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논문 기본 정보

자료유형
학술저널
저자정보
Park, Ha-Na (Department of Oral and Maxillofacial Radiology, School of Dentistry and Institute of Oral Bioscience, Chonbuk National University) Kim, Kyoung-A (Department of Oral and Maxillofacial Radiology, School of Dentistry and Institute of Oral Bioscience, Chonbuk National University) Koh, Kwang-Joon (Department of Oral and Maxillofacial Radiology, School of Dentistry and Institute of Oral Bioscience, Chonbuk National University)
저널정보
대한영상치의학회 Imaging science in dentistry Imaging science in dentistry 제44권 제4호
발행연도
2014.1
수록면
293 - 299 (7page)

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Purpose: This study was performed to find the relationship between pain and joint effusion using magnetic resonance imaging (MRI) in temporomandibular disorder (TMD) patients. Materials and Methods: The study subjects included 232 TMD patients. The inclusion criteria in this study were the presence of spontaneous pain or provoked pain on one or both temporomandibular joints (TMJs). The provoked pain was divided into three groups: pain on palpation (G1), pain on mouth opening (G2), and pain on mastication (G3). MRI examinations were performed using a 1.5-T MRI scanner. T1- and T2-weighted images with para-sagittal and para-coronal images were obtained. According to the T2-weighted image findings, the cases of effusions were divided into four groups: normal, mild (E1), moderate (E2), and marked effusion (E3). A statistical analysis was carried out using the $X^2$ test with SPSS (version 12.0, SPSS Inc., Chicago, IL, USA). Results: Spontaneous pain, provoked pain, and both spontaneous and provoked pain were significantly related to joint effusion in TMD patients (p<0.05). However, among the various types of provoked pain, pain on palpation of the masticatory muscles and TMJ (G1) was not related to joint effusion in TMD patients (p>0.05). Conclusion: Spontaneous pain was related to the MRI findings of joint effusion; however, among the various types of provoked pain, pain on palpation of the masticatory muscles and TMJ was not related to the MRI findings of joint effusion. These results suggest that joint effusion has a significant influence on the prediction of TMJ pain.
#Pain #Effusion #Temporomandibular Joint #Magnetic Resonance Imaging

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참고문헌 (30)

참고문헌 신청
Emshoff R / 2001 / Validity of clinical diagnostic criteria for temporomandibular disorders : clinical versus magnetic resonance imaging diagnosis of temporomandibular joint internal derangement and osteoarthrosis / Oral Surg Oral Med Oral Pathol Oral Radiol Endod 91:50~55 google schola Emshoff R / 2003 / Relative odds of temporomandibular joint pain as a function of magnetic resonance imaging findings of internal derangement, osteoarthrosis, effusion, and bone marrow edema / Oral Surg Oral Med Oral Pathol Oral Radiol Endod 95:437~445 google schola Bertram S / 2001 / Diagnosing TMJ internal derangement and osteoarthritis with magnetic resonance imaging / J Am Dent Assoc 132:753~761 google schola Drace JE / 1990 / Defining the normal temporomandibular joint: closed-, partially open-, and open-mouth MR imaging of asymptomatic subjects / Radiology 177:67~71 google schola Haley DP / 2001 / The relationship between clinical and MRI findings in patients with unilateral temporomandibular joint pain / J Am Dent Assoc 132:476~481 google schola

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