日本補綴歯科学会雑誌
Online ISSN : 1883-177X
Print ISSN : 0389-5386
ISSN-L : 0389-5386
質問表を用いた顎関節症の咬合治療に関する遠隔予後調査
第1報顎関節症患者全体における咬合治療の有効性
水口 一窪木 拓男松香 芳三矢谷 博文山下 敦
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ジャーナル フリー

1997 年 41 巻 4 号 p. 552-559

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The purpose of this study was to evaluate the effect of occlusal treatment on the symptoms of temporomandibular disorders (TMD) by questionnaire. Three hundred sixty-nine consecutive TMD patients who had finished treatment in our TMD clinic from April 1985 to March 1995 were included in this study. Questionnaires were sent to the patients, and 260 (80.5%) patients returned them. These patients were divided into two groups. One was the occlusal treatment (OT) group (mean age: 49.3±16.3, male/female=20/114) who received occlusal treatment. The other was a non-occlusal treatment (n-OT) group (mean age: 36.3±16.1, male/female=34/92) who did not receive occlusal treatment. The prevalence of pain in theorofacial region at the first visit was 66.9% in the OT group, and 73.3% in the n-OT group. The questionnaire included a visual analogue scale of pain (VAS), maximum range of opening (MRO), patient's estimation of treatment outcome (TO score), and daily activity limitation attributable to TMD symptoms (DAL score). As a result, no statistically significant difference could be found between the two groups for the three variables (Mann-Whiteney U-test). However, the TO score showed statistically significant difference for the three variables (Mann-Whiteney U-test).

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