Therapy of the osteoarthritis of the temporomandibular joint
Therapy of the osteoarthritis of the temporomandibular joint
复制标题
DOI：
10.1016/j.jcms.2010.04.010
复制
发表时间：
2011-03-01
影响因子：
3.1
通讯作者：
Lukas, Jindrich
中科院分区：
文献类型：
--
作者：
Machon, Vladimir;Hirjak, Dusan;Lukas, Jindrich
骨关节炎是下颌骨的常见疾病。骨关节炎的治疗主要包括休息疗法（限制下颌运动）、使用药物（镇痛药、抗炎药）、夹板疗法、热疗或微创疗法。我们的研究调查了各种治疗选择在骨关节炎治疗中的有效性。我们比较了休息疗法（限制张口，镇痛治疗），夹板，关节穿刺术的上关节间隙，关节穿刺术结合夹板治疗的有效性。我们观察了80例诊断为颞下颌关节骨关节炎的患者。我们只纳入了单侧颞下颌关节（TMJ）有症状的患者。这项为期3个月的长期研究表明，关节穿刺术联合使用夹板是治疗TMJ骨关节炎患者的有效第一阶段治疗方法（80%的患者在治疗开始后3个月疗效良好）。(C)2010年欧洲颅颌面外科协会。
Osteoarthritis is a common condition of the mandible. The treatment of osteoarthritis primarily consists of rest therapy (restricting jaw movements), the use of pharmaceuticals (analgesics, antiinflammatories), splint therapy, thermotherapy or mini-invasive therapy.Our study investigated the effectiveness of the various therapeutic options in the treatment of osteoarthritis. We compared the effectiveness of rest therapy (restricting mouth opening, analgesic therapy), splints, arthrocentesis of the upper joint space, and arthrocentesis in combination with splint therapy.We looked at 80 patients diagnosed with osteoarthritis of the temporomandibular joint. We only included patients with symptoms in one temporomandibular joint (TMJ).This 3 months long-term study shows that arthrocentesis combined with the use of a splint is an effective first-stage treatment method for patients with osteoarthritis of the TMJ (80% patients with good outcome 3 months after commencement of therapy). (C) 2010 European Association for Cranio-Maxillo-Facial Surgery.