IRUCAA@TDC : 有床診療所歯科口腔外科における４年間の顎関節症患者の臨床的統計

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(1)Title Author(s) Journal URL. 有床診療所歯科口腔外科における４年間の顎関節症患者の臨床的統計小倉, 基; 渡邊, 伸也; 山根, 源之歯科学報, 108(2): 137-142 http://hdl.handle.net/10130/474. Right. Posted at the Institutional Resources for Unique Collection and Academic Archives at Tokyo Dental College, Available from http://ir.tdc.ac.jp/.

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(7) +.,. en! q#OQmhP`8fuxV. 10!<;DA@?D=c~!wU!,**1" ,,)Wilkes, C. H. : Internal Derangements of the Temporomandibular Joint. Pathological variations. Arch Otolaryngol Head Neck Surg, ""$#.03'.11!+323" ,-)Watahiki, R., Sasaki, K., Tamura, H. : Evaluation of adhesions by contrast-enhanced 3D-CT and arthroscopic observasion of the upper joint compartment of TMJ. Bull. Tokyo dent Coll, #"#+3/',*+!,***" ,.)vpId!]$XF!GF!en R#<C% >BC@<745:jQm[oH-D-CT 7Q6:fu XT"{YN_!#%#.**'.*.!,**+" ,/) Z!EyaL!gK W!eS^! p b F#+*MHz \M|rk^79:OQmzi8tJ}l s"{O_!%#,3'-3!+33/". Clinical Study of Temporomandibular Joint Disease (TMD) Motoi OGURA+)!Shinya WATANABE+),)!Gen-yuki YAMANE,) +). Chiba Prefecture. ,). Department of Oral Medicine, Oral and Maxillofacial Surgery, Tokyo Dental College. Key words : TMD, clinical study, internal derangement of temporomandibular joint(TMJ), case classification. The etiology of TMD remains unclear!despite recent progress in several diagnostic methods" To obtain more information on this disease!we performed a clinical evaluation of 252 patients with TMD who visited our department over the last four years" Ratio of men to women was 1 : 1.73" Distribution of age groups showed two peaks!in the 2030s and 50s" Pain was the most frequent chief complaint(157 cases) " The next most frequent chief complaint was restricted mouth-opening (129 cases) !fellowed by joint noise(87 cases) " Based on classification according to the Japanese Temporomandibular Joint Society!type distribution was as follows : Type#a was most frequent(55.7%) !followed by Type#b (28.4%) !Type! (7.9%) !Type $ (4.8%) !Type" (2.7%) !and Type% (0.6%) " In Type# (internal derangement of TMJ) !there were many cases with pain in joint region or muscle region" There were 48%!and it was most cases" Treatment involved a bite splint in 188 cases!other treatment 64 cases" The results suggest that a pathophysiological diagnosis is essential in the treatment of cases of TMD" (The Shikwa Gakuho!"!&#+-1'+.,!2008). & .2 &.

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