Journal of Dental Rehabilitation and Applied Science (구강회복응용과학지)

Korean Academy of Stomatognathic Function and Occlusion (대한턱관절교합학회)
권호 표지

Symptoms of Temporomandibular Disorders in the Korean Adults: An Epidemiological Study

19-65세 한국 성인의 악관절질환의 증상에 관한 실태조사

  • Kim, Ah-Hyeon (Department of Preventive dentistry & Public oral health, College of dentistry, Yonsei University) ;
  • An, So-Yeon (Sanbon dental hospital, College of dentistry, Wonkwang University) ;
  • Kim, Min-Jeong (Sanbon dental hospital, College of dentistry, Wonkwang University) ;
  • Lee, Eon-Hwa (Sanbon dental hospital, College of dentistry, Wonkwang University)
  • 김아현 (연세대학교 치과대학 예방치과학교실) ;
  • 안소연 (원광대학교 치과대학 산본치과병원) ;
  • 김민정 (원광대학교 치과대학 산본치과병원) ;
  • 이언화 (원광대학교 치과대학 산본치과병원)
  • Received : 2011.07.01
  • Accepted : 2011.09.25
  • Published : 2011.09.30
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Abstract

This study is based on the data of adults between ages of 19~65 yrs of the National Health and Nutrition Survey 4th in year of 2009, which includes symptoms of temporomandibular disorder within gender and age. Subjects included in this study were 2,738 males and 3,427 females, total of 6,165. All statistical analysis was measured by Window SPSS 17.0K Program (SPSS Inc., Chicago, USA). Prevalence of analysis of gender, age, and symptoms of temporomandibular disorder was measured by descriptive statistics, and in order to find relationship among gender, age, and symptoms of temporomandibular disorder was based on crosstabulation analysis. As results, prevalence of TMJ sound was 10.1%, of TMJ pain was 1.5%, and of TMJ limitation was 2.0%. Among the three symptoms of temporomandibular disorder, subjects who have at least one symptom was 1.2%. Prevalence of TMJ sound, of TMJ pain, and of TMJ limitation in female were 10.7%, 1.8% and 2.2%, respectively, which were greater than in male 9.3%, 1.2% and 1.6% respectively but it was stastically insignificant (p>0.05). Prevalence of TMJ sound, of TMJ pain, and of TMJ limitation in ages between 19~24 yrs were 18.7%, 3.4% and 4.2% respectively, which were higher than any other ages (p<0.05). Also prevalence of having at least one symptom of temporomandibular disorder, at least two, and three all were higher in females but stastically insignificant (p>0.05). On the other hand, prevalence of having at least one symptom of temporomandibular disorder, at least two, and three all were greater in age below 45 yrs and was stastically significant (p<0.05).

본 연구는 국민건강영양조사 제 4기, 2009년 자료 중 19~65세 성인의 자료를 이용하여 성별, 연령별 악관절질환 증상에 대한 실태조사를 실시하였다. 최종적으로 연구에 포함된 연구 대상자는 남성 2,738명, 여성 3,427명, 총 6,165명이었다. 모든 통계 분석은 윈도우용 SPSS 17.0K 프로그램(SPSS Inc., Chicago, USA)을 사용하였다. 성별, 연령, 악관절 질환 증상의 유병률의 분석은 기술통계분석을 실시하였고, 성별, 연령과 악관절질환 증상의 관련성을 알아보기 위해 교차분석을 실시하였다. 연구 결과 TMJ sound의 유병률은 10.1%, TMJ pain의 유병률은 1.5%, TMJ limitation의 유병률은 2.0%였다. 이 세 가지 악관절 질환 증상 중 한 개 이상의 증상을 가지고 있는 경우는 1.2%였다. 성별에 따른 악관절질환의 증상은 여성의 경우 TMJ sound, TMJ pain, TMJ limitation 증상의 유병률이 각각 10.7%, 1.8%, 2.2%로 남성 9.3%, 1.2%, 1.6% 보다 높았으나 통계적으로 유의한 차이는 없었다(p>0.05). 연령에 따른 악관절질환의 증상은 19~24세에서 TMJ sound, TMJ pain, TMJ limitation 증상의 유병률이 각각 18.7%, 3.4%, 4.2%로 다른 연령대에 비해 높은 유병률을 보였다(p<0.05). 또한 성별에 따른 악관절질환의 증상의 수는 '적어도 한 개 이상'의 악관절질환의 증상을 가진 경우, '적어도 두 개 이상', '세 개'의 악관절질환 증상을 가진 경우에서 여성의 유병률이 높았으나 모든 경우에서 통계적으로 유의하지 않았다(p>0.05). 그리고 연령에 따른 악관절질환 증상의 수는 '적어도 한 개 이상'의 악관절질환의 증상을 가진 경우, '적어도 두 개 이상', '세 개'의 악관절질환 증상을 가진 경우가 45세 미만의 경우에서 많은 것으로 나타났으며 이는 통계적으로 유의한 것으로 나타났다(p<0.05).

Keywords

References

  1. 김성택. 대학원과정을 위한 TMD & Orofacial Pain. 도서출판 웰. 2007.
  2. Bae EK, Choi BG, Kim ES, Park EJ. Dental occlusion and relationship to TMD and systemic symptoms(II) : craniosacral mechanism, osteopathy. J oral rehabilitation and applied science 2009;25: 307-317.
  3. List T, Dworkin SF. Comparing TMD diagnoses and clinical findings at Swedish and US TMD centers using research diagnostic criteria for temporomandibular disorders. J Orofac Pain 1996;10:240-253.
  4. Goncalves DA, Dal Fabbro AL, Campos JA, et al. Symptoms of temporomandibular disorders in the population: an epidemiological study. J Orofac Pain 2010;24:270-278.
  5. Helkimo M. Studies on function and dysfunction of the masticatory system. III. Analyses of anamnestic and clinical recordings of dysfunction with the aid of indices. Swed Dent 1974;67:165-182.
  6. De Leeuw R. Orofacial pain: guidelines for assessment, diagnosis, and management. Chicago: Quintessence, 2008.
  7. Locker D, Slade G. Prevalence of symptoms associated with temporomandibular disorders in Canadian popualtion. Community Dent Oral Epidemiol 2007;21:46-54.
  8. Duckro PN, Tait RC, Marolis RB, Deshields DL. Prevalence of temporomandibular disorders symptoms in a large United States metropolitan area. J Craniomandib Practice 1990;8:131-138.
  9. Glass EG, McGlynn FD, Glaros AG, et al. Prevalance of temporomandibular disorders symptoms in a major metropolitan area. J Craniomandib Practice 1993;11:217-220.
  10. LeResche L. Epidemiology of temporomandibular disorders: Implications for the investigation of etiologic factors. Crit Rev Oral Biol Med 1997;8: 291-305. https://doi.org/10.1177/10454411970080030401
  11. Yap AUJ, Dworkin SF, Chua E K, et al. Prevalence of temporomandibular disorders subtpes, psychological distress, and psychological dysfunction in Asian patients. J Orofac Pain 2003;17:21-29.
  12. Simons DG, Traell JG. Myofacial pain and dysfunction: the trigger point manual. 2nd ed. Baltimore: Williams & Wilkins, 1999;237-277.
  13. van der Meulen MJ, Lobbezoo F, Aartman IHA, Naeije M. Ethnic background as a factor in temporomandibular disorder complaints. J Orofac Pain 2009;23:38-46.
  14. Drangsholts M, LeReshe L. Temporomandibular pain. In: Crombie IK, Cro ft PR, Linton SJ, LeReche L, Von Korff MV(eds). Epidemiology of pain. Seattle:IASP, 1999:203-233.
  15. Bevilacqua-G rossi D, Chaves TC, Oliveria AS, Monteiro-Pedro V. Anamnestic index severity and signs and symptoms of TMD. J Craniomandibular practice 2006;24:1-7.
  16. Carlsson G, LeResche L. Epidemilogy of temporomandibular disorders. In: Seattle: IASP, 1995:211- 226.