Vol.6 No.4 (October 2016)
Association between Articulation Mandibularis Clicking and Masticatory Muscles Functional Exercise
王素梅 ：青岛大学口腔医学院，山东 青岛；青岛大学附属医院口腔颌面外科，山东 青岛
王晓慧 ：威海市中医院，山东 威海
杨建军 ：青岛大学附属医院口腔颌面外科，山东 青岛
Objective: To compare the clinical therapeutic efficacy of masticatory muscles functional exercise and ultra-short wave therapy, and investigate a possible pathological mechanism about articulation mandibularis clicking. Methods: 128 patients with articulation mandibularis clicking were selected and divided into two groups (experimental group and control group) of 64 patients each randomly. Patients in experimental group were taught to do masticatory muscles functional exercise for 2 weeks. Patients in control group were treated with ultra-short wave therapy for 2 weeks and 3-month follow-up. The therapeutic effects of the two methods were compared. Results: After 2 weeks, symptoms of articulation mandibularis clicking disappeared in 64 patients of experimental group and 33 patients of control group; the total effective rate was 100%; 20 patients in control group showed improvement of their symptoms and 11 patients in control showed no improvement. The total effective rate was 82.81%. There were significant differences between the two groups (P < 0.05). After 3 months, the follow-up rate of the treatment group and the control group was 95.31% and 93.75%, respectively; the total effective rate of treatment group and the control group was 100% and 66.67%, respectively. There were significant differences between the two groups (P < 0.05), and we could see lower therapeutic effect in control group after 3 months (P < 0.05). Conclusions: Masticatory muscles functional exercise could cure articulation mandibularis clicking effectively and it’s a more effective way when compared with ultra-short wave therapy.
王素梅 , 王晓慧 , 杨建军 (2016) 颞下颌关节弹响与咀嚼肌功能紊乱相关性研究。 生物医学， 6， 31-35. doi: 10.12677/HJBM.2016.64005
 谷志远, 傅开元, 张震康. 颞下颌关节紊乱病[M]. 北京: 人民卫生出版社, 2008: 70, 94.
 谷志远, 傅开元, 张震康. 颞下颌关节紊乱病[M]. 北京: 人民卫生出版社, 2008: 70, 172-174.
 杨建军, 赵文科, 王守彪, 等. 定量咬合干扰对颞下颌关节早期损伤的实验研究[J]. 现代口腔医学杂志, 2001, 15(6): 418-419.
Katzberg, R.W., Dolwick, M.F., Bales, D.J., et al. (1979) Arthrotomography of the Temporomandibular Joint: New Technique and Preliminary Observations. American Journal of Roentgenology, 132, 949-955.
 王美青. 现代合学[M]. 北京: 人民卫生出版社, 2006: 119.
Manfredini, D. and Guarda-Nardini, L. (2008) Agreement between Research Diagnostic Criteria for Temporomandibular Disorders and Magnetic Resonance Diagnoses of Temporomandibular Disc Displacement in a Patient Population. International Journal of Oral and Maxillofacial Surgery, 37, 612-616.
 任志鸿. 物理八年级上册[M]. 北京: 师范大学出版社, 2006: 122.
 殷林. 弹响髋病因探讨[J]. 颈腰痛杂志, 2002, 23(1): 28-29.
 范刘奕, 欧阳钧, 刘军. 颞下颌关节韧带的断层影像解剖研究[J]. 解剖与临床, 2013, 18(3): 202-204.
 田代华, 整理. 黄帝内经•素问[M]. 北京: 人民卫生出版社, 2005: 5, 21, 39, 88.
 乔志恒, 范维铭. 物理治疗学全书[M]. 北京: 科学技术文献出版社, 2001: 481.