目的 观察分析牙列重度磨耗伴颞下颌关节紊乱病(TMD)患者咬合重建序列治疗的疗效.方法 选取牙列重度磨耗伴TMD患者11例,检查记录TMD及其相关症状,然后进行咬合重建序列治疗,治疗完成3个月、6个月及12个月后,将治疗后的TMD及其相关症状与治疗前相比较,对相关数据进行统计分析.结果 治疗后11例患者均感满意且咀嚼有力,关节弹响、关节疼痛及咬合干扰治疗前后的比较存在统计学意义(P＜0.05).结论 咬合重建后,患者满意度较高,其TMD症状有明显改善,髁突位置在短期内无明显改善.%Objective Observe and analyse the clinical effect of the occlusal reconstruction treatment on patients with temporomandibular joint disorder(TMD) as well as severe dental abrasion. Methods 11 patients with TMD and severe abrasion were given occlusal reconstruction treatment after records of their situation of TMD and related symptoms. 3,6,12 months after operation,compare TMD and related symptorms with those before operation. Data were analysed statistically. Kelusts 11 patients given the treatment were all satisfied with the correct and effective occlusion. There were significantly statistical differences (P <0.05) in the comparison before and after the treatment in joint-snapping,joint-paining and occlusal interference. Conclusions Patients are highly satisfied after occlusal reconstruction , and their symptoms about TMD improve obviously. There was no variation of the mandibular condyle position in short time.
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