Systematic Diagnosis and Treatment Method for Temporomandibular Disorders. New Chart for Primary Diagnosis and Treatment.

  • Yoda Tetsuya
    The Second Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Tokyo Medical and Dental University
  • Sakamoto Ichiro
    The Second Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Tokyo Medical and Dental University
  • Tsukahara Hiroyasu
    The Second Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Tokyo Medical and Dental University
  • Onaka Junko
    The Second Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Tokyo Medical and Dental University
  • Akimoto Noriko
    The Second Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Tokyo Medical and Dental University
  • Ide Tomoe
    The Second Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Tokyo Medical and Dental University
  • Yoda Yasushi
    The Second Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Tokyo Medical and Dental University
  • Obata Koichi
    The Second Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Tokyo Medical and Dental University
  • Takano Atsushi
    The Second Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Tokyo Medical and Dental University
  • Miyamura Juichi
    The Second Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Tokyo Medical and Dental University
  • Morita Shin
    The Second Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Tokyo Medical and Dental University
  • Mitsui Maimi
    The Second Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Tokyo Medical and Dental University
  • Ono Toaki
    The Second Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Tokyo Medical and Dental University
  • Enomoto Shoji
    The Second Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Tokyo Medical and Dental University

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Other Title
  • 顎関節症の系統的症型診断ならびに治療法 新しい一次診断チャートと治療チャートについて
  • —New Chart for Primary Diagnosis and Treatment—
  • ―新しい一次診断チャートと治療チャートについて―

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Abstract

In this study, the classification of temporomandibular disorders of Japanese Society for Temporomandibular Joint was subdivided into ten types for the purpose of connecting directly with treatment, then a new chart for primary diagnosis and treatment were expressed. Ten types, i. e. type I (masticatory muscle disorders), type II (micro traumatic synovitis), type IIIc- (disk disorders except internal derangement ; open lock, eminense click and crepitus), type IIIc+ (internal derangement ; disc anterior displacement with reduction), type III L (internal derange-ment ; disc anterior displacement without reduction, type IVo (osteoarthrosis with no TMJ symptoms), type IVp (osteoarthrosis with TMJ pain and no disc disorders), type IVc- (osteoarthrosis with crepitus, eminense click and open lock), type IVc+ (osteoarthrosis with internal derangement ; disc anterior displacement with reduction), type IV L (osteoarthrosis with internal derangement ; disc anterior displacement without reduction)<BR>605 patients who visited our clinic from January 1994 to June 1994 were classified by the new chart for primary diagnosis ; type I : 37 cases, type II: 142 cases, type III c- : 56 cases, type III c+ : 215 cases, type III L : 82 cases, type IVo : 8 cases, type IVp : 11 cases, type IVc- : 10 cases, type IVc+ : 19 cases, type IVL : 25cases.

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