[Clinical observation of the revisited patients with TMJ arthrosis after primary conservative treatment].

Nihon Ago Kansetsu Gakkai Zasshi Pub Date : 1989-01-01
M Yamamoto, Y Takenoshita, H Hirano, T Ureshino, M Oka
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Abstract

We reported that the cases of TMJ arthrosis patients have increased recently, and obtained good results with conservative treatment. But there have been few reports about long-term observation and evaluation of their cases. So we examined the revisited 33 cases of TMJ arthrosis experienced in recent 4 years from 1984 to 1987. We observed the following items such as symptoms of onset, chief complaints and change of symptoms between primary and secondary visit, conditions in the interval term, outcome of treatment in each visit, and so on. Concerning to the symptoms at primary and secondary visit, we observed pain, limited movement and clicking sound, then the same symptoms at primary and secondary visit were found in 20 cases, symptoms of secondary visit took turn for the remission were found in 4 cases, symptoms were changed in 3 cases and the worsened were 6 cases. As for the effect and progress of treatment, 18 cases were cured in primary treatment and same result was shown in secondary visit.

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[初步保守治疗后再访TMJ关节病患者的临床观察]。
我们报道了近年来TMJ关节病患者的病例有所增加,保守治疗取得了良好的效果。但很少有关于对其病例进行长期观察和评估的报道。因此,我们对1984 ~ 1987年近4年来收治的33例颞下颌关节病进行了回顾性分析。我们观察了以下项目,如发病症状、主诉和两次就诊之间的症状变化、间隔期的情况、每次就诊的治疗结果等。初诊和复诊时出现疼痛、活动受限、咔哒声等症状20例,初诊和复诊时出现相同症状4例,复诊症状轮流缓解3例,症状加重6例。在治疗效果和进展方面,首次治疗治愈18例,复诊治愈18例。
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[Reconsideration of the bilaminar zone in the retrodiscal connective tissue of the TMJ. 1. Relation between discal fiber and the condyle and components around the disk]. [Reconsideration of the bilaminar zone in the retrodiscal connective tissue of the TMJ. 2. Fibrous structure of the retrodiscal connective tissue and relation between those fibers and the disk]. [Arthrographic investigation for the disk configuration with closed lock of the temporomandibular joint]. [Clinical studies on TMJ arthrosis in young people. A study of dental axis of lower molar teeth]. [Electromyographic study on lateral jaw movements].
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