阻生牙伴颞下颌关节紊乱病（牙合）干预效果评价

发布时间：2018-03-31 10:43

本文选题：颞下颌关节紊乱病　切入点：阻生牙　出处：《山西医科大学》2014年硕士论文

【摘要】：研究目的定量分析伴有阻生牙（特指第三磨牙，以下均是）颞下颌关节紊乱病（temporomandibulardisorders,TMD）患者使用单颌牙合垫治疗3个月前后颞下颌关节的功能状态，客观地评价牙合垫治疗伴阻生牙TMD的疗效。研究方法对符合纳入标准的30例18-23岁的伴阻生牙TMD患者由同一医师以Fricton颞下颌关节紊乱指数进行双侧颞下颌关节（TMJ）功能评估，并详细记录各数据，制作2mm上颌软牙合垫并戴入，每两周，1月，两月，三月复诊一次，三个月治疗结束后仍由该医师以同一方法对患者TMJ功能进行评估，记录治疗后数据并计算出治疗前后各患者功能障碍指数（DI）、肌肉压痛指数（PI）和颅颌指数（CMI），应用SPSS16.0软件包处理数据，采用配对t检验对牙合垫治疗前后的DI、PI和CMI各值进行比较。研究结果 30例伴有阻生牙颞下颌关节紊乱病患者经3个月上颌牙合垫治疗后患者TMJ状态较前有不同程度的好转，由Friction颞下颌关节紊乱指数计算出的DI、PI、CMI较治疗前均明显下降，应用SPSS16.0软件包处理数据，采用配对t检验对牙合垫治疗前后的DI、PI和CMI各值进行分析，差异有统计学意义（P0.001）。结论单颌牙合垫治疗可明显改善伴阻生牙TMD患者的TMJ功能状态，是治疗伴阻生牙TMD患者效果明显的治疗方法之一。另外在排除各种能引发TMD因素的情况下，患者仍可患TMD，，因此18-23岁作为阻生牙高发年龄段，引起其患TMD的潜在因素为阻生牙。
[Abstract]:Research purposeThe functional status of temporomandibular joint (TMJ) patients with temporomandibular disorders (temporomandibular disorders) and temporomandibular joint (temporomandibular mandibular joint) before and after 3 months of treatment were quantitatively analyzed. The efficacy of occlusal pad in treatment of temporomandibular joint (TMJ) with impacted tooth TMD was evaluated objectively.Research methodA total of 30 patients (18-23 years old with impacted tooth TMD) who met the inclusion criteria were evaluated by the same physician for bilateral temporomandibular joint disorder index (TMJ), and the data were recorded in detail to make 2mm maxillary soft occlusion pad and wear it.Once every two weeks, January, two months, three months after treatment, the physician still evaluated the patient's TMJ function in the same way.After treatment, the data were recorded and the disfunction index (DII), muscle tenderness index (Pi) and craniomaxillary index (CMIA) were calculated before and after treatment. The data were processed by SPSS16.0 software package, and the values of DI Pi and CMI before and after treatment were compared by paired t test.Research resultsThe TMJ status of 30 patients with temporomandibular joint disorder associated with impacted teeth after 3 months of maxillary occlusal pad treatment was improved to some extent, and the DIPII-CMI calculated from the Friction index of temporomandibular joint disorder was significantly lower than that before treatment.The SPSS16.0 software package was used to process the data and the matched t test was used to analyze the values of DI Pi and CMI before and after the treatment of occlusal pad. The difference was statistically significant (P 0.001).ConclusionMonomaxillary occlusal pad therapy can significantly improve the TMJ functional status of patients with TMD and is one of the effective treatment methods for TMD patients with impacted teeth.In addition, patients with TMD can still suffer from TMD when all kinds of factors are excluded. Therefore, 18-23 years old is a high incidence age of impacted teeth, and the potential factor causing TMD is impacted teeth.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R782.63

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