Engel E, Weber H
Department of Prosthodontic Dentistry, University of Tübingen, Germany.
Int J Oral Maxillofac Implants. 1995 Nov-Dec;10(6):759-64.
Treatment of edentulous patients who have temporomandibular disorders is difficult because of the poor stability of their conventional complete dentures. With an implant-supported bar and a clip-to-bar overdenture, mandibular dentures can be stabilized. The results of a prospective clinical study of 10 edentulous patients with temporomandibular disorders and treatment with implant-supported overdentures in mandibles are presented. Before and after 3 years of wearing the implant-supported overdentures, patients were interviewed and a clinical functional analysis was taken. Patients with displacement of the articular disc or bone destruction of the joints had a decrease in pain, an enhanced mobility of the mandible, and a decrease in temporomandibular joint sounds. Patients with pain of muscular genesis as a result of bruxism suffered after 3 years from the same pain and did not show an improvement of muscle or joint sensitivity.
由于传统全口义齿稳定性差，治疗患有颞下颌关节紊乱病的无牙患者具有挑战性。通过种植体支持的杆和夹杆覆盖义齿，下颌义齿可以得到稳定。本文介绍了一项对10例患有颞下颌关节紊乱病的无牙患者进行下颌种植体支持覆盖义齿治疗的前瞻性临床研究结果。在佩戴种植体支持覆盖义齿3年前后，对患者进行了访谈并进行了临床功能分析。关节盘移位或关节骨质破坏的患者疼痛减轻，下颌运动度增强，颞下颌关节弹响减少。因磨牙症导致肌肉源性疼痛的患者在3年后仍遭受同样的疼痛，且肌肉或关节敏感性未得到改善。
