일부 치과 외래환자의 측두하악장애 실태와 음식섭취능력에 관한 연구
A Study of Temporomandibular Disorders and Food Intake Ability among Dental Clinic Outpatients
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The purpose of this study was to analyze and investigate temporomandibular disorders(TMD) and dental clinic outpatients by food intake ability to improve the quality of life. A survey of questionnaires with 208 subjects visiting a dental clinics located in Daejeon city from January to September in 2010 was performed. Analysis were performed with survey results, in which a symptoms of TMD, parafunctional habits and abnormal functions, food intake ability : 1. The main symptoms of TMD showed pain on TMJ(45.7%), pain on joint sound(45.2%), pain during chewing(41.3%), pain during mouth opening(38.0%), pain during non chewing(19.7%) and pain on joint dislocation(13.0%)in turn. 2. The symptoms of TMD by gender showed joint dislocation of 18.0% for male and 8.3% for female(p=0.038);pain on chewing of 49.0% for male and 34.3% for female(p=0.031), which were statistically significant. 3. The parafunctional habits and abnormal functions by gender showed clenching habit of 35.0% for male and 22.0% for female;bruxism of 21.0% for male and 9.3% for female, which were statistically significant. 4. The symptoms of TMD by age showed 52.8% of 27.8% for often and 25.0% for sometimes of 21-30 age in pain on TMJ, which were statistically significant(p=0.001). 5. The parafunctional habits and abnormal functions by age showed over 31 age of 48.3%, which were statistically significant(p=0.003). 6. The food intake ability by symptoms of TMD showed no joint sound(p=0.000),no pain on chewing(p=0.000) and without pain on TMJ(p=0.000), which were statistically significant. 7. The food intake ability by parafunctional habits and abnormal functions showed no clenching habit(p=0.000), no bruxism(p=0.000) and no headache, which were statistically significant. 8. The distribution type of operation by symptoms of TMD showed 30.8%of rest, 24.0% of physical medicine and 16.4% of pharmacotherapy. The pain on chewing showed 36.0% of pharmacotherapy; 52.4% of pain on TMJ for often and 40.5% for sometimes, in which pharmacotherapy and physical medicine were statistically significant(p=0.000). These results showed that management run parallel with survey for multiple factors in TMD we consider aspect of physical, social, physiology to enhance quality of life to increase food intake, construction of program for treatment and prevention because the individual differences need to be multifaceted,further research is suggested to continue.
Abstract
The purpose of this study was to analyze and investigate temporomandibular disorders(TMD) and dental clinic outpatients by food intake ability to improve the quality of life. A survey of questionnaires with 208 subjects visiting a dental clinics located in Daejeon city from January to September in 2010 was performed. Analysis were performed with survey results, in which a symptoms of TMD, parafunctional habits and abnormal functions, food intake ability : 1. The main symptoms of TMD showed pain on TMJ(45.7%), pain on joint sound(45.2%), pain during chewing(41.3%), pain during mouth opening(38.0%), pain during non chewing(19.7%) and pain on joint dislocation(13.0%)in turn. 2. The symptoms of TMD by gender showed joint dislocation of 18.0% for male and 8.3% for female(p=0.038);pain on chewing of 49.0% for male and 34.3% for female(p=0.031), which were statistically significant. 3. The parafunctional habits and abnormal functions by gender showed clenching habit of 35.0% for male and 22.0% for female;bruxism of 21.0% for male and 9.3% for female, which were statistically significant. 4. The symptoms of TMD by age showed 52.8% of 27.8% for often and 25.0% for sometimes of 21-30 age in pain on TMJ, which were statistically significant(p=0.001). 5. The parafunctional habits and abnormal functions by age showed over 31 age of 48.3%, which were statistically significant(p=0.003). 6. The food intake ability by symptoms of TMD showed no joint sound(p=0.000),no pain on chewing(p=0.000) and without pain on TMJ(p=0.000), which were statistically significant. 7. The food intake ability by parafunctional habits and abnormal functions showed no clenching habit(p=0.000), no bruxism(p=0.000) and no headache, which were statistically significant. 8. The distribution type of operation by symptoms of TMD showed 30.8%of rest, 24.0% of physical medicine and 16.4% of pharmacotherapy. The pain on chewing showed 36.0% of pharmacotherapy; 52.4% of pain on TMJ for often and 40.5% for sometimes, in which pharmacotherapy and physical medicine were statistically significant(p=0.000). These results showed that management run parallel with survey for multiple factors in TMD we consider aspect of physical, social, physiology to enhance quality of life to increase food intake, construction of program for treatment and prevention because the individual differences need to be multifaceted,further research is suggested to continue.
참고문헌 (33)
- Miura H, "Subjective evaluation of chewing ability and self-rated general health status in elderly residents of Japan", Asia Pac J Public Health, 10(1), pp.43~45 (1998)
- 정성창, "두개하악장애의 진단 및 치료지침", 대한두개하악장애학회지, 1(1), pp.37~60 (1989)
- 대한구강악안면병리학회, "구강악안면 병리학. 1판", pp.211~212 (2007), 대한나래출판사
- 김연화, "최신치과임상. 1판", pp.73~ (2009), 고문사
- Travell JG, "Myfascial trigger point manual", pp.165~281 (1993), Williams&Wilkens
- Okeson JP, "Orofacial Pain. 5th ed", pp.310~311 (1995), Quintessence publishing company
- Abdel-Fattah RA, "Preventing temporomandibular joint and odontostomatognatognathic injuries in dental practice" (1993), CRC Press
- Clark GT, "Perspectives in Temporomandibular Disorders", pp.13~ (1987), Quintessence publishing company
- Zarb GA, "Assessment of clinical treatment of patients with temporomandibular joint dysfunction", J Prosthet Dent, 24(5), pp.542~554 (1970)
- Cohen ML, "Painful neuropathy:altered central processing maintained dynamically by peripheral input", Pain, 54(3), pp.365~366 (1993)
- Dubner R, "Activity-dependent neuronal plasticity following tissue injury and inflammation", Trends Neurosci, 15(3), pp.96~103 (1992)
- Clark GT, "The effect of sustained submaximal clenching on maximum bite force in myofascial pain dysfunction patients", J Oral Rehabil, 11(4), pp.387~391 (1984)
- Gilvert GH, "Satisfaction with chewing ability in adiverse sample of dentate adults", J Oral Rehabil, 25(1), pp.15~27 (1998)
- 김설희, "구강건강영향지수를 이용한 삶의 질과 관련된 구강건강평가", 대한구강보건학회지, 28(4), pp.559~569 (2004), 대한구강보건학회
- 이영권, "경북지역 장수노인의 저작능력과 건강상태", 영남의과대학학술지, 16(2), pp.200~207 (1999)
- 최진휴, "한국 청소년을 대상으로 한 측두하악장애에 관한 역학 적 연구", 순천향의대 논문집, 5(2), pp.293~303 (1999)
- 조영균, "식품섭취 설문지를 이용한 저작능력평가와 Dental Prescale 을 이용한 교합력 간의 상관관계", 석사, pp.2006
- 이상호, "소아에서의 악관절 기능장애 증례보고", 대한소아치과학회지, 17(2), pp.241~248 (1990)
- 김기석, "악관절장애의 기여요인", 대한치과의사협회지, 29(5), pp.354~358 (1991)
- 정성창, "악관절 장애의 보존적 치료효과(II)", 대한구강내과학회지, 14(1), pp.113~121 (1989)
- 정성창, "악관절 기능장애환자의 임상적 증상에 관한 연구", 대한치과의사학회지, 13(12), pp.1112~1116 (1992)
- 박혜숙, "경기도 지역 대학생의 측두하악장애증상에 관한 역학적 연구", 대한구강내과학회지, 32(1), pp.91~104 (2007), 대한안면통증∙구강내과학회
- 임영관, "Correspondence between Temporomandibular Disorder Symptoms and Clinical Examination Findings", 대한구강내과학회지, 35(1), pp.83~91 (2010), 대한안면통증∙구강내과학회
- Keeling SD, "Risk factors associated with temporomandibulat joint sounds in children 6 to 12 years of age", Am J Orthod Dentofac Orthop, 105(3), pp.279~287 (1994)
- Milam SB, "Sexual dimorphism in the distribution of estrogen receptors in the temporomandibular joint complex of the baboon", Oral Surg Oral Med Oral Pathol, 64(5), pp.527~532 (1987)
- 기우천, "측두하악장애 분류, 평가 및 치료를 위 한 지침서", pp.21~28 (1993), 지성출판사
- 정성창, "악관절 및 저작계 기능장애에 관한 연구", 대한구강내과학회지, 7(1), pp.32~40 (1982)
- Wanman A, "Two-year longitudinal study of symptoms of mandibular dysfunction in adolescents", Acta Odontol Scand, 44(6), pp.321~331 (1986)
- 김혜영, "구강생리학.2판", pp.341~342 (2009), 고문사
- Kurita H, "Chewing ability as a parameter for evaluating the disability of patients with temporomandibular disorders", J Oral Rehabil, 28(5), pp.463~465 (2001)
- 김혜영, "구강생리학.2판", pp.348~ (2009), 고문사
- 김영구, "악관절장애 환자의 이갈이 빈도 및 그 양 상에 관한 연구", 대한두개하악장애학회지, 9(1), pp.1~8 (1997)
- 고성희, "악관절 장애와 두개안면 동통의 해소를 위한 약리학적 접근", 대한두개하악장애학회지, 11(2), pp.94~102 (1999)