77.關於使用咬合板治療顳顎障礙症的敘述,下列何者錯誤?
(A)早期咬合板治療的理論發展,部分是根據 Ramfjord 與 Ash 等人認為咬合干擾會造成顳顎
關節問題的基礎而來
(B)目前臨床醫師大多同意,使用咬合板的治療約有 70%以上的廣義成功療效或是初期療效
(C)使用咬合板治療顳顎關節障礙症,是屬於一種可逆(reversible)且非侵入性(noninvasive)的治療
(D)治療關節盤前移易位,應使用重置位咬合板(repositioning splint)
統計: A(105), B(146), C(31), D(358), E(0) #1153193
詳解 (共 4 筆)
(A) Ramfjord and Ash 提出的 functional temporomandibular joint disturbances 中,提到
Temporomandibular Dysfunction 並不只是joint 問題,為多種因子所造成的,其中包含咬合干擾。
(B) a wealth of research evidence indicates that occlusal appliance therapy is a successful treatment in
reducing symptoms in 70% to 90% of TMDs
(C) The precise mechanism by which appliances may reduce TMD symptoms has been debated and is
inconclusive at present. The profession must provide better evidence-based data to better
understand the role of appliances in TMDs. What is evident is that they are generally a reversible
noninvasive modality that can help manage the symptoms of many TMDs. Therefore they are often
indicated in the initial and in some long-term treatments of many TMDs.
(D) The reasonable goal of definitive therapy for disc displacements and disc dislocations with reduction
is to reduce intracapsular pain, not to recapture the disc. A stabilization appliance should be used
whenever possible because adverse long-term effects are minimized.