Clinical and Hematologic Characteristics of Temporomandibular Disorders Patients
Park Seo-Eun, 김지락, 조정환, 박지운,
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( Park Seo-Eun ) - Seoul National University School of Dentistry Department of Oral Medicine and Oral Diagnosis
김지락 ( Kim Ji-Rak ) - Catholic University of Daegu School of Medicine Department of Dentistry and Oral Medicine, School of Medicine
조정환 ( Jo Jung-Hwan ) - Seoul National University Dental Hospital Department of Oral Medicine
박지운 ( Park Ji-Woon ) - Seoul National University School of Dentistry Department of Oral Medicine and Oral Diagnosis
Abstract
Purpose: The aim of this study was to evaluate the possibility of utilizing blood tests for thediagnosis of temporomandibular disorders (TMDs) by investigating the hematologic characteristicsof TMD patients according to the main source and level of TMD pain and analyzing theirinterrelationship.
Methods: Clinical examination following the research diagnostic criteria for TMD and hematologicaland psychological evaluations were conducted in 357 TMD patients. Patients weredivided into groups according to the main source of pain (myogenous, arthrogenous, and combinedpain) and the degree of pain according to the graded chronic pain scale (GCPS). Hematologicaldifferences among the groups were statistically analyzed.
Results: The C-reactive protein (CRP) level was significantly higher in the arthrogenous paingroup compared to the combined pain group (p=0.032). There was no significant differenceaccording to the GCPS classification. There were significant correlations between some of theTMD pain indices and the hematologic indices, and also between the psychological indices andthe hematologic indices.
Conclusions: This study suggests the possibility of applying blood tests to the diagnosis, treatmentand prevention of TMD. Further research should be conducted focusing on the role ofCRP in TMD pain with more refined methodology and a longitudinal study design.
키워드
C-reactive protein; Hematologic tests; Pain; Temporomandibular disorders
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