Because of long-term unilateral chewing, unilateral sleeping, crooked mouth, different sizes of left and right faces. What is the correction method?

6.？ Chewing exercise Chewing exercise is to fully exercise the masticatory muscles. Eat more hard and coarse foods (such as beans and celery). The fiber content is high, so you should chew it fully when you eat it, and don't swallow it. This can exercise the masticatory muscles, jaw bones and alveolar bones, and enhance the health of tooth supporting tissues. Full chewing can also stimulate the secretion of saliva, which has a good oral self-cleaning effect.

Chewing food should also pay attention to overcoming the bad habit of unilateral chewing. People who have this bad habit often have swollen maxillofacial regions, which affects their appearance. The teeth on the chewing side are clean and the periodontal tissue is healthy, while the teeth on the other side have accumulated a lot of tartar, and the root and even periodontal tissue are inflamed.

Diagnosis and treatment of temporomandibular joint disorder syndrome

The main function of temporomandibular joint is to participate in chewing, pronunciation, swallowing and expression. Temporomandibular joint disorder syndrome is one of the common diseases in oral and maxillofacial region. Common in young adults, the highest prevalence rate is 20 ~ 35 years old. It usually occurs on one side, but some can gradually involve both sides. Temporomandibular joint disorder syndrome generally has a long course of disease, often recurrent attacks, mostly functional disorders, but also joint structural disorders or organic damage, which should be paid attention to and treated as soon as possible.

1. Etiology

(1) Mental factors: Clinically, patients with temporomandibular joint disorder syndrome often have symptoms such as anxiety, irritability, tension, excitement and insomnia.

(2) Occlusal relationship: How many patients are there? A situation in which the relationship is obviously disordered, such as? Interference, premature contact between teeth, severe locking? , deep reply? Most of the posterior teeth are missing. Excessive surface wear, etc.

(3) Joint overload: The habit of frequently biting hard objects, grinding teeth at night and grinding teeth when nervous makes the temporomandibular joint overload, which will lead to the occurrence of this disease.

(4) Oblique mouth habit: Unilateral chewing habit will cause bilateral joint movement imbalance and affect bilateral jaw development and muscle strength balance. Long-term mouth deviation is easy to cause temporomandibular joint dysfunction.

(5) Trauma, yawning with excessive mouth opening, sudden cold stimulation, poor sitting posture, dental diseases, etc. can also cause damage to temporomandibular joint, surrounding muscle groups and ligaments.

(6) Malnutrition and endocrine disorders are also related to the occurrence of this disease.

2. Clinical manifestations There are three stages in the development of temporomandibular joint disorder syndrome: functional disorder stage, structural disorder stage and joint organic destruction stage.

Its clinical manifestations generally have the following three main symptoms:

(1) Abnormal mandibular movement: The average natural opening of normal adults is about 3.7 cm, and the opening type is "↓". Patients with this disease will have abnormal opening (too large or too small), abnormal opening (deflection or distortion), and locked joints when opening and closing.

(2) Pain: Mainly manifested as pain in the joint area or muscle groups around the joint when opening the mouth and chewing. If there is organic destruction or muscle spasm in the joint, the corresponding joint area and muscle tissue will have tenderness.

(3) Joint click and noise: Normal temporomandibular joint has no obvious click and noise during mandibular movement. The common abnormal sounds of the disease are ① snapping sound, that is, the "click, click" sound when the mouth moves; (2) Cracking sound: that is, there is a cracking sound of "click, click" during the opening movement; (3) Rubbing sound: there is a continuous rubbing sound similar to rubbing cellophane during the opening movement.

(4) In addition, it is often accompanied by many other symptoms, such as various ear diseases, various eye diseases, dysphagia, language difficulties and chronic general fatigue.

classify

(1) Dysfunction of masticatory muscles: mainly uncoordinated functions, overactivity and spasm of masticatory muscles, which are actually extraarticular diseases. The joint structure and tissue are normal, and the main clinical manifestations are abnormal opening and closing type and involved muscle pain.

(2) Joint structural disorder: it is the highest prevalence of joint disorder syndrome. It is a normal structural disorder among articular disc, condyle and articular fossa, which is mainly manifested in the elastic response of opening movement in different periods, accompanied by different degrees of pain, abnormal opening degree and opening type.

(3) Organic changes of joints: Through X-ray film, X-ray film and arthroscopy, organic changes can be found in articular bone, cartilage and articular disc. In addition to the above two symptoms, you can also hear the continuous rubbing or clicking sound during joint movement.

4. Self-diagnosis

(1) is common in young adults, especially women.

(2) General history of temporomandibular joint dysfunction.

(3) The chief complaint is joint snapping and pain, and the pain is related to mandibular movement and chewing.

(4) Abnormal movement of temporomandibular joint was found during examination (the opening was too large and too small, and the opening was skewed and twisted).

(5)X-ray examination: X-ray can find the changes of joint space and bone, and arthrography can find the displacement and perforation of articular disc and the changes of tissues around the joint.

(6) Arthroscopy: The lesions in the joint cavity can be directly observed, and the diagnosis can be made directly according to the observation results, or the specimens can be taken for biopsy under the microscope.

Family therapy

1. Prevention and control principles

(1) conservative treatment is the main treatment, and comprehensive treatment combining symptomatic treatment with eliminating or weakening pathogenic factors is adopted.

(2) While treating local joint symptoms, we should improve the patients' general condition and mental state.

(3) Educate patients about medical knowledge, so that patients can understand the nature and pathogenic factors of diseases, enhance their confidence, cooperate with doctors for treatment, and carry out joint self-treatment and self-protection under the guidance of doctors.

(4) Step by step, determine a reasonable treatment plan.

2. The current treatment methods are:

(1) medication: indomethacin, tablets, 25mg each, 25mg each time, 1, three times a day for five consecutive days as a course of treatment; Diazepam, tablets, 2.5 mg each, 2.5 ~ 5 mg each time, 1, 3 times a day, for 5 days as a course of treatment.

(2) Physiotherapy: You can choose local infrared radiation and He-Ne laser radiation, 20 minutes each time, 1 time every day, and continuous radiation 1 week 1 course of treatment.

(3) Magnetic therapy: suitable for family therapy. Patients can stick magnets on the most obvious pain points, which is convenient to use and has good analgesic effect. It is often used to treat the pain and limited mouth opening of this disease, and also has a certain relief effect on joint snapping.

(4) Blocking therapy and adjustment can also be used. And orthodontics. If there are obvious indications for surgery, surgery can also be used.

3. Treatment point

(1) Hyperfunction of lateral pterygoid muscle: It is mainly to adjust the function of lateral pterygoid muscle, and 0.5% or 1% procaine can be used as lateral pterygoid muscle block, 1 time a day, 5-7 times as 1 course of treatment.

(2) Lateral pterygoid muscle spasm: mainly to relieve muscle spasm. ① Physiotherapy: 15% calcium chloride solution can be used for calcium iontophoresis in bilateral joint areas and chewing areas, 1 time every day, and 7 ~ 1 time is1course of treatment; ② Blocking therapy: 2 ~ 3 ml of 2% procaine was used to block the lateral pterygoid muscle, once a day or every other day, with 5 times as 1 course. If the pain does not improve significantly, the blocking treatment should be abandoned. ③ Chinese medicine local hot compress, cupping and massage also have certain curative effect.

(3) Masticatory muscle spasm: treatment of ipsilateral muscle spasm, but mild physical therapy is appropriate. At the same time, you can take sedatives and muscle relaxants, such as diazepam and enteric-coated aspirin.

(4) Reducible anterior disc displacement: Can patients wear reduction in the early stage of snapping? Plate for treatment, such as articular disc obviously forward can not be carried out? Plate treatment and disc reduction are feasible.

(5) Irreversible anterior disc displacement: First, manual reduction can be used, and the method is the same as acute anterior joint dislocation. After successful reduction, you can hear a bang, and then treat it according to the anterior disc displacement of the reducible joint. If the control cannot be reset, can I wear a pivot? Plate, severe articular disc reduction.

(6) Perforation and rupture of articular disc: Comprehensive treatment with conservative treatment as the main method should be followed. If the comprehensive treatment fails, the articular disc should be repaired or removed according to the condition.

Matters needing attention

(1) The diet is not limited in principle, but it is necessary to avoid chewing cold and hard food.

(2) Eliminate mental stress and maintain an optimistic, relaxed and open mental state. Pay attention to the combination of work and rest, and actively participate in cultural and sports activities.

(3) Don't get into the habit of biting your teeth when you are nervous at work.

(4) Don't open your mouth wide, and pay attention to protect the mandibular joint when yawning.

(5) Pay attention to the cold and warmth of the face in winter.

(6) Pay attention to protect the mandibular joint when extracting impacted teeth; In other oral treatments, care should be taken not to let the patient open his mouth for a long time.

Yes, I hope you will adopt it.