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
- 2003.3
- 수록면
- 91 - 110 (20page)
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초록· 키워드
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The purpose of this study was to evaluate the therapeutic effect and prognosis of the symptoms of temporomandibular disorders (TMD) and treatment response of joint sound after conservative therapy with behavioral modification, pharmacotherapy, physical therapy and stabilization splint in TMD patients with painful joint sound. The subjects for this study were recruited from one hundred and forty-four new TMD patients in the Department of Oral Medicine at the Pusan National University Hospital from 1987 to 2001. Each patient was examined on the symptoms of TMD with a self-administered questionnaire, comprehensive history taking and clinical examination, including muscle and TM joint palpation, evaluation of jaw function, and joint noise. All subjects were diagnosed as the masticatory muscle disorders (MMD), the internal derangement (ID), the degenerative joint disease (DJD) and/or the combined disorders. The pattern of joint sounds was classified into click, crepitus, and pop.
Therapeutic effects were evaluated by the subjective pain perception and the severity of noise (numerical analogue scale, NAS), maximum comfortable opening (MCO). Statistical analysis was performed to evaluate the changes of symptoms, especially treatment response of joint sound, only after physical therapy and after stabilization appliance with physical therapy with chi-square and t-test. Regardless of several classifications in this study, the symptoms of TMD were significantly improved after conservative therapy (P<0.05), and the major improvement was observed after stabilization appliance with physical therapy. 42.11% of TMD patients with click had reported no joint sound after stabilization appliance with physical therapy (P<0.05). However, no significant change was found in TMD patients with crepitus and pop. Therefore, we conclude that TMD patients with pain and dysfunction have overall improvement with conservative therapy and a combination treatment appear to be more effective than single treatment.
Therapeutic effects were evaluated by the subjective pain perception and the severity of noise (numerical analogue scale, NAS), maximum comfortable opening (MCO). Statistical analysis was performed to evaluate the changes of symptoms, especially treatment response of joint sound, only after physical therapy and after stabilization appliance with physical therapy with chi-square and t-test. Regardless of several classifications in this study, the symptoms of TMD were significantly improved after conservative therapy (P<0.05), and the major improvement was observed after stabilization appliance with physical therapy. 42.11% of TMD patients with click had reported no joint sound after stabilization appliance with physical therapy (P<0.05). However, no significant change was found in TMD patients with crepitus and pop. Therefore, we conclude that TMD patients with pain and dysfunction have overall improvement with conservative therapy and a combination treatment appear to be more effective than single treatment.
목차
1. 서론
2. 연구 대상 및 연구 방법
3. 연구결과
4. 총괄 및 고찰
5. 결론
참고문헌
ABSTRACT
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UCI(KEPA) : I410-ECN-0101-2009-515-013693695