临床口腔医学杂志2026，Vol.42Issue(5)：284-289,6.DOI:10.3969/j.issn.1003-1634.2026.05.007
数字化与传统稳定型咬合板治疗ADDWoR的临床效果比较
Comparison of clinical outcomes between digital and conventional stabilization splints in the treatment of ADDWoR
曾子雯 1黄琳 1郭文迪 1王星1
作者信息
- 1. 新疆医科大学第一附属医院(附属口腔医院)口腔修复种植科 新疆 乌鲁木齐 830054||新疆维吾尔自治区口腔医学研究所 新疆 乌鲁木齐 830054
- 折叠
摘要
Abstract
Objective:To compare the clinical efficacy of digital versus conventional stabilization splints in the treat-ment of anterior disc displacement without reduction(ADDWoR)of the temporomandibular joint.Methods:Thirty-two ADDWoR patients were randomly allocated to a conventional group(n=16)and a digital group(n=16).The conventional group received splints made using standard laboratory procedures.The digital group underwent intraoral scanning and digital facebow recording to capture jaw relationships and mandibular movement trajectories,splints were then designed and fabrica-ted via CAD/CAM.Pain intensity(VAS score)was assessed,temporomandibular joint function(Fricton index)and oral health-related quality of life(OHIP-14 score)were assessed before and after treatment.Chairside adjustment time and patient satisfaction(Likert scale)were also recorded.The digital group was additionally evaluated for mandibular range of motion and movement trajectory morphology before and after treatment.Results:After 3 months of treatment,both groups showed signifi-cant improvement in the Fricton index and VAS scores compared to baseline(P<0.05),but no statistically significant differ-ences were found between the two groups.The chairside adjustment time in the digital group was significantly shorter than that in the conventional group[(1 593.75±129.56)s vs.(2 433.75±199.56)s,P<0.001],and patient satisfaction scores were higher in the digital group(P<0.05).Both groups demonstrated a significant increase in mandibular range of motion com-pared to baseline(P<0.05),with movement trajectories becoming smoother and more symmetrical.Conclusion:Digital and conventional stabilization splints are equally effective in alleviating the core symptoms of ADDWoR.However,the digital workflow offers advantages in improving treatment efficiency and enhancing patient satisfaction.关键词
颞下颌关节紊乱病/关节盘不可复性前移位/数字化咬合板/稳定型咬合板Key words
Temporomandibular disorders/Anterior disc displacement without reduction/Digital occlusal splint/Sta-bilization occlusal splint分类
医药卫生引用本文复制引用
曾子雯,黄琳,郭文迪,王星..数字化与传统稳定型咬合板治疗ADDWoR的临床效果比较[J].临床口腔医学杂志,2026,42(5):284-289,6.
