稳定咬合板治疗慢性颞下颌关节盘不可复性移位的临床随机对照试验的系统评价

发布时间：2018-05-28 11:55

本文选题：咬合板 + 颞下颌关节　；参考：《国际口腔医学杂志》2017年04期

【摘要】：目的运用系统评价方法总结稳定咬合板治疗慢性颞下颌关节盘不可复性移位的临床随机对照试验,评价稳定咬合板治疗慢性颞下颌关节盘不可复性移位的有效性。方法检索电子数据库CENTRAL、Medline、EMBASE(Ovid)、CBM和CNKI,检索时间至2015年7月,手工检索19种中文口腔医学杂志。按照纳入、排除标准筛选相关研究,提取数据并进行风险偏倚评价。采用Rveman 5.3.5进行Meta分析。结果最终纳入6项研究,其中4个为中等偏倚风险,2项为高偏倚风险。与其他保守治疗相比,在短期内稳定咬合板改善颞下颌关节盘不可复性移位患者的疼痛和最大张口度无明显优势(P0.05);在长期疗效上,稳定咬合板可提高治疗的成功率(P0.01)。结论稳定咬合板治疗颞下颌关节盘不可复性移位的长期疗效需要更多高质量随机对照试验进一步的证实。
[Abstract]:Objective to evaluate the efficacy of stable occlusal plate in the treatment of chronic temporomandibular joint disc irreducible displacement. Methods the electronic database CENTRAL Medline EMBASE Ovidna CBM and CNKI were searched by hand until July 2015. 19 Chinese Journal of Stomatology were searched by hand. Sift relevant studies according to inclusion, exclusion criteria, extract data and evaluate risk bias. Rveman 5.3.5 was used for Meta analysis. Results of the 6 studies, 4 were moderate bias risk and 2 were high bias risk. Compared with other conservative treatment, stable occlusal plate can improve the pain and maximal opening degree of temporomandibular joint disc in the short term, there is no significant advantage in the treatment of the patient with irreducible displacement of temporomandibular joint disc (P 0.05), and in the long term, stable occlusal plate can improve the success rate of treatment (P 0.01). Conclusion the long-term efficacy of stable occlusal plate in the treatment of temporomandibular joint disc irreducible displacement needs more high quality randomized controlled trials.
【作者单位】：口腔疾病研究国家重点实验室国家口腔疾病临床研究中心四川大学华西口腔医院儿童口腔科;四川大学华西公共卫生学院流行病学教研室;
【分类号】：R782.6

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