The Evaluation of Bone Scan and SPECT Before and After Treatment of TMD Patients

골관절염을 가진 측두하악장애 환자의 치료 전, 후 골스캔과 SPECT의 평가

  • Kim, Byeong-Soo (Department of Oral Medicine, College of Dentistry, Busan National University) ;
  • Ahn, Yong-Woo (Department of Oral Medicine, College of Dentistry, Busan National University) ;
  • Ko, Myung-Yun (Department of Oral Medicine, College of Dentistry, Busan National University) ;
  • Park, June-Sang (Department of Oral Medicine, College of Dentistry, Busan National University)
  • 김병수 (부산대학교 치과대학 구강내과학교실) ;
  • 안용우 (부산대학교 치과대학 구강내과학교실) ;
  • 고명연 (부산대학교 치과대학 구강내과학교실) ;
  • 박준상 (부산대학교 치과대학 구강내과학교실)
  • Published : 2005.03.30

Abstract

The aim of this study was to evaluate bone scan(SUR) and SPECT(hot spot) in patients with TMJ osteoarthritis. 99mTc-MDP bone scan and SPECT were done in 27 patients, total 54 temporomandibular joints were examined with clinical examination, plain radiography. 42 TMJs were osteoarthritis and 12 TMJs were normal case, clinically diagnosed. We compared osteoarthritis group and control group of bone scan(SUR) and SPECT(hot spot). thus we compared before and after treatment of bone scan(SUR) and bone SPECT(hot spot) according to history, contributing factor, symptom degree, treatment, treatment period. The obtained results were as follows. 1. Bone scan(SUR) and SPECT(hot spot) activity of osteoarthritis group were higher than control group(P<0.05, P<0.01). 2. Bone scan(SUR) and SPECT(hot spot) activity were decreased after treatment at TMJ with osteoarthritis(P<0.01). 3. Bone scan(SUR) and SPECT(hot spot) activity were decreased at treatment group with splint(P<0.01, P<0.05). 4. Bone scan(SUR) and SPECT(hot spot) activity were decreased at Chronic group(P<0.01, P<0.05). 5. Bone scan(SUR) and SPECT(hot spot) activity were decreased at low noise NAS(<6) group(P<0.01,P<0.05). 6. Bone scan(SUR) and SPECT(hot spot) activity were decreased at TMD patient with parafunctional habit and without trauma history, psychosocial factor. 7. Bone scan(SUR) and SPECT(hot spot) activity were higher at before treatment required more treatment period.

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