Glass E G, Glaros A G, McGlynn F D
School of Dentistry, University of Missouri-Kansas City 64108.
Cranio. 1993 Jan;11(1):25-9. doi: 10.1080/08869634.1993.11677937.
A survey of 10,000 members of the American Dental Association was conducted in order to identify the most commonly used treatments for myofascial pain dysfunction (MPD). A questionnaire was used in which MPD was defined, all treatments (including referral) were listed, and a percentage-of-use estimate for each treatment was requested. Results from 2,544 questionnaires showed that the most commonly used treatments are: flat plane splints with anterior/canine guidance or posterior group function, occlusal equilibration, thermal packs, relaxation/stress management training, diet counseling, and medications with anti-inflammatory (nonopioid) analgesic and muscle relaxant properties. The results also showed considerable variation in the ways common treatments are performed. A call is issued for systematic and careful research on the outcomes of these and other treatments and their major variations.
为了确定治疗肌筋膜疼痛功能障碍(MPD)最常用的方法,对10000名美国牙科协会成员进行了一项调查。使用了一份问卷,其中对MPD进行了定义,列出了所有治疗方法(包括转诊),并要求对每种治疗方法的使用比例进行估计。2544份问卷的结果显示,最常用的治疗方法是:带有前牙/尖牙引导或后牙组功能的平面夹板、咬合平衡、热敷、放松/压力管理训练、饮食咨询以及具有抗炎(非阿片类)镇痛和肌肉松弛特性的药物。结果还表明,常见治疗方法的实施方式存在很大差异。呼吁对这些治疗方法和其他治疗方法及其主要变体的效果进行系统而仔细的研究。