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KMID : 0355220080330040375
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Journal of Korean Academy Oral Medicine
2008 Volume.33 No. 4 p.375 ~ p.382
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Clinical Manifestations in Orofacial Movement Disorders
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Ryu Ji-Won
Yoon Chang-Lyuk
Cho Young-Gon
Ahn Jong-Mo
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Abstract
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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.
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KEYWORD
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Orofacial movement disorder, Diagnostic criteria, Management, Medical History
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