임플란트 치료 후에 발생한 턱관절 장애

Abstract

Purpose: Temporomandibular disorders (TMD) may occur during or after regular dental treatment. The aim of this study is to suggest management of TMD involved in dental implant treatment.

Materials and Methods: We investgated the etiology, site of implantation, symptoms, treatments and improvements with a focus on TMD among patients who complained of TMD symptoms during or after dental implant treatment.

Results: A total of 19 patients complained of TMD associated with implant treatment. Thirteen patients complained of masticatory muscle pain, 13 patients complained of temporomandibular joint (TMJ) pain, and 8 patients complained of both masticatory muscle pain and TMJ pain. The patients were treated primarily with counselling, medication and physical therapy, and secondarily with occlusal splint therapy. Six patients received only primary treatment, and their average recovery time was 4.2 months. Four patients received secondary treatment, and their average recovery time was 8.5 months. None of the patients underwent surgical intervention of the TMJ.

Conclusion: Patients who have a risk of developing TMD may experience TMD symptoms during or after implant treatment, such as facial pain, masticatory myalgia, TMJ pain and mouth opening limitation. To mitigate these symptoms, we suggest the application of the usual treatment protocols for TMD.