Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
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Analysis of treatment patterns of temporomandibular disorders

측두하악장애 치료유형 분석

  • Cha, Yong-Hoon (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Kim, Bum-Joon (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Lim, Jae-Hyung (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Park, Kwang-Ho (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Kim, Hyung-Gon (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Huh, Jong-Ki (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University)
  • 차용훈 (연세대학교 치과대학 구강악안면외과학교실(강남세브란스병원)) ;
  • 김범준 (연세대학교 치과대학 구강악안면외과학교실(강남세브란스병원)) ;
  • 임재형 (연세대학교 치과대학 구강악안면외과학교실(강남세브란스병원)) ;
  • 박광호 (연세대학교 치과대학 구강악안면외과학교실(강남세브란스병원)) ;
  • 김형곤 (연세대학교 치과대학 구강악안면외과학교실(강남세브란스병원)) ;
  • 허종기 (연세대학교 치과대학 구강악안면외과학교실(강남세브란스병원))
  • Received : 2010.09.24
  • Accepted : 2010.12.22
  • Published : 2010.12.31
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Abstract

Introduction: This study examined the treatment patterns of temporomandibular disorders (TMD) including conservative and surgical procedures. Materials and Methods: Patients with TMD who visited Gangnam Severance Hospital from June 2007 to May 2008 were enrolled in this study. All patients were examined from the orthopantomogram, temporomandibular joint (TMJ) tomography, and a clinical examination. The patients who required a further evaluation were examined by magnetic resonance imaging and/or computed tomography. The treatment patterns were divided into counseling, medication, splint therapy, botulinum toxin injection (BTI) and surgical treatment. Results: Among the 2,464 patients, the average age was 31.8 years (ranging from 6 to 93); 764 (31.0%) were male and 1,700 (69.0%) were female. 2,355 (95.6%) patients were treated with conservative therapy; 1,460 (62.0%) patients were treated with medication, 931 (39.5%) patients were treated with splint, and 46 (2.0%) were treated with BTI. There were 109 (4.4%) patients treated surgically. Eight (0.3%) patients were treated with total temporomandibular joint replacement surgery. Conclusion: Almost all patients with TMD were treated using conservative methods. Those patients who received surgical treatment because of an ineffective response to conservative treatment had definite problems with the internal derangement and/or osteoarthritis or had severe clinical symptoms.

Keywords

References

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