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KMID : 1101020180430020041
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Journal of Oral Medicine and Pain
2018 Volume.43 No. 2 p.41 ~ p.51
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Clinical and Hematologic Characteristics of Temporomandibular Disorders Patients
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Park Seo-Eun
Kim Ji-Rak
Jo Jung-Hwan
Park Ji-Woon
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Abstract
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Purpose: The aim of this study was to evaluate the possibility of utilizing blood tests for thediagnosis of temporomandibular disorders (TMDs) by investigating the hematologic characteristicsof TMD patients according to the main source and level of TMD pain and analyzing theirinterrelationship.
Methods: Clinical examination following the research diagnostic criteria for TMD and hematologicaland psychological evaluations were conducted in 357 TMD patients. Patients weredivided into groups according to the main source of pain (myogenous, arthrogenous, and combinedpain) and the degree of pain according to the graded chronic pain scale (GCPS). Hematologicaldifferences among the groups were statistically analyzed.
Results: The C-reactive protein (CRP) level was significantly higher in the arthrogenous paingroup compared to the combined pain group (p=0.032). There was no significant differenceaccording to the GCPS classification. There were significant correlations between some of theTMD pain indices and the hematologic indices, and also between the psychological indices andthe hematologic indices.
Conclusions: This study suggests the possibility of applying blood tests to the diagnosis, treatmentand prevention of TMD. Further research should be conducted focusing on the role ofCRP in TMD pain with more refined methodology and a longitudinal study design.
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KEYWORD
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C-reactive protein, Hematologic tests, Pain, Temporomandibular disorders
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