A critical evaluation of orthopedic interocclusal appliance therapy: effectiveness for specific symptoms.
A critical evaluation of orthopedic interocclusal appliance therapy: effectiveness for specific symptoms.
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骨科咬合矫治器治疗的关键评估：对特定症状的有效性。
DOI：
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发表时间：
1984
期刊：
影响因子：
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通讯作者：
G. Clark
中科院分区：
文献类型：
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作者：
G. Clark
这篇文章回顾了咬合夹板在治疗与TM障碍相关的特定症状方面的有效性。研究表明，传统的稳定型咬合间矫治器有时会帮助TMJ，但不能治愈，而且TMJ Kick对治疗的反应最小。有人质疑是否需要专门治疗卡合；有必要对这一问题进行更多的研究。咬合矫治器治疗疼痛的TMJ已被证明是有效的，但对于咬合间矫治器治疗这种症状的有效性仍然存在疑问。几乎没有科学证据表明夹板能够有效地减缓或逆转X线片上明显的TMJ退行性变化。到目前为止，咀嚼肌疼痛是有最好的实验证据支持咬合夹板作为一种高效治疗方法的症状。这些变化可能是通过患者肌肉活动模式的改变来调节的。那些症状更严重的患者不太可能得到夹板作为唯一治疗方式的帮助。咬合矫治器在肌肉三叉肌中的作用已经被讨论，但在文献中并没有得到有效的评价。咬合夹板已被证明对改善下颌肌肉协调性有明显影响。咬合间夹板是一种常用的控制磨耗和牙齿负重的方法，在文献中很少有人提出关于这种治疗应用的问题。
This paper reviews the effectiveness of occlusal splints on specific symptoms that are often associated with TM disorders. The research has shown the clicking TMJ is sometimes helped but not cured by the traditional stabilization interocclusal appliance and that TMJ clicking is the least responsive to treatment. Questions have been raised about the need to specifically treat the clicking joint; more research on this issue is necessary. Painful TMJs have been shown to respond to occlusal appliance therapy, but questions still exist about the effectiveness of interocclusal appliances for this symptom. There is little scientific proof available about the ability of splints to effectively slow down or reverse degenerative TMJ changes that are evident on radiographs. Masticatory muscle pain is by far the symptom that has the best experimental evidence to support occlusal splints as a highly effective method of treatment. These changes are probably mediated via an alteration in the patient's muscle activity patterns. Those patients with more severe symptoms are less likely to be helped with splints as a sole treatment modality. The effect of occlusal appliances in muscle trismus has been discussed but not effectively evaluated in the literature. Occlusal splints have been shown to have a distinct influence on improving mandibular muscle coordination. Inter-occlusal splints are a commonly used method of controlling attrition and adverse tooth loading, and few questions have been raised in the literature about this therapeutic application.