두개하악장애환자의 임상양태에 관한 연구
Clinical features of the patients with craniomandibular disordes
고명연, 김미은,
소속 상세정보
고명연 ( ) - 부산대학교
김미은 ( ) - 부산대학교
KMID : 0355219930180020029
Abstract
A prevalence study was carried out on 847 CMD patients who had visited the Department of Oral Medicine in Pusan National University from 1990 to 1993. To obtain the same type of in formation, all subjects were interviewed and examined clinically
using a
standardized examination form. The ratio of women to men was about 3 : 1 and all subjects were divided into acute and chronic groups on the basis of 6 months of duration. Diagnostic groups consisted of muscle disorder, joint disorder and
muscle-joint
disorder. As related to gender, duration and diagnosis, subjective symptoms in CMD were studied.
@ES The obtained results were as follows :
@EN 1. Muscle-joint disorder had the highest percent, followed by muscle disorder and joint disorder.
2. The most common reasons for CMD treatment were pain, joint noise and limited opening, while headache and neckache were relatively often reported as associated symptoms and dizziness, ringing in the ears also reported as secondary CNS
excitatory
effects.
3. Pain was more often seen in women, acute group and muscle- related disorder groups(p<0.05, p<0.01). Noise was significantly frequent in chronic group and joint-related groups(p<0.01).
4. Analysis of contributing factors presented that macrotrauma was frequently in men(p<0.05), and that muscle-related groups were more related to stress than joint disorder group(p<0.05).
5. Hard end feel was seen significantly often in joint-related disorder group(p<0.05). On the other hand, soft end feel was frequent in muscle disorder.
6. Reciprocal clicks and orepitaiton increased with chronicity, Subjects with joint-related disor-der groups significantly often reported all kinds of noises (p<0.01).
7. Tender muscles and joints were more often reported in women and chronic group. Whereas muscle-related disorder groups revealed significantly more tender muscles(p<0.01), joint-related disorder groups presented significantly more tender
joints(p<0.01).
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