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研究生:莊森源
研究生(外文):Sheng-Yen Chuang
論文名稱:顳顎關節障礙的研究
論文名稱(外文):The study of Temporomandibular Disorders
指導教授:陳鴻榮陳鴻榮引用關係
指導教授(外文):Hong-Rong Chen
學位類別:博士
校院名稱:高雄醫學大學
系所名稱:牙醫學研究所
學門:醫藥衛生學門
學類:牙醫學類
論文種類:學術論文
論文出版年:2001
畢業學年度:89
語文別:中文
中文關鍵詞:顳顎關節障礙問卷調查
外文關鍵詞:Temporomandibular DisordersQuestionaire
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本篇研究針對牙四學生,上完顳顎關節課程之後做問卷調查,共有254人(男性159人,女性95人)平均年齡22.34± 1.2歲。問卷內容有14個問題,由其回答“是”與“否”,評估發生TMDS的情況。此外並研究性別上的差異,研究結果如下所示:
1. TMDS 最常出現的症狀為關節彈響(clicking sounds)男女皆是。第二種常出現的症狀;則男女有別,女性學生為感到壓力很大,而男性學生則是牙齒方面的問題。
2. 18.95%的女性學生和29.56%的男性學生自認為完全沒有TMDS的症狀。男性高於女性,有顯著差異(P<0.05)。出現四種症狀以上的頻率女性為15.79%,男性為5.66%,男性明顯低於女性,有顯著差異(P<0.001)
3. TMDS出現的症狀種類和頻率,女性皆高於男性,男女間的差異在於女性偏向心理方面的問題,而男性偏向齒列咬合的問題。
254 (159 male, 95 female) senior dental students (mean age: 22.34y 1.2) were asked to answer 14 questions. Scoring instructions accompanying this questionnaire indicated that the number of “yes” responses was directly related to the probability of TMD. This survey of students was used to determine the prevalence of TM disorders. In addition, item analysis was performed to determine if there were any differences between male and female responses. The results of the study were as follows:
The most prominent symptom suggesting TMD was the presence of clicking sound(s), both in females and males. The second most prominent symptom was an awareness of stress, and teeth sensitivity in the female and in the male students respectively.
18.95 % female students and 29.56 % male students did not answer “yes” to these questions, and significantly (P<0.05) higher in males than in females; The frequency of more than four “yes” answers was 15.79% in the female group and 5.66 % in the male group, and significantly (p<0.001) lower in males than in females.
The type of symptoms and the frequency of TMDs were higher in female students than in male students and jaw click was the most common finding both in male and female dental students. The difference in reported problems between male and female students centred on a dentition factor in males and a psychological factor in female students.
Keywords: TMDs, dental students, questionnaire.
一、封面
二、 目錄
三、 文獻探討
四、 第一篇:臺灣牙醫學生顳顎關節障礙的流行率
五、 中文摘要
六、 英文摘要
七、 前言
八、 材料與方法
九、 結果
十、 討論
十一、 參考文獻
十二、 圖表
十三、 中文摘要
十四、 英文摘要
十五、 前言
十六、 材料與方法
十七、 結果
十八、 討論
十九、 參考文獻
二十、圖表
二十一、 第三篇:矯正治療前、種、後的顳顎關節障礙症狀的研究
二十二、 中文摘要
二十三、 英文摘要
二十四、 前言
二十五、 材料與方法
二十六、 結果
二十七、 討論
二十八、 參考文獻
二十九、 圖表
三十、 附件1
三十一、 附件2
三十二、 發表文章一:曾怡婷,莊森源,矯正治療及顏面生長餘顳顎關節症候群的關連,臺灣口腔一學會雜誌,Vol 14:98-106,1998.
三十三.發表文章二:Sheng-Yen Chuang.Incidence of TMDd in senior dental students in Taiwan.Journal of Oral Rehabilit ation,July,2001…139-154
三十四.發表文章三:莊森源,陳鴻榮,臺灣大學顳顎關節障礙的流行率臺灣口腔醫學會雜誌。VOL17(1):40-50,2001
三十五.壁報貼示一:Chuang S.Y.,Tseng Y.T., Yen C.H.,Lin C.C.,Lin L.M.Clinical signs and symptoms of TMJ dysfunction and its association with occlusal and psychologic characteristics in adult.Twenty-Third Annual Scientific Meeting,American Academy of Orofacial Pain.In Washington,DC,USA.May1-3,1998
三十六.壁報貼示二:Sheng-yen Chueng.incidence of TMDs in 4th year dental students.13 annual bernard jankelson Memorial Lecture Forum,In San Francisco,CA.USA.November 2-5,2000.
三十七.壁報貼示三:Chuang Sheng-Yen,Yen Chen-Hsing,Chen Hong-Rong The study of symptoms and signs of temporomandibular disorders before,during and after orthodontic treatment 12th intemational congress of International College of Craniomandibular Orthopedics.In Bad Homburg.Germany.October 4-7,2001.
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