Abstract:
Mandibular advancement devices (MADs) keep the upper airways patent by holding the mandible and attached soft tissues forward via altered position of its condyles relative to the articulating surfaces of the temporal bones. During the first weeks of MAD therapy, pain may occur in the area of the temporomandibular joints, masticatory muscles, and/or teeth with a tendency of spontaneous resolution. In patients reporting temporomandibular disorder (TMD) symptoms prior to therapy, the MAD-related anterior condylar position during sleep may result in a reduction of TMD signs and symptoms.
摘要:
下颌前移装置(MAD)通过改变其髁相对于颞骨关节表面的位置,将下颌骨和附着的软组织向前固定,从而保持上呼吸道通畅。在MAD治疗的最初几周,疼痛可能发生在颞下颌关节区域,咀嚼肌,和/或具有自发分辨倾向的牙齿。在治疗前报告颞下颌关节紊乱病(TMD)症状的患者中,睡眠期间与MAD相关的前髁位置可能导致TMD体征和症状减少。