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Evaluation of Korean teenagers with temporomandibular joint disorders

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Objectives: This study aims to evaluate the severity and pattern of symptoms exhibited by teenage Korean temporomandibular disorder (TMD) patients. Materials and Methods: Among patients with an association of TMDs, teenage patients (11-19 years) who answered the questionnaire on the research diagnostic criteria for TMD (RDC/TMD) were recruited. Results: The ratio of patients who visited our clinic with a chief complaint of clicking sound (34.5%) or temporomandibular pain (36.6%) at the initial diagnosis (examination) was the highest. In the evaluation of the depression index, 75.8% of the subjects were normal, 12.9% were moderate, and 11.3% were severe. With regard to non-specific physical symptoms (including pain), 66.5% of the subjects were normal, 17.0% were moderate, and 16.5% were severe. Concerning non-specific physical symptoms (excluding pain), 70.6% of the subjects were normal, 14.4% were moderate, and 15.0% were severe. In terms of the graded chronic pain score, high disability (grade III, IV) was found in 9.3% of the subjects. Conclusion: Among teenage TMD patients, a portion have clinical symptoms and experience severe psychological pressure; hence requiring attention and treatment, as well as understanding the psychological pressure and appropriate treatments for dysfunction.

Abstract

Objectives: This study aims to evaluate the severity and pattern of symptoms exhibited by teenage Korean temporomandibular disorder (TMD) patients. Materials and Methods: Among patients with an association of TMDs, teenage patients (11-19 years) who answered the questionnaire on the research diagnostic criteria for TMD (RDC/TMD) were recruited. Results: The ratio of patients who visited our clinic with a chief complaint of clicking sound (34.5%) or temporomandibular pain (36.6%) at the initial diagnosis (examination) was the highest. In the evaluation of the depression index, 75.8% of the subjects were normal, 12.9% were moderate, and 11.3% were severe. With regard to non-specific physical symptoms (including pain), 66.5% of the subjects were normal, 17.0% were moderate, and 16.5% were severe. Concerning non-specific physical symptoms (excluding pain), 70.6% of the subjects were normal, 14.4% were moderate, and 15.0% were severe. In terms of the graded chronic pain score, high disability (grade III, IV) was found in 9.3% of the subjects. Conclusion: Among teenage TMD patients, a portion have clinical symptoms and experience severe psychological pressure; hence requiring attention and treatment, as well as understanding the psychological pressure and appropriate treatments for dysfunction.

참고문헌 (25)

  1. 양희영, "한국인 턱관절장애 환자의 유병률과 진료 양태", Journal of Oral Medicine and Pain, 34(1), pp.63~79 (2009), 대한안면통증∙구강내과학회
  2. Kim YK, "Clinical survey of the patients with temporomandibular joint disorders, using Research Diagnostic Criteria (Axis II) for TMD: preliminary study", J Craniomaxillofac Surg, 40, pp.366~372 (2012)
  3. Ko MY, "Clinical features of the patients with craniomandibular disorders", Korean J Oral Med, 18, pp.29~41 (1993)
  4. Dworkin SF, "Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique", J Craniomandib Disord, 6, pp.301~355 (1992)
  5. Yoshimura Y, "The terminology of Japanese Society for Temporomandibular Joint" (2001), The Japanese Society for Temporomandibular Joint
  6. Shiau YY, "An epidemiological study of temporomandibular disorders in university students of Taiwan", Community Dent Oral Epidemiol, 20, pp.43~47 (1992)
  7. Chuang SY, "Incidence of temporomandibular disorders (TMDs) in senior dental students in Taiwan", J Oral Rehabil, 29, pp.1206~1211 (2002)
  8. 이동주, "구강내과 내원환자에 관한 역학조사 -충남지역에 대한-", Journal of Oral Medicine and Pain, 31(1), pp.101~111 (2006), 대한안면통증∙구강내과학회
  9. Okeson JP, "American Academy of Orofacial Pain. Orofacial pain: guidelines for assessment, diagnosis, and management" (1996), Quintessence Pub
  10. Hirsch C, "Are temporomandibular disorder symptoms and diagnoses associated with pubertal development in adolescents? An epidemiological study", J Orofac Orthop, 73, pp.6~18 (2012)
  11. Magnusson T, "A longitudinal epidemiologic study of signs and symptoms of temporomandibular disorders from 15 to 35 years of age", J Orofac Pain, 14, pp.310~319 (2000)
  12. Torii K, "Longitudinal course of temporomandibular joint sounds in Japanese children and adolescents", Head Face Med, 7, pp.17~ (2011)
  13. Krogstad BS, "The reporting of pain, somatic complaints, and anxiety in a group of patients with TMD before and 2 years after treatment: sex differences", J Orofac Pain, 10, pp.263~269 (1996)
  14. Hatch JP, "Is use of exogenous estrogen associated with temporomandibular signs and symptoms?", J Am Dent Assoc, 132, pp.319~326 (2001)
  15. Kang SC, "Association between estrogen receptor polymorphism and pain susceptibility in female temporomandibular joint osteoarthritis patients", Int J Oral Maxillofac Surg, 36, pp.391~394 (2007)
  16. List T, "TMD in children and adolescents: prevalence of pain, gender differences, and perceived treatment need", J Orofac Pain, 13, pp.9~20 (1999)
  17. Kim BS, "The effects of estrogen receptor α polymorphism on the prevalence of symptomatic temporomandibular disorders", J Oral Maxillofac Surg, 68, pp.2975~2979 (2010)
  18. Plesh O, "Diagnoses based on the Research Diagnostic Criteria for Temporomandibular Disorders in a biracial population of young women", J Orofac Pain, 19, pp.65~75 (2005)
  19. 김철, "우울, 신체화, 턱기능장애가 측두하악장애 환자의 만성통증척도에 미치는 영향", Journal of Oral Medicine and Pain, 30(3), pp.353~360 (2005), 대한안면통증∙구강내과학회
  20. 노희석, "한국인 TMD 환자에서 한국어판 RDC", TMD Axis II depression scale의 신뢰도, 타당도, 예민도, 특이도 검증에 관한 연구, 2004, pp.29(4), 421~433[DOI]
  21. Helkimo M, "Studies on function and dysfunction of the masticatory system. II. Index for anamnestic and clinical dysfunction and occlusal state", Sven Tandlak Tidskr, 67, pp.101~121 (1974)
  22. Ferrari R, "Whiplash and temporomandibular disorders: a critical review", J Am Dent Assoc, 129, pp.1739~1745 (1998)
  23. Yun PY, "The role of facial trauma as a possible etiologic factor in temporomandibular joint disorder", J Oral Maxillofac Surg, 63, pp.1576~1583 (2005)
  24. Kamisaka M, "Four-year longitudinal course of TMD symptoms in an adult population and the estimation of risk factors in relation to symptoms", J Orofac Pain, 14, pp.224~232 (2000)
  25. 김요셉, "청소년기 스트레스의 영향요인: 긍정적 자아개념과 자기신뢰감의 영향을 중심으로", 청소년학연구, 18(3), pp.103~126 (2011), 한국청소년학회

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