Age Differences in Signs and Symptoms of Patients with Temporomandibular Disorders
조정환, 박지운, 김지락, Seo Hyong-Duk, 장지희, 정진우,
소속 상세정보
조정환 ( Jo Jung-Hwan ) - Seoul National University School of Dentistry Department of Oral Medicine and Oral Diagnosis
박지운 ( Park Ji-Woon ) - Seoul National University School of Dentistry Department of Oral Medicine and Oral Diagnosis
김지락 ( Kim Ji-Rak ) - Seoul National University School of Dentistry Department of Oral Medicine and Oral Diagnosis
( Seo Hyong-Duk ) - Seoul National University School of Dentistry Department of Oral Medicine and Oral Diagnosis
장지희 ( Jang Ji-Hee ) - Seoul National University School of Dentistry Department of Oral Medicine and Oral Diagnosis
정진우 ( Chung Jin-Woo ) - Seoul National University School of Dentistry Department of Oral Medicine and Oral Diagnosis
KMID : 0355220150400020055
Abstract
Purpose: The aims of this study were to evaluate the differences in subjective symptoms, clinical characteristics, distribution according to Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) subgroup, psychological profile of TMD patients, and to identify the prevalence and trend according to age.
Methods: A total of 1,052 patients (261 men and 791 women; mean age, 34.40±15.73 years) who visited the Orofacial Pain Clinic of the Department of Oral Medicine, Seoul National University Dental Hospital complaining of TMD symptoms of were evaluated. All patients were questioned for medical history, clinical symptoms and contributing factors. Clinical examination and patient grouping based on RDC/TMD was conducted. Radiographies were taken. The Korean version of RDC/TMD axis II and Symptom Checklist-90-Revision (SCL-90-R) were administered to evaluate pain-related disability level and psychological status of the patients.
Results: Prevalence peaked in the 20-year-old age group. There were more women than men in all groups. The highest T-score among SCL-90-R dimensions was somatization in each group, except for teenagers who showed the highest T-score in interpersonal sensitivity. The 30-yearold age group showed the highest distribution of high disability based on the graded chronic pain scale. Age was positively associated with pain intensity (r=0.100), number of positive muscles on palpation (r=0.137) and negatively associated with maximum mouth opening (r=-0.168).
Conclusions: Subjective symptoms and clinical characteristics of TMD patients show distinct tendencies according to different age groups. Treatment should be customized and personalized according to age for efficient symptom resolution and patient satisfaction.
키워드
Age; Graded chronic pain; Research Diagnostic Criteria for Temporomanibular Disorders; Symptom Checklist-90-Revision; Temporomandibular joint disorders
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