摘要
颞下颌关节骨关节炎(temporomandibular joint osteoarthritis,TMJOA)是颞下颌关节紊乱病(temporomandibular disorders,TMD)主要类型,常见多发,严重影响患者口腔功能和生活质量。TMJOA的治疗一直是口腔医学领域的焦点之一,目前TMJOA治疗缺乏明确标准,有无创、微创和手术治疗等方式备受关注。无创治疗有口腔康复、物理及药物治疗,可调整咬合、缓解疼痛、改善功能。微创治疗利用注射、支架植入等技术缓解局部疼痛、恢复关节功能结构。病情严重且保守治疗无效者可选择手术,如关节镜手术、关节置换术以重建或改善结构功能。治疗应根据患者具体情况和病情严重程度个体化设计。未来研究需进一步探索TMJOA发病机制,寻找更有效治疗方法。本文将回顾总结TMJOA治疗相关研究。
Temporomandibular joint osteoarthritis(TMJOA)is the main type of temporomandibular joint disorder(TMD),which is commonly occurring and seriously affects the oral function and life quality of patients.The treatment of TMJOA has always been one of the focuses in the field of oral medicine.Currently,there is a lack of clear standards for TMJOA treatment,and non-invasive,minimally invasive,and surgical treatment methods have attracted much attention.Non-invasive treatments include oral rehabilitation,physical and medication therapy,which can adjust bite,relieve pain,and improve function.Minimally invasive treatment utilizes techniques such as injection and stent implantation to alleviate local pain and restore joint function and structure.Patients with severe conditions and ineffective conservative treatment may choose surgery,such as arthroscopy or joint replacement,to reconstruct or improve structure and function.Treatment should be personalized according to the patient's specific situation and severity of the condition.Future research needs to further explore the pathogenesis of TMJOA and find more effective treatment methods.This article will review and summarize the research related to TMJOA treatment.
作者
李晓星
徐鑫宇
刘洪臣
姜华
LI Xiao-xing;XU Xin-yu;LIU Hong-chen;JIANG Hua(Department of Stomatology,The First Medical Center,Chinese PLA General Hospital,Beijing 100853,China)
出处
《口腔颌面修复学杂志》
2025年第2期142-148,共7页
Chinese Journal of Prosthodontics
基金
国家自然科学基金(项目编号:8237030766)
国家重点研发计划(项目编号:2023YFC3605600)
北京市科技新星交叉项目(项目编号:20220484208)。
关键词
颞下颌关节骨关节炎
咬合板治疗
透明质酸钠
富血小板血浆
组织工程
temporomandibular joint osteoarthritis
bite plate treatment
sodium hyaluronate
platelet-rich plasma
tissue engineering
