대한통합의학회지 (Journal of The Korean Society of Integrative Medicine)

  • 제3권3호
  • /
  • Pages.43-47
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  • 2015
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  • 2288-1174(pISSN)
  • /
  • 2383-9651(eISSN)
대한통합의학회 (Korean Society of Integrative Medicine)
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악기능 장애에 있어 악관절세척술의 효과

Prognosis Followoing the Arthrocentesis for the Painful TMJ

  • 이선미 (경남정보대학교 치위생과) ;
  • 김지영 (경남정보대학교 치위생과)
  • Lee, Sunmi (Dept. of Dental Hygiene, Kyungnam College of Information & Technology) ;
  • Kim, Jiyoung (Dept. of Dental Hygiene, Kyungnam College of Information & Technology)
  • 투고 : 2015.09.09
  • 심사 : 2015.09.29
  • 발행 : 2015.09.30
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초록

Purpose : The aim of this study was to report a follow-up study on the prognosis following the arthrocentsis for the painful temporomandibular dysfunction not responsible to the conservative splint therapies. Arthrocentsis of TMJ is a simple precedure that can be performed in the out-patient clinic under the local anesthesia without any reported complications. Method : Seventy patients had been followed after the arthrocentsis for over 6 months. Maximum mouth opening, TMJ pain, TMJ noise, and their changes by time were examined and compared statistically. The effectiveness of the treatment was evaluated in terms of the postoperative range of maximal mouth opening (MMO) and the degree of postoperative pain score. Predictors which was analyzed were age, duration of painful locking, MMO, the degree of pain, preoperative clicking and the amounts of irrigation fluid. Result : The result of this study were as follow; 1) Mouth opening was improved from 32.6 mm to 42.4 mm in the maximum inter-incisal distance. 2) TMJ pain was decreased in 45.7%. 3) TMJ clicking and noise disappeared in 60.0%, but recurred in 40.0%. Conclusion : Amounts of irrigated solution recovered to normal MMO and the appeareance of perioperative clkicking may be predictors of the successful results of arthrocenetesis of ADD without reduction of TMJ.

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참고문헌

  1. Dimitrolius G, Dolwick MF, Martinez A(1995). TMJ arthrocentesis and lavage for the treatment of closed lock: a follow-up study, Br J. Oral and Maxilloface Surg, 33(1), 23. https://doi.org/10.1016/0266-4356(95)90081-0
  2. Nizan DW, Dolwick MF, Martinez GA(1991). Tempromadibular joint arthrocentesis : A simplified treatment for severe limited mouth opening. J Oral Maxilloface Surg, 49(11), 1163 -1167. https://doi.org/10.1016/0278-2391(91)90409-F
  3. Nitzan DW(1994). Arthrocentesis for management of severe closed lock of the temporomandibular joint. Oral Maxillofac Surg Clin North Am, 6, 245-148.
  4. Nitzan DW, Dolwick FD(1991). An alternative explanation for the genesis of closed-lock symptoms in the internal derangement process. J Oral Maxilloface Surg, 49(8), 816-816.
  5. Murakami KI, Iizuka T, Matsuki M, et al(1987). Recapturing the persistent anteriorly displaced disk by mandibular manipulation after pumping and hydraulic pressure to the upper joint of the TMJ. Cranio, 5(1), 17-24. https://doi.org/10.1080/08869634.1987.11678169
  6. Okeson JP(1993). Management of tempromandibular disorder and occlusion. Mosdby Co, p 183.
  7. Stein JI(1995). TMJ arthrocentesis : A conservative surgical altermative. N Y State Dent J, 61(9), 68-76.
  8. Stegena B, de Bont LG, Boering G(1989). Osteoarthrosis as the cause of craniomandibular pain and dysfuction : A unique concept. J Oral Maxillofac Surg, 47(3), 249-256. https://doi.org/10.1016/0278-2391(89)90227-9
  9. Stein JI(1995). TMJ arthrocentesis : A conservative surgical altermative. N Y State Dent J, 61(9), 68-76.
  10. White RD(1989). Retrospestive analysis of 100 consecutive surgical arthroscopies of the TMJ. J oral Maxillofac Surg, 47(10), 1014-1021. https://doi.org/10.1016/0278-2391(89)90171-7