지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.6
- 수록면
- 35 - 43 (9page)
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초록· 키워드
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Purpose: This study aims to evaluate the correlation between joint sounds and radiographic bone change patterns along with clinical symptoms of temporomandibular joint osteoarthritis (TMJ OA) patients.
Methods: The patients for this study were over 19 years of age, diagnosed tentatively with TMJ OA. The patients were examined with temporomandibular disorders analysis test and all three radiographs, including panoramic radiography, transcranial radiography, and cone beam computed tomography (CBCT). Information of the patients’ age, pain status, joint sound and mouth opening range were collected. And bone change pattern was examined by reviewing panoramic radiography, transcranial radiography and CBCT images.
Results: The patients with crepitus had a higher average active mouth opening (AMO) range than patients without crepitus, and the group with bilateral crepitus had a higher average AMO range than the group with unilateral crepitus (p<0.001). And the patient with pain during mastication was increased in the group with clicking than the group without clicking, and the group with bilateral clicking showed a statistically significant increase in the patient with pain during mastication than the group with unilateral clicking (p<0.05). The analytical results of the relevance of crepitus showed a high correlation with bone change observed from each of the three radiographs. And the agreement in bone change findings from 3 groups of paired radiographs showed high agreement (p<0.001). Meanwhile, 77.2% of CBCT findings showed bone change of condyle without crepitus (p<0.001).
Conclusions: This study presented significant results in the evaluation of the correlation with crepitus and bone change of TMJ OA patients from panoramic radiography or transcranial projection. However, the accurate assessment is required through CBCT for the patient with complains of persistent pain, limitation of mouth opening, and occlusal change even if the crepitus does not exist.
Methods: The patients for this study were over 19 years of age, diagnosed tentatively with TMJ OA. The patients were examined with temporomandibular disorders analysis test and all three radiographs, including panoramic radiography, transcranial radiography, and cone beam computed tomography (CBCT). Information of the patients’ age, pain status, joint sound and mouth opening range were collected. And bone change pattern was examined by reviewing panoramic radiography, transcranial radiography and CBCT images.
Results: The patients with crepitus had a higher average active mouth opening (AMO) range than patients without crepitus, and the group with bilateral crepitus had a higher average AMO range than the group with unilateral crepitus (p<0.001). And the patient with pain during mastication was increased in the group with clicking than the group without clicking, and the group with bilateral clicking showed a statistically significant increase in the patient with pain during mastication than the group with unilateral clicking (p<0.05). The analytical results of the relevance of crepitus showed a high correlation with bone change observed from each of the three radiographs. And the agreement in bone change findings from 3 groups of paired radiographs showed high agreement (p<0.001). Meanwhile, 77.2% of CBCT findings showed bone change of condyle without crepitus (p<0.001).
Conclusions: This study presented significant results in the evaluation of the correlation with crepitus and bone change of TMJ OA patients from panoramic radiography or transcranial projection. However, the accurate assessment is required through CBCT for the patient with complains of persistent pain, limitation of mouth opening, and occlusal change even if the crepitus does not exist.
목차
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (30)
참고문헌 신청
[학술지(정기간행물)] - Wu CK / 2012 / Assessments of inclinations of the mandibular fossa by computed tomography in an Asian population / Clin Oral Investig 16 : 443 ~ 450
[단행본] - Okeson JP / 2013 / Management of temporomandibular disorders and occlusion / Elsevier/Mosby : 103 ~ 107
[학술지(정기간행물)] - 조정환 / 2011 / The Occurrence of Degenerative Change in the Mandibular Condyles of Korean Patients with Temporomandibular Disorders / Journal of Oral Medicine and Pain 36 (1) : 53 ~ 63
[학술지(정기간행물)] - 김지현 / 2012 / 측두하악관절의 골관절염에 대한 교합안정장치의 치료효과 / Journal of Oral Medicine and Pain 37 (2) : 113 ~ 123
[보고서] - Stegenga B / 1991 / Temporomandibular joint osteoarthrosis and internal derangement. Diagnostic and therapeutic outcome assessment : 12 ~ 21
[단행본] - Okeson JP / 2013 / Management of temporomandibular disorders and occlusion / Elsevier/Mosby : 103 ~ 107
[학술지(정기간행물)] - 조정환 / 2011 / The Occurrence of Degenerative Change in the Mandibular Condyles of Korean Patients with Temporomandibular Disorders / Journal of Oral Medicine and Pain 36 (1) : 53 ~ 63
[학술지(정기간행물)] - 김지현 / 2012 / 측두하악관절의 골관절염에 대한 교합안정장치의 치료효과 / Journal of Oral Medicine and Pain 37 (2) : 113 ~ 123
[보고서] - Stegenga B / 1991 / Temporomandibular joint osteoarthrosis and internal derangement. Diagnostic and therapeutic outcome assessment : 12 ~ 21
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UCI(KEPA) : I410-ECN-0101-2018-515-001032407