Objective:To observe the clinical effect of articular cavity injection combined with bite splint therapy for the treatment of anterior disc displacement without reduction(ADDWoR).Methods:The research subjects for this...Objective:To observe the clinical effect of articular cavity injection combined with bite splint therapy for the treatment of anterior disc displacement without reduction(ADDWoR).Methods:The research subjects for this study were 30 patients with ADDWoR treated in the temporomandibular joint specialist outpatient clinic from November 2018 to November 2019,with a disease duration of 1 to 6 months.The treatment group was treated with an articular cavity injection of sodium hyaluronate+bite splint.The control group was treated with a simple articular cavity injection of sodium hyaluronate.The two groups were followed up once every 2 weeks to evaluate the treatment effect and observe the clinical efficacy of the two groups.Statistical analysis was carried out using SPSS 24.0.t-test and general linear regression analysis were carried out to compare the data of both groups,andχ^(2)-test and binary logistic regression analysis were performed for pain index comparison.Results:There was no significant difference in terms of the efficacy of the treatment received by both groups.The mouth opening and joint pain of patients in both groups were significantly improved after treatment(P<0.001).Conclusion:Articular cavity injection of sodium hyaluronate and occlusal splint therapy are both effective and safe methods for treating ADDWoR.展开更多
Anterior repositioning splint(ARS)therapy is considered one of the most effective therapies for treating disc displacement-related temporomandibular disorders(TMDs),which account for a large proportion of TMD cases.Ow...Anterior repositioning splint(ARS)therapy is considered one of the most effective therapies for treating disc displacement-related temporomandibular disorders(TMDs),which account for a large proportion of TMD cases.Owing to the wide application of this therapy,the exact mechanism of remission has increasingly drawn attention.Given that practitioners have different views on ARS therapy,its indications are broadened,and operating methods diverged.This review attempts to provide an overview of ARS therapy and helps practitioners establish indications and suitable operating methods.Representative views in the past 10 years were summarised,and conclusions were drawn as follows:The mechanism of ARS therapy is mainly attributed to internal derangement correction,improvement of stress distribution and recently reported joint remodeling.It has an evident effect in the short term,and the most prevalent operating methods are protruding the mandible to the edge-to-edge position and wearing the ARS for 24 hours daily for 3-6 months.However,long-term stability is not optimal,and thus indications should be selected carefully.Notably,most of the clinical studies in this field are case analyses with low-quality evidence.Well-designed RCTs are required to further validate relevant theories.展开更多
A method of treating pulpless coloured anterior tooth is presented.Most part ofthe coloured dentin of the labial crown was removed and the dental structure was bleachedwith 30% hydrogen peroxide for 5min.The pulp cavi...A method of treating pulpless coloured anterior tooth is presented.Most part ofthe coloured dentin of the labial crown was removed and the dental structure was bleachedwith 30% hydrogen peroxide for 5min.The pulp cavity was then filled with whitephoto-curing composite.The result of the treatment is quite satisfactory.With our treatment,the intact contour of the crown and the hardness and gloss of the enamel are preserved.SEM proved that the composite was tightly bound with the enamel of the medial wall of thepulp cavity,forming an entity with the tooth,thus guaranteeing the strength of the crown.展开更多
Objectives: To study the biometric dimensions of upper front teeth in a Hong Kong SAR population including gender differences and compare this with the often recommended use of the Golden Proportion when selecting too...Objectives: To study the biometric dimensions of upper front teeth in a Hong Kong SAR population including gender differences and compare this with the often recommended use of the Golden Proportion when selecting tooth proportions. Methods: A sample of dental casts was obtained from 100 patients: 50 females and 50 males with an age range from 18 to 35 years. The sample was selected based on the criteria of intact maxillary anterior dental arches, free from imbrications and crowding, no restorations or replaced teeth in the upper front teeth. The width and length of the 600 upper anterior teeth included in the casts were measured, together with the combined upper anterior tooth width for each cast. Analysis of width/height ratio, sexual dimorphism, and golden proportions was statistically analyzed. The data was analysed by SPSS using one-sample t-test, two-sample t-test, and paired t-test. Results: Most measurements had a normal distribution. Paired sample t-test revealed that the average length of male maxillary incisors is significantly higher than female maxillary incisors, while there is no obvious difference in maxillary incisor width. The mean width/length ratio of maxillary incisors ranges from 0.78 to 0.87. The mean values of maxillary apparent tooth width prove that the golden proportion (GP) ratio 1.618 was absent in the current sample. The current study data shows that the mean values of tooth width and length differed from some other populations. Conclusions: Based on the findings of this research, there is no statistically significant difference in the maxillary anterior tooth dimensions for the right and left sides of the arch. Length and width dimensions of the central incisor (CI) were greater than those of lateral incisor (LI) and Canine (C) for both genders, suggesting CI to be the dominant anterior tooth. Some gender differences in tooth dimensions, with males tend to have longer tooth dimensions than females, the average width/length ratio of the female is higher than male, which confirms that the male tends to have longer teeth. The result shows the absence of golden proportion (GP) ratios suggesting that the Golden Proportion guideline was not applicable for the Hong Kong SAR population for either gender.展开更多
目的:通过Meta分析,比较手法复位联合咬合板治疗颞下颌关节盘不可复性前移位患者疼痛与最大张口度疗效是否优于仅进行手法或仅进行咬合板治疗。方法:计算机检索Web of Science、PubMed、Cochrane Library、维普(VIP)、中国知网(CNKI)、...目的:通过Meta分析,比较手法复位联合咬合板治疗颞下颌关节盘不可复性前移位患者疼痛与最大张口度疗效是否优于仅进行手法或仅进行咬合板治疗。方法:计算机检索Web of Science、PubMed、Cochrane Library、维普(VIP)、中国知网(CNKI)、万方中手法复位联合咬合板治疗颞下颌关节盘不可复性前移位的随机对照试验(RCTs)文献,并参考Cochrane手册评估文献质量,运用RevMan5.4软件分析结局指标。结果:本研究纳入6个RCTs,患者共计393例。Meta分析结果显示,对于颞下颌关节盘不可复性前移位患者,观察组进行手法复位联合咬合板治疗,在降低疼痛评分[SMD=-0.34,95%CI(-0.54,-0.13),P=0.001]与改善最大张口度[SMD=0.51,95%CI(0.31,0.71),P<0.00001]方面疗效均比对照组较优,差异具有统计学意义(P<0.05)。结论:手法复位联合咬合板治疗改善颞下颌关节盘不可复性前移位患者疼痛和最大张口度疗效优于单独使用手法复位或单独佩戴咬合板。展开更多
文摘Objective:To observe the clinical effect of articular cavity injection combined with bite splint therapy for the treatment of anterior disc displacement without reduction(ADDWoR).Methods:The research subjects for this study were 30 patients with ADDWoR treated in the temporomandibular joint specialist outpatient clinic from November 2018 to November 2019,with a disease duration of 1 to 6 months.The treatment group was treated with an articular cavity injection of sodium hyaluronate+bite splint.The control group was treated with a simple articular cavity injection of sodium hyaluronate.The two groups were followed up once every 2 weeks to evaluate the treatment effect and observe the clinical efficacy of the two groups.Statistical analysis was carried out using SPSS 24.0.t-test and general linear regression analysis were carried out to compare the data of both groups,andχ^(2)-test and binary logistic regression analysis were performed for pain index comparison.Results:There was no significant difference in terms of the efficacy of the treatment received by both groups.The mouth opening and joint pain of patients in both groups were significantly improved after treatment(P<0.001).Conclusion:Articular cavity injection of sodium hyaluronate and occlusal splint therapy are both effective and safe methods for treating ADDWoR.
文摘Anterior repositioning splint(ARS)therapy is considered one of the most effective therapies for treating disc displacement-related temporomandibular disorders(TMDs),which account for a large proportion of TMD cases.Owing to the wide application of this therapy,the exact mechanism of remission has increasingly drawn attention.Given that practitioners have different views on ARS therapy,its indications are broadened,and operating methods diverged.This review attempts to provide an overview of ARS therapy and helps practitioners establish indications and suitable operating methods.Representative views in the past 10 years were summarised,and conclusions were drawn as follows:The mechanism of ARS therapy is mainly attributed to internal derangement correction,improvement of stress distribution and recently reported joint remodeling.It has an evident effect in the short term,and the most prevalent operating methods are protruding the mandible to the edge-to-edge position and wearing the ARS for 24 hours daily for 3-6 months.However,long-term stability is not optimal,and thus indications should be selected carefully.Notably,most of the clinical studies in this field are case analyses with low-quality evidence.Well-designed RCTs are required to further validate relevant theories.
文摘A method of treating pulpless coloured anterior tooth is presented.Most part ofthe coloured dentin of the labial crown was removed and the dental structure was bleachedwith 30% hydrogen peroxide for 5min.The pulp cavity was then filled with whitephoto-curing composite.The result of the treatment is quite satisfactory.With our treatment,the intact contour of the crown and the hardness and gloss of the enamel are preserved.SEM proved that the composite was tightly bound with the enamel of the medial wall of thepulp cavity,forming an entity with the tooth,thus guaranteeing the strength of the crown.
文摘Objectives: To study the biometric dimensions of upper front teeth in a Hong Kong SAR population including gender differences and compare this with the often recommended use of the Golden Proportion when selecting tooth proportions. Methods: A sample of dental casts was obtained from 100 patients: 50 females and 50 males with an age range from 18 to 35 years. The sample was selected based on the criteria of intact maxillary anterior dental arches, free from imbrications and crowding, no restorations or replaced teeth in the upper front teeth. The width and length of the 600 upper anterior teeth included in the casts were measured, together with the combined upper anterior tooth width for each cast. Analysis of width/height ratio, sexual dimorphism, and golden proportions was statistically analyzed. The data was analysed by SPSS using one-sample t-test, two-sample t-test, and paired t-test. Results: Most measurements had a normal distribution. Paired sample t-test revealed that the average length of male maxillary incisors is significantly higher than female maxillary incisors, while there is no obvious difference in maxillary incisor width. The mean width/length ratio of maxillary incisors ranges from 0.78 to 0.87. The mean values of maxillary apparent tooth width prove that the golden proportion (GP) ratio 1.618 was absent in the current sample. The current study data shows that the mean values of tooth width and length differed from some other populations. Conclusions: Based on the findings of this research, there is no statistically significant difference in the maxillary anterior tooth dimensions for the right and left sides of the arch. Length and width dimensions of the central incisor (CI) were greater than those of lateral incisor (LI) and Canine (C) for both genders, suggesting CI to be the dominant anterior tooth. Some gender differences in tooth dimensions, with males tend to have longer tooth dimensions than females, the average width/length ratio of the female is higher than male, which confirms that the male tends to have longer teeth. The result shows the absence of golden proportion (GP) ratios suggesting that the Golden Proportion guideline was not applicable for the Hong Kong SAR population for either gender.
文摘目的:通过Meta分析,比较手法复位联合咬合板治疗颞下颌关节盘不可复性前移位患者疼痛与最大张口度疗效是否优于仅进行手法或仅进行咬合板治疗。方法:计算机检索Web of Science、PubMed、Cochrane Library、维普(VIP)、中国知网(CNKI)、万方中手法复位联合咬合板治疗颞下颌关节盘不可复性前移位的随机对照试验(RCTs)文献,并参考Cochrane手册评估文献质量,运用RevMan5.4软件分析结局指标。结果:本研究纳入6个RCTs,患者共计393例。Meta分析结果显示,对于颞下颌关节盘不可复性前移位患者,观察组进行手法复位联合咬合板治疗,在降低疼痛评分[SMD=-0.34,95%CI(-0.54,-0.13),P=0.001]与改善最大张口度[SMD=0.51,95%CI(0.31,0.71),P<0.00001]方面疗效均比对照组较优,差异具有统计学意义(P<0.05)。结论:手法复位联合咬合板治疗改善颞下颌关节盘不可复性前移位患者疼痛和最大张口度疗效优于单独使用手法复位或单独佩戴咬合板。
