口面部疼痛和颞下颌关节紊乱:椅侧常规诊断(x线摄影、超声)和米哈伊超声测量夹板治疗1例报告

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摘要

目的:在过去的几十年里,颞下颌疾病(TMD)的患病率有所增加。考虑到很大一部分非牙齿来源的口面部疼痛是由TMD引起的,这是一个世界性的共同问题[1]。本研究旨在解释哪些椅侧检查可用于诊断TMD引起的疼痛,从而选择适当的治疗方法来消除投诉。方法:在常规临床检查的基础上,与磁共振成像(MRI)相比,x线摄影和超声成像具有检查时间短、费用低、无创等优点。通过x线摄影诊断可以识别解剖偏差和严重的双侧差异。超声提供了颞下颌关节(TMJ)软组织结构的动态可视化。这种不对称夹板疗法旨在减轻关节结构的疼痛和压力,并保护相关结构,从而提高生活质量。结果:通过超声检查比较关节间隙的距离,根据两者的差异对夹板进行调整。经过8周的个例超声测量夹板治疗后,患者的TMD体征和症状有所缓解。治疗后,病人的症状减轻了。结论:超声结合TMJ x线可作为较好的诊断工具。因此,通过使用Mihályi超声测量夹板治疗,我们为患有颞下颌疾病的患者提供了一种个性化的非侵入性治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Orofacial Pain and Temporomandibular Joint Disorder: Chair-Side Routine Diagnostics (Radiography, Ultrasonography) and Mihalyi Ultrasonography Measured Splint Therapy, A Case Report
Aim: An increased prevalence of temporomandibular disorders (TMD) has been seen over the last few decades. It is a common issue worldwide considering that a significant part of orofacial pain of non-dental origin is caused by TMD [1]. The present study aims to explain which chair-side examinations can be useful for the diagnostics of the TMD caused pain and thereby an appropriate treatment can be chosen to eliminate the complaints. Methods: In addition to routine clinical examination, radiography and ultrasound imaging provides short examination time, low cost, non-invasive compared with the magnetic resonance imaging (MRI). By radiograph diagnostics can anatomical deviations and serious bilateral differences be recognized. Sonography provides dynamic visualization of the soft-tissue structures of the temporomandibular joint (TMJ). This asymmetric splint therapy is aimed to reduce pain and stress on the joint structure and to protect the associated structures, thereby increasing the quality of life. Results: We compare the distances of the joint spaces according the ulrasonography and with the difference of these we modify the splint. After 8 weeks of individual ultrasonography measured splint therapy treatment the patient has experienced a relief of her TMD signs and symptoms. After the treatment the patiens’s symptoms decreased. Conclusion: Using ultrasonography combined with TMJ x-ray can be a good diagnostic tool. Hence, by using the Mihályi Ultrasonography Measured Splint therapy we provide an individual, non-invasive treatment for patients with temporomandibular disorders.
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