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Chinese Journal of Stomatological Research(Electronic Edition) ›› 2020, Vol. 14 ›› Issue (03): 138-143. doi: 10.3877/cma.j.issn.1674-1366.2020.03.002

Special Issue:

• Young and Middle-Aged Expert Review • Previous Articles     Next Articles

Discussion on occlusal splint treatment of temporomandibular joint disorders

Qingbin Zhang1, Mingjing Zhu2, Chuanjie Li3, Hongchen Liu3,()   

  1. 1. Stomatological Hospital of Guangzhou Medical University, Guangzhou Institute of Oral Disease, Key Laboratory of Oral Medicine, Guangzhou 510140, China; Institute of Stomatology, Chinese PLA General Hospital, Beijing 100853, China
    2. Stomatological Hospital of Guangzhou Medical University, Guangzhou Institute of Oral Disease, Key Laboratory of Oral Medicine, Guangzhou 510140, China
    3. Institute of Stomatology, Chinese PLA General Hospital, Beijing 100853, China
  • Received:2020-02-27 Online:2020-06-01 Published:2020-06-01
  • Contact: Hongchen Liu
  • About author:
    Corresponding author: Liu Hongchen, Email:
  • Supported by:
    Science and Technology Program of Guangdong(2016ZC0147, 2017ZC0267); Science and Technology Program of Guangzhou(201802020018)

Abstract:

The temporomandibular joint disorder (TMD) is one of the four diseases with the highest clinical incidence in the field of stomatology (caries, periodontal diseases, TMD and malocclusion) with unknown etiology and uncertain treatment effect which is often related to psychological factors. Through more than 30, 000 clinical cases, we summarize the unique diagnosis and treatment model. In general, conservative treatment firstly, then injection treatment, and then minimally invasive arthroscopy treatment, and finally open surgery treatment. One of the effectively conservative treatment is the occlusal splint. It can establish stable "disc-condyle" relation gradually and change intra-articular pressure and tissue stress to treat TMD by adjusting occlusion, muscle, and the position relation of condyle and articular disc. Different types of occlusal splint have different therapeutic effect. Therefore, we expound the function of occlusal splint for further clinical guidance.

Key words: Temporomandibular joint disorders, Conservative treatment, Occlusal splint

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