开张式双牙合垫在治疗磨牙症中的临床应用

目的　研究开张式双牙合垫治疗磨牙症的临床疗效。方法　对48例磨牙症患者应用自制的开张式双牙合垫进行治疗,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%。戴用前后平均每夜磨牙时间减少有极其显著性（P＜0.01）。结论　开张式双牙合垫是治疗磨牙症的有效方法之一。     

开张式双垫与塑料垫治疗磨牙症的对比研究

目的：比较开张式双垫在治疗磨牙症中与塑料垫的临床疗效。方法：分别用自制的开张式双垫与塑料垫对48位磨牙症患者进行治疗,随访9个月。分别统计治疗结束1个月和9个时的停止磨牙列数和平均减少的磨牙时间。结果：戴用1个月停止磨牙数比为6∶12,戴用9个月停止磨牙数比为10∶21。其差异具有显著性（P〈0.01）。结论：开张式双垫治疗磨牙症优于塑料垫。     

开张式双殆垫与塑料殆垫治疗磨牙症的对比研究

目的：比较开张式双胎垫在治疗磨牙症中与塑料殆垫的临床疗效。方法：分别用自制的开张式双殆垫与塑料殆垫对48例磨牙症患者进行治疗,随访9个月。统计治疗结束1个月和9个月时的停止磨牙病例和平均减少的磨牙时间。结果：戴用1个月停止磨牙病例数比为6：12,戴用9个月时停止磨牙病例数比为10：21。其差异具有显著性（P〈0．01）。结论：开张式双殆垫治疗磨牙症优于塑料殆垫。     

2种(牙合)垫治疗磨牙症的疗效比较

目的:比较组牙功能性(牙合)垫和尖牙保护性(牙合)垫治疗磨牙症的疗效.方法:制作组牙功能性(牙合)垫和尖牙保护性(牙合)垫,夜间戴用导板,定期复查,观察疗效,采用SPSS10.0软件包对数据进行x2检验.结果:组牙功能性(牙合)垫对夜磨牙症的总治愈率为79.16%;尖牙保护性(牙合)垫治疗磨牙症的总治愈率为83.33%.结论:组牙功能性(牙合)垫和尖牙保护性(牙合)垫对磨牙症的疗效相同.     

双(牙合)垫反向唇弓矫治器治疗替牙期前牙反(牙合)的临床应用

目的 探讨双(牙合)垫反向唇弓矫治器治疗功能因素为主的替牙期前牙反(牙合)的疗效.方法 用双(牙合)垫反向唇弓矫治器矫治以功能因素为主的替牙期前牙反(牙合)患儿10例,评价其临床效果.结果 10例患儿的前牙反(牙合)解除,建立了正常的覆(牙合)、覆盖,磨牙达中性或中性偏近中关系.疗程最长6个月,最短2个月,平均3.9个月.结论 双(牙合)垫反向唇弓矫治器对以功能因素为主的前牙反(牙合)有良好的治疗效果.     

真空成形牙合垫和普通塑料牙合垫治疗夜磨牙症的临床效果评价

目的比较真空成形牙合垫与普通塑料牙合垫治疗夜磨牙症的临床效果.方法分别用真空成形术和普通塑料制作牙合垫,嘱患者夜间休息时戴用.结果配戴普通塑料牙合垫和真空成形牙合垫1个月时停止磨牙例数之比为6∶11;6个月时为10∶17,具有显著性差异(P<0.05).结论真空成〗形牙合垫治疗夜磨牙疗效显著,配戴舒适,优于传统塑料牙合垫.     

Artglass垫治疗磨牙症患者的临床研究

目的　研究Artglass垫对磨牙症的临床疗效。方法　对 35例磨牙症患者制作Artglass固定牙合垫 ,随访1年。结果　戴用 1个月停止磨牙率为 37.14% ,戴用 1年停止磨牙率为 48.5 7%。戴用牙合垫后无论时间长短 ,平均每夜磨牙时间减少均极其显著 (P <0 .0 1) ,而且戴用 1年与 1个月相比也具有显著性差异 (P <0 .0 5 )。结论　Artglass牙合垫是治疗磨牙症患者的有效方法之一。     

功能矫治器FR-Ⅲ与上颌(牙合)垫矫治器联合应用治疗替牙期前牙反(牙合)的临床效果

目的观察功能矫治器FR-Ⅲ与上颌(牙合)垫矫治器联合应用治疗替牙期前牙反(牙合)的效果.方法选择替牙期前牙反(牙合)患者24例,白天戴用上颌(牙合)垫矫治器,晚上戴用FR-Ⅲ矫治器,治疗前后拍摄头颅侧位片进行头影测量分析.结果24例患者均在1个月左右前牙呈对刃关系,5个月后中性(牙合)关系完全建立,面型获得较大改善.结论FR-Ⅲ矫治器与上颌(牙合)垫矫治器联合应用,既能快速解除前牙反(牙合),诱导后牙建立正常咬合关系,又能促进上颌骨发育,抑制下颌向前生长.     

粘接型(牙合)垫和固定矫治器联合治疗上前牙错(牙合)20例报告

目的:探讨粘接型(牙合)垫和固定矫治器联合应用治疗上前牙错(牙合)的临床效果.方法:选择乳牙期或替牙期前牙错(牙合)患者20例,男11例,女9例,平均年龄9.2岁.其中反(牙合)5例,开(牙合)2例,牙扭转7例,牙间隙4例,深覆(牙合)深覆盖2例.应用粘接型(牙合)垫和固定矫治器联合治疗.结果:经过3-9个月,平均5.5月的治疗,20例上前牙错(牙合)均得到有效矫治.前牙整齐,覆(牙合)、覆盖正常,上中切牙中线与面中线一致.结论:应用粘接型(牙合)垫和固定矫治器联合治疗上前牙错(牙合)临床效果好.     

应用(牙合)垫治疗高龄失牙患者种植义齿修复后的前牙深覆(牙合)

目的:应用(牙合)垫治疗高龄患者前牙深度覆(牙合)持续恶化,减轻种植义齿负荷.方法:制作(牙合)垫,适当升高咬(牙合),维持正常前牙覆(牙合)关系.结果:咬(牙合)关系良好,减轻后牙磨损,保护上前牙舌侧面磨损,并阻止下前牙伸长.结论:(牙合)垫制作简单,防止上、下前牙相互的磨损,并消除牙被磨损后的敏感症状,保持前牙的正常咬合关系,不影响双侧颞颌关节.     

Evaluation of Occlusal Splint Therapy

Occlusal splints have been widely used in dentistry for treating craniomandibular disorders, yet the precise effect that splints have on symptoms is still undetermined. When the available research evidence is closely scrutinized it is found to be weak and generally unsupported. Most studies are lacking in sound research design and often draw conclusions that are unsubstantiated. Recognizing these weaknesses, this article proposes a research design that will effectively evaluate treatment effects through rigid, well-controlled, and accurately documented experimentation. Using this research design clinically may be a difficult task. However, incorporation of one or more of the suggested parameters will help to strengthen any research proposal.     

An Intrasubject Replication Strategy for Evaluating Occlusal Splint Therapy

Okeson and others have proposed that statistical comparisons between groups of treated and untreated patients be used to evaluate the effectiveness of occlusal splint therapy. This article argues that valid between-groups comparisons cannot be made by most clinicians and that such comparisons do not satisfactorily guide the treatment of individual patients. An intrasubject replication design strategy is then offered as a model for clinicians to use in evaluating splint-therapy effects in individual cases.     

Orthodontics Using an Occlusal Splint: A Clinical Report

Careful management of the occlusion is necessary for successful prosthodontic treatment. A reorganized occlusal approach requires a more accurate registration of the desired jaw position, and where it is difficult to achieve this, an occlusal splint is indicated. This clinical report documents a 60‐year‐old man with a Prosthodontic Diagnostic Index Class IV dentition, who prior to a full‐mouth reconstruction, underwent occlusal splint therapy with a Michigan‐type splint that incorporated z‐springs to allow concurrent orthodontic tooth movement of two anterior teeth to positions that would allow favorable restorations by correcting occlusal and esthetic form.     

咬合板矫正下颌偏位的临床研究

目的:探讨咬合板在矫正下颌偏位与颞下颌关节紊乱病及全身姿势的作用。方法:记录、分析、比较伴有下颌偏位的健康有牙颌者及颞下颌关节紊乱病者在戴用矫正颌位的咬合板前后,其正、侧面照片中头部、肩部、腰部的姿势变化。结果:下颌偏位的健康有牙颌者中,在颌位矫正前后头部、肩部、腰部姿势变化者约有50%;在侧面照片中矫正前后表现有80%的被测试者都有头部或脊柱弯曲的姿势变化。矫正颞下颌关节紊乱病者的下颌偏位,可使其临床症状得以改善。结论:下颌偏位与姿势异常及颞下颌关节紊乱病者的全身伴随症状有一定的关联。     

咬合板加局部激光照射治疗颞下颌关节紊乱病的临床研究

目的:研究咬合板加局部激光照射对颞下颌关节紊乱病(TMD)的临床治疗效果。方法:TMD患者225例,随机分为咬合板+局部激光照射组、局部封闭治疗+局部激光照射组、局部激光照射组,每组75人。局部封闭治疗:2%利多卡因1 mL+醋酸强的松龙混悬液2 mL行痛点封闭,每周1次,3～5次为一疗程。咬合板治疗:夜间佩戴下颌平面抬高约4 mm的咬合板。激光治疗:用MDC-500IP型半导体激光治疗机照射颞下颌关节区,1次/d,10 d为一疗程。结果:总有效率"咬合板+局部激光照射组"为93.33%,"局部封闭治疗+局部激光照射组"为85.02%,"局部激光照射组"为70.67%。组间差异有统计学意义(P<0.05)。结论:"咬合板+局部激光照射"治疗TMD较为有效,值得推广。     

Removable Dental Prosthesis Splint. An Occlusal Device for Nocturnal Bruxing Partial Denture Users

Nocturnal bruxing is a parafunctional activity of the masticatory system that may create problems for removable dental prosthesis (RDP) users. Such problems may include root fractures, increased mobility of abutment teeth, excessive wear of resin denture teeth, minor connector bending, or denture base cracking. This clinical report presents an occlusal device fabricated for an RDP patient. The device used existing ERA attachments for added retention designed with the intended purpose of protecting the definitive fixed and RDP from damage due to nocturnal bruxing activity and providing for even distribution of parafunctional forces.