小児顎関節症患者の追跡調査

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  • A follow-up study of juvenile TMD patients

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A questionnaire survey and/or revisitation of 86 juvenile temporomandibular disorder patients that visited our department from Jan. 1988 to Dec. 1989 was conducted.<br>Those under 16 years old were used in this study. Fourty-nine answers were given including those of 14 patients that revisited our clinic.<br>The items in the questionnaire were as follows:<br>Pain of the joint and/or muscles, and its degree.<br>The charactor of the TMJ noise and its change after treatment.<br>The mouth opening range.<br>The amount of satisfaction.<br>Thirty-eight patients had pain at the first visit, and 23 patients had pain in the survey and most of them answered “light pain” (18 patients). At the time of revisit, however, all 14 patients complained of slight or no pain.<br>Fourty-one patients answered “have joint noise” in the survey, and three of these patients answered “have aggravated noise” compared with those at the first visit.<br>Sixteen patients had a limited mouth opening range of less than 40mm, and 33 patients were able to open the mouth over 40mm at the first visit. In the survey, however, 48 patients were able to open their mouth over three QFB. All revisit patients showed no limited opening of less than 40mm. Most of the surveyed patients were considered to have gained better functional abaptability except for two patients having condyles showing bone change on the X-ray film at revisit. Although the majority of complains were associated with joint noise, there were few complaints associated with disabilities of joint function.

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