数字3d打印与传统稳定咬合夹板治疗颞下颌疾病的疗效比较。

IF 3.1 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Han Qin, Yifan Liu, Hui Miao, Tao Wang, Xiaohua Chen, Lei Lu, Mian Zhang, Hongyun Zhang, Jing Zhang, Shaoxiong Guo, Shibin Yu
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引用次数: 0

摘要

背景:颞下颌关节紊乱(Temporomandibular disorders, TMD)是一组影响颞下颌关节(TMJ)、咀嚼肌及相关结构的疾病。目的:探讨数字3d打印与传统手工制作稳定型咬合夹板治疗TMD的临床疗效对比,为临床推广提供依据。方法:采用《颞下颌疾病诊断标准》(DC/TMD)诊断为TMD的患者130例,随机分为两组。一组使用传统手工制作的咬合夹板,另一组使用数字3d打印的咬合夹板。随访时比较两组治疗效果、颅下颌指数评分及夹板制作时间。结果:研究结果表明,数字3d打印稳定咬合夹板与传统稳定夹板相比具有相当的疗效和满意度,同时显着减少了生产时间并提高了整体效率。本研究表明,使用全数字技术,包括数字口内扫描、虚拟调整、计算机辅助设计和3D打印,在制造TMD患者的咬合夹板时,不仅保持了治疗效果,而且简化了生产过程。结论:数字3d打印稳定咬合夹板不仅能像传统手工制作的稳定咬合夹板一样有效、满意地缓解TMD症状,而且能减少制作时间,提高精度和效率,具有良好的临床应用前景。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparative Efficacy of Digital 3D-Printed and Conventional Stable Occlusal Splints in the Treatment of Temporomandibular Disorders.

Background: Temporomandibular disorders (TMD) are a group of diseases that affect the temporomandibular joint (TMJ), masticatory muscles and associated structures.

Objective: This present study aims to explore the clinical comparative efficacy of digital 3D-printed and conventional handmade stable occlusal splints in the treatment of TMD and provide evidence for clinical promotion.

Methods: A total of 130 patients diagnosed with TMD using the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) were recruited and randomly assigned to two groups. One group received conventional handmade occlusal splints, while the other group received digital 3D-printed splints. The treatment efficacy, craniomandibular index scores and splint fabrication time were compared between the two groups at follow-up.

Results: The findings indicated that digital 3D-printed stable occlusal splints offered comparable efficacy and satisfaction levels to traditional stabilisation splints while significantly cutting down on production time and enhancing overall efficiency. This study demonstrated that the use of fully digital technology, including digital intraoral scanning, virtual adjustments, computer-aided design and 3D printing, in fabricating occlusal splints for TMD patients not only maintained therapeutic effectiveness but also streamlined the production process.

Conclusions: Digital 3D-printed stable occlusal splints can not only alleviate TMD symptoms as effectively and satisfactorily as the conventional handmade stable splint, but also reduce production time and improve accuracy and efficiency, promising good clinical application prospects.

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来源期刊
Journal of oral rehabilitation
Journal of oral rehabilitation 医学-牙科与口腔外科
CiteScore
5.60
自引率
10.30%
发文量
116
审稿时长
4-8 weeks
期刊介绍: Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function. Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology. The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.
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