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对颞颌关节内紊乱症常用下颌前移位(牙合)垫使前移的关节盘复位。此疗法虽然有效,但复发率较高,其原因是除去(牙合)垫后颌位不能保持稳定。作者对青少年颞颌关节内素乱症在使用了下颌前移位(牙合)垫治疗后,采取让后牙升高的最终处理方法,保持颌位稳定,临床观察弹响不再出现。对象 1986年4月～1987年3月,5例诊断为可复性关节盘前移位伴深覆(牙合)的男性患者,年龄12～17岁。X线检查无明显关节部硬组织异常。方法给患者装戴常规的下颌前移位(牙合)垫,使关节盘复位,颌位做开闭口动作无弹响出现。(牙合)垫最好24小时戴着,饭后取下清洁。一周后复诊检查,戴(牙合)垫时做开闭口动作应无弹响,此时稍调整(牙合)垫,诱导下颌后退,确认弹响无再出现后,每隔2～3周调整一次,直至髁状
Of temporomandibular joint disorders commonly mandibular anterior displacement (occlusal) pad so that the anterior disc reduction. Although this therapy is effective, but the recurrence rate is higher, the reason is that removal of occlusal pad can not be maintained after the jaw position. After using the mandibular anterior displacement (occlusal) pad treatment in adolescent temporomandibular joint prostheses, the final treatment to raise the posterior teeth was adopted to keep the jaw position stable and the clinical observation of snapping no longer appear. Subjects From April 1986 to March 1987, 5 male patients aged 12 to 17 years were diagnosed as recurrent anterior disc displacement with deep overbite. X-ray examination without obvious joint hard tissue abnormalities. Methods The patient was fitted with a conventional mandibular anterior displacement (occlusal) pad, so that the disc was reset, jaw opening and closing port movements do not appear ringing. (Occlusal) pad is best worn 24 hours, remove after a meal clean. A week after the visit to check, wear (occlusal) pad to do the opening and closing mouth movements should be no ring, at this time a little adjustment (occlusal) pad, inducing mandibular retreat to confirm snappings no longer appear, every 2 to 3 weeks to adjust Once, until the condyle