変形性顎関節症に対する1次治療 : 第3報 2回顎関節腔洗浄療法(ステロイド注入), 消炎鎮痛剤投与および開口練習併用療法 Primary treatment for temporomandibular joint osteoarthritis : combination therapy with two consecutive arthrocenteses (steroid injection) followed by mouth-opening exercises and non-steroidal anti-inflammatory drug administration

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著者

    • 脇田 壮 WAKITA Takeshi
    • 愛知学院大学歯学部口腔外科学第1講座 The First Department of Oral and Maxillofacial Surgery, Aichi-Gakuin University, School of Dentistry
    • 栗田 賢一 KURITA Kenichi
    • 愛知学院大学歯学部口腔外科学第1講座 The First Department of Oral and Maxillofacial Surgery, Aichi-Gakuin University, School of Dentistry
    • 小木 信美 [他] OGI Nobumi
    • 愛知学院大学歯学部口腔外科学第2講座 The Second Department of Oral and Maxillofacial Surgery, Aichi-Gakuin University, School of Dentistry
    • 清水 幹雄 SIMIZU Mikio
    • 愛知学院大学歯学部口腔外科学第1講座 The First Department of Oral and Maxillofacial Surgery, Aichi-Gakuin University, School of Dentistry
    • 鍋島 弘充 NABESHIMA Hiromitsu
    • 愛知学院大学歯学部口腔外科学第1講座 The First Department of Oral and Maxillofacial Surgery, Aichi-Gakuin University, School of Dentistry
    • 矢島 哲弥 YAZIMA Tetsuya
    • 愛知学院大学歯学部口腔外科学第1講座 The First Department of Oral and Maxillofacial Surgery, Aichi-Gakuin University, School of Dentistry
    • 町田 純一郎 MACHIDA Junichiro
    • 愛知学院大学歯学部口腔外科学第2講座 The Second Department of Oral and Maxillofacial Surgery, Aichi-Gakuin University, School of Dentistry
    • 中塚 健介 NAKATSUKA Kensuke
    • 愛知学院大学歯学部口腔外科学第1講座 The First Department of Oral and Maxillofacial Surgery, Aichi-Gakuin University, School of Dentistry
    • 佐藤 春樹 SATO Haruki
    • 愛知学院大学歯学部口腔外科学第2講座 The Second Department of Oral and Maxillofacial Surgery, Aichi-Gakuin University, School of Dentistry
    • 中島 克仁 NAKASHIMA Katsuhito
    • 愛知学院大学歯学部口腔外科学第1講座 The First Department of Oral and Maxillofacial Surgery, Aichi-Gakuin University, School of Dentistry

抄録

Arthrocentesis is the surgical treatment of choice for TMJ disorders. Many studies of arthrocentesis have been performed, with excellent clinical outcomes. No previous study has used multiple arthrocenteses to treat the dysfunctional TMJ. This study evaluated the efficacy of two consecutive arthrocenteses (steroid injection) followed by mouth-opening exercises during non-steroidal anti-inflammatory drug (NSAID) administration as a primary treatment for TMJ osteoarthritis.<BR>Subjects in this study were selected from a consecutive series of new patients with unilateral moderate to severe TMJ dysfunction at TMD Clinic, Aichi-Gakuin University Hospital during a year. Twenty-eight patients with MRI documentation of osteoarthritis underwent two consecutive arthrocenteses with steroid injection at a 2-week interval followed by mouth-opening exercises and treatment with the NSAID, Etodolac. The patients were postoperatively examined every 2weeks for 12weeks. The patients were clinically evaluated on the basis of visual analog scales (0-100) and the range of motion. Factors that affected the clinical outcome of TMJ function were assessed.<BR>Of the 28 patients who underwent two consecutive arthrocenteses, 21 (75%) showed substantial improvement on follow-up at 12weeks. The range of motion (median) increased from 28mm to 41mm. Visual analog scale pain-scores on mouth opening and chewing significantly decreased from 50 and 60 to 24 and 22, respectively. The disturbance score for activities of daily life also decreased from 55 to 18. A longer duration of TMJ symptoms before the procedure was found to affect outcome.<BR>This combination therapy is an effective primary treatment for TMJ osteoarthritis.

収録刊行物

  • 日本口腔外科学会雑誌  

    日本口腔外科学会雑誌 52(9), 480-488, 2006-09-20 

    Japanese Society of Oral and Maxillofacial Surgeons

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各種コード

  • NII論文ID(NAID)
    10018859327
  • NII書誌ID(NCID)
    AN00189163
  • 本文言語コード
    JPN
  • 資料種別
    ART
  • ISSN
    00215163
  • NDL 記事登録ID
    8529917
  • NDL 雑誌分類
    ZS44(科学技術--医学--歯科学・口腔外科学)
  • NDL 請求記号
    Z19-145
  • データ提供元
    CJP書誌  CJP引用  NDL  J-STAGE 
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