変形性顎関節症に対する１次治療　　２回顎関節腔洗浄療法および消炎鎮痛剤併用療法

• 福田 幸太

  愛知学院大学歯学部口腔外科学第1講座 愛知学院大学歯学部附属病院顎関節外来

• 栗田 賢一

  愛知学院大学歯学部口腔外科学第1講座 愛知学院大学歯学部附属病院顎関節外来

• 小木 信美

  愛知学院大学歯学部口腔外科学第2講座 愛知学院大学歯学部附属病院顎関節外来

• 石田 洋一

  愛知学院大学歯学部口腔外科学第1講座 愛知学院大学歯学部附属病院顎関節外来

• 中野 雅哉

  愛知学院大学歯学部口腔外科学第1講座 愛知学院大学歯学部附属病院顎関節外来

• 中塚 健介

  愛知学院大学歯学部口腔外科学第1講座 愛知学院大学歯学部附属病院顎関節外来

• 湯浅 秀道

  愛知学院大学歯学部口腔外科学第2講座 愛知学院大学歯学部附属病院顎関節外来

• 外山 正彦

  愛知学院大学歯学部口腔外科学第2講座 愛知学院大学歯学部附属病院顎関節外来

• 加藤 勇

  愛知学院大学歯学部口腔外科学第2講座 愛知学院大学歯学部附属病院顎関節外来

• 佐野 大輔

  愛知学院大学歯学部口腔外科学第2講座 愛知学院大学歯学部附属病院顎関節外来

書誌事項

タイトル別名

• Primary treatment for temporomandibular joint osteoarthrosis: Combination therapy with two-time arthrocentesis and nonsteroidal anti-inflammatory drugs.
• combination therapy with two-time arthrocentesis and nonsteroidal anti-inflammatory drugs
• 2回顎関節腔洗浄療法および消炎鎮痛剤併用療法

抄録

The aim of this study was to evaluate the effectiveness of two-time arthrocentesis and nonsteroidal anti-inflammatory drugs (NSAIDs) as a primary treatment for temporomandibular osteoarthrosis.<BR>Twenty-five patients with moderate or severe TMJ dysfunction were selected from a consecutive series of new patients who were examined at the TMD clinic of Aichi-Gakuin University Hospital during a 1 -year period. All patients had unilateral TMJ symptoms and were given a diagnosis of TMJ osteoarthrosis on MR imaging.<BR>Arthrocentesis was performed two times at an interval of 2 weeks. The NSAID, an oral cox- 2 inhibitor, was given daily for up to 12 weeks until the patients's ymptoms improved. The patients were postoperatively followed up at 2 -week intervals for 12 weeks. Therapy was continued for 12 weeks unless TMJ symptoms improved within this period. The patients who had no or slight TMJ dysfunction at 12 weeks were classified as improved. Those who had moderate or severe TMJ dysfunction were classified as not improved.<BR>The improvement rates were 24%, 28%, 36%, 40%, 44%, and 56% after 2, 4, 6, 8, 10, and 12 weeks, respectively.<BR>The combination therapy was evaluated to be effective. However, the improvement in maximal mouth opening was not satisfactory. Thus, additional treatment should be given to increase maximal mouth opening.

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 48 (10), 520-525, 2002

  社団法人 日本口腔外科学会

キーワード

• 顎関節
• 変形性関節症
• 関節腔洗浄療法
• 1次治療

詳細情報

• CRID: 1390001206529587072
• NII論文ID: 10010693415
• NII書誌ID: AN00189163
• DOI: 10.5794/jjoms.48.520
• ISSN: 21861579
• ISSN: 00215163
• Web Site: https://search.jamas.or.jp/link/ui/2003117997
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可