稳定型(牙合)垫与再定位(牙合)垫治疗颞下颌关节紊乱综合征患者的疗效比较  

Stable occlusal pad versus repositioning occlusal pad in treating patients with temporomandibular joint disorder syndrome

作　　者：许炜[1] 陶华 XU Wei;TAO Hua(Department of Stomatology,Xiantao First People′s Hospital,Xiantao,Hubei,433000)

机构地区：[1]湖北省仙桃市第一人民医院口腔科,湖北仙桃433000

出　　处：《实用临床医药杂志》2019年第8期51-53,共3页Journal of Clinical Medicine in Practice

摘　　要：目的比较稳定型(牙合)垫与再定位(牙合)垫治疗颞下颌关节紊乱综合征患者的疗效。方法将65例采用(牙合)垫治疗的颞下颌关节紊乱综合征患者分为稳定型(牙合)垫组35例与再定位(牙合)垫组30例。比较2组临床疗效。结果与治疗前相比,2组患者治疗后的关节弹响发生率、VAS评分均显著降低(P <0. 05);治疗后,2组的关节弹响发生率比较差异无统计学意义(P> 0. 05),但稳定型(牙合)垫组VAS评分显著低于再定位(牙合)垫组(P <0. 05)。结论稳定型(牙合)垫与再定位(牙合)垫均能有效治疗颞下颌关节紊乱综合征,再定位(牙合)垫常用于对可复性关节盘前移位进行治疗。在对关节疼痛进行治疗时,稳定型(牙合)垫的疗效更加理想。Objective To compare efficacy of stable occlusal pad and repositioning occlusal pad in the treatment of patients with temporomandibular joint disorder syndrome.Methods A total of 65 patients with temporomandibular joint disorder syndrome treated by occlusal pad were divided into stable occlusal pad group(n=35)and repositioning occlusal pad group(n=30).Clinical efficacy was compared between two groups.Results After treatment,the incidence rate of joint bounce and VAS score in both groups reduced significantly compared with treatment before(P<0.05).There was no significant difference in the incidence rate of joint bounce after treatment between the two groups(P>0.05),but the VAS score after treatment in stable occlusal pad group was significantly lower than that in repositioning occlusal pad group(P<0.05).Conclusion Both stable occlusal pad and repositioning occlusal pad can effectively treat patients with temporomandibular joint disorder syndrome,and repositioning occlusal pad is often used to treat the anterior displacement of the restorable disc.In the treatment of arthralgia,the effect of stable occlusal pad is more ideal.

关 键 词：稳定型[牙合]垫 再定位[牙合]垫 颞下颌关节紊乱综合征 疗效 

分 类 号：R782.6[医药卫生—口腔医学]