开张式双牙合垫在矫治磨牙症中应用探究.docVIP

开张式双牙合垫在矫治磨牙症中应用探究[摘要]目的:研究开张式双牙合垫治疗磨牙症的临床疗效,为临床治疗提供一定参考。方法:对48例磨牙症患者应用自制的开张式双牙合垫治疗,随访9个月。结果:戴用1个月停止磨牙率为37.5%,戴用9个月停止磨牙率为47.9%。戴用后平均每夜磨牙时间减少有极其显著性(P0.01)。结论:开张式双牙合垫是治疗磨牙症的有效方法之一。 [关键词]牙合垫;磨牙症;张力弹簧;生物反馈 [中图分类号]R783.5 [文献标识码]A [文章编号]1008-6455(2010)06-0883-02 Clinical study on the treatment effects of bruxism patients using tensile spring occlusal splint MU Ming-kui,ZHOU Hai-yan,LU Xiao-li,LIU Yang,ZHAN Wang,HOU Lu,XU Shi-qian (1.Department of Othodontics,The Second Hospital Affiliate to Harbin Medical University,Harbin 150086,HiLongJiang,China;2.College of Material :Science and Engineering;Harbin Institute of Technology) Abstracts:Objective To study the clinical therapeutic effect of the Tensile spring occlusal splint on bruxism.Methods48patients of bruxism were treated with the Tensile spring occlusal splint.and 9month was follow up.analysis was performed with pre-treatment and post-treatment. Paired t-test conducted to assess the treatment effects.Results 37.5%patients stopped grinding in one month after using occlusal splint, and 47.9%did after 9 months.The average grinding time each night reduced remarkably (P0.01) after treatment. ConclusionThe Tensile spring occlusal splint is one of the effective methods in treating bruxism. Key words:occlusal splint;bruxism;tensile spring;biological feedback 磨牙症是指人在非生理功能状态下,咀嚼肌产生不自主的收缩,使上下牙齿彼此磨动或紧咬的现象,其发病率为9.78%～30.7%[1]。磨牙症可造成牙齿、牙周,关节和肌肉的损害。对该病的治疗,一直是口腔学者探讨的课题,但至今仍没有好的治疗方法,本研究用自制的开张式双牙合垫对48例磨牙症患者进行治疗,取得了较好的临床效果。 1材料和方法 1.1 病例选择:选哈尔滨医科大学患有磨牙症的在校学生48例(男29例,女19例)。诊断标准:①睡眠时患者有典型磨牙或咬紧牙动作;②同学及家长的反应有熟睡时发出磨牙声音;③临床检查其牙齿牙合面磨耗严重。年龄19～23岁,平均21.2岁。 1.2 临床设计:取上下颌印模,灌制石膏模型,咬合蜡记录,打开咬合高度为:超过息止颌间隙3～4mm。转移蜡记录,上牙合架。用自凝塑料制成上下牙列牙合板。在上下牙合板上粘结自凝塑料小圆柱,直径:1.5mm,高度:3mm,上下牙合板每侧各2个小圆柱,不干扰咬合。用0.9mm钢丝弯制两个阻力弹簧连接上下牙合板为一体。打磨、抛光,临床试戴1周,调整至合适高度(多为超过息止颌间隙3～4mm)后开始治疗。 1.3 研究方法:用声控磨牙记录仪(哈尔滨工业大学提供,夜间连接于患者头部附近)记录当夜磨牙症患者治疗前、治疗1个月时及治疗9个月时的夜磨牙时间,连续记录3次,取平均值。分别测量自凝塑料小圆柱治疗1个月时及治疗9个月时的磨耗量。疗效判定标准:①停止磨牙,小圆柱无磨耗;②有显著疗效,磨牙时间减少60%以上,小圆柱磨耗长度少于