Journal of Oral Medicine and Pain

Korean Academy of Orofacial Pain and Oral Medicine (대한안면통증구강내과학회)
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Comparison of Cold Pack and Capsaicin Application in Temporomandibular Disorder Treatment

측두하악장애 치료에 있어 냉찜질과 capsaicin적용에 관한 비교

  • Lim, Hyun-Dae (Department of Oral medicine, College of Dentistry, Wonkwang University) ;
  • Lee, You-Mee (Department of Oral medicine, College of Dentistry, Wonkwang University)
  • 임현대 (원광대학교 치과대학 구강내과학 교실) ;
  • 이유미 (원광대학교 치과대학 구강내과학 교실)
  • Published : 2007.06.30
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Abstract

This investigation was carried out to evaluate the effect of pain control temporomandibular disorders with clinical application of capsaicin cream. 20 healthy subjects without systemic diseases were measured in current perception threshold and pain tolerance threshold with $Neurometer^{(R)}$ CPT/C (Neurotron, Inc. Baltimore, Maryland, USA) after cold pack, 0.025% capsaicin and 0.075% capsaicin cream application. The obtained results were as follows : 1. The current perception threshold of C-fiber was significantly higher to the baseline on. There were significantly increased in C- fiber current perception threshold of 0.025% capsaicin cream and 0.075% capsaicin cream application comparison to cold pack. 2. There was significantly increased in pain tolerance threshold of cold pack and 0.075% capsaicin application comparison to one of baseline as $A{\beta}$-fiber, There was significantly higher after cold pack and 0.025% capsaicin cream application than baseline as $A{\delta}$-fiber. In C-fiber case, 0.025% capsaicin application's was significantly increased than baseline one. 3.There were significantly higher C-fiber of 0.075% capsaicin application than baseline in visual analogue scale marking pain level of pain tolerance threshold.

본 연구는 측두장애환자의 주 증상인 턱관절 및 주위 조직의 통증 처치에 있어 capsaicin도포에 따른 영향을 평가하고자 실험 결과에 영향을 미칠 수 있는 전신질환이 없는 건강한 성인 20명에서 냉찜질 적용, 0.025% capsaicin 크림, 0.075% capsaicin 크림 도포후 $Neurometer^{(R)}$ CPT/C (Neurotron, Baltimore, Maryland, USA)로 전류인지역치와 동통내성역치를 측정하여 다음의 결과를 얻었다. 1. C 신경섬유에서 측정된 전류인류인지역치가 기준치에 비하여 0.075% capsaicin 크림도포후에 유의하게 증가하여 감각감퇴를 보였으며, 냉찜질과 0.025% capsaicin 크림도포 및 0.075% capsaicin 크림 도포후에는 capsaicin 크림 도포후에 유의한 감각감퇴를 나타내었다. 2. $A{\beta}$ 신경섬유의 동통내성역치는 기준치에 비하여 냉찜질과 0.075% capsaicin 크림에서 유의하게 증가하였으며, $A{\delta}$ 신경 섬유에서는 기준치에 대하여 냉찜질과 0.025% capsaicin 크림도포시가 유의하게 증가하였고, C 신경섬유 측정시는 기준치에 비하여 0.025% capsaicin 크림도포시에 유의하게 증가하였다. 3. 동통내성역치시의 견디는 통증정도를 표시한 가시상 척도상에서는 0.075% capsaicin 크림 도포후에 C 신경 섬유측정시가 7.18로 기준치의 6.48에 비하여 유의하게 높았다.

Keywords

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