Effects of canine versus molar occlusal splint guidance on nocturnal bruxism and craniomandibular symptomatology.
Effects of canine versus molar occlusal splint guidance on nocturnal bruxism and craniomandibular symptomatology.
复制标题
犬牙与磨牙咬合夹板引导对夜间磨牙症和颅下颌症状的影响。
DOI：
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发表时间：
1989
期刊：
影响因子：
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通讯作者：
R. Ohrbach
中科院分区：
文献类型：
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作者：
J. Rugh;G. S. Graham;J. C. Smith;R. Ohrbach
使用咬合间矫形器是治疗夜间磨牙症和相关的颅颌症状的最常见的方法。然而，对于作用机制或最佳临床结果的最佳设计，还没有达成共识。通过尖牙或前路引导的后牙脱合被认为是一个关键特征。这项研究的目的是比较8名慢性磨牙症患者的尖牙和磨牙引导矫治器。这些矫治器使用了10到14个晚上。这两种矫治器对八名受试者中的七名夜间磨牙症的疗效几乎相同。临床检查和主观疼痛评分在两种指导模式下没有差异。这些结果质疑了通常的假设，即犬齿引导是治疗夜间磨牙症及其相关颅颌症状的关键设计特征。
The use of interocclusal orthopedic appliances is the most common method for managing nocturnal bruxism and associated craniomandibular symptoms. Yet there is no consensus on the mechanism of action or best design for optimal clinical results. Posterior disocclusion through canine or anterior guidance is believed to be a key feature. The purpose of this study was to compare a canine versus molar guidance appliance in eight chronic bruxist patients. The appliances were used for 10 to 14 nights. The two appliances provided nearly equivalent effects on nocturnal bruxism in seven of eight subjects. Clinical examination and subjective pain ratings did not differ with the two guidance patterns. These results question the common assumption that canine guidance is a critical design feature for the management of nocturnal bruxism and associated craniomandibular symptoms.