[OROFACIAL PAIN AND TEPOROMANDIBULAR DISORDERS] 측두하악쟁애 재발환자의 임상소견과 치료에 관한 연구
[OROFACIAL PAIN AND TEPOROMANDIBULAR DISORDERS] A Study on Clinical Finding and Treatment of Recurrent TMD Patients
소속 상세정보
안용우
박준상/고명연
KMID : 0355220040290020167
Abstract
TMDs are known as the major etiology of non odontogenic pain in orofacial area and subtype of skeletomuscular disorders. Treatment goals of TMDs which arc similar to other orthopedic disorders or rheumatic disorders are pain relief, reducing stress, rehabilitation of function, and going back to nom1al life. Several literature had showed that these routine conservative treatments relieved TMD symptoms and made TMD patients go back to their normal life.
However patients often revisited with recurrent symptoms. The conservative treatments which were given at their first visit were routinely applied to these recurreent patients. Therefore this study might be a help in clinical approach for TMD patients by comparing clinical findings and treatment of recurrent TMD patients with initial TMD patients. Subjects for the study were the patients who had visited the Department of Oral 1\´ledicine, Pusan National University Hospital from 1993 to 2000, diagnosed as TMDs and treated with conservative treatments such as behavior therapy, medication, physical therapy, and splint therapy. Patients were divided into 2 groups; non recurrent patients(102 patients whose symptoms didn´t recur at least for 3 years) and recurrent patients(65 patients whose symptoms recurred and re-treated).
The obtained results were as follows;
1. Recurrent rate was higher in patients whose muscles and joints were all affected.
2. Onset duration was longer in recurrent patient.
3. The symptoms of recurrent patients were not as severe as the symptoms at the initial visit.
4. There was no difference between recurrent and non-recurrent patients in treatment modalities and primary and secondary treatments were the same in recurrent patients.
5. Treatment duration and frequency were shorter in recurrent patients and secondary treatment duration was shorter in arthrogenous patients.
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