측두하악장애 치료유형 분석
Analysis of treatment patterns of temporomandibular disorders
차용훈, 김범준, 임재형, 박광호, 김형곤, 허종기,
소속 상세정보
차용훈 ( Cha Yong-Hoon ) - 연세대학교 치과대학 구강악안면외과학교실
김범준 ( Kim Bum-Joon ) - 연세대학교 치과대학 구강악안면외과학교실
임재형 ( Lim Jae-Hyung ) - 연세대학교 강남세브란스병원 구강악안면외과
박광호 ( Park Kwang-Ho ) - 연세대학교 강남세브란스병원 구강악안면외과
김형곤 ( Kim Hyung-Gon ) - 연세대학교 치과대학 구강악안면외과학교실
허종기 ( Huh Jong-Ki ) - 연세대학교 치과대학 구강악안면외과학교실
KMID : 0355620100360060520
Abstract
Introduction:This study examined the treatment patterns of temporomandibular disorders (TMD) including conservative and surgical procedures.
Materials and Methods : Patients with TMD who visited Gangnam Severance Hospital from June 2007 to May 2008 were enrolled in this study. All patients were examined from the orthopantomogram, temporomandibular joint (TMJ) tomography, and a clinical examination. The patients who required a further evaluation were examined by magnetic resonance imaging and/or computed tomography. The treatment patterns were divided into counseling, medication, splint therapy, botulinum toxin injection (BTI) and surgical treatment.
Results: Among the 2,464 patients, the average age was 31.8 years (ranging from 6 to 93); 764 (31.0%) were male and 1,700 (69.0%) were female. 2,355 (95.6%) patients were treated with conservative therapy; 1,460 (62.0%) patients were treated with medication, 931 (39.5%) patients were treated with splint, and 46 (2.0%) were treated with BTI. There were 109 (4.4%) patients treated surgically. Eight (0.3%) patients were treated with total temporomandibular joint replacement surgery.
Conclusion: Almost all patients with TMD were treated using conservative methods. Those patients who received surgical treatment because of an ineffective response to conservative treatment had definite problems with the internal derangement and/or osteoarthritis or had severe clinical symptoms.
키워드
Temporomandibular joint disorders; Splint; Arthroplasty; Botulinum toxins; Replacement arthroplasty
원문 및 링크아웃 정보
등재저널 정보