Journal of Oral Medicine and Pain

Korean Academy of Orofacial Pain and Oral Medicine (대한안면통증구강내과학회)
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Comparative Analysis : The Patterns of Temporomandibular Disorder among Adolescents

청소년 측두하악장애 환자의 임상적 연구

  • Ok, Soo-Min (Department of Oral Medicine, School of Dentistry, Pusan National University) ;
  • Kim, Chang-Yong (Department of Oral Medicine, School of Dentistry, Pusan National University) ;
  • Jeong, Sung-Hee (Department of Oral Medicine, School of Dentistry, Pusan National University) ;
  • Ahn, Yong-Woo (Department of Oral Medicine, School of Dentistry, Pusan National University) ;
  • Ko, Myung-Yun (Department of Oral Medicine, School of Dentistry, Pusan National University)
  • 옥수민 (부산대학교 치의학전문대학원 구강내과학교실) ;
  • 김창용 (부산대학교 치의학전문대학원 구강내과학교실) ;
  • 정성희 (부산대학교 치의학전문대학원 구강내과학교실) ;
  • 안용우 (부산대학교 치의학전문대학원 구강내과학교실) ;
  • 고명연 (부산대학교 치의학전문대학원 구강내과학교실)
  • Received : 2012.02.06
  • Accepted : 2012.02.29
  • Published : 2012.03.30
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Abstract

A retrospective study was conducted to determine the patterns of Temporomandibular Disorder(TMD) among adolescents (12-19 years) over last ten years. 174 patients who had visited the Oral medicine of Pusan National University Dental Hospital in 2000 and 491 patients in 2008 were found on chart review. The results obtained were as follows : 1. The number of adolescent patients was significantly increased in 2008 than in 2000, especially in male. 2. Bruxing, clenching, holding habits and bad sleep hygiene were highly increased more in 2008 than in 2000. 3. Osteoarthritis was significantly increased in 2008 than in 2000 and anterior disc dislocation without reduction was slightly increased. 4. The ratio of male to female adolescent patients with osteoarthritis was remarkably increased. Among the patients who had holding, bruxing, clenching habits, significantly increased osteoarthritis found to be common. This could imply holding, bruxing, clenching habits are prominently associated with increasing risk of developing osteoarthritis.

본 연구는 부산 청소년의 측두하악장애의 양태, 증상과 진단명에 대한 변화를 알아보기 위해 다음과 같은 조사를 시행하였다. 2000년과 2008년에 내원한 12-19세 청소년의 측두하악장애 분석검사를 조사하여 성별, 나이, 악관절환자를 위한 조사 설문지, 원인, 진단명, 장치치료여부, 치료종결시 Pain NAS 항목에 대한 자료를 정리, 분석하였다. 1. 2000년도에 비해 2008년도의 청소년 내원 환자수가 증가했다. 이 중 남자 청소년의 비중이 현저히 증가했다. 2. 2000년도에 비해 2008년도의 청소년이 개구제한보다는 소리를 주소로 내원하는 경우가 많아졌으며 악습관 중 이갈이, 이악물기, 턱괴기, 수면의 질 저하 비율이 유의하게 증가하였다. 3. 골관절염은 유의하게 증가하였고 과운동은 유의하게 감소하였다. 4. 골관절염 환자에서2000년도에 비해 2008년도 10대 청소년의 남자비율이 현저히 증가하였다. 턱괴기, 이갈이, 이악물기 악습관을 가진 환자 중 지난 10년간 공통적으로 골관절염이 유의하게 증가한 것으로 미루어 턱괴기, 이갈이, 이악물기가 골관절염 발병 증가와 유의한 관계가 있을 것으로 추측할 수 있다.

Keywords

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