下颌前伸再定位治疗在颞下颌关节紊乱病中的应用进展  

The application progress of anterior mandibular repositioning therapy in temporomandibular disorders

作　　者：汪存艺 胡济安[1] 施洁珺[1] WANG Cunyi;HU Ji’an;SHI Jiejun(Department of Orthodontics,Stomatology Hospital,School of Stomatology,Zhejiang University School of Medicine,Clinical research Center for Oral Diseases of Zhejiang Province,Key Laboratory of Oral Biomedical Research of Zhejiang Province,Cancer Center of Zhejiang University,Hangzhou 310006,China)

机构地区：[1]浙江大学医学院附属口腔医院口腔正畸科·浙江大学口腔医学院·浙江省口腔疾病临床医学研究中心·浙江省口腔生物医学研究重点实验室·浙江大学癌症研究院,浙江杭州310006

出　　处：《口腔医学》2023年第10期920-924,共5页Stomatology

基　　金：国家自然科学基金(82170984)。

摘　　要：在颞下颌关节紊乱病中,下颌前伸再定位治疗是将下颌引导至治疗性前伸位来重建生理性的关节盘-髁突-关节窝关系。前伸再定位咬合板是最常用的矫治器,可促进症状缓解和发挥颞下颌关节结构重塑作用。最近,各类活动或固定功能矫治器也逐渐应用于颞下颌关节病的下颌前伸再定位治疗,但其效果仍存在争议。本文将对不同矫治器在颞下颌关节紊乱病中的应用现状进行总结,并且分析其中盘突关系恢复的意义。In temporomandibular disorders(TMD),anterior mandibular repositioning therapy guides the jaw into a therapeutic anterior position to re-establish a physiological disc-condyle-fossa relationship.Anterior repositioning splint(ARS)has been widely used to reduce symptoms and promote structural remodeling of the temporomandibular joint.Recently,various removable/fixed functional appliances have been gradually applied in the mandibular anterior repositioning therapy of TMD,but their effects remain controversial.This paper reviews the current status of different appliances used in TMD and summarizes implications for the restoration of the disc-articular relationship.

关 键 词：颞下颌关节紊乱病 前伸再定位咬合板 功能矫治器 关节盘移位 

分 类 号：R783.9[医药卫生—口腔医学]