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
- 2016.12
- 수록면
- 169 - 179 (11page)
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초록· 키워드
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Purpose: This study is designed to analyse etiology and bone pattern at the first visit using cone-beam computed tomography (CBCT) and to evaluate the treatment outcome of conservative treatment in temporomandibular disorder (TMD) patients with rheumatoid arthritis (RA).
Methods: One hundred condyles in 50 subjects with RA were chosen among the patients who presented to the Department of Oral Medicine of Pusan National University Dental Hospital, diagnosed as TMD. Condylar bone changes were classified by normal, erosive bony change, proliferative bony change and combined group (erosive bony change+proliferative bony change). They were treated conservatively with physical therapy, medication, behavioral therapy and/or occlusal stabilizing splint therapy. After 3 months on average, patients were re-evaluated with regards to subjective symptoms and the clinical findings were investigated.
Results: TMD patients with RA have behavioral contributing factors such as parafunctional habit. The results that analyse bone pattern at the first visit using CBCT proliferative bony changes group (32.6%) were more common than erosive bony changes group (15.2%). In comparison between unilateral and bilateral bony change in temporomandibular joint, the ratio showed no significant differences. After 3 months of conservative treatments, pain, noise, limitation of motion (LOM) were markedly improved regardless of occlusal splint therapy. However only LOM was significantly improved through occlusal splint therapy during 3 months.
Conclusions: TMD patients with RA had similar behavioral contributing factors and characteristics of CBCT images shown in general TMD patients and also similar response to conservative treatment so it is difficult to differentiate. Therefore when TMD patients show symptoms corresponding to clinical diagnostic criteria of RA at the first visit, serological testing should be conducted and through this, early diagnosis and treatment of RA should be initiated.
Methods: One hundred condyles in 50 subjects with RA were chosen among the patients who presented to the Department of Oral Medicine of Pusan National University Dental Hospital, diagnosed as TMD. Condylar bone changes were classified by normal, erosive bony change, proliferative bony change and combined group (erosive bony change+proliferative bony change). They were treated conservatively with physical therapy, medication, behavioral therapy and/or occlusal stabilizing splint therapy. After 3 months on average, patients were re-evaluated with regards to subjective symptoms and the clinical findings were investigated.
Results: TMD patients with RA have behavioral contributing factors such as parafunctional habit. The results that analyse bone pattern at the first visit using CBCT proliferative bony changes group (32.6%) were more common than erosive bony changes group (15.2%). In comparison between unilateral and bilateral bony change in temporomandibular joint, the ratio showed no significant differences. After 3 months of conservative treatments, pain, noise, limitation of motion (LOM) were markedly improved regardless of occlusal splint therapy. However only LOM was significantly improved through occlusal splint therapy during 3 months.
Conclusions: TMD patients with RA had similar behavioral contributing factors and characteristics of CBCT images shown in general TMD patients and also similar response to conservative treatment so it is difficult to differentiate. Therefore when TMD patients show symptoms corresponding to clinical diagnostic criteria of RA at the first visit, serological testing should be conducted and through this, early diagnosis and treatment of RA should be initiated.
목차
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (39)
참고문헌 신청
[단행본] - Harris ED / 2005 / Kelly’s textbook of rheumatology / W.B. Saunders : 1043 ~ 1078
[학술지(정기간행물)] - Alamanos Y / 2005 / Epidemiology of adult rheumatoid arthritis / Autoimmun Rev 4 : 130 ~ 136
[학술지(정기간행물)] - Riise T / 2001 / Incidence and prevalence of rheumatoid arthritis in the county of Troms, northern Norway / J Rheumatol 27 : 1386 ~ 1389
[학술지(정기간행물)] - Gabriel SE / 1999 / The epidemiology of rheumatoid arthritis in Rochester, Minnesota, 1955–1985 / Arthritis Rheum 42 : 415 ~ 420
[학술지(정기간행물)] - Aho K / 1998 / Epidemiology of rheumatoid arthritis in Finland / Semin Arthritis Rheum 27 : 325 ~ 334
[학술지(정기간행물)] - Alamanos Y / 2005 / Epidemiology of adult rheumatoid arthritis / Autoimmun Rev 4 : 130 ~ 136
[학술지(정기간행물)] - Riise T / 2001 / Incidence and prevalence of rheumatoid arthritis in the county of Troms, northern Norway / J Rheumatol 27 : 1386 ~ 1389
[학술지(정기간행물)] - Gabriel SE / 1999 / The epidemiology of rheumatoid arthritis in Rochester, Minnesota, 1955–1985 / Arthritis Rheum 42 : 415 ~ 420
[학술지(정기간행물)] - Aho K / 1998 / Epidemiology of rheumatoid arthritis in Finland / Semin Arthritis Rheum 27 : 325 ~ 334
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UCI(KEPA) : I410-ECN-0101-2017-515-002046545