临床弹响消失He位作为调位He垫治疗He位的研究

目的 研究临床以弹响消失Ｈｅ位作为调位Ｈｅ垫治疗Ｈｅ位的可行性，进一步探讨调位Ｈｅ垫的治疗机理。方法 ２５名接受调位Ｈｅ垫治疗的可复性盘前移位患者，以弹响消失Ｈｅ位制作调位Ｈｅ垫，在关节造影下验证盘／突位置改变，观察临床治疗效果。结果 ２５名患者中，１９人盘－突完全复位，５人复位不全，１人未复位，治疗过程中盘－突复合体运动协调。治疗后关节区舒适，开口型改变，关切弹响减轻。结论 以临床弹响消失Ｈｅ位

To probe into the practicability of using the jaw position of eliminating TMJ clicks as the therapeutic position of repositioning splint]

OBJECTIVE: To evaluate that it was practicable to use the jaw position of eliminating TMJ clicks as the therapeutic position of repositioning splint and to probe into the therapeutic mechanism of repositioning splint. METHODS: 25 patients with reducible disc displacement were treated with repositioning splint. The therapeutic jaw position was the position without TMJ clicking, then verified by Arthrography. The treatment effect was observed. RESULTS: Among 25 cases, 19 discs were completely recaptured, 5 incompletely recaptured, 1 not recaptured. Once the splints inserted, the movements of disc-condyle complex were smooth. After treatment finished, the opening types were improved, the clicks were lessened. CONCLUSIONS: It's practicable to use the jaw position of eliminating clicks as the treatment jaw position of repositioning splint. The therapeutic mechanism of repositioning splint may be that it altered the relationship of disc and condyle and improved their movement. That was favorable to fibrize the retrodiscal tissue and to strengthen the posterior band of disc.