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引用次数: 1

摘要

成功治疗TMJ内部紊乱的基础是了解TMJ的生物力学性能,随后了解咬合夹板导致的TMJ内部生物力学变化,以实现牙齿、关节和肌肉之间的和谐关系。当椎间盘向前移位时,提升肌继续将髁突固定在窝内,导致关节间隙减小和髁突的后向上运动。夹板的目的是使髁突向下和向前移动,同时使椎间盘向正常位置移动。这些运动增加了关节间隙,减少了关节压力,特别是在关节盘的后附着处。此外;咬合夹板的垂直厚度通过减少咀嚼肌的电活动使咀嚼肌放松,重建椎间盘髁关系(椎间盘重捕),从而恢复咀嚼机制的正常生理功能
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Hegab TMJ Splint (HTS)
Successful treatment of the TMJ internal derangement is based on understanding the biomechanical performance of the TMJ and subsequently to understand the biomechanical changes within the TMJ resulted from the occlusal splint to achieve harmonious relationships among teeth, joints, and muscles. As the disc displaced anteriorly, the elevator muscles continue to seat the condyle in the fossa resulting in decreasing the joint space and posterior-superiorly movement of the condyle. The aim of the splint is to move the condyle downward and foreword besides movement of the disk toward the normal position. These movements resulting in increasing the joint space, decreasing the joint pressure especially on the posterior attachment of the articular disk. Moreover; the vertical thickness of the occlusal splint return the normal physiologic function of the masticatory mechanism by relax the masticatory muscles by decreasing the electrical muscle activity and re-establish the disk condyle relationship (disc re-capture).4
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