Orenstein E S
University of Medicine and Dentistry of New Jersey-New Jersey Dental School.
Cranio. 1993 Apr;11(2):141-5. doi: 10.1080/08869634.1993.11677955.
Anterior repositioning appliances are commonly used for treating patients with an anterior disk displacement with reduction. The goal is to regain a proper disk to condyle relationship. Several questions immediately arise: Does the absence of joint noise indicate that the disk is properly positioned over the head of the condyle? Does this anterior position promote healing of the ligaments surrounding the disk?; and, is this anterior position merely therapeutic, or should the mandible be kept in this forward position? This review of the literature is intended to explore how anterior repositioning appliances are used in temporomandibular joint dysfunction (TMD) patients. Hopefully, it will answer questions and also raise more questions about our treatment objectives when dealing with dysfunctional patients.
前复位矫治器常用于治疗可复性盘前移位患者。目标是恢复盘突关系正常。随即出现了几个问题:关节弹响消失是否表明盘已正确位于髁突头部上方?这种前位是否能促进盘周围韧带的愈合?并且,这种前位仅仅是治疗性的,还是应将下颌保持在这个前伸位置?本文献综述旨在探讨前复位矫治器在颞下颌关节紊乱病(TMD)患者中的应用方式。希望它能回答一些问题,同时也能引发更多关于我们在治疗功能紊乱患者时的治疗目标的问题。