The Database with Expert System for Differential and Etiological Diagnosis of CMD

CMD鉴别诊断和病因诊断专家系统数据库

• 批准号: 04557083
• 负责人: WATANABE Makoto
• 金额: $ 3.07万
• 依托单位: TOHOKU UNIVERSITY
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Developmental Scientific Research (B)
• 财政年份: 1992
• 资助国家: 日本
• 起止时间: 1992 至 1993
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-04557083/
• 关键词: Craniomandibular Disorders; Database; Differential Diagnosis; Etiological Diagnosis; Malocclusion; 診断エキスパートシステム

To lead the successful outcome of the treatment in craniomandibular disorders, it is essential to establish proper differential and etiological diagnosis. In this project we intend to construct an expert system for diagnosis in CMD, based on a database regarding the clinical signs/symptoms and the factors of CMD patients. We designed a database for CMD and the data of about 400 patients were entered. In order to quantify the clinical characteristics of CMD using this system. As the result, it was recognized that a prevalence pattern of symptoms have a regularity, for example, there were a strong relationships between opening pain and limited opening. Also, it was recognized that the clinical characteristics differ with the factors. That is, in patients with emotional stress, major symptom was less prevalent and associated symptom was significantly prevalent. Patients with low vertical dimension, palpation pain on TMJ region, occipital muscles and associated symptom were significantly p … More revalent. Patients with Open-bite, pain on TMJ region was significantly prevalent and palpation pain on masseter muscle was less prevalent. Patients with occlusal interference, TMJ noise and palpation pain of posterior digastric muscle were significantly prevalent while limited opening was less prevalent. The occlusal contact pattern of these patients had shown small contact points and uneven distribution between right and left arches. Furthermore, the rate of clinical signs and symptoms were recognized on the unilateral and that of occlusal interferences were observed in the same side were significant. Especially, most occlusal interferences were detected on the occlusal facets of the posterior teeth that guides mandibular movement to protrude and mediolateral position.These results indicate that a differential as well as etiological diagnosis for CMD are feasible by the use of database and expert system. We therefore intend to reveal inherent characteristics of CMD, and to improve this system. Less

为了使颅颌关节紊乱病的治疗取得成功，正确的鉴别诊断和病因诊断是至关重要的。在这个项目中，我们打算构建一个诊断CMD的专家系统，基于关于CMD患者的临床症状和因素的数据库。我们设计了一个CMD数据库，录入了大约400名患者的数据。为了利用该系统对CMD的临床特征进行量化。因此，人们认识到症状的流行模式具有规律性，例如，开口痛和有限的开口感之间存在很强的关系。此外，人们还认识到，临床特征随着因素的不同而不同。也就是说，在有情绪压力的患者中，主要症状较少，而相关症状明显较多。垂直度低、颞下颌关节区触诊痛、枕肌触痛及相关症状的患者…显著高于对照组。更具效价。开放咬合组患者以TMJ区疼痛为主，咬肌触诊痛较少。咬合干扰、TMJ噪声和后二腹肌触诊痛的发生率明显高于对照组，而受限张开的发生率较低。这些患者的咬合接触模式表现为接触点较小，左右牙弓分布不均。单侧临床症状体征的识别率和咬合干扰同侧的识别率均有显著差异。特别是，大多数咬合干扰发生在引导下颌运动的后牙的咬合面和内侧位置。这些结果表明，利用数据库和专家系统进行CMD的鉴别和病因诊断是可行的。因此，我们打算揭示CMD的内在特征，并对这一制度进行改进。较少

项目成果

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" 日本補綴歯科学会雑誌. 38(in printed). (1994)

Makoto Watanabe：“利用生物反馈进行咬合治疗的颞下颌关节紊乱的治疗过程”，日本修复医学会杂志 38（印刷版）。

佐々木 啓一,渡辺 誠 ほか: "顎関節症における各臨床症状の発現様式とその関連性" 日本補綴歯科学会雑誌. 36. 791-798 (1992)

Keiichi Sasaki、Makoto Watanabe 等：“颞下颌关节疾病的临床症状的表达方式及其关系”日本修复医学会杂志 36. 791-798 (1992)。

佐々木啓一: "顎関節症における各種臨床症状の発現様式とその関連性" 日本補綴歯科学会雑誌. 36. 791-798 (1992)

Keiichi Sasaki：“颞下颌关节疾病的各种临床症状的表现方式及其关系”日本修复医学会杂志 36. 791-798 (1992)。

平松伸一: "咬合治療によって治癒した顎関節症患者の特徴" 日本補綴歯科学会雑誌. 36(87). 43 (1992)

Shinichi Hiramatsu：“通过咬合治疗治愈颞下颌关节紊乱患者的特征”日本修复医学会杂志 36（87）43（1992）。

Makoto Watanabe: "Occlusal Contact Patterns and Clinical Signs in CMD Patients Treated with the Occlusal Adjustment Based on Biofeedback Occlusal Analysis." ASIAN ACADEMY OF CRANIOMANDIBULAR DISORDERS 4th Annual Meeting,PROGRAM AND ABSTRACTS. 42 (1992)

Makoto Watanabe：“基于生物反馈咬合分析的咬合调整治疗 CMD 患者的咬合接触模式和临床体征。”