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yxfbbiedtj · Wysłany: Wto 4:01, 15 Mar 2011

Elderly temporomandibular joint disorder in clinical research

Occlusal splint design and use of methods similar to traditional methods. Transfer bit in front of the pivot splint and bite through the platen is the improvement and redesign of the [, canine bite platen-type high-Tae designed _4J for the treatment of: an average of 6 months, more than 1 course of treatment for more than l5 years back , accounting for 26.8%. Treatment Results: Clinical criteria of: (1) markedly: first visit disappeared when the symptoms; (2) Effective: The symptoms at diagnosis significantly improved; (3) is invalid: when the symptoms first visit did not change. After 6 months of treatment test results are as follows: markedly effective in 22 cases (39.3%); effective 3o down (53.6%); 4 cases (71%). Thorough discussion of the characteristics of an older one: 1.1 Old TI'dD patients, tooth loss accounted for 82.1%, 54.3% of which fails to make dentures,[link widoczny dla zalogowanych], the other with severe tooth occlusal surface wear by up to 19 .6%, tooth loss and wear and tear can lead to decreased occlusal vertical dimension, jaw-bit unstable occlusion disorders, condylar displacement, the elderly an important cause of TMD. 1.2 Old TI'dD matter changes in patients with type device was significantly increased,[link widoczny dla zalogowanych], accounting for 39.3%, perhaps because the elderly are more likely to temporomandibular joint tissue degeneration, may also be evolved for a longer duration for the TMD device quality TND 1.3 symptoms of the elderly changes to joint pain and limited mouth opening area as the main performance,[link widoczny dla zalogowanych], the former accounting for 85.7%, which accounted for 83.9%. Limitation of mouth opening not only for the performance of reduced mouth opening and jaw occur when more than offset associated with mouth opening, joint symptoms or appear hinge lock subluxation. 1.4 Elderly Patients with TMD incidence of the joints was 57.1%. Old joint capsule structure relaxation, the treatment of the joints is difficult to completely disappear, the majority of patients with snapping weakened, usually without snapping some patients, but still occasionally play the sound when chewing occurs. 2 elderly treatment of TMD: the physiological characteristics of 2.1 for the elderly, most comprehensive treatment measures to maximize the use of conservative treatments such as physiotherapy, closed, or are several ways to splint the knot sets. Closed splint and denture repair is the main method used. Mouth can not keep old root and timely removal of loose teeth, missing teeth should be repaired in time, severe tooth wear may be biting stable bedplate with increased occlusal vertical dimension for the experimental treatment, to be vertical to determine the appropriate bite Taiwan to fight for Taiwan after the bite from the re-repair treatment. TMD Bruxism is caused by an important reason, pay attention to the treatment of bruxism, temporomandibular joint in order to reduce the damage. 2.2 Regeneration and recovery of older diminished capacity, longer course, as young people in treatment, treatment time longer than the young, the patient should be fully explained, and establish the confidence to overcome the disease. TI'dD last resort as the elderly do not choose surgical treatment, unless the mouth can affect the consumption of bone hyperplasia may consider surgical treatment should pay attention to and strengthen the old 2.3 self-protection, such as do not eat the food too hard, not to mouth off large movement,[link widoczny dla zalogowanych], the section of the symptoms should go to hospital for treatment as soon as possible,[link widoczny dla zalogowanych], missing teeth and to timely repair.