2-6세 한국 어린이의 최대 개구량 측정
Measurement of Maximum Mouth Opening in 2 to 6 year-old Korean Children
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초록
최대개구량은 측두하악관절과 저작계의 임상 기능 평가에 유용한 진단 도구이다. 이 연구는 한국 유치열기 어린이의 정상최대개구량을 측정하고 관련 인자들 간의 상관관계를 조사함으로써, 소아 악관절 장애의 진단 및 치과치료시 안전한 개구 범위 정립에 기여할 수 있는 기초 자료를 마련하고자 하였다. 악관절장애가 없는 건강한 어린이(만2-6세) 151명을 대상으로 최대개구량을 측정하고, 성별, 연령, 신장, 체중과 입의 너비를 기록하였다. 평균 최대개구량은 37.72 ± 5.10 mm였고 성별에 따른 유의한 차이는 없었으나, 연령, 신장, 체중, 입의너비 증가에 따라서는 유의하게 증가하였다(p < 0.05). 최대개구량과 관련 요인들 간의 상관관계 분석 결과, 신장에서 가장높은 상관관계가 관찰되었다. 결론적으로 한국 유치열기 어린이의 정상 최대개구량에 관한 자료를 얻을 수 있었고, 이 연구는 소아 악관절장애의 진단및 안전 개구 범위에 관한 기초 지식을 제공할 수 있을 것이다.
Abstract
Maximum mouth opening is regarded as an important tool used to evaluate the clinical function of temporomandibular joint and the masticatory system. It has been reported that children can also exhibit severe dysfunction or pain in some cases of temporomandibular disorder. The purpose of this study was to measure the normal maximum mouth opening in Korean children and to analyze the correlations between mouth opening and the associated factors. Maximum mouth opening was measured from 151 healthy children between the ages of 2 and 6 years old. Age, height, weight, and mouth width were also recorded. As a result, the mean maximum mouth-opening was 37.72 ± 5.10 mm. While the values were greater in boys than in girls without statistical significance, the increases of maximum mouth opening based on age, height, weight, and mouth width were significant (p < 0.05). In children, positive correlation coefficients were observed between maximum mouth opening and the associated factors and height showed the highest correlation. In conclusion, we collected data of the normal range of maximum mouth opening in Korean children, and this study can be utilized as a basis in diagnosing pediatric temporomandibular disorder and safety standard of mouth opening during dental procedures.
참고문헌 (28)
- Naeije M, "Local kinematic and anthropometric factors related to the maximum mouth opening in healthy individuals", J Oral Rehab, 29, pp.534~539 (2002)
- Sousa LM, "Evaluation of mandibular range of motion in Brazilian children and its correlation to age, height, weight, and gender", Braz Oral Res, 22, pp.61~66 (2008)
- Ito H, "Maximum opening of the mouth by mouth prop during dental procedures increases the risk of upper airway constriction", Ther Clin Risk Manag, 25, pp.239~248 (2010)
- Ayuse T, "Mouthopening increases upper-airway collapsibility without changing resistance during midazolam sedation", J Dent Res, 83, pp.718~722 (2004)
- Abou-Atme YS, "Clinical measurement of normal maximum mouth opening in children", Cranio, 26, pp.191~196 (2008)
- Gallagher C, "The normal range of mouth opening in an Irish population", J Oral Rehabil, 31, pp.110~116 (2004)
- 백병주, "소아의 최대개구량에 관한 연구", 대한소아치과학회지, 28(4), pp.593~599 (2001), 대한소아치과학회
- Hesse JR, "Craniomandibular stiffness in myogenous and arthrogenous CMD patients, and control subjects: a clinical and experimental investigation", J Oral Rehabil, 23, pp.379~385 (1996)
- Visser A, "EMG differences between weak and strong myogenous CMD patients and healthy controls", J Oral Rehabil, 22, pp.429~434 (1995)
- Miller VJ, "A mouth opening index for patients with temporomandibular disorders", J Oral Rehabil, 26, pp.534~537 (1999)
- Barbosa TS, "Temporomandibular disorders and bruxism in childhood and adolescence : review of the literature", Int J Pediatr Otorhinolaryngol, 72, pp.299~314 (2008)
- Müller L, "Early diagnosis of temporomandibular joint involvement in juvenile idiopathic arthritis : a pilot study comparing clinical examination and ultrasound to magnetic resonance imaging", Rheumatology(Oxford), 48, pp.680~685 (2009)
- Guarda-Nardini L, "Age-related differences in temporomandibular disorder diagnoses", Cranio, 30, pp.103~109 (2012)
- Ito H, "An analysis of 200cases of severe shock and cardiopulmonary arrest that were related with dental treatment or oral surgery", Nihon Sosei Gakkai zasshi, 24, pp.82~87 (2005)
- Yao KT, "Maximum mouth opening of ethnic Chinese in Taiwan", J Dent Sci, 4, pp.40~44 (2009)
- Agerberg G, "Maximal mandibular movements in children", Acta Odontol Scand, 32, pp.147~159 (1974)
- Agerberg G, "Maximal mandibular movements in young men and women", Sven Tandlak Tidskr, 67, pp.81~100 (1974)
- Müller L, "Maximal mouth opening capacity : percentiles for healthy children 4-17 years of age", Pediatr Rheumatol Online J, 22, pp.11~17 (2013)
- Rothenberg LH, "An analysis of maximum mandibular movements, craniofacial relationships and temporomandibular joint awareness in children", Angle Orthod, 61, pp.103~112 (1991)
- Ingervall B, "Range of movement of mandible in children", Scand J Dent Res, 78, pp.311~315 (1970)
- Landtwing K, "Evaluation of the normal range of vertical mandibular opening in children and adolescents with special reference to age and stature", J Maxillofac Surg, 6, pp.157~162 (1978)
- Aqib Sohail, "THE range of interincisal opening among university students of AJMAN, UAE", J Pakistan Oral & Dent, 31, pp.37~41 (2011)
- Chen HS, "Analysis of maximum mouth opening and its related factors in 3- to 5-year-old Taiwanese children", Odontology, 103, pp.84~88 (2015)
- Eriksson PO, "Co-ordinated mandibular and head-neck movements during rhythmic jaw activities in man", J Dent Res, 79, pp.1378~1384 (2000)
- Visscher CM, "Kinematics of the human mandible for different head postures", J Oral Rehabil, 27, pp.299~305 (2000)
- Fukui T, "Correlation between facial morphology, mouth opening ability, and condylar movement during openingclosing jaw movements in female adults with normal occlusion", Eur J Orthod, 24, pp.327~336 (2002)
- 안하나, "전남대학교 치과병원 소아치과와 광주장애인구강진료센터에서시행된 진정법과 외래전신마취에 대한 실태조사", Journal of Dental Anesthesia and Pain Medicine, 13(3), pp.95~102 (2013), 대한치과마취과학회
- 안소연, "어린이의 치과치료시 약물에 의한 진정요법 사용에 대한 실태조사", 대한소아치과학회지, 32(3), pp.444~453 (2005), 대한소아치과학회