측두 하악 장애의 진단과 치료
Diagnosis and Treatment of the Temporomandibular Disorder
김철훈,
소속 상세정보
김철훈 ( Kim Cheol-Hun ) - 동아대학교의료원 치과학교실 구강악안면외과
KMID : 0362720120500050244
Abstract
Temporomandibular disorder(TMD) is described as a cluster of disorders characterized by pain in the preauricular area and/or the muscles of mastication; limitations or deviations in mandibular range of motion; and noises in the TMJ during mandibular function. The most common symptom in TMD patients is pain that is aggravated by chewing or other jaw function. These symptoms are appeared when the stimuli loaded in TMJ are over the physiologic tolerance.
The primary goal in treatment of TMD is to alleviate pain and /or mandibular dysfunction. TMD treatment can be divided into 2 categories: reversible and irreversible methods. Reversible methods include medication, thermal therapy, habit modification, physical therapy, appliance therpy and arthrocentesis and lavage and irreversible methods include arthroscopic lysis, surgery, occlusal adjustment et al. It is widely accepted that reversible methods are ther first choice of treatments. However if reversible ones are not effective, irreversible methods are considered.
키워드
Temporomandibular disorder; diagnosis; treatment; arthrocentesis and lavage
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