目的 评价咬合板结合家庭疗法在咀嚼肌肌筋膜疼痛的疗效.方法 选取 2019 年 6 月至 2021 年 6 月于广西医科大学附属口腔医院口腔修复科进行稳定型咬合板结合家庭疗法治疗的咀嚼肌肌筋膜疼痛患者 32 例,分析治疗 3 个月后的临床有效率.于治疗前和治疗后 3 个月行疼痛视觉模拟评分(visual analogue scale,VAS)和T-Scan Ⅲ数字化咬合评估系统检查,分别评估患者的疼痛程度及咬合功能,咬合功能包括:??力不对称指数(asymmetry index of occlusal force,AOF)、??力中心点位置(center of force,COF)、??接触点数(number of occlusal contacts,NOC)、闭??时间(occlusal time,OT).结果 ①治疗后,临床有效率为 93.75%;②VAS、AOF、COF、OT 均较治疗前降低(P<0.05);NOC在治疗前后差异无统计学意义(P>0.05).结论 稳定型咬合板结合家庭疗法治疗咀嚼肌肌筋膜疼痛可有效缓解疼痛和改善咬合功能.
Evaluation of the efficacy of splint combined with routine home treatment in masticatory myofascial pain
Objective To evaluate the effectiveness of stabilization splint combined with routine home treatment in the treatment of masticatory myofascial pain.Methods A total of 32 patients with masticatory myofascial pain were selected from the Department of Prosthodontics,Guangxi Medical University Affiliated Stomatoiogical Hospital from June 2019 to June 2021,who received stabilization splint combined with routine home treatment.The clinical effective rate was analyzed after 3 months treatment.Visual analogue scale(VAS)and T-Scan Ⅲ digital occlusal evaluation system were performed before and after 3 months treatment to evaluate pain degree and occlusal function of patients respectively.The indexes of occlusal function were asymmetry index of occlusal force(AOF),center of force(COF),number of occlusal contacts(NOC),and occlusal time(OT).Results ①The clinical effective rate was 93.75%after treatment;②VAS,AOF,COF,and OT were significantly lower compared with prior treatment(P<0.05).There was no significant difference in the NOC before and after treatment(P>0.05).Conclusion Stabilization splint combined with routine home treatment for masticatory myofascial pain are effective in relieving pain and improving occlusal function.
Stabilization splintRoutine home treatmentMasticatory myofascial painOcclusion
国家科技期刊平台
NSTL
万方数据
