of Dentistry, Academy of Medicine, Lithuanian University of Health Sciences, LT-50106 Kaunas, Lithuania.
Dental Centre of Siauliai, LT-76332 Siauliai, Lithuania.
Medicina (Kaunas). 2024 Jun 26;60(7):1051. doi: 10.3390/medicina60071051.
This study analyzed and compared the distribution patterns of occlusal forces using T-Scan III before and after the hydrostatic temporary oral splint (Aqualizer Ultra) therapy in healthy subjects and subjects with temporomandibular disorders (TMDs). : Fifty-one subjects were divided into groups based on anamnesis and responses to the Fonseca questionnaire. The first group, non-TMDs group (n = 19), and the second group, TMDs group (n = 32), had mild-to-severe TMDs, as identified by the Fonseca questionnaire. The non-TMDs group had an average age of 25.4 years (SD = 4.8, range 20-38) with 15 females (78.95%) and 4 males (21.05%). The TMDs group had an average age of 27.4 years (SD = 7.0, range 22-53) with 25 females (78.125%) and 7 males (21.875%). T-Scan III device was used for occlusal analysis before and after hydrostatic splint usage. Significant differences were observed in the TMDs group for anterior and posterior right percentages of forces before and after hydrostatic splint usage. The analysis of force distribution per sector before and after hydrostatic splint therapy showed no significant differences in the non-TMDs group. Analysis of force distributions in the entire study population before and after hydrostatic splint therapy showed significant differences in the anterior and posterior right regions. Occlusal force increased by 32-56% in the front region and decreased in the posterior area after hydrostatic splint usage. : Hydrostatic splint therapy is recommended as a part of full-mouth rehabilitation treatment for all patients regardless of the severity of TMDs.
本研究分析和比较了使用 T-Scan III 在健康受试者和颞下颌关节紊乱病（TMD）受试者中静水临时口腔夹板（Aqualizer Ultra）治疗前后的咬合力量分布模式。：根据病史和 Fonseca 问卷的反应，将 51 名受试者分为两组。第一组为非 TMD 组（n = 19），第二组为 TMD 组（n = 32），Fonseca 问卷显示 TMD 为轻度至重度。非 TMD 组平均年龄为 25.4 岁（SD = 4.8，范围 20-38），女性 15 名（78.95%），男性 4 名（21.05%）。TMD 组平均年龄为 27.4 岁（SD = 7.0，范围 22-53），女性 25 名（78.125%），男性 7 名（21.875%）。使用 T-Scan III 设备在使用静水夹板前后进行咬合分析。使用静水夹板前后，TMD 组右侧前、后百分比的力量差异有统计学意义。在使用静水夹板治疗前后，对每个扇区的力量分布进行分析，非 TMD 组无显著差异。对整个研究人群在使用静水夹板前后的力量分布进行分析，在前、后右侧区域有显著差异。使用静水夹板后，前牙区的咬合力量增加了 32-56%，而后牙区的咬合力量则减少。：建议将静水夹板治疗作为全口修复治疗的一部分，用于所有患者，无论 TMD 严重程度如何。
