最近5年間に当科を受診した顎機能異常者の調査

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  • Clinical survey of the signs and symptoms of TMD patients in the department of fixed prosthodontics, Iwate Medical University Dental Hospital for the last 5 years

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<p>Clinical findings of 396 temporomandibular disorders (TMD) patients who visited the Department of Fixed Prosthodontics, Iwate Medical University Dental Hospital from 1994 to 1998 were surveyed in terms of yearly changes in the number of patients, age distribution, gender ratio, chief complaint, initial symptoms, initiating factors, accessory symptoms, and past treatment history. Articular disc position and condylar deformity were also confirmed with MRI in 1940 ut of the patients.The ratio of TMD patients to total number of out-patients showed more than 10% throughout the years surveyed. The number of patients increased yearly. Age distribution showed a peak in their twenties both in male and female patients. Male-female ratio was found to be 1.0:2.8. The number of patients visiting without referral and those referred from general dental practitioners had increased. For the most distinctive point in this survey, it took patients an average of 40.5 months from their initial symptom occurrence to visit our clinic. From MRI findings, articular disc displacement was associated to the pain in temporomandibular joint and limitation on jaw openlng.</p><p></p><p>Considering the long term of improper management, we believe that early care for those patients lS necessary.</p>

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