本文選題：顳下頜關(guān)節(jié)紊亂病　切入點：阻生牙　出處：《山西醫(yī)科大學》2014年碩士論文

【摘要】：研究目的 定量分析伴有阻生牙（特指第三磨牙，以下均是）顳下頜關(guān)節(jié)紊亂�。╰emporomandibulardisorders,TMD）患者使用單頜牙合墊治療3個月前后顳下頜關(guān)節(jié)的功能狀態(tài)，客觀地評價牙合墊治療伴阻生牙TMD的療效。 研究方法 對符合納入標準的30例18-23歲的伴阻生牙TMD患者由同一醫(yī)師以Fricton顳下頜關(guān)節(jié)紊亂指數(shù)進行雙側(cè)顳下頜關(guān)節(jié)（TMJ）功能評估，并詳細記錄各數(shù)據(jù)，制作2mm上頜軟牙合墊并戴入，每兩周，1月，兩月，三月復診一次，三個月治療結(jié)束后仍由該醫(yī)師以同一方法對患者TMJ功能進行評估，記錄治療后數(shù)據(jù)并計算出治療前后各患者功能障礙指數(shù)（DI）、肌肉壓痛指數(shù)（PI）和顱頜指數(shù)（CMI），應用SPSS16.0軟件包處理數(shù)據(jù)，采用配對t檢驗對牙合墊治療前后的DI、PI和CMI各值進行比較。 研究結(jié)果 30例伴有阻生牙顳下頜關(guān)節(jié)紊亂病患者經(jīng)3個月上頜牙合墊治療后患者TMJ狀態(tài)較前有不同程度的好轉(zhuǎn)，由Friction顳下頜關(guān)節(jié)紊亂指數(shù)計算出的DI、PI、CMI較治療前均明顯下降，應用SPSS16.0軟件包處理數(shù)據(jù)，采用配對t檢驗對牙合墊治療前后的DI、PI和CMI各值進行分析，差異有統(tǒng)計學意義（P0.001）。 結(jié)論 單頜牙合墊治療可明顯改善伴阻生牙TMD患者的TMJ功能狀態(tài)，是治療伴阻生牙TMD患者效果明顯的治療方法之一。另外在排除各種能引發(fā)TMD因素的情況下，患者仍可患TMD，，因此18-23歲作為阻生牙高發(fā)年齡段，引起其患TMD的潛在因素為阻生牙。
[Abstract]:Research purposeThe functional status of temporomandibular joint (TMJ) patients with temporomandibular disorders (temporomandibular disorders) and temporomandibular joint (temporomandibular mandibular joint) before and after 3 months of treatment were quantitatively analyzed. The efficacy of occlusal pad in treatment of temporomandibular joint (TMJ) with impacted tooth TMD was evaluated objectively.Research methodA total of 30 patients (18-23 years old with impacted tooth TMD) who met the inclusion criteria were evaluated by the same physician for bilateral temporomandibular joint disorder index (TMJ), and the data were recorded in detail to make 2mm maxillary soft occlusion pad and wear it.Once every two weeks, January, two months, three months after treatment, the physician still evaluated the patient's TMJ function in the same way.After treatment, the data were recorded and the disfunction index (DII), muscle tenderness index (Pi) and craniomaxillary index (CMIA) were calculated before and after treatment. The data were processed by SPSS16.0 software package, and the values of DI Pi and CMI before and after treatment were compared by paired t test.Research resultsThe TMJ status of 30 patients with temporomandibular joint disorder associated with impacted teeth after 3 months of maxillary occlusal pad treatment was improved to some extent, and the DIPII-CMI calculated from the Friction index of temporomandibular joint disorder was significantly lower than that before treatment.The SPSS16.0 software package was used to process the data and the matched t test was used to analyze the values of DI Pi and CMI before and after the treatment of occlusal pad. The difference was statistically significant (P 0.001).ConclusionMonomaxillary occlusal pad therapy can significantly improve the TMJ functional status of patients with TMD and is one of the effective treatment methods for TMD patients with impacted teeth.In addition, patients with TMD can still suffer from TMD when all kinds of factors are excluded. Therefore, 18-23 years old is a high incidence age of impacted teeth, and the potential factor causing TMD is impacted teeth.
【學位授予單位】：山西醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2014
【分類號】：R782.63

【參考文獻】

相關(guān)期刊論文 前9條

1 劉德祥,汲平,潘芳,王貞,江虹;顳下頜關(guān)節(jié)紊亂病的心理因素的研究[J];口腔頜面修復學雜志;2005年02期

2 陳永進,長島正,野首孝祠;咬合板高度對下頜髁突位置的影響[J];實用口腔醫(yī)學雜志;2000年01期

3 王美青;顳下頜關(guān)節(jié)紊亂病的非手術(shù)治療方法[J];中華口腔醫(yī)學雜志;2005年05期

4 曾融生，任材年，沈強;內(nèi)窺鏡手術(shù)治療顳下頜關(guān)節(jié)紊亂綜合征的初步體會[J];中華口腔醫(yī)學雜志;1995年06期

5 邱蔚六,楊馳;治療性顳下頜關(guān)節(jié)鏡外科的臨床應用[J];中華口腔醫(yī)學雜志;1998年04期

6 張卿;楊連平;;下頜智齒萌出對spee曲線的影響[J];中國實用醫(yī)藥;2012年14期

7 邱志遠;余勇;楊敏;;下頜智齒阻生引起顳下頜關(guān)節(jié)紊亂病40例分析[J];新疆醫(yī)學;2004年05期

8 劉鋒,張敬,薛凡;下頜第三磨牙阻生與顳下頜關(guān)節(jié)紊亂綜合征關(guān)系探討(附20例報告)[J];寧夏醫(yī)學院學報;1999年05期

9 石濤濤;楊連平;孫英;郭莉春;;山西籍大學生顳下頜關(guān)節(jié)紊亂病流行病學調(diào)查分析[J];中國實用口腔科雜志;2013年04期

本文編號：1690390