中国实用口腔科杂志

中国实用口腔科杂志

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颞下颌关节紊乱病咬合板治疗

易新竹，张晓歌，王艳民   

  1. 四川大学华西口腔医学院口腔疾病研究国家重点实验室，成都
  • 收稿日期:2008-12-31 修回日期:1900-01-01 出版日期:2009-03-15 发布日期:2009-03-15

  • Received:2008-12-31 Revised:1900-01-01 Online:2009-03-15 Published:2009-03-15

摘要：

颞下颌关节紊乱病（TMD）的保守治疗方法很多，本文重点介绍了目前临床上常用的有关TMD保守治疗的咬合板的类型、作用和适应证。咬合板治疗是临床治疗TMD的首选疗法，但目前缺乏设计完善的临床试验以证实其疗效。建议推行临床试验透明化，实施临床试验注册制度和高质量的随机对照试验（RCT），以便于总结咬合板治疗TMD的临床证据，提高TMD临床治疗水平。

关键词: 颞下颌关节紊乱病, 咬合板, 保守治疗

Abstract:

There are many conservative treatment for temporomandibular disorder （TMD）. This paper summarizes the splint type，role，and indications of the current clinical practice commonly used in conservative treatment for TMD. Splint therapy is usually the main treatment for TMD，but there is insufficient，consistent evidence to support the use of splint therapy in the treatment of TMD. Further high quality RCTs need to be conducted. Clinical trial registration and revised consolidated standards of reporting trial statement should be introduced into the trial design and strictly performed. Clinical evidence should be summarized in order to improve clinical treatment for TMD.

Key words: temporomandibular disorders, splint therapy, conservative treatment