顎関節症の臨床例および症状をもつ非臨床例における症状と関連因子の評価
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概要
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顎関節症に関わる因子を評価するため, 顎関節症の臨床例33名(C群), 症状はあるが治療希望のない非臨床例32名(S群), 症状のない正常者24名(N群)の3群について, 症状と関連因子を調査した.アンケート43項目, 臨床診査42項目を点数化し, 3群間で比較し, さらに症状と関連因子の関連を調査した.1)アンケートによれば, 顎運動障害と痛みの既往に関するほとんどの項目に3群間で有意差があった.咬合, 社会心理的ストレス, 口腔異常機能/習癖および全身の健康はN群と他の2群間に有意差があったが, S群とC群の間に有意差はなかった.2)臨床診査によれば, C群はS群に比べて顎関節, 咀嚼筋, および頸背筋の痛み, 顎関節雑音, 顎運動障害の程度が強かった.3)アンケートによる顎運動障害と痛みの既往に関するほとんどの項目が, 臨床診査による顎関節, 筋, 顎運動に関する項目と正の相関があった.しかしこれらの症状と社会心理的ストレスとの相関は無かった.4)C群では口腔機能異常/習癖に関する項目が, 顎関節雑音および筋圧痛と正の相関があった.5)アンケートによる咬合不安定に関する項目は, C群では筋圧痛と正の, S群では顎運動障害と負の相関があった.6)臨床診査による咬合に関する項目と臨床症状には有意の相関はなかった.以上より顎関節, 咀嚼筋, 頸背筋の症状の程度がS群とC群を分けていると考えられた.また口腔機能異常/習癖は顎関節症の関連因子として重要であるが, 咬合の重要性は低いことが示唆された.
著者
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KUBOTA Satoshi
Department of Biochemistiy and Molecular Dentistry, Okayama University Graduate School of Medicine a
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Ito Gakuji
Department Of Orthodontics Kagoshima University Dental School
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Ito Gakuji
Department Of Orthodontics And Oral Radiology Kagoshima University Dental School
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Suenaga Shigeaki
Department Of Orthodontics And Oral Radiology Kagoshima University Dental School
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Suenaga Shigeaki
Department Of Dental Radiology Kagoshima University Dental School
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NOIKURA Takenori
Department of Dental Radiology, Dental School, Kagoshima University
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劉 子軍
Department of Orthodontics and Oral Radiology, Kagoshima University Dental School
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YAMAGATA Keiichiro
Department of Orthodontics and Oral Radiology, Kagoshima University Dental School
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Noikura Takenori
Department Of Dental Radiology Kagoshima University Dental School
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Noikura Takenori
Department Of Orthodontics And Oral Radiology Kagoshima University Dental School
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Yamagata Keiichiro
Department Of Orthodontics And Oral Radiology Kagoshima University Dental School
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劉 子軍
Department Of Orthodontics And Oral Radiology Kagoshima University Dental School
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Kubota Satoshi
Department Of Agriculture Kochi University
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Kubota Satoshi
Department Of Orthodontics And Oral Radiology Kagoshima University Dental School
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