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通过对面磨损伴有颞下颌关节症状的病例作面磨损程度、垂直距离、正中位、咀嚼效能、颞下颌关节等方面检查,作出诊断,制定(牙合)重建治疗方案。经(牙合)垫治疗纠正正中(牙合)位偏位,恢复生理的垂直距离使(牙合)与颞下颌关节,咀嚼肌关系协调。观察2—3月待(牙合)位稳定,患者自我感觉良好,再作(牙合)重建修复。病例经随访观察,治疗效果稳定,咀嚼效能提高,临床实践认为(牙合)面磨损牙列缺损的患者垂直距离偏低,正中(牙合)位偏位有颞下颌关节症状者,在牙列缺损修复时必须考虑(牙合)重建治疗方能达到修复目的。
To diagnose and formulate the occlusion reconstruction by examining the facial wear, the vertical distance, the median position, the masticatory efficiency and the temporomandibular joint in patients with facial wear and tear associated with temporomandibular joint symptoms. The occlusal pad treatment to correct the median occlusion position deviation, restore the vertical distance of physiology (occlusion) and temporomandibular joint, masticatory muscle coordination. Observed 2-3 months to be (occlusal) stable, patients feel good about themselves, then make (occlusal) reconstruction repair. The cases were followed up, the treatment effect is stable, improve chewing performance, clinical practice that (dentate) surface dentition defect vertical distance is low, the median (occlusal) position deviation of temporomandibular joint symptoms in dentition Defect repair must be considered (occlusal) reconstruction treatment can achieve the purpose of repair.