稳定型咬合板用于颞下颌关节紊乱病的疗效评价  

Effect and Analysis of Stabilization Splint on Temporomandibular Disorder Patients

作　　者：王晟[1] 安钢[1] 胡孝渊 

机构地区：[1]苏州市口腔医院修复科,江苏苏州215005

出　　处：《口腔医学研究》2006年第1期68-70,共3页Journal of Oral Science Research

摘　　要：目的:研究稳定型咬合板用于颞下颌关节紊乱病治疗的症状改善情况及其咬合面磨耗特征分析。方法:对28例颞下颌关节紊乱病患者(5例男性,23例女性)运用稳定型咬合板进行治疗,分别在治疗后的1、3、6、10周复诊,观察患者症状变化情况以及咬合板上的磨耗情况并对磨耗面进行评价分析。结果:有25例(89%)患者咬合板上出现磨耗面,其中双侧向型者14例(56%),小侧向型者8例(32%),单侧向型者3例(12%)。无磨耗的3例(12%),未发现有前伸磨耗型患者。10周后患者的症状显著性改善。结论:大多数颞下颌关节紊乱病患者都有如磨牙症一类的功能异常活动,且以侧向型为主。稳定型咬合板能显著改善颞下颌关节紊乱病的临床症状。Objective： To investigate the effect of stabilization splint on temporomandibular disorder patients and analyze the characteristics of bruxofacets. Methods： 28 patients （23 women and 5 men ） with TMD were treated with stabilization splint and were followed up at intervals of 1,3,6 and 10 weeks. The bruxofacets of spilnts were analyzed and classified . The signs and symptoms were compared before and after being used stabilization splint. Results： There were bruxofacets on the occlusal surfaces of spilints in 89% of the patients （ n = 25 ）. In 56% of the 25 patients （ n = 14）, these facets were created by bilateral mandibular excursion, in 32% （n =8） by small lateral movement, and in 12% （n =3） by unilateral excursions. The signs and symptoms were decreased significantly after being used stabilization splint. Conclusion： Most of TMD patients have parafunctional habits, such as bruxism and most of them are bilateral pattern and small lateral pattern. The stabilization splint can modify the signs and symptoms of TMD significantly.

关 键 词：稳定型咬合板 颞下颌关节紊乱病 磨耗平面 磨牙症 

分 类 号：R782.6[医药卫生—口腔医学]