Department of Oral and Dentomaxillofacial Radiology, University of Health Sciences Gülhane Faculty of Dentistry, Ankara-Türkiye.
Department of Sports Medicine, University of Health Sciences Gülhane Faculty of Medicine, Ankara-Türkiye.
Ulus Travma Acil Cerrahi Derg. 2024 Oct;30(10):729-736. doi: 10.14744/tjtes.2024.18663.
Occlusal trauma has become a common phenomenon among individuals today. Its primary source is bruxism, which involves unusual activities such as clenching and grinding during the day or sleep. The hypothesis is that with 5% dextrose neuroprolotherapy, both the trigger points and affected nerves will be healed, and the muscle will be relieved by eliminating the pain.
This study aimed to compare the short-term ultrasonographic results of patients treated with occlusal splint and 5% dextrose neuroprolotherapy for bruxism. Patients were divided into two groups: the dextrose neuroprolotherapy group and the occlusal splint group. In the first group, patients were administered 5% dextrose three times at one-week intervals using the dextrose neuroprolotherapy method. Impressions for both jaws were made using a high-viscosity irreversible hydrocolloid impression material in the second group. An occlusal splint was tailored to fit the upper jaw. Patients were assessed for masseter muscle thickness and strain ratio using ultrasonography before and 3 months after the treatment.
No statistically significant differences were found between the two groups for all measures. Statistically significant differences were observed in the strain ratio of the left musculus massetericus in the resting position and the thickness of the left musculus massetericus in the contracted position exclusively in the neuroprolotherapy group (p=0.001, p=0.011, respectively). Differences in the strain ratio of both sides of the contracted musculus massetericus were demonstrated in both groups (neuroprolotherapy group: right side p<0.001, left side p=0.007, splint group: right side p=0.005, left side p=0.012).
This study demonstrates that 5% dextrose neuroprolotherapy is an effective treatment comparable to an occlusal splint. Objectively visualizing changes in the masseter muscle through ultrasound provides clear results in the context of occlusal trauma and bruxism.
咬合创伤如今在人群中已较为常见。其主要成因是磨牙症，它包括日间或睡眠时的不寻常的紧咬牙和磨牙活动。假设是，通过 5%葡萄糖神经松解术，触发点和受影响的神经都会被治愈，而肌肉通过消除疼痛得到缓解。
本研究旨在比较咬合夹板和 5%葡萄糖神经松解术治疗磨牙症的短期超声结果。患者分为两组：葡萄糖神经松解术组和咬合夹板组。第一组患者在一周的间隔内分三次使用葡萄糖神经松解术注射 5%葡萄糖。第二组使用高粘度不可逆水胶体印模材料制取上下颌印模。定制一个适合上颌的咬合夹板。使用超声检查治疗前后 3 个月患者的咬肌厚度和应变比。
两组在所有测量值上均无统计学差异。仅在神经松解术组中观察到静息状态下左侧咬肌肌应变比和收缩位左侧咬肌厚度有统计学差异（p=0.001，p=0.011）。两组收缩位双侧咬肌肌应变比均有差异（神经松解术组：右侧 p<0.001，左侧 p=0.007，夹板组：右侧 p=0.005，左侧 p=0.012）。
本研究表明，5%葡萄糖神经松解术与咬合夹板一样有效。通过超声客观观察咬肌的变化，在咬合创伤和磨牙症方面提供了明确的结果。
