美国环保署共识项目文件:牙套康复和关节障碍之间的关系
D Manfredini1, O I Saracutu1, E Ferrari Cagidiaco1
1School of Dentistry, Department of Medical Biotechnology, University of Siena, Siena. Italy.
概括
由于缺乏证据和保守治疗的有效性,不建议在治疗关节疾病 (TMD) 时进行假牙康复. 虽然不是直接导致TMD的原因,但建议谨慎对 occlusal 修改.
科学领域:
- 牙科 牙科是指牙科的专业.
- 口腔和牙面部外科手术
- 牙修复 牙修复 牙修复 牙修复 牙修复
背景情况:
- 关节疾病 (TMD) 是一组复杂的疾病,影响关节和肌.
- 假牙干预在TMD病因和治疗中的作用仍然是临床调查的主题.
- 了解牙堵塞和TMD之间的关系对于患者护理至关重要.
研究的目的:
- 系统地评估假牙治疗与关节障碍 (TMD) 之间的关联.
- 确定假牙治疗是否可以作为TMD的管理策略.
- 调查假牙康复和TMD发展之间的任何潜在因果关系.
主要方法:
- 在四个医学数据库中进行了系统的搜索.
- 搜索的重点是确定临床试验 (CT) 和随机临床试验 (RCT),以解决临床问题.
- 没有文章符合纳入标准,导致对现有证据进行范围审查.
主要成果:
- 系统搜索没有产生直接解决研究问题的符合条件的研究.
- 现有证据通过范围审查进行了综合分析,重点关注的是假牙治疗和TMD之间的关系.
- 审查强调缺乏强大的科学数据,支持对TMD进行假牙干预.
结论:
- 目前的科学证据不支持假肢康复作为TMD的治疗方法,有利于更保守的方法.
- 牙闭塞特征与TMD之间没有确定的关联,假牙康复也不被认为是TMD的直接原因.
- 临床医生应在由于口腔神经系统的神经可塑性而导致的显著闭塞变化时谨慎行事.
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