DOI QR코드

DOI QR Code

Factors Influencing the Duration of Occlusal Appliance Treatment for Patients with Temporomandibular Joint Internal Derangement

  • Lee, So-Youn (Department of Oral Medicine, School of Dentistry, Kyungpook National University) ;
  • Byun, Jin-Seok (Department of Oral Medicine, School of Dentistry, Kyungpook National University) ;
  • Jung, Jae-Kwang (Department of Oral Medicine, School of Dentistry, Kyungpook National University) ;
  • Choi, Jae-Kap (Department of Oral Medicine, School of Dentistry, Kyungpook National University)
  • 투고 : 2016.08.19
  • 심사 : 2016.09.12
  • 발행 : 2016.09.30

초록

Purpose: The purpose of this study is to determine factors influencing the duration of occlusal appliance (OA) treatment for patients with temporomandibular joint (TMJ) internal derangement. Methods: Ninety patients were included for this study, who satisfied the following including criteria: (i) those who were diagnosed as disc displacement of TMJ by taking magnetic resonance imaging (MRI) and (ii) those who were finished OA treatment. The subjects were classified into three groups according to the period of OA treatment: (i) early response group (<6 months), (ii) moderate response group (6 months-1 year), and (iii) delayed response group (>1 year). Demographic data, data from chief complaints and past history of temporomandibular disorder, data from clinical examination and diagnostic imaging including panoramic view and TMJ MRI were compared among groups. One-way ANOVA and chi-square analysis were used to test statistical significance. Results: There were no significant differences in demographic data, data from chief complaints and TMJ imaging. However, only the prevalence of oral parafunctional habits including bruxism, clenching, and unilateral chewing showed significant differences among groups. Conclusions: Oral parafunctional habits could be factors to influence the duration of OA treatment in the patients with TMJ internal derangement.

키워드

참고문헌

  1. de Bont LG, Dijkgraaf LC, Stegenga B. Epidemiology and natural progression of articular temporomandibular disorders. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997;83:72-76. https://doi.org/10.1016/S1079-2104(97)90094-9
  2. McNeill C. Evidence-based TMD guidelines. J Orofac Pain 1997;11:93.
  3. Fricton J, Look JO, Wright E, et al. Systematic review and meta-analysis of randomized controlled trials evaluating intraoral orthopedic appliances for temporomandibular disorders. J Orofac Pain 2010;24:237-254.
  4. Liu F, Steinkeler A. Epidemiology, diagnosis, and treatment of temporomandibular disorders. Dent Clin North Am 2013;57:465-479. https://doi.org/10.1016/j.cden.2013.04.006
  5. Anastassaki A, Magnusson T. Patients referred to a specialist clinic because of suspected temporomandibular disorders: a survey of 3194 patients in respect of diagnoses, treatments, and treatment outcome. Acta Odontol Scand 2004;62:183-192. https://doi.org/10.1080/00016350410001595
  6. Ekberg E, Nilner M. The influence of stabilisation appliance therapy and other factors on the treatment outcome in patients with temporomandibular disorders of arthrogeneous origin. Swed Dent J 1999;23:39-47.
  7. Emshoff R. Clinical factors affecting the outcome of occlusal splint therapy of temporomandibular joint disorders. J Oral Rehabil 2006;33:393-401. https://doi.org/10.1111/j.1365-2842.2005.01584.x
  8. Grossi ML, Goldberg MB, Locker D, Tenenbaum HC. Reduced neuropsychologic measures as predictors of treatment outcome in patients with temporomandibular disorders. J Orofac Pain 2001;15:329-339.
  9. Naeije M, Te Veldhuis AH, Te Veldhuis EC, Visscher CM, Lobbezoo F. Disc displacement within the human temporomandibular joint: a systematic review of a 'noisy annoyance'. J Oral Rehabil 2013;40:139-158. https://doi.org/10.1111/joor.12016
  10. Okeson JP. Management of temporomandibular disorders and occlusion. 7th ed. St. Louis: Mosby; 2012. pp. 375-398, 102-128.
  11. Emshoff R, Rudisch A. Likelihood ratio methodology to identify predictors of treatment outcome in temporomandibular joint arthralgia patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;106:525-533. https://doi.org/10.1016/j.tripleo.2008.05.014
  12. Clark GT, Baba K, McCreary CP. Predicting the outcome of a physical medicine treatment for temporomandibular disorder patients. J Orofac Pain 2009;23:221-229.
  13. Suvinen TI, Reade PC, Hanes KR, Kononen M, Kemppainen P. Temporomandibular disorder subtypes according to self-reported physical and psychosocial variables in female patients: a reevaluation. J Oral Rehabil 2005;32:166-173. https://doi.org/10.1111/j.1365-2842.2004.01432.x
  14. Kino K, Sugisaki M, Haketa T, et al. The comparison between pains, difficulties in function, and associating factors of patients in subtypes of temporomandibular disorders. J Oral Rehabil 2005;32:315-325. https://doi.org/10.1111/j.1365-2842.2004.01439.x
  15. Gale EN, Funch DP. Factors associated with successful outcome from behavioral therapy for chronic temporomandibular joint (TMJ) pain. J Psychosom Res 1984;28:441-448. https://doi.org/10.1016/0022-3999(84)90077-1
  16. Wig AD, Aaron LA, Turner JA, Huggins KH, Truelove E. Shortterm clinical outcomes and patient compliance with temporomandibular disorder treatment recommendations. J Orofac Pain 2004;18:203-213.
  17. Pergamalian A, Rudy TE, Zaki HS, Greco CM. The association between wear facets, bruxism, and severity of facial pain in patients with temporomandibular disorders. J Prosthet Dent 2003;90:194-200. https://doi.org/10.1016/S0022-3913(03)00332-9
  18. Magnusson T, Egermarki I, Carlsson GE. A prospective investigation over two decades on signs and symptoms of temporomandibular disorders and associated variables. A final summary. Acta Odontol Scand 2005;63:99-109. https://doi.org/10.1080/00016350510019739
  19. Manfredini D, Lobbezoo F. Relationship between bruxism and temporomandibular disorders: a systematic review of literature from 1998 to 2008. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;109:e26-e50.
  20. Glaros AG, Williams K, Lausten L. The role of parafunctions, emotions and stress in predicting facial pain. J Am Dent Assoc 2005;136:451-458. https://doi.org/10.14219/jada.archive.2005.0200