외상과 턱관절 장애 연관성에 관한 연구 (THE RELATIONSHIP BETWEEN TRAUMA AND TEMPOROMANDIBULAR JOINT DISORDER)

서지정보

· 발행기관 : 대한악안면성형재건외과학회
· 수록지 정보 : Maxillofacial Plastic Reconstructive Surgery / 31권 / 5호 / 375 ~ 380페이지
· 저자명 : 김영균, 윤필영, 안민석, 김재승

초록

Objective : Trauma has been a controversial issue although it has been considered to be a major factor
for the temporomandibular disorder(TMD). We evaluated the relationship between macrotrauma or microtrauma
and TMD.
Methods : This study was performed in patients with TMD undergoing treatment at SNUBH from
October 2006 to January 2007. Sixty one male patients and 166 female patients(total 227) were included
and the average age was 34 years(ranging from 14 to 85 years). We investigated the possible etiologic factors,
diagnosis and treatment with the review of medical records and radiography. Chronic pain, depression,
somatic score(including pain item), somatic score(excluding pain item) were evaluated on the basis of
diagnostic index from the Research Diagnostic Criteria on TMD.
Results : Eighteen patients(7.9%) out of 227 patients suffered from TMD as a result of macrotrauma.
Ninety four(41.4%) patients had microtrauma and six patients(2.6%) had both macro- and
microtrauma(etiologic factor). The main symptoms included pain, joint noise and mouth opening limitation
while the other symptoms were headache and tinnitus. The patients had suffered from TMD for average 41
weeks(ranging from 1 to 480 weeks). 116 patients took splint as a major treatment.
As a prognosis, 19 patients(8.4%) recovered completely, 26(11.0%) had improvement and 181(80%) had
persistent symptoms. 1 patient(0.4%) underwent an arthroplasty. Diagnostic index from RDC chart
showed that macrotrauma was the highest score(except depression score) among the other etiologic factors.
Conclusion : This study showed that macro- and microtrauma can be considered to be the major etiologic
factors of TMD, which also affect the chronic, depression and somatic discomfort.

영어초록

Objective : Trauma has been a controversial issue although it has been considered to be a major factor
for the temporomandibular disorder(TMD). We evaluated the relationship between macrotrauma or microtrauma
and TMD.
Methods : This study was performed in patients with TMD undergoing treatment at SNUBH from
October 2006 to January 2007. Sixty one male patients and 166 female patients(total 227) were included
and the average age was 34 years(ranging from 14 to 85 years). We investigated the possible etiologic factors,
diagnosis and treatment with the review of medical records and radiography. Chronic pain, depression,
somatic score(including pain item), somatic score(excluding pain item) were evaluated on the basis of
diagnostic index from the Research Diagnostic Criteria on TMD.
Results : Eighteen patients(7.9%) out of 227 patients suffered from TMD as a result of macrotrauma.
Ninety four(41.4%) patients had microtrauma and six patients(2.6%) had both macro- and
microtrauma(etiologic factor). The main symptoms included pain, joint noise and mouth opening limitation
while the other symptoms were headache and tinnitus. The patients had suffered from TMD for average 41
weeks(ranging from 1 to 480 weeks). 116 patients took splint as a major treatment.
As a prognosis, 19 patients(8.4%) recovered completely, 26(11.0%) had improvement and 181(80%) had
persistent symptoms. 1 patient(0.4%) underwent an arthroplasty. Diagnostic index from RDC chart
showed that macrotrauma was the highest score(except depression score) among the other etiologic factors.
Conclusion : This study showed that macro- and microtrauma can be considered to be the major etiologic
factors of TMD, which also affect the chronic, depression and somatic discomfort.

참고자료

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