稳定型咬合板治疗关节盘前移位的临床疗效分析

发布时间：2018-03-31 12:06

本文选题：颞下颌关节紊乱病　切入点：稳定型咬合板　出处：《新疆医科大学》2014年硕士论文

【摘要】：目的：对颞下颌关节盘前移位患者用稳定型咬合板进行可逆性咬合治疗,观察及探讨稳定型咬合板对颞下颌关节盘前移位的疗效,从而对颞下颌关节盘前移位的临床治疗起到指导意义。方法：按照病例纳入排除标准,选取42例来我院颞下颌关节专科门诊就诊的颞下颌关节盘前移位患者(可复性或不可复性,主要症状为关节弹响、关节区疼痛、不同程度的张口受限等),治疗前均进行临床诊断及MRI等影像学检查,并对所有患者用影像学方法排除关节的器质性病变,然后均用上颌稳定型咬合板治疗。观察治疗前及治疗后2、4、6周及3个月患者张口度、关节弹响及疼痛分级指数(visual analogue scale, VAS)和helkimo指数变化。结果：在应用稳定型咬合板治疗的42例患者中,所有患者均疗效显著,与治疗前比较,稳定型咬合板治疗后2、4、6周及3个月VAS值、helkimo指数均逐渐降低,而张口度逐渐增大,其差异有统计学意义(P0.05)。20例有关节弹响者戴用稳定型咬合板后,弹响消失13例、减轻4例、无变化3例,有效13/20。临床上收到较满意的效果。结论：用稳定型咬合板治疗颞下颌关节盘前移位能明显减轻疼痛及关节区弹响,改善张口度,是治疗颞下颌关节盘前移位的一种有效手段。
[Abstract]:Objective: to evaluate the effect of stable occlusal plate on anterior disc displacement of temporomandibular joint (TMJ). Therefore, it is of guiding significance for the clinical treatment of temporomandibular joint anterior disc displacement. Methods: according to the exclusion criteria, Forty-two patients with anterior disc displacement of temporomandibular joint (temporomandibular joint) were selected. Before treatment, clinical diagnosis and MRI examination were performed in all patients, and all patients were excluded from the organic diseases of the joint by imaging method. Then all the patients were treated with maxillary stable occlusal plate. Results: among the 42 patients treated with stable occlusal plate, all of them had significant curative effects, compared with those before treatment, the changes of visual analogue scale (vas) and helkimo index were significant in all of the 42 patients treated with stable occlusal plate. The VAS index of stable occlusal plate decreased gradually at 6 weeks and 3 months after treatment, and the degree of mouth opening gradually increased. The difference was statistically significant (P 0.05). 20 cases with articular clasps wearing stable occlusal plate, 13 cases disappeared and 4 cases decreased. No change was found in 3 cases, and the effective rate was 13 / 20. Conclusion: the treatment of anterior disc displacement of temporomandibular joint with stable occlusal plate can significantly reduce the pain and the bounce of articular area, and improve the degree of mouth opening. It is an effective method to treat anterior disc displacement of temporomandibular joint.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R782.6

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