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DEVELOPMENT OF EXPERT SYSTEM FOR DIFFERENTIAL DIAGNOSIS AND ETIOLOGICAL DIAGNOSIS IN TEMPOROMANDIBULAR DISORDERS.

Research Project

Project/Area Number 06557104
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section試験
Research Field 補綴理工系歯学
Research InstitutionTOHOKU UNIVERSITY

Principal Investigator

WATANABE Makoto  TOHOKU UNIVERSITY,DENTISTRY,PROFESSOR., 歯学部, 教授 (80091768)

Co-Investigator(Kenkyū-buntansha) HATTORI Yoshinori  TOHOKU UNIVERSITY,DENTISTRY,ASSISTANT PROFESSOR., 歯学部, 助手 (40238035)
KIKUCHI Masahiko  TOHOKU UNIVERSITY,DENTISTRY,LECTURER., 歯学部・附属病院, 講師 (60195211)
SASAKI Keiichi  TOHOKU UNIVERSITY,DENTISTRY,ASSOCIATE PROFESSOR, 歯学部, 助教授 (30178644)
Project Period (FY) 1994 – 1996
Project Status Completed (Fiscal Year 1996)
Budget Amount *help
¥1,100,000 (Direct Cost: ¥1,100,000)
Fiscal Year 1996: ¥500,000 (Direct Cost: ¥500,000)
Fiscal Year 1995: ¥600,000 (Direct Cost: ¥600,000)
Keywordstemporomandibular disorders / expert system / differential diagnosis / etiological diagnosis / bite force / signs and symptoms / デジタルプレスケール / 咬合力分布 / 咬合異常 / 耳鳴 / 感音性難聴
Research Abstract

The aim of this research project was to develop expert systems fot the differential diagnosis and etiological diagnosis in temporomandibular disorders (TMDs). In order to select the sufficient diagnostic factors for establishing the efficient diagnostic process and reliable criteria, the prevalence rates of clinical signs and symptoms, the coincidence rates and the strength of correlation among the signs and symptoms in TMD patients, were evaluated statistically. Furthermore, the bite force distribution on the dental arches in the normal subjects and TMD patients were analyzed by using pressure-sensitive foil "Dental Prescale".
As the results, the characteristic patterns in occurrence of the clinical signs and symptoms were detected in TMD patients. It is suggested that these definite patterns peculiar to TMDs in clinical conditions could be utilised as the diagnostic criteria for differentiating TMD from others. The bite force distribution on the dental arches were symmetrical between the right and left arches in the normal subjects. On the other hand, those in the TMD patients were deviated from those in the normal subjects. According to this finding, the symmetry of bite force distribution would be the one of the contributions factors to the onset of TMD,and could be utilized as an indicator of occlusal factors in the etiological diagnosis.
Based on these results, the project of developing the expert diagnostic systems for TMD are progressed at present.

Report

(4 results)
  • 1996 Annual Research Report   Final Research Report Summary
  • 1995 Annual Research Report
  • 1994 Annual Research Report
  • Research Products

    (46 results)

All Other

All Publications (46 results)

  • [Publications] 佐藤智昭: "正常者の歯列における咬合力分布に関する研究" 補綴誌. 41(2)(印刷中). (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] 渡辺誠: "顎関節症の診断と治療" 補綴誌. 41(1). 1-43 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] 服部佳功: "咬みしめ時の歯列における咬合力分布" 顎機能誌. 2(2). 111-117 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] 佐藤智昭: "咬みしめ強さと歯列における咬合力分布" 顎機能誌. 2(2). 101-109 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Watanabe M: "Effectiveness of occlusal treatment based on occlusal examination utilizing EMG biofeedback for temporomandibular disorders." Dentistry in Japan. 32. 55-59 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] 菊池雅彦: "総義歯装着者に見られる顎関節症の特徴とその治療" 日本歯科評論. 633. 71-85 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] 渡辺誠: "学校歯科検診における顎機能検査とその意義" 日本歯科医師会雑誌. 48(4). 13-19 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] 渡辺誠: "Dental Prescale50を用いた咬合診断とその臨床応用-主に咬合力の強さを指標した咬合診査法について-" 歯界展望. 84(1). 109-126 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] 服部佳功: "Dental Prescaleを用いた咬合力測定。" 補綴誌. 38(4). 835-841 (1994)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] 佐々木啓一: "EMGバイオフィードバックを応用した咬合診査に基づく顎関節症治療の臨床成績" 補綴誌. 38(2). 340-351 (1994)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] 渡辺誠: "バイオフィードバックを用いた咬合治療による顎関節症の治癒経過" 補綴誌. 38(2). 352-362 (1994)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Watanabe M: "Brain and Oral Function Oral Motor Function and Dysfunction(Morimoto T.et al.edits)." ELSEVIER, 648 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Satoh C: "A study of bite force distribution on the dental arch in the normal subjects" J Jpn Prosthodont Soc.41-2(in print). (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Watanabe M,Furuya R,Yamashita A,Nomura S,Koyano K, Sasaki K: "Diagnosis and treatment of TMD (temporomandibular disorders)-TMD and Occlusion-" J Jpn Prosthodont Soc.41-1. 1-43 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Hattori Y,Satoh C,Watanabe M: "Bite force distribution on dental arch during clenching." J Jpn Soc Stomatognath Funct. 2-2. 111-117 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Satoh C,Hattori Y,Watanabe M: "Magnitude of clenching and bite force distribution on the dental arch." J Jpn Soc Stomatognath Funct. 2-2. 101-109 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Watanabe M,Sasaki K: "Effectiveness of occlusal treatment based on occlusal examination utilizing EMG biofeedback for temporomandibular disorders." Dent Jpn. 32. 55-59 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Kikuchi M,Watanabe M: "Characteristics and treatment of temporomandibular disorders in complete denture patients." The Nippon Dental Review. 633. 71-83 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Watanabe M: "Examination of stomatognathic function and its significance in the dental care program for students." Jpn Dent Assoc J. 48-4. 329-335 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Watanabe M,Hattori Y: "Clinical application of dental prescale 50 to the examination of occlusion." Dental Outlook. 84-1. 109-129 (1994)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Hattori Y,Okugawa H,Watanabe M: "Occlusal force measurement using dental prescale." J Jpn Prosthodont Soc. 38-4. 835-841 (1994)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Sasaki K,Watanabe M,Tanabe T et al.: "Clinical evaluation of occlusal therapy based on EMG biofeedback occlusal examination in craniomandibular disorders." J Jpn Prosthodont Soc. 38-2. 340-351 (1994)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] Watanabe M,Sasaki K,Inai T et al.: "Curing process of craniomandibular disorders by occlusal treatments using biofeedback occlusal diagnosis." J Jpn Prosthodont Soc. 38-2. 352-362 (1994)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1996 Final Research Report Summary
  • [Publications] 佐藤智昭: "正常者の歯列における咬合力分布に関する研究" 補綴誌. 41(2)(印刷中). (1997)

    • Related Report
      1996 Annual Research Report
  • [Publications] 渡辺 誠: "顎関節症の診断と治療" 補綴誌. 41(1). 1-43 (1997)

    • Related Report
      1996 Annual Research Report
  • [Publications] 服部佳功: "咬みしめ時の歯列における咬合力分布" 顎機能誌. 2(2). 111-117 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] 佐藤智昭: "咬みしめ強さと歯列における咬合力分布" 顎機能誌. 2(2). 101-109 (1996)

    • Related Report
      1996 Annual Research Report
  • [Publications] Watanabe M: "Effectiveness of occlusal treatment based on occlusal examination utilizing EMG biofeedback for temporomandibular disorders." Dentistry in Japan. 32. 55-59 (1995)

    • Related Report
      1996 Annual Research Report
  • [Publications] 菊池雅彦: "総義歯装着者に見られる顎関節症の特徴とその治療" 日本歯科評論. 633. 71-85 (1995)

    • Related Report
      1996 Annual Research Report
  • [Publications] 渡辺 誠: "学校歯科検診における顎機能検査とその意義" 日本歯科医師会雑誌. 48(4). 13-19 (1995)

    • Related Report
      1996 Annual Research Report
  • [Publications] 渡辺 誠: "Dental Prescale 50を用いた咬合診断とその臨床応用-主に咬合力の強さを指標とした咬合調査法について-" 歯界展望. 84(1). 109-126 (1995)

    • Related Report
      1996 Annual Research Report
  • [Publications] 服部佳功: "Dental Prescaleを用いた咬合力測定." 補綴誌. 38(4). 835-841 (1994)

    • Related Report
      1996 Annual Research Report
  • [Publications] 佐々木啓一: "EMGバイオフィードバックを応用した咬合診査に基づく顎関節症治療の臨床成績" 補綴誌. 38(2). 340-351 (1994)

    • Related Report
      1996 Annual Research Report
  • [Publications] 渡辺 誠: "バイオフィードバックを用いた咬合治療による顎関節症の治療経過" 補綴誌. 38(2). 352-362 (1994)

    • Related Report
      1996 Annual Research Report
  • [Publications] Watanabe M: "Brain and Oral Function Oral Motoy Function and Dysfunction (Morimoto T. et al. edits)." ELSEVIER, 648 (1995)

    • Related Report
      1996 Annual Research Report
  • [Publications] 服部 佳功 他: "Dental Prescaleを用いた歯列における咬合力測定" 日本補綴歯科学会雑誌. 38. 835-841 (1994)

    • Related Report
      1995 Annual Research Report
  • [Publications] 渡辺 誠: "学校歯科検診における顎機能検査とその意義" 日本歯科医師会雑誌. 48-4. 13-19 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] 渡辺 誠 他: "耳症状を有する顎関節症患者の咬合治療とその臨床成績" 日本全身咬合学会 抄録集. 30 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] Daet. D. G. 他: "Association between the interarch distance and food bolus size in the early phase of mastication" J. Prosthet Dent.74-4. 367-372 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] 渡辺 誠 他: "あたらしい咬合力測定システムによる咬合診断とその臨床的意義“Dental Prescale 50"と“Occluzer"によるシステム" 歯科技工. 23-6. 650-660 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] 渡辺 誠 他: "“Dental Prescale 50"の臨床応用" 歯科技工. 23-6. 661-676 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] Morimoto, T. 他編: "Brdin and oral functions: Oral motorfunction and dysfunction" ELSEVIER, 5 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] 泉 廣次 他編: "歯科診療の実際(IV)下顎運動障害" 医歯薬出版, 175 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] 渡辺 誠,ほか: "バイオフィードバックを用いた咬合治療による顎関節症の治療経過" 日本補綴歯科学会雑誌. 38. 352-362 (1994)

    • Related Report
      1994 Annual Research Report
  • [Publications] 佐々木 啓一,ほか: "EMGバイオフィードバックを応用した咬合診査に基づく顎関節症治療の臨床成績" 日本補綴歯科学会雑誌. 38. 340-351 (1994)

    • Related Report
      1994 Annual Research Report
  • [Publications] 渡辺 誠,ほか: "顎口腔系機能におけるバイオメカニズム" バイオメカニズム学会誌. 18. 79-88 (1994)

    • Related Report
      1994 Annual Research Report

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Published: 1995-04-01   Modified: 2016-04-21  

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