10-12세 아동의 측두하악장애와 부정교합의 유병율에 관한 연구

Prevalence of Temporomandibular Joint Dysfunction and Malocclusion in 10 - 12 year Old Children

  • 이남기 (강릉대학교 치과대학 교정학교실) ;
  • 최동순 (강릉대학교 치과대학 교정학교실) ;
  • 이혜미 (강릉대학교 치과대학 교정학교실) ;
  • 차봉근 (강릉대학교 치과대학 교정학교실)
  • Lee, Nam-Ki (Department of Orthodontics and Research Institute of Oral Science, College of Dentistry, Kangnung National University) ;
  • Choi, Dong-Soon (Department of Orthodontics and Research Institute of Oral Science, College of Dentistry, Kangnung National University) ;
  • Lee, Hye-Mi (Department of Orthodontics and Research Institute of Oral Science, College of Dentistry, Kangnung National University) ;
  • Cha, Bong-Kuen (Department of Orthodontics and Research Institute of Oral Science, College of Dentistry, Kangnung National University)
  • 투고 : 2008.01.24
  • 심사 : 2008.03.25
  • 발행 : 2008.03.30

초록

본 연구의 목적은 10-12세 성장기 아동에서 측두하악장애의 증상과 징후 및 부정교합의 유병율과 이의 상관관계에 대해 알아보고자 하였다. 연구를 위해 강릉시에 위치한 6개 초등학교의 10-12세 아동 465명(남자 233명, 여자 232명)을 대상으로 간이병력조사와 간이임상검사를 시행하였다. 조사 결과, 측두하악장애 증상 중 두통의 유병율(34.6%)이 가장 높았으며, 여자(40.4%)가 남자(28.8%)보다 유의성 있게 높았다. 그 밖의 측두하악장애 증상은 연령 증가에 따라 혹은 성별에 따라 유의한 차이가 없었다. 측두하악장애 징후 중 단순관절음의 유병율(32.9%)이 가장 높았으며, 연령 증가에 따라 유의한 증가를 보였다. 악관절 촉진시 측방 압통의 유병율은 18.1%이었으며, 연령 증가에 따라 유의한 증가를 보였다. 근육 촉진시 압통에서 교근의 유병율(15.1%)은 전측두근과 후측두근 보다 높았으며, 연령 증가에 따라 유의성 있는 증가를 나타냈다. 개구제한의 유병율은 30.3%를 차지하였으며, 연령 증가에 따라 유의성 있는 증가를 보였다. 모든 측두하악장애 징후의 유병율은 성별에 따른 유의한 차이를 보이지 않았다. Angle's I급 부정교합(73.3%)이 가장 흔하였으며, 다음으로 III급 (12.9%), II급 1류 (11%), II급 2류 (2.8%) 순을 보였다. 각각의 교합상태의 유병율은 성별에 따라 유의성 있는 차이는 없었다. 측두하악장애 증상 및 징후에 관련된 교합상태는 II급 1류와 III급 부정교합이었다 (p<0.05). 본 연구결과는 성장기 아동에서 측두하악장애 증상 및 징후가 높은 유병율을 나타내, 성장기 아동의 측두하악관절 평가가 중요함을 시사한다.

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