咬合重建及局部封闭对颞下颌关节紊乱病治疗的临床研究  

Clinical study for occlusal reconstruction and partial hermetization in treating TMD

作　　者：李晓光[1] 李建华[1] 高学新[1] 于肖鹏[1] 王延秀[1] 

机构地区：[1]泰山医学院附属泰安医院,山东泰安271000

出　　处：《泰山医学院学报》2008年第10期743-746,共4页Journal of Taishan Medical College

基　　金：泰安市科技局资助项目(2003-52)

摘　　要：目的研究咬合重建及局部封闭对颞下颌关节紊乱病治疗的临床效果。方法选择伴有一侧后牙缺失且未修复的颞下颌关节紊乱病(TMD)病人90例,随机分为义齿修复治疗组、局部封闭治疗组、义齿修复联合局部封闭治疗组。局部义齿修复治疗组:缺失后牙给予符合生理要求的修复体,配合对症治疗。局部封闭治疗组:2%利多卡因1 ml+醋酸强的松龙混悬液0.5 ml(12.5 mg)行痛点封闭,每周1次,3次为一疗程。义齿修复联合局部封闭治疗组:以上两种方法联合应用。结果义齿修复治疗组有效率达93.33%,局部封闭治疗组有效率达73.33%。义齿修复联合局部封闭治疗组有效率达96.67%。结论义齿修复联合局部封闭治疗一侧后牙缺失所致TMD是一种良好的治疗方法,值得临床推广应用。Objective ： To study the effect of treating temporomandibular disorders （TMD） with occlusal reconstruction and partial hermetization. Methods. Ninety patients of TMD with one side morsal teeth odontoptosis unrecovered were randomly divided into the 3 therapeutic groups： hermetization group, partial teeth recovery group and the combination of the above two therapeutic groups. For artifcal teeth recovery group, dental prosthetic restoration was made for the odontoptosis according to physiological functions, combined with symptomatic therapy. For partial hermetization group, 2% dolicaine 1 ml and prednisolone acetate suspl. 0. 5 ml（ 12.5 mg）were used to block the pain spot weekly, with 3 times as one course of treatment. For the therapy group of artifcal teeth recovery and partial hermetization, the methods above were combined and carried out. Results： The effective rate of artifcal teeth recovery group reached 93.33% and that of partial hermetization group73.33%, and the most effective rate was 96.67% in the third group. Conclusion： The therapy of artifcal teeth recovery and partial hermetization in treating TMD with one side morsal teeth odontoptosis is an effective method.

关 键 词：咬合重建 局部封闭 颞下颌关节紊乱病 

分 类 号：R782.6[医药卫生—口腔医学]