控制下部重新定位:一种治疗TMD的新方法
Diwakar Singh1, Alain Landry2, Martina Schmid-Schwap3
1Center for Clinical Research, University Clinic of Dentistry, Medical University of Vienna, 1090 Vienna, Austria.
Bioengineering (Basel, Switzerland)
|August 28, 2025
概括
控制下重定位 (CMR) 方法精确地确定前重定位的理想治疗位置. 这种技术有效地治疗关节盘位移与减小 (DDwR),重新定位盘并减少疼痛.
科学领域:
- 牙科学
- 牙整形
- 生物医学工程
背景情况:
- 关节疾病 (TMDs),特别是减少的盘位移 (DDwR),是常见的,导致点击,疼痛和有限的下巴运动.
- 由于解剖学变化和缺乏标准化,目前的前置重新定位 (ARS) 在实现最佳治疗位置 (Th.P) 方面面临挑战.
研究的目的:
- 介绍和评估控制下重定位 (CMR) 方法来定义ARS的个性化Th.P.
- 通过分析磁盘重新定位和减轻疼痛来评估CMR在治疗DDwR中的有效性.
主要方法:
- 这种CMR方法整合了临床检查,MRI,计算机头测量,计算机心肌图,神经肌肉触摸和心肌位变量器 (CPV).
- 治疗涉及使用确定个性化的Th.P.制造的CMR稳定剂 ().
- 在6个月后使用随访MRI和视觉模拟尺度 (VAS) 的疼痛评分来评估治疗结果.
主要成果:
- 在37个关节中,36个关节的磁盘重新定位成功 (97. 3%).
- 在6个月的随访期内观察到疼痛显著减轻.
- 通过CMR方法,DDwR的关节脱减少了97.3%.
结论:
- CMR 方法提供了一个精确而个性化的方法来确定前部重新定位的 Th.P.
- 这种方法有效治疗DDwR,导致盘子重新定位和缓解疼痛.
- 精确的,个性化的Th.P确定对于有效的前部重定位治疗在TMD中至关重要.
相关概念视频
Antidepressant Drugs: MAOIs and Other Agents
Atypical antidepressants, including bupropion (Wellbutrin), mirtazapine (Remeron), nefazodone (Serzone), trazodone (Desyrel), and vilazodone (Viibryd), offer unique mechanisms of action. Bupropion weakly inhibits dopamine and norepinephrine reuptake, aiding depression treatment and smoking cessation, with a low risk of sexual dysfunction. Mirtazapine enhances serotonin and norepinephrine neurotransmission, leading to sedation, increased appetite, and weight gain. As a result, it helps treat...
Inflammatory Bowel Disease IV: Pharmacological Management
Upon diagnosis, managing Inflammatory Bowel Disease (IBD) involves addressing several crucial aspects. The primary goals include resting the bowel, correcting malnutrition, and providing symptomatic relief. Resting the bowel may consist of medications to reduce inflammation and promote healing. Correcting malnutrition is essential, often requiring dietary adjustments and nutritional supplements. Symptomatic relief aims to ease pain, diarrhea, and other discomforts in IBD.
Pharmacologic...
Pharmacologic...
Therapeutic Drug Monitoring: Affecting Factors
Therapeutic Drug Monitoring (TDM) is the clinical practice of measuring specific drug levels in a patient's blood or body tissues to manage and optimize therapy. TDM is crucial for drugs with narrow therapeutic windows, like warfarin and phenytoin, where incorrect doses can lead to treatment failure or severe side effects. This monitoring ensures the dosage administered is within a safe and effective range. The factors affecting therapeutic drug monitoring include:Patient-Specific Factors:a.
Brain Imaging
Brain imaging technologies provide critical insights into both the structure and function of the human brain, enabling medical professionals and researchers to diagnose, study, and treat neurological disorders or psychiatric disorders more effectively.
These technologies include computerized axial tomography (CAT or CT scans), positron-emission tomography (PET scans), magnetic resonance imaging (MRI), functional magnetic resonance imaging (fMRI), and Transcranial Magnetic Stimulation (TMS).
These technologies include computerized axial tomography (CAT or CT scans), positron-emission tomography (PET scans), magnetic resonance imaging (MRI), functional magnetic resonance imaging (fMRI), and Transcranial Magnetic Stimulation (TMS).
Mitral Regurgitation III: Medical Management
Mitral regurgitation (MR) is characterized by retrograde blood circulation from the left ventricle into the left atrium due to inadequate mitral valve closure. The severity of the condition, symptoms, and underlying cause determine treatment strategies.Monitoring and Pharmacological TreatmentPatients with mild to moderate MR typically do not need immediate intervention but regular monitoring to assess progression and guide treatment. Patients with mild MR should have an echocardiogram every 3-5...
Rheumatic Heart Disease III: Medical Management
Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...


