中华口腔医学杂志Pub Date : 2024-11-09DOI: 10.3760/cma.j.cn112144-20240624-00247
N Zhang, B Fang, Y X Bai
{"title":"[Customized lingual orthodontics: clinical features and difficulties].","authors":"N Zhang, B Fang, Y X Bai","doi":"10.3760/cma.j.cn112144-20240624-00247","DOIUrl":"10.3760/cma.j.cn112144-20240624-00247","url":null,"abstract":"<p><p>Lingual orthodontic technology has been in existence for over 50 years, undergoing various stages of emergence, development, decline, and maturity. In recent years, with the advancement of digital technology, customized lingual orthodontics has gradually become widely used in clinical practice, representing a significant achievement of digital technology in orthodontic clinical diagnosis and treatment. The integration of digital technology has made customized lingual orthodontics more convenient, precise, and efficient, enhancing patient comfort while significantly reducing the operational difficulty and technical barriers for orthodontists. This article focuses on analyzing the technical characteristics, operational challenges, and coping strategies of customized lingual orthodontics based on digital technology, aiming to provide a reference for clinical practice.</p>","PeriodicalId":23965,"journal":{"name":"中华口腔医学杂志","volume":"59 11","pages":"1101-1106"},"PeriodicalIF":0.0,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142547902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中华口腔医学杂志Pub Date : 2024-11-09DOI: 10.3760/cma.j.cn112144-20240722-00284
Y J Zhao, X X Chen, J Wang, Y Wang
{"title":"[Exploration and innovative application of digital technology in pediatric dentistry].","authors":"Y J Zhao, X X Chen, J Wang, Y Wang","doi":"10.3760/cma.j.cn112144-20240722-00284","DOIUrl":"10.3760/cma.j.cn112144-20240722-00284","url":null,"abstract":"<p><p>Pediatric dentistry treats patients aged 0-18 years, encompassing the characteristics of general dentistry. The clinical techniques are closely related to restorative dentistry, endodontics, orthodontics, and maxillofacial surgery, while also possessing unique aspects. It particularly focuses on the growth and development patterns of children's dentition and maxillofacial structures. Currently, digital technology has deeply integrated with various clinical disciplines of dentistry, and pediatric dentistry has made significant progress with pediatric-specific digital applications. On one hand, the introduction of mature digital technologies is enabling the digital transformation of pediatric dental treatment models; on the other hand, there is innovative development of new digital technologies tailored to the specific needs of pediatric dental care, filling gaps in the field. Based on years of research in digital technology for pediatric dentistry, our team details the current innovative applications and scientific explorations in this area from these two perspectives. Additionally, we anticipate the potential expansion of digital technologies not yet applied in pediatric dentistry, providing a reference for clinical scholars in the field to conduct exploratory research.</p>","PeriodicalId":23965,"journal":{"name":"中华口腔医学杂志","volume":"59 11","pages":"1080-1087"},"PeriodicalIF":0.0,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142547906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中华口腔医学杂志Pub Date : 2024-11-09DOI: 10.3760/cma.j.cn112144-20240709-00263
X Y Zhang, Y Wang, Z Q Pan, Y Y Liu, Y J Zhao
{"title":"[Research on the method of digital technology assisted direct resin composite restoration for deep distal caries in mandibular second molars].","authors":"X Y Zhang, Y Wang, Z Q Pan, Y Y Liu, Y J Zhao","doi":"10.3760/cma.j.cn112144-20240709-00263","DOIUrl":"10.3760/cma.j.cn112144-20240709-00263","url":null,"abstract":"<p><p><b>Objective:</b> To explore the digital design and fabrication technology of personalized restorative matrix for dental filling, and to explore the feasibility of direct resin restoration for deep caries lesions in distal neck of mandibular second molar. <b>Methods:</b> For patients with deep caries lesions in the distal neck of the mandibular second molar who visited the Department of Cariology and Endodontology of Peking University School and Hospital of Stomatology from September 2023 to April 2024, after preparing the cavity and gingival retractor, a three-dimensional intraoral scanner was used to obtain three-dimensional data of the patient's dentition. In the dental restoration computer-aided design software, the inlay function was used to generate the restored tooth morphology. The edge range of the personalized restorative matrix was drawn on the restored model by three-dimensional reverse engineering software to achieve edge sealing effect. The selected edge range data was processed with distal shelling to generate a digital model of a personalized restorative matrix with a thickness of 0.5 mm. A metal three-dimensional printer was used to fabricate the titanium alloy restorative matrix, and its application was completed in 10 clinical cases. The marginal adaptation and retention stability of the personalized restorative matrix were evaluated under a dental microscope, and forming effect evaluation was performed through immediate postoperative periapical radiographs. <b>Results:</b> The preliminary clinical application of the personalized restorative matrix fabricated using digital technology revealed that, in the treatment of 10 affected teeth, rubber dam isolation was successfully ensured, resulting in clinically effective direct resin composite restorations with optimal marginal adaptation and reasonable contours. Immediate postoperative periapical radiographs showed good convexity of the filling body, with no overhangs found. Both marginal adaptation and retention stability met the requirements of clinical treatment. <b>Conclusions:</b> The personalized restorative matrix designed in this study can solve the clinical problems of moisture separation and resin forming in the treatment of deep caries lesions in distal neck of the mandibular second molar, and can achieve stable and reliable adhesive restoration effects.</p>","PeriodicalId":23965,"journal":{"name":"中华口腔医学杂志","volume":"59 11","pages":"1114-1119"},"PeriodicalIF":0.0,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142547920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中华口腔医学杂志Pub Date : 2024-10-09DOI: 10.3760/cma.j.cn112144-20240725-00293
M Hu, C Yang, H H Liu, H X Lu, C Yao, Q F Xie, Y J Chen, K Y Fu, B Fang, S S Zhu, Q Zhou, Z Y Chen, Y M Zhu, Q B Zhang, Y Yan, X Long, Z Y Li, Y H Gan, S B Yu, Y X Bai, Y Zhang, Y Y Wang, J Lei, Y Cheng, C K Liu, Y Cao, D M He, N Wen, S Y Zhang, M J Chen, G L Jiao, X H Liu, H Jiang, Y He, P Shen, H T Huang, Y F Li, J S Zheng, J Guo, L S Zhao, L Q Xu
{"title":"[Experts consensus on standard items of the cohort construction and quality control of temporomandibular joint diseases (2024)].","authors":"M Hu, C Yang, H H Liu, H X Lu, C Yao, Q F Xie, Y J Chen, K Y Fu, B Fang, S S Zhu, Q Zhou, Z Y Chen, Y M Zhu, Q B Zhang, Y Yan, X Long, Z Y Li, Y H Gan, S B Yu, Y X Bai, Y Zhang, Y Y Wang, J Lei, Y Cheng, C K Liu, Y Cao, D M He, N Wen, S Y Zhang, M J Chen, G L Jiao, X H Liu, H Jiang, Y He, P Shen, H T Huang, Y F Li, J S Zheng, J Guo, L S Zhao, L Q Xu","doi":"10.3760/cma.j.cn112144-20240725-00293","DOIUrl":"10.3760/cma.j.cn112144-20240725-00293","url":null,"abstract":"<p><p>Temporomandibular joint (TMJ) diseases are common clinical conditions. The number of patients with TMJ diseases is large, and the etiology, epidemiology, disease spectrum, and treatment of the disease remain controversial and unknown. To understand and master the current situation of the occurrence, development and prevention of TMJ diseases, as well as to identify the patterns in etiology, incidence, drug sensitivity, and prognosis is crucial for alleviating patients'suffering.This will facilitate in-depth medical research, effective disease prevention measures, and the formulation of corresponding health policies. Cohort construction and research has an irreplaceable role in precise disease prevention and significant improvement in diagnosis and treatment levels. Large-scale cohort studies are needed to explore the relationship between potential risk factors and outcomes of TMJ diseases, and to observe disease prognoses through long-term follw-ups. The consensus aims to establish a standard conceptual frame work for a cohort study on patients with TMJ disease while providing ideas for cohort data standards to this condition. TMJ disease cohort data consists of both common data standards applicable to all specific disease cohorts as well as disease-specific data standards. Common data were available for each specific disease cohort. By integrating different cohort research resources, standard problems or study variables can be unified. Long-term follow-up can be performed using consistent definitions and criteria across different projects for better core data collection. It is hoped that this consensus will be facilitate the development cohort studies of TMJ diseases.</p>","PeriodicalId":23965,"journal":{"name":"中华口腔医学杂志","volume":"59 10","pages":"977-987"},"PeriodicalIF":0.0,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中华口腔医学杂志Pub Date : 2024-10-09DOI: 10.3760/cma.j.cn112144-20240624-00248
X D Mu, H H Liu, X F Huang, M Hu
{"title":"[Observation of dynamic position and morphological changes of temporomandibular joint discs under Angle's classification].","authors":"X D Mu, H H Liu, X F Huang, M Hu","doi":"10.3760/cma.j.cn112144-20240624-00248","DOIUrl":"10.3760/cma.j.cn112144-20240624-00248","url":null,"abstract":"<p><p><b>Objective:</b> To observe the dynamic changes of the temporomandibular joint (TMJ) disc in joint movement under different Angle's classification, providing reference for understanding joint functional movement and providing a basis for more accurate clinical imaging diagnosis. <b>Methods:</b> A total of 30 patients (13 males and 17 females) with temporomandibular disorders who were admitted to Beijing Friendship Hospital, Capital Medical University and General Hospital of the People's Liberation Army from January 2022 to April 2024 were enrolled. Thirty adults (13 males and 17 females) with different Angle's classification, with an average age of (34.4±8.5) years, were subjected to dynamic imaging of their TMJ from the closed position to the maximum opening position, and then to the closed position using MRI. The position and morphological changes of the articular discs were observed. <b>Results:</b> The results showed that volunteers with no displacement of the articular disc in class Ⅰ, Ⅱ, and Ⅲ relationships had different shapes of the articular disc during open and closed mouth movements. However, in the maximum opening position, the articular disc were all located directly below the maxillary nodules, and their shape is double concave. In terms of irreversible anterior displacement of the articular disc, in class Ⅰ Angle, the posterior zone of the disc contacts the anterior inclined plane of condyle from the maximum opening position back to the front of the closing position. In class Ⅱ, the posterior zone of the disc contacts the anterior inclined plane of condyle from the beginning of opening position to maximum opening position. In class Ⅲ, the posterior zone of the disc is always in contact with the anterior inclined plane of condyle throughout the entire movement process. And among them, the articular disc presents a forward displacement state at the closing position, its morphology undergoes folding phenomenon. When the openness is 2.5 cm, the articular disc moves up to a certain extent, and is closer to the anterior inclined plane of condyle, and its shape is also partially changed. When the openness is 4.3 cm, the shape of the articular disc, located between the anterior inclined plane of the joint node and the posterior inclined plane of the condyle, is typical double concave, which is sufficient to show that the articular disc is reversible when maximum opening position is reached. In terms of reversible anterior disc displacement, in class Ⅰ Angle, the posterior zone of the disc contact with the anterior inclined plane of condyle at the beginning of the opening position and the end of the closing position. In classⅡ Angle, the posterior zone of the articular disc is not in contact with the anterior inclined plane of condyle. In class Ⅲ Angle, the posterior zone of the articular disc contact with the anterior inclined plane of condyle at the end of the closing position. <b>Conclusions:</b> Multi level dynamic MR imaging dat","PeriodicalId":23965,"journal":{"name":"中华口腔医学杂志","volume":"59 10","pages":"1019-1026"},"PeriodicalIF":0.0,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中华口腔医学杂志Pub Date : 2024-10-09DOI: 10.3760/cma.j.cn112144-20240319-00116
Q Zhang, M Cheng, R Zhao, Q Q Ma
{"title":"[Study on the variation characteristics of serum lymphocyte subsets, immunoglobulins, and complement levels in patients with cheilitis].","authors":"Q Zhang, M Cheng, R Zhao, Q Q Ma","doi":"10.3760/cma.j.cn112144-20240319-00116","DOIUrl":"10.3760/cma.j.cn112144-20240319-00116","url":null,"abstract":"<p><p><b>Objective:</b> To analyze the variations of serum lymphocyte subsets, immunoglobulins, and complement levels in patients with cheilitis, and to explore the associations between the changes in serum immune levels and the onset of cheilitis. <b>Methods:</b> A retrospective analysis was conducted on 153 patients with cheilitis who visited the Department of Stomatology, The First Affiliated Hospital of Zhengzhou University from January 2017 to December 2023. They were compared with 50 healthy individuals who visited the physical examination department during the same period. The changes of serum lymphocyte subsets, immunoglobulins, and complement levels in patients with cheilitis were analyzed. Main detection indicators as the percentage of total T lymphocytes (T%), helper/inducer T lymphocytes (CD4<sup>+</sup>T%), absolute numbers of total T lymphocytes (T#), absolute numbers of helper/inducer T lymphocytes (CD4<sup>+</sup>T#), percentage of natural killer cells (NK%), absolute numbers of B lymphocytes (B#), immunoglobulins IgG, IgM and complement C3, C4 were included. Multivariate logistic regression was used to explore the relationship between serum lymphocyte subsets, immunoglobulins, complement levels and cheilitis. Subgroup analysis was further conducted on patients with cheilitis based on gender, age, cheilitis type and severity. <b>Results:</b> The levels of T% [69.54% (64.41%, 75.14%)], CD4<sup>+</sup>T% [(35.09±7.10)%], T# [1 328.00 (1 054.00, 1 560.50)], and CD4<sup>+</sup>T# [653.00 (505.00, 831.50)] in the cheilitis group were significantly lower than those in the control group respectively [72.33% (69.41%, 75.47%), (39.07±5.84)%, 1 483.50 (1 245.75, 1 805.25), 769.00 (687.25, 933.00), with the corresponding statistical test results of <i>Z=</i>-2.64, <i>P=</i>0.008; <i>t=</i>3.58, <i>P<</i>0.001; <i>Z=</i>-2.80, <i>P=</i>0.005; <i>Z=</i>-3.80, <i>P<</i>0.001]. The level of NK% [16.21% (12.16%, 21.29%)] was significantly higher in the cheilitis group compared to the control group [14.61% (10.97%, 17.87%)] (<i>Z=</i>-2.28, <i>P=</i>0.023). IgG [12.29 (10.77, 13.73) g/L] and IgM levels [1.18 (0.86, 1.58) g/L] were significantly higher in the cheilitis group than in the control group respectively [11.52 (10.16, 12.91) g/L, 0.99 (0.77, 1.26) g/L] (<i>Z=</i>-2.24, <i>P=</i>0.025; <i>Z=</i>-2.10, <i>P=</i>0.036), while complement C3 [(1.09±0.17) g/L] and C4 levels [0.23 (0.19, 0.28) g/L] were significantly lower in the cheilitis group compared to the control [(1.18±0.17) g/L, 0.31(0.24, 0.35) g/L] (<i>t=</i>3.10, <i>P=</i>0.002; <i>Z=</i>-4.79, <i>P<</i>0.001). Logistic regression analysis showed that elevated IgG (<i>P=</i>0.021), decreased C4 (<i>P<</i>0.001), decreased CD4<sup>+</sup>T% (<i>P=</i>0.003), and decreased T# (<i>P=</i>0.035) were independent influencing factors for the occurrence of cheilitis. The rate of abnormal lymphocyte immune analysis in the cheilitis group [68.0% (104/153)] was significantly higher than that in ","PeriodicalId":23965,"journal":{"name":"中华口腔医学杂志","volume":"59 10","pages":"1027-1036"},"PeriodicalIF":0.0,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中华口腔医学杂志Pub Date : 2024-10-09DOI: 10.3760/cma.j.cn112144-20240410-00145
J Y Huo, P Y You, C L Guo, K Wan
{"title":"[Complete denture rehabilitation for an aged patient with Parkinson disease: a case report].","authors":"J Y Huo, P Y You, C L Guo, K Wan","doi":"10.3760/cma.j.cn112144-20240410-00145","DOIUrl":"10.3760/cma.j.cn112144-20240410-00145","url":null,"abstract":"","PeriodicalId":23965,"journal":{"name":"中华口腔医学杂志","volume":"59 10","pages":"1055-1058"},"PeriodicalIF":0.0,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中华口腔医学杂志Pub Date : 2024-10-09DOI: 10.3760/cma.j.cn112144-20240530-00227
X K Xu, M Z Zhang, Z N Liu, Y C Sun, H Chen, W W Li, X Y Zhao, Y J Jia, S J Xiao, C Ma, X J Chen, T F Jiang, X B Zhao, S K Tian
{"title":"[New intraoral digital impression with pneumatic gingival retraction used in the restoration of crown for posterior teeth: a case report].","authors":"X K Xu, M Z Zhang, Z N Liu, Y C Sun, H Chen, W W Li, X Y Zhao, Y J Jia, S J Xiao, C Ma, X J Chen, T F Jiang, X B Zhao, S K Tian","doi":"10.3760/cma.j.cn112144-20240530-00227","DOIUrl":"10.3760/cma.j.cn112144-20240530-00227","url":null,"abstract":"<p><p>In fixed prosthodontics, clear exposure of the preparation margin is the prerequisite for obtaining accurate digital impressions and improving the marginal fit of restorations. To resolve the issues associated with the cord retraction technique, such as pain, acute injury, and prolonged procedural time, this study proposes a new technology for intraoral digital impression taking with pneumatic gingival retraction. The new scanning head blows a high-speed airflow that instantaneously separates the free gingiva, locally exposing the subgingival preparation margin. Combined with the farthest point preservation stitching algorithm based on the distance from the normal vector and high-speed laser scanning photography, it achieves global preparation edge data and gingival reconstruction, realizing painless, non-invasive, and efficient precise acquisition of the preparation margin. Using this new technique, a patient with a full porcelain crown restoration on a posterior tooth was treated. The digital impression revealed a clear margin of the preparation, and the crown made from this data has a good marginal fit.</p>","PeriodicalId":23965,"journal":{"name":"中华口腔医学杂志","volume":"59 10","pages":"1044-1048"},"PeriodicalIF":0.0,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中华口腔医学杂志Pub Date : 2024-10-09DOI: 10.3760/cma.j.cn112144-20240307-00099
Z H Wei, Z Y Wang, Q M Chen
{"title":"[Interpretation and consideration of core outcome set in clinical intervention study of oral lichen planus].","authors":"Z H Wei, Z Y Wang, Q M Chen","doi":"10.3760/cma.j.cn112144-20240307-00099","DOIUrl":"10.3760/cma.j.cn112144-20240307-00099","url":null,"abstract":"<p><p>Oral lichen planus (OLP), as a chronic inflammatory disease of oral mucosa, cannot be completely cured at present. OLP can develop into oral squamous cell carcinoma and reduce the life quality of patients. The development of high-quality evidence-based strategies for OLP clinical management can effectively alleviate the clinical symptoms and reduce the risk of cancerization, thus to improve the life quality of patients. However, there is a wide variety of outcomes and a lack of uniform standards in previous OLP clinical intervention studies. Therefore, evidence-based analysis of relevant studies cannot be conducted to provide more convincing guidance for clinical diagnosis and treatment. To reduce the heterogeneity of clinical intervention studies, form a data pool for meta-analysis, and provide higher quality evidence-based OLP clinical management protocols, the World Workshop on Oral Medicine Ⅷ identified a core outcome set (COS) for OLP in three steps from March 2022 to January 2023. This article introduces the process of COS formulation, interprets OLP COS, and puts forward the advantages and drawback of OLP COS in this paper. We encourage researchers to use this COS in their future OLP clinical studies for improving the clinical significance and evidence-based value of studies.</p>","PeriodicalId":23965,"journal":{"name":"中华口腔医学杂志","volume":"59 10","pages":"998-1003"},"PeriodicalIF":0.0,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中华口腔医学杂志Pub Date : 2024-10-09DOI: 10.3760/cma.j.cn112144-20231229-00313
C X Li, Z Q Song, X Jin, Z C Gong, H Liu, X Liu, M C Ding, J L Sun, X Long, B Shao
{"title":"[Interpretation of a clinical practice guideline on the management of chronic pain associated with temporomandibular joint disorders].","authors":"C X Li, Z Q Song, X Jin, Z C Gong, H Liu, X Liu, M C Ding, J L Sun, X Long, B Shao","doi":"10.3760/cma.j.cn112144-20231229-00313","DOIUrl":"10.3760/cma.j.cn112144-20231229-00313","url":null,"abstract":"<p><p>Temporomandibular disorders (TMD) are a heterogeneous group of diseases that affect the temporomandibular joint, chewing muscle system, dental occlusion, and even various structures throughout the body, with significant characteristics of biological-psychological-social pattern. TMD related chronic pain, as the most important clinical symptom, can result in negative emotions seriously affecting patients' quality of life and physical and mental health. Although a variety of therapies have been previously reported to treat TMD related chronic pain, there is a lack of widely recognized therapies. Professor Jason W Busse (from Michael G DeGroote National Pain Centre, McMaster University, Hamilton ON, Canada) took the lead and collaborated with multiple internationally renowned schools/hospitals of stomatology to develop an international consensus on the management of chronic pain associated with TMD, a clinical practice guideline, which took two years and was published in December 15th, 2023 in a global top journal of clinical research <i>The British Medical Journal</i>. This clinical practice guideline explored the comparative effectiveness of available therapies for chronic pain associated with TMD, conditionally recommended the specific intervention for different treatment or pain relief, proposed a comprehensive, agreed, and standardized clinical practice guideline. This present article describes the methodology and key elements of the clinical practice guideline to help clinicians fully understand and appropriately apply this guidance, which could provide the references for clinical practice of TMD associated chronic pain in China.</p>","PeriodicalId":23965,"journal":{"name":"中华口腔医学杂志","volume":"59 10","pages":"988-997"},"PeriodicalIF":0.0,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142355406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}