Journal of Oral Medicine and Pain

Korean Academy of Orofacial Pain and Oral Medicine (대한안면통증구강내과학회)
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Clinical Manifestations in Orofacial Movement Disorders

구강안면 운동장애의 임상적 증상 발현

  • Ryu, Ji-Won (Department of Oral medicine, College of Dentistry, Chosun University) ;
  • Yoon, Chang-Lyuk (Department of Oral medicine, College of Dentistry, Chosun University) ;
  • Cho, Young-Gon (Department of Operative Dentistry, College of Dentistry, Chosun University) ;
  • Ahn, Jong-Mo (Department of Oral medicine, College of Dentistry, Chosun University)
  • 유지원 (조선대학교 치과대학 구강내과학교실) ;
  • 윤창륙 (조선대학교 치과대학 구강내과학교실) ;
  • 조영곤 (조선대학교 치과대학 보존학교실) ;
  • 안종모 (조선대학교 치과대학 구강내과학교실)
  • Published : 2008.12.30
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Abstract

This study was a preliminary study to establish diagnostic criterias and treatment for Orofacial Movement Disorders. The 33 Orofacial Movement Disorder patients who were visited in the department of Oral Medicine from September, 2007 to December, 2007 were selected for this study. We analyzed the age, sex, systemic diseases, the diagnosis and the cause of the patients' chief complaints, the self-consciousness and the types of orofacial movements. The obtained results were as follows : 1. Female were predominant in orofacial movement disorders(81.82% vs 18.18%) and mean age was 78.78(56 to 87) years. 2. They almost had systemic diseases(81.82%). Hypertenstion was the most common disease(22.41%) and diabetes mellitus(17.24%), depression(8.62%), gastritis(8.62%) in turns. 3. In clinical manifestation, temporomandibular disorder was the most frequently complained symptom(33.33%), and soft tissue disease(21.57%), burning mouth syndrome(17.65%), orofacial movement itself(15.69%), diffuse orofacial pain(6명, 11.76%) in turns. 4. Most orofacial movement disorders are idiopathic(72.73%), and related to prosthetic treatment(24.24%), related to antidepressant medication(3.03%) in turns. 5. The jaw-closing type was the most common type of orofacial movement disorders, and lateral type(33.33%), jaw-opening types(16.67%) in turns. 6. There were more patients who did not conscious of their orofacial movements than those who did.(54.55% vs 45.45%). In conclusion, dentists must be consider the orofacial movement disorders in patients who have orofacial pain. Also, dentists should obtain a proper history and perform a clinical examination to avoid misdiagnosis and inappropriate, irreversible treatment.

구강안면 운동장애에 관한 진단 및 치료에 관한 기초를 수립하기 위하여 2007년 9월부터 2007년 12월까지 조선대학교 치과병원 구강내과에 내원한 33명의 구강안면 운동장애 환자의 연령, 성별, 전신병력 및 주소에 관한 진단명, 자각여부, 구강안면 운동의 유형 등을 분석한 결과 다음과 같은 결과를 얻었다. 1. 여자가(81.82%)가 남자(18.18%)보다 구강안면 운동장애에 많이 이환되었으며, 평균 연령은 72.78($56{\sim}87$)세였다. 2. 대부분 전신질환에 이환되어 있었고(81.82%), 가장 높은 빈도를 보인 전신질환은 고혈압(22.41%)이었으며, 당뇨(17,24%), 우울증(8.62%), 위염(8.62%)순이었다. 3. 임상증상을 분석한 결과, 측두하악장애가 17명(33.33%)으로 가장 많았으며, 연조직질환(11명, 21.57%), 구강작열감증후군(9명, 17.65%), 구강운동(8명, 15.69%), 광범위한 안면통증(6명, 11.76%) 순이었다. 4. 특정한 원인 없이 증상이 발현한 경우가 72.73%로 가장 많았으며, 보철치료 후 증상이 발현된 경우가 24.24%, 우울증약 복용과 관련이 있는 경우가 3.03%이었다. 5. 구강안면운동의 유형을 평가한 결과, 폐구형(close)이 가장 많았으며(9명, 50%), 측방형(6명, 33.33%), 개구형(3명, 16.67%) 순이었다. 6. 구강안면운동를 자각하고 있지 못하는 경우가(54.55%) 자각하고 있는 경우(45.45%)보다 더 많았다. 따라서 치과의사는 구강안면통증 환자를 치료하는데 있어 구강안면 운동장애의 가능성을 항상 염두에 두어야 한다. 또한 정확한 진단 및 처치를 통해 불필요하고 비가역적인 치료를 최소한으로 줄이고자 항상 노력을 기울여야 할 것이다.

Keywords

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