±¸°³»°ú ³»¿øȯÀÚ¿¡ °üÇÑ ¿ªÇÐÁ¶»ç - Ãæ³²Áö¿ª¿¡ ´ëÇÑ
Epidemiologic Study on the Patients Visited to Dept of Oral Medicine -In the Area of Choongnam-
¼Ò¼Ó »ó¼¼Á¤º¸
À̵¿ÁÖ/Lee DJ
±è±â¼®/Kim KS
KMID : 0355220060310010101
Abstract
ÃøµÎÇϾǰüÀýÀå¾Ö¿¡ °üÇÑ ¿ªÇבּ¸´Â ÁÖ·Î 1970³â´ë ÃÊ ½ºÄµð³ªºñ¾Æ±¹°¡¿¡¼ ±¹¹ÎÀ» ´ë»óÀ¸·Î ¹«ÀÛÀ§ ÃßÃâ¹ý¿¡ ÀÇÇÑ ¾Ç°üÀý ¹× ÀúÀÛ°è±â´É¿¡ °üÇÑ ¿ªÇÐÁ¶»ç·Î ½ÃÀ۵ǾúÀ¸¸ç ±¹³»¿¡¼µµ 1970³â´ë ÀÌÈÄ ÃøµÎÇϾǰüÀýÀå¾ÖÀÇ À¯º´·ü¿¡ ´ëÇØ ¸¹Àº ¿ªÇבּ¸°¡ º¸°íµÇ¾ú´Ù. ÇÏÁö¸¸ ¼º, º´·Â, ÁÖ¼Ò, Áø´Ü¿¡ µû¸¥ °¢°¢ÀÇ Áõ»ó°ú ¡ÈĵéÀ» Æò°¡ÇÑ ¿¬±¸´Â ¿Ü±¹¿¡ ºñÇؼ ¸¹ÀÌ ºÎÁ·ÇÑ ½ÇÁ¤ÀÌ´Ù.
ÃøµÎÇϾǰüÀýÀå¾Ö¿¡ ´ëÇÑ Áõ»ó°ú Áø´Ü¿¡ °üÇÑ ÃÑ°ýÀû ¿¬±¸Á¶»ç´Â ¿À·¡Àü¿¡ ÀÌ·ç¾îÁø °ÍÀÌ ´ëºÎºÐÀ̱⠶§¹®¿¡ º» ¿¬±¸¸¦ ÅëÇؼ ÃøµÎÇϾǰüÀýÀå¾Ö¸¦ °¡Áø ȯÀÚµéÀÇ ¼º, º´·Â, ÁÖ¼Ò, Áø´Ü¿¡ µû¸¥ Áõ»óµéÀ» ÃÑ°ýÀûÀ¸·Î Á¶»çÇÏ¿© ÇâÈÄ Á¡ÁõÇÏ´Â ÃøµÎÇϾǰüÀýÀå¾ÖȯÀÚÀÇ Áø´Ü°ú Ä¡·á¿¡ µµ¿òÀÌ µÇ´Â ±âÃÊÀڷḦ È®º¸ÇÏ°íÀÚ ÇÏ¿´´Ù.
º» ¿¬±¸°á°ú¸¦ º¸¸é ¿ì¼± ¿¬·ÉÀÇ °æ¿ì Àüü ³»¿ø ȯÀÚ 6500¸íÀÇ Æò±Õ³ªÀÌ´Â 34.06¼¼·Î ³²ÀÚ´Â 33.15¼¼, ¿©ÀÚ´Â 34.62¼¼¿´À¸¸ç Áø´Ü±×·ìº°·Î ¿¬·ÉÂ÷ÀÌ°¡ ÀÖ¾ú´Ù. ÀÇ·Ú È¯ÀÚ´Â ´ëü·Î Ä¡°úÀǻ簡 ÀÇ·ÚÇÑ È¯ÀÚ°¡ ¸¹¾ÒÀ¸¸ç(80.07%), ÀÇ·ÚÇÑ È¯ÀÚ Áø´Ü±ºÀº °üÀý¼ºÀå¾Ö, ±ÙÀ°¼ºÀå¾Ö, ¿¬Á¶Á÷Áúȯ ¼øÀ̾ú´Ù. Àüü ³»¿ø ȯÀÚ Áß 63%°¡ ¾È¸éÅëÁõÀ¸·Î ³»¿øÇÏ¿´À¸¸ç, ¹ß»ýºÎÀ§¿¡ ´ëÇÑ ºñ±³¿¡¼ Á¿ì À¯ÀÇÇÑ Â÷À̸¦ º¼ ¼ö ¾ø¾ú´Ù. ¶ÇÇÑ ÅëÁõ ¹ß»ýÀº 6°³¿ù ¹Ì¸¸¿¡¼´Â ÁÖ·Î ³²¼ºÀÌ, 6°³¿ù ÀÌ»óÀÎ °æ¿ì´Â ¿©¼ºÀÇ ºñÀ²ÀÌ »ó´ëÀûÀ¸·Î ³ôÀ½À» ¾Ë ¼ö ÀÖ¾ú´Ù. °üÀýÀâÀ½ÀÇ °æ¿ì º´·Â ȯÀÚ´Â 3445¸í(53.15%)¿´À¸¸ç, ¹ßº´½Ã±â¿¡´Â ¼ºÂ÷°¡ ¾ø¾ú´Ù. °üÀýÀâÀ½ÀÇ ¹ß»ýºÎÀ§´Â ÁÂ¿ì ¾çÃø°£¿¡ Â÷ÀÌ°¡ ¾ø¾úÀ¸¸ç ÁÖ·Î clicking sound°¡ ¸¹À½À» ¾Ë ¼ö ÀÖ¾ú´Ù. ÀÌ°¥ÀÌ´Â ÁÖ·Î ³²ÀÚ¿¡¼, À̾ǹ°±â´Â ¿©ÀÚ¿¡¼ ³ªÅ¸³µ¾ú´Ù.
Temporomandibular disorders (TMD) is a collective term embrassing a number of clinical problems that involve the masticatory musculature, the Temporomandibular joint and associated structures, or both. The prevalence of signs and symptoms associated with TMD can be best appreciated by examining epidemiologic studies. But domestic epidemiologic studies about sex, history, chief complaint, diagnosis were not sufficient comparing with foreign countries.
The results obtained as follow.
1. The number of visiting patients were 6500 and mean age was 34.06 year (Male¡¯s mean age was 33.15, Female¡¯s 34.62). In the age of patients, there was no significant difference between sex.
2. There are most patients who were referred by dentist(80.07%). Most diagnostic group was arthrogenous TMD group and followed by myogenous TMD, soft tissue disease.
3. There was strong interaction between diagnostic groups and chief complaint.
4. There was little pain difference between right and left sides. Male mainly had pain onset under 6 month, but female had pain onset more than 6 month.
5. The number of patients who had joint sound history were 3445 (53.15%). There was no significant difference of pain onset between sex. Clicking sound was most among joint sounds which happened to patients.
6. In analyzing the parafunctional habit, male mainly had bruxism, but female had clenching habit.
Å°¿öµå
ÃøµÎÇϾǰüÀýÀå¾Ö;¿ªÇÐ;±¸°³»°ú;ÈÄÇâÀû ¿¬±¸;Temporomandibular disorder;Epidemiology;Oral medicine;Retrospective study
¿ø¹® ¹× ¸µÅ©¾Æ¿ô Á¤º¸
µîÀçÀú³Î Á¤º¸