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在颞下颌关节紊乱病管理中使用无其他辅助治疗模块的咬合板的评估:文献系统评价

Assessment of Using Occlusal Splints Without Other Adjunctive Treatment Modules in the Management of Temporomandibular Disorders: A Systematic Review of Literature.

作者信息

Chahrour Mehdi, Reda Bachar

机构信息

Orthodontics and Dentofacial Orthopaedics, Lebanese Dental Association, Beirut, LBN.

Orthodontics, Lebanese Orthodontic Society, Beirut, LBN.

出版信息

Cureus. 2025 Aug 13;17(8):e89955. doi: 10.7759/cureus.89955. eCollection 2025 Aug.

DOI:10.7759/cureus.89955
PMID:40951096
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12431960/
Abstract

Temporomandibular disorders (TMDs) significantly affect an individual's quality of life by limiting jaw mobility, causing chronic pain, and contributing to psychological distress. TMDs are more prevalent among adult populations and are reported more frequently in women than men. The multifactorial etiology of TMDs, including anatomical, physiological, psychological, and functional factors, contributes to the challenges of accurate diagnosis and effective management. Among the various treatment options, occlusal splints are widely used in clinical practice for their potential to alleviate symptoms. These devices are designed to alter the occlusal aspects of the teeth and redistribute jaw forces, aiming to reduce joint loading, minimize muscle tension, and protect against bruxism. However, despite their widespread use, the effectiveness of these treatments as the sole modality for TMDs remains a subject of considerable debate within the dental and medical communities. Therefore, this review aims to evaluate the effectiveness of occlusal splints in managing symptoms of TMDs and to determine their role in improving patient outcomes by synthesizing existing evidence from the literature. It will focus on key outcomes, including pain reduction, improved jaw function, and enhanced quality of life, in addition to the potential risks and benefits associated with their use. Occlusal splints may offer benefits in reducing pain and improving jaw function in the management of TMD, but their effectiveness as a standalone treatment remains uncertain, highlighting the need for individualized, multidisciplinary approaches and further research to define their optimal use.

摘要

颞下颌关节紊乱病(TMDs)通过限制下颌活动度、引起慢性疼痛以及导致心理困扰,严重影响个体的生活质量。TMDs在成年人群中更为普遍,女性的报告患病率高于男性。TMDs的多因素病因,包括解剖学、生理学、心理学和功能因素,给准确诊断和有效管理带来了挑战。在各种治疗选择中,咬合板因其缓解症状的潜力而在临床实践中被广泛使用。这些装置旨在改变牙齿的咬合情况并重新分配颌力,旨在减少关节负荷、最小化肌肉紧张并预防磨牙症。然而,尽管它们被广泛使用,但这些治疗作为TMDs的唯一治疗方式的有效性在牙科和医学界仍然是一个备受争议的话题。因此,本综述旨在通过综合文献中的现有证据来评估咬合板在管理TMDs症状方面的有效性,并确定它们在改善患者预后中的作用。除了与使用相关的潜在风险和益处外,它将关注关键结果,包括疼痛减轻、下颌功能改善和生活质量提高。咬合板在TMD管理中可能在减轻疼痛和改善下颌功能方面有好处,但其作为单一治疗方法的有效性仍不确定,这突出了需要个性化、多学科方法以及进一步研究来确定其最佳用途。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1467/12431960/4861a2858a8b/cureus-0017-00000089955-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1467/12431960/4861a2858a8b/cureus-0017-00000089955-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1467/12431960/4861a2858a8b/cureus-0017-00000089955-i01.jpg

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本文引用的文献

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Efficacy of stabilisation splint and low-level laser therapy for patients with chronic closed lock from non-reducible displaced temporo-mandibular joint discs: A parallel randomised clinical trial.稳定夹板与低强度激光治疗对慢性不可复性移位颞下颌关节盘闭口绞锁患者的疗效:一项平行随机临床试验。
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Effectiveness of Vitamin D along with Splint therapy in the Vit D deficient patients with Temporomandibular disorder-A Randomized, double-blind, placebo-controlled clinical trial.维生素 D 联合夹板治疗维生素 D 缺乏的颞下颌关节紊乱病患者的疗效:一项随机、双盲、安慰剂对照临床试验。
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Effects of occlusal splint and exercise therapy, respectively, for the painful temporomandibular disorder in patients seeking for orthodontic treatment: a retrospective study.分别采用咬合板和运动疗法治疗寻求正畸治疗的颞下颌关节紊乱疼痛患者的效果:一项回顾性研究。
BMC Oral Health. 2022 Nov 24;22(1):527. doi: 10.1186/s12903-022-02538-y.
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Evaluation of the efficiency of different treatment modalities in individuals with painful temporomandibular joint disc displacement with reduction: a randomised controlled clinical trial.伴有可复性疼痛性颞下颌关节盘移位个体中不同治疗方式的疗效评估:一项随机对照临床试验
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