하악 과두저형성증 환자의 임상적 평가 (Clinical Assessment of Patients with Mandibular Condyle hypoplasia)

서지정보

· 발행기관 : 대한안면통증∙구강내과학회
· 수록지 정보 : Journal of Oral Medicine and Pain / 38권 / 2호 / 175 ~ 185페이지
· 저자명 : 이영철, 조봉혜, 옥수민, 허준영, 김경희, 안용우, 고명연, 정성희

초록

측두하악장애를 주소로 하는 환자 276명에 대해 임상검사와 방사선검사를 시행하였다. 하악과두 저형성으로 진단된 189명의 실험군과 골관절염으로 진단된 87명의 대조군을 임상적으로 비교하여 다음과 같은 결과를 얻었다.
1. 하악 과두저형성은 골관절염과 임상적으로 많은 부분이 유사하였다.
2. 하악 과두저형성은 골관절염에 비하여 방사선적 진단부위와 통증부위의 일치율이 현저하게 낮았다.
3. 하악 과두저형성 양측이환군이 편측이환군에 비해 교합불편감 및 이악물기습관이 많았다.
4. 편측이환군 비교시 하악 과두저형성은 편측저작습관이 높았으며, 개구제한감을 더 많이 느꼈다. 골관절염은 아침의 불편감 및 두통을 많이 호소하였으며 진단부위와 단순관절음 일치율이 높았다.
5. 양측이환군 비교시 하악 과두저형성이 골관절염보다 평상시 두통을 더 많이 호소하였으며, 수평피개량도 컸다.

영어초록

Objective : Condyle hypoplasia in temporomandibular joint(TMJ) is often observed in several radiographic views. Mandibular Condyle hypoplasia is frequently confused with osteoarthritis with bony changes in TMJ. This paper investigated clinical characteristics of mandibular condyle hypoplasia as compared with TMJ osteoarthritis.
Material and method : 276 patients with TMD were taken clinical and radiological examination and were divided into study group, 189 patients diagnosed with mandibular condyle hypoplasia, and control group, 87 patients diagnosed with TMJ osteoarthritis. And clinical features(Onset, Overjet, Overbite, Noise, Locking, NAS of noise, LOM, pain, MCO, and site of diagnosis and pain)of the two groups were compared.
Results :1. Mandibular condyle hypoplasia and TMJ osteoarthritis were similar in many of the clinical features.
2. Mandibular condyle hypoplasia concordance rates of the radiographic diagnosis site and the pain site was significantly lower than TMJ osteoarthritis.
3. Bilateral mandibular condyle hypoplasia group had more occlusal discomfort, and clenching habits than unilateral mandibular condyle hypoplasia group.
4. Unilateral mandibular condyle hypoplasia group had more unilateral chewing habits and LOM than unilateral TMJ osteoarthritis group. Unilateral TMJ osteoarthritis group had more morning stiffness and higher concordance rates of the radiographic diagnosis site and the click sound site than unilateral mandibular condyle hypoplasia group.
5. Bilateral mandibular condyle hypoplasia group had more usual headaches and overjet than bilateral TMJ osteoarthritis group.
Conclusion : Mandibular condyle hypoplasia has somewhat distinguishing clinical characteristics as compared with TMJ osteoarthritis.

참고자료

· 없음