著者

石川 義人 樋口 雄介 青村 知幸 八木 正篤 遠藤 光宏 笹原 健児 佐藤 雄治 大屋 高徳 工藤 啓吾

出版者

社団法人 日本口腔外科学会

雑誌

日本口腔外科学会雑誌 (ISSN:00215163)

巻号頁・発行日

vol.44, no.4, pp.415-417, 1998-04-20 (Released:2011-07-25)

参考文献数

6

被引用文献数

5 5

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We studied the cause, status, and treatment of temporomandibular joint (TMJ) dislocation in patients with psychic and cerebral diseases. These diseases were present in 11 (26.2 %) of 42 patients with TMJ dislocation. Psychic disease included 2 cases of mental retardation and 3 of schizophrenia. Cerebral diseases included 1 case of cerebral infarction, 3 of cerebral hemorrhage, 1 of epilepsy, and 1 of Parkinson disease. There were many old patients among those with cerebral diseases. Convulsions characteristically led to TMJ dislocation. There was prolonged dislocation of the TMJ. A reliable treatment was required in patients with these diseases. Therefore, augmentation of the articular tubercle was indicated. It was suggested that incoordination of the masticatory muscles induced TMJ dislocation. Furthermore, extrapyramidal disorders may have been caused by antipsychotic drugs, Parkinson disease, and cerebrovascular disease; convulsions due to epilepsy may lso have been involved.