Relationship between the classification of temporomandibular disorders and Cornel Medical Index questionnaires
We observed 121 temporomandibular disorder patients who complated Cornel Medical Index questionnaires in order to investigate the corelation between temporomandibular disorders and psychological factors. All 121 patients were classified into 4 (I-IV) types by means of the criteria proposed by the Ja...
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| Published in | Journal of the Japanese Society for the Temporomandibular Joint Vol. 7; no. 1; pp. 32 - 44 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English Japanese |
| Published |
The Japanese Society for Temporomandibular Joint
1995
一般社団法人 日本顎関節学会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0915-3004 1884-4308 |
| DOI | 10.11246/gakukansetsu1989.7.32 |
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| Abstract | We observed 121 temporomandibular disorder patients who complated Cornel Medical Index questionnaires in order to investigate the corelation between temporomandibular disorders and psychological factors. All 121 patients were classified into 4 (I-IV) types by means of the criteria proposed by the Japanese Society for the Temporomandibular Joint. In addition, all 121 patients were classified into 4 (I-IV) categories in CMI. As a result, the type I of temporomandibular disorder patients significantly showed a tendency of shifting into CMI categories III and IV, compared with other types (II-IV) of temporomandibular disorder patients. It is suggested that the type I of temporomandibular disorder patients had many psychological factors. |
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| AbstractList | We observed 121 temporomandibular disorder patients who complated Cornel Medical Index questionnaires in order to investigate the corelation between temporomandibular disorders and psychological factors. All 121 patients were classified into 4 (I-IV) types by means of the criteria proposed by the Japanese Society for the Temporomandibular Joint. In addition, all 121 patients were classified into 4 (I-IV) categories in CMI.As a result, the type I of temporomandibular disorder patients significantly showed a tendency of shifting into CMI categories III and IV, compared with other types (II-IV) of temporomandibular disorder patients. It is suggested that the type I of temporomandibular disorder patients had many psychological factors.
当科を受診し顎関節症と診断された患者で初診時にCMIテストを施行した121例に対して, CMIの結果と顎関節症症型分類とを比較検討した。顎関節症症型別のCMIの結果では深町の判定法によるIII・IV領域の割合は, 顎関節症I型が32例中12例 (37.5%) と最も高く, 他の顎関節症症型 (IIからIV型) よりも危険率5%で有意に高かった。次いでIV型6例中2例 (33.3%), 以下II型 (24.0%), III型 (15.5%) の順であった。CMIプロフィールにおいても顎関節症I型次いでIV型がその他の症型よりも多くの項目で高かった。回答数による評価においても顎関節症I型とIV型にその値の大きい傾向がみられた。以上の結果より, 顎関節症I型とIV型には心理的要因の関与が高いと考えられ, 治療に際しては特に心身医学的アプローチが必要な症例も多いと考えられた。 We observed 121 temporomandibular disorder patients who complated Cornel Medical Index questionnaires in order to investigate the corelation between temporomandibular disorders and psychological factors. All 121 patients were classified into 4 (I-IV) types by means of the criteria proposed by the Japanese Society for the Temporomandibular Joint. In addition, all 121 patients were classified into 4 (I-IV) categories in CMI. As a result, the type I of temporomandibular disorder patients significantly showed a tendency of shifting into CMI categories III and IV, compared with other types (II-IV) of temporomandibular disorder patients. It is suggested that the type I of temporomandibular disorder patients had many psychological factors. |
| Author | TSUKAHARA, Hiroyasu ENOMOTO, Shoji SAKAMOTO, Ichiro YODA, Tetsuya MIYAMURA, Juichi MORITA, Shin |
| Author_FL | 森田 伸 宮村 壽一 榎本 昭二 坂本 一郎 塚原 宏泰 依田 哲也 |
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| Author_xml | – sequence: 1 fullname: MORITA, Shin organization: The second Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Tokyo Medical and Dental University – sequence: 1 fullname: YODA, Tetsuya organization: The second Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Tokyo Medical and Dental University – sequence: 1 fullname: TSUKAHARA, Hiroyasu organization: The second Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Tokyo Medical and Dental University – sequence: 1 fullname: MIYAMURA, Juichi organization: The second Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Tokyo Medical and Dental University – sequence: 1 fullname: ENOMOTO, Shoji organization: The second Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Tokyo Medical and Dental University – sequence: 1 fullname: SAKAMOTO, Ichiro organization: The second Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Tokyo Medical and Dental University |
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| References | 7) 坂本一郎, 依田哲也, 他: 顎関節症症型分類に関する検討 -第1報- 1次診断チャートによる診断法 (抄). 日口外誌 37: 2254, 1991. 10) 杉崎正志: 顎関節症診断プロトコールの提案. 歯医学誌 12: 53-58, 1993. 12) 竹之下康治: Cornel Medical Indexからみた顎関節症. 日口外誌 24: 8-19, 1978. 17) 坂本一郎, 依田哲也, 他: 顎関節症に対するAmfenac Sodium (Fenazox®) とEthyl Loflazepate (Meilax®) の併用効果について (抄). 日口外誌 38: 2025-2026, 1992. 9) 柴田考典, 戸塚靖則, 他: 日本顎関節学会顎関節症症型分類における診断基準の提案 (抄). 日顎誌 4: 190, 1992. 13) 西原茂昭: 顎関節症の心身医学的研究 第1編 病態および発症因子に関する心身医学的分析. 日口外誌 29: 454-470, 1983. 18) 内田安信: 顎関節症V型の病態ならびにその診断と治療. 歯界展望別冊/顎関節症治療のポイント50, 医歯薬出版, 東京, 1990. 183-186頁 4) 宮島智房, 甲斐貞子, 他: 顎関節症患者の症型分類による臨床統計的観察. 日口外誌 37: 872-884, 1991. 8) 河野真紀, 依田哲也, 他: 顎関節症症型分類に関する検討 -第2報- 消炎鎮痛剤の効果による1次診断チャートの有用性 (抄). 日口外誌 37: 2255, 1991. 6) 森本俊文: 筋スパズム. 上村修三郎, 杉崎正志, 柴田考典編著, 顎関節小辞典, 第1版, 日本歯科評論, 東京, 1990. 142-145頁 1) 岡 達: 顎関節疾患の分類と顎関節症の位置づけ. 日口外誌 33: 1066-1070, 1987. 14) Tani, N., Nemoto, S., et al: Statistical analysis of patients with temporomandibular joint dysfunction by CMI classification. 城西大紀要 14: 362-369, 1985. 2) 成辰煕, 高木律男, 他: 症型分類 (顎関節研究会提案) からみた顎関節症患者の臨床的検討. 日口外誌 35: 2958-2963, 1989. 5) Moss, R. A., and Garrett, J. C.: Temporomandibular joint dysfunction syndrome and myofacial pain dysfunction syndrome: a critical review. J. Oral Rehabil 11: 3-28, 1984. 16) 安田勝裕, 中西淳仁, 他: 顎関節症における心因性要因の検討. 日顎誌 2: 89-97, 1990. 3) 藤村和麿, 村上賢一郎, 他: 顎関節症200例の症型分類と臨床的検討. 口科誌 39: 683-690, 1990. 11) 金久卓也, 深町 健: コーネル・メディカル・インデックス. 三京房, 京都, 1972. 26-27頁, 130-137頁 15) 小林義典: 心身医学的側面の診査. 補綴臨床別冊/顎関節症の診断と治療 咬合からのアプローチ. 医歯薬出版, 東京, 1985. 162-170頁 |
| References_xml | – reference: 12) 竹之下康治: Cornel Medical Indexからみた顎関節症. 日口外誌 24: 8-19, 1978. – reference: 1) 岡 達: 顎関節疾患の分類と顎関節症の位置づけ. 日口外誌 33: 1066-1070, 1987. – reference: 17) 坂本一郎, 依田哲也, 他: 顎関節症に対するAmfenac Sodium (Fenazox®) とEthyl Loflazepate (Meilax®) の併用効果について (抄). 日口外誌 38: 2025-2026, 1992. – reference: 7) 坂本一郎, 依田哲也, 他: 顎関節症症型分類に関する検討 -第1報- 1次診断チャートによる診断法 (抄). 日口外誌 37: 2254, 1991. – reference: 8) 河野真紀, 依田哲也, 他: 顎関節症症型分類に関する検討 -第2報- 消炎鎮痛剤の効果による1次診断チャートの有用性 (抄). 日口外誌 37: 2255, 1991. – reference: 13) 西原茂昭: 顎関節症の心身医学的研究 第1編 病態および発症因子に関する心身医学的分析. 日口外誌 29: 454-470, 1983. – reference: 10) 杉崎正志: 顎関節症診断プロトコールの提案. 歯医学誌 12: 53-58, 1993. – reference: 16) 安田勝裕, 中西淳仁, 他: 顎関節症における心因性要因の検討. 日顎誌 2: 89-97, 1990. – reference: 6) 森本俊文: 筋スパズム. 上村修三郎, 杉崎正志, 柴田考典編著, 顎関節小辞典, 第1版, 日本歯科評論, 東京, 1990. 142-145頁 – reference: 2) 成辰煕, 高木律男, 他: 症型分類 (顎関節研究会提案) からみた顎関節症患者の臨床的検討. 日口外誌 35: 2958-2963, 1989. – reference: 5) Moss, R. A., and Garrett, J. C.: Temporomandibular joint dysfunction syndrome and myofacial pain dysfunction syndrome: a critical review. J. Oral Rehabil 11: 3-28, 1984. – reference: 4) 宮島智房, 甲斐貞子, 他: 顎関節症患者の症型分類による臨床統計的観察. 日口外誌 37: 872-884, 1991. – reference: 9) 柴田考典, 戸塚靖則, 他: 日本顎関節学会顎関節症症型分類における診断基準の提案 (抄). 日顎誌 4: 190, 1992. – reference: 14) Tani, N., Nemoto, S., et al: Statistical analysis of patients with temporomandibular joint dysfunction by CMI classification. 城西大紀要 14: 362-369, 1985. – reference: 15) 小林義典: 心身医学的側面の診査. 補綴臨床別冊/顎関節症の診断と治療 咬合からのアプローチ. 医歯薬出版, 東京, 1985. 162-170頁 – reference: 3) 藤村和麿, 村上賢一郎, 他: 顎関節症200例の症型分類と臨床的検討. 口科誌 39: 683-690, 1990. – reference: 18) 内田安信: 顎関節症V型の病態ならびにその診断と治療. 歯界展望別冊/顎関節症治療のポイント50, 医歯薬出版, 東京, 1990. 183-186頁 – reference: 11) 金久卓也, 深町 健: コーネル・メディカル・インデックス. 三京房, 京都, 1972. 26-27頁, 130-137頁 |
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| SubjectTerms | classification Cornel Medical Index psychological factors Temporomandibular disorders 分類 心理的要因 顎関節症 |
| Title | Relationship between the classification of temporomandibular disorders and Cornel Medical Index questionnaires |
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