Journal of Oral Medicine and Pain

Korean Academy of Orofacial Pain and Oral Medicine (대한안면통증구강내과학회)
권호 표지

Condylar Resorption : Case Reports and Review

하악과두 흡수(Condylar Resorption)에 대한 고찰

  • Lee, Kyung-Eun (Department of Oral Medicine, Institution of Oral Bioscience, College of Dentistry Chonbuk National University)
  • 이경은 (전북대학교 치과대학 구강내과학 교실)
  • Published : 2007.03.30
Download PDF
⟨ Previous Next ⟩

Abstract

Condylar resroption, or condylysis can be defined as progressive alteration of condylar shape and decrease in mass. Although the cause is unknown, condylar resorption has been assocated with rheumatoid arthritis, systemic sclerosis, systemic erythematous, steroid usage, orthodontic treatment and orthognathic surgery. In most case, however, there is no identifiable precipitating event. Hence the term is idiopathic condylar resorption. With condylar resorption, the bone loss is resulting in a loss of posterior support in the involved condyle and the mandible can then shift. As a result, the most patients exhibit occlusal change, openbite, retrognathism, and a decrease in posterior face height. This article reports cases of condylar resorption. And the author will review factors capable of changes of condyle, pathogensis and management of conylar resorption.

하악과두 흡수(condylar resorption)는 하악과두 용해라고도 하며 과두형태변화와 크기 감소가 점진적으로 또는 갑작스럽게 일어나는 것으로 정의할 수 있다. 원인은 잘 알려져 있지 않지만 류머티스 관절염, 전신성 홍반성 낭창, 스테로이드 복용(usage), 교정치료, 악교정 수술후 일어나는 과두흡수(secondary condylar resorption)와 특별한 원인 없이 일어나는 특발성 과두흡수(primary condylar resortion)로 나눌 수 있다. 이러한 하악과두 흡수가 발생하는 경우에는 골소실로 인해 이환측 과두에서 후방 지지의 갑작스런 상실이 초래된다. 이로인해 하악이 변위될수 있으며 교합변화, 개방교합과 같은 교합변화와 하악의 후퇴가 나타날 수 있다. 이에 저자는 하악과두 흡수가 일어난 증례를 보고하며 과두흡수와 관련된 인자, 병리기전, 환자관리에 대해 고찰하고자 한다.

Keywords

References

  1. 정성창, 김영구, 한경수. 악관절 장애와 두개안면 동통. 초판, 서울, 1995, 지성출판사, pp. 19
  2. DeBoever J. Functional Disturbances of the Temporomandibular Joint. In Zarb AZ et al.(Ed). Temporomandibular Joint. St. Louis, 1979, The C.V. Mosby Co., pp. 193-214
  3. Laskin DM. Etiology of the pain-dysfunction syndrome. JADA 1969;79:147-153
  4. Lupton DE. Psychological aspects of tempormandibular joint dysfunction. JADA 1969;79:131-136
  5. 이승우 외. 측두하악장애의 진단과 치료. 초판, 서울, 1986, 고문사, pp.9-22, 111-137
  6. Olson RE. Myofascial pain-dysfunction syndrome : Psychological aspects. In Sarnet BG and Laskin DM(Ed). The Temporomandibular Joint 3rd ed. Springfield, 1979, Charles C. Thomas Publisher, pp. 300-314
  7. 조대경 외. 정신위생. 초판, 서울, 1984, 중앙적성출판부, pp. 75-101, 144-147
  8. Seyle S. History and present status of the stress concept. In Gold borger L and Breznitz S(Ed). Handbook of stress. 1st, Newyork, 1982, The Free Press Inc., pp7-17.
  9. Holmes TH, Rahe RH. The social readjustment rating scale. J Psychosom. Res. 1967;11:213-218 https://doi.org/10.1016/0022-3999(67)90010-4
  10. Holmes TH, Masuda M. Life change and illness susceptibility. In Scott J P and Senay EC(Ed). Separation and Depression. Clinical and Research Aspects, 1st, Washington, DC, 1973, American Association for the Advancement of Science, Publication No.94, pp161-186
  11. Moulton RE. Psychiatric considerations in maxillofacial pain. JADA 1955;51:408-414
  12. Franks AST. Masticatory muscle hyperactivity and temporomandibular joint dysfunction. J Prosthet Dent 1965;15:1122-1131 https://doi.org/10.1016/0022-3913(65)90188-5
  13. Solberg WK et al. Prevalence of mandibular dysfunction in young adult. JADA 1979;96:25-34
  14. Gelb H, Berustein I. Clinical evaluation of two hundred patients with temporomandibular joint syndrome. J Prosthet Dent 1963;49:234-243
  15. Johnson DL, Laskin. Physiologic responses to stressful stimuli in patients with myofascial pain-dysfunction(MPD) syndrome. Chicage:IADR 1972;abstract No. 191
  16. Mercuri LG, Laskin. The specificity of response to experimental stress in patients with myofascial paindysfunction paindysfunction syndrome. J Dent Res 1979;58:1866-1871 https://doi.org/10.1177/00220345790580090401
  17. 박준상, 고명연. SRRS를 이용한 측두하악장애환자의 생활변화에 관한 연구. 구강내과학회지 1987;12:63-74
  18. 홍강의 외. 사회재적응 평가척도 제작. 신경정신의학 1982;21:123-136
  19. 최태진 외. 한국에서의 사회재적응 평가척도에 관한 예비적 연구. 신경정신의학 1981;20:131-146
  20. Stein S et al. Symptoms of TMJ dysfunction or related to stress measured by the social readjustment rating scale. J Prosthet Dent 1982;47:545-548 https://doi.org/10.1016/0022-3913(82)90307-9
  21. 김재환 외. 간이정신진단검사(SCL-90-R)의 한국판 표 준화연구III. 정신건강연구 1984;2:278-311
  22. Masuda M and Holmes TH. Life events: Perceptions and Frequencies. Psychosomatic Medicine 1978;40: 236-261 https://doi.org/10.1097/00006842-197805000-00006
  23. Selye H. The Physiology and pathology of exposure to stress : a treatise based on the concepts of the general adaptation-syndrome and the diseases of adaptation. Montreal, 1950, ACTA Inc
  24. Laskin DM. Etiology of the pain-dysfunction syndrome. JADA 1969;79:149
  25. 고명연, 김영구. MMPI를 중심으로 한 악관절기능장애 환자의 인성에 관한 연구. 대한구강내과학회지 1985; 10:17-31
  26. Heloe B, Heloe LA and Heiberg A. Relationship between sociomedical factors and TMJ symptoms in Norwegians with myofascial pain-dysfunction syndrome. Community Dent Oral Epidemiol 1977;5: 207-212 https://doi.org/10.1111/j.1600-0528.1977.tb01642.x
  27. Wyler AR, Masuda M and Holmes TH. Magnitude of life events and serious of illness. Psychosome Med 1971;33:115-122 https://doi.org/10.1097/00006842-197103000-00003
  28. Kydd WL. Psychosomatic aspects of temporomandibular joint dysfunction. JADA 1959;59:31-44
  29. Newton AV. Predisposing causes for temporomandibular joint dysfunction. J Prosthet Dent 1969;22:647 -651
  30. 백기청 외. 스트레스 요인으로서의 생활사건과 통재소 재 및 불안의 관계에 대한 연구. 신경정신의학 1987; 26:75-111
  31. 고병학 외. 한국인의 생활사건에 관한 예비적 연구. 신경정신의학 1981;20:62-78
  32. 이평숙. 생활사건과 관련된 스트레스양 측정에 관한 방 법론적 연구. 연세대학교 박사학위 논문. 1984, pp.1- 138
  33. Fearon CG and Serwatka WJ. Stress : A common denominator for nonorganic TMJ pain-dysfunction. J Prosthet Dent 1983;49:805-808 https://doi.org/10.1016/0022-3913(83)90354-2
  34. 이무석. 생활변화와 질병에 대한 연구-당뇨병 환자를 대상으로. 신경정신의학 1987;26:121-129
  35. Uhlenhuth EH and Paykel ES. Symptom, Intensity and life events. Arch Gen Psychiat 1973;28:473-477 https://doi.org/10.1001/archpsyc.1973.01750340015002
  36. Paykel ES et al. Life events and Depression. Arch Gen Psychiat 1969;21:753-760
  37. Moody PM et al. Recent life changes and myofascial pain syndrome. J Prosthet Dent 1982;48:328-330 https://doi.org/10.1016/0022-3913(82)90021-X
  38. Uhlenhuth EH. Symptom Intensity and Life Stress in the city. Arch Gen Psychiat 1974;31:759-764 https://doi.org/10.1001/archpsyc.1974.01760180005001
  39. Dekker DJ and Webb JT. Relationship of the social readjustment rating scale to psychiatric patient status, anxiety and social desirability. J Psychosom Res 1974;18:125-130 https://doi.org/10.1016/0022-3999(74)90075-0
  40. Markush RE and Farero RV. Epidemiologic assessment of stressful life events, depressed, mood, and psychophysiological symptoms-a preliminary report. In Dohrenwend BS and Dohrenwend BP(Ed). Streesful life events: Their nature and effects. New York, 1974, John Wiley & Sous, pp. 217-243