Clinical efficacy of stable occlusal plate combined with joint lavage in the treatment of temporomandibular joint disorders

doi:10.19438/j.cjoms.2022.06.008

Abstract

Abstract: PURPOSE: To analyze the clinical effect of stable occlusal plate combined with joint lavage in the treatment of temporomandibular joint disorder(TMD). METHODS: A total of 104 patients with TMD in Taizhou First People's Hospital from January 2020 to January 2021 were selected and randomly divided into the control group and the experimental group, with 52 cases in each group. The control group was given gangliolar lavage, while the experimental group wore stable occlusal plate combined with gangliolar lavage, both treated for 6 months. Clinical efficacy was analyzed by comparing the maximum mouth opening, pain, craniomandibular index(CMI), SF-36 and mental health score, tumor necrosis factor (TNF-α) and matrix metallo proteinase 2 (MMP-2) levels in 2 groups of patients. SPSS 19.0 software package was used for data analysis. RESULTS: After treatment, the maximum mouth opening and SF-36 score increased, and the scores of pain, CMI, mental health decreased in the two groups. The maximum mouth opening, TOI index and SF-36 score of the experimental group were significantly higher than those of the control group(P<0.01). The scores of pain, CMI, mental health in the experimental were significantly lower than those of the control group(P<0.01). After treatment, the levels of TNF-α and MMP-2 in the joint fluid of the two groups were significantly decreased, and the experimental group was significantly lower than the control group(P<0.01). The total effective rate of the experimental group(96.15%) was significantly higher than that of the control group(82.69%, P<0.01). CONCLUSIONS: Stable occlusal plate combined with ganglionic lavage can effectively improve the clinical efficacy of TMD, inhibit inflammatory response, effectively relieve maxillofacial pain, improve the quality of life and psychological clearance.

Key words: Stable occlusal plate, Joint lavage, Temporomandibular joint disorder, Maxillofacial pain

CLC Number:

R782.6

CHEN Jing, ZHU Min. Clinical efficacy of stable occlusal plate combined with joint lavage in the treatment of temporomandibular joint disorders[J]. China Journal of Oral and Maxillofacial Surgery, 2022, 20(6): 565-570.

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