• Title/Summary/Keyword: 이상악습관

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Convergence Study on the Relationship between Stress and Oral Habits in College Students (대학생들의 스트레스와 구강악습관과의 연관성에 관한 융합 연구)

  • Kam, ji Young;Yun, Ji-Hye;Lim, kun Ok
    • Journal of the Korea Convergence Society
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    • v.10 no.11
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    • pp.247-252
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    • 2019
  • In order to identify the major stressors of some college students and their relationship with oral habits, a questionnaire survey was conducted for 299 male and female college students in Sunmoon University located in Asan-si, Chungcheongnam-do. As a result convergence study of analyzing stress by college students, the relationship between health and interpersonal relationship among the causes of stress was statistically significant. Based on the above studies, the incidence of oral habits caused by the stress of college students was very high. Considering that the stress factors that occur during college life cannot be completely excluded, it is necessary to have an education framework on improving stress self-recognition, control, and bad habits.

A Study of the Relation of Stress to Oral Parafunctional Habits of Male High School Students (일부 지역 남자 고등학생들의 스트레스와 구강악습관과의 관련성 연구)

  • Jung, Yu Yeon;Hong, Jin Tae
    • Journal of dental hygiene science
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    • v.13 no.4
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    • pp.471-479
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    • 2013
  • This study is trying to grasp the stress of the male high school students and the correlation between the stress according to the academic and economic level and oral parafunctional habits, emphasizing the need for the education of oral parafunctional habits, providing the basic data in order to accomplish correctly until the oral health of the oral maxillofacial region. From May 2013 till July 2013, a self administered survey was conducted by the selected by convenience sampling from subjects of 1, 2 grade of two high school located in Chungnam, Korea. The study results were as follow: 1) Among five areas of stress, the stress of school life was the highest as 2.11 points and the stress of home problem was the lowest as 1.51 points; 2) the stress by class showed that grade 2 was higher than grade 1 in all areas. The stress of the school life (2.21) (p<0.01), interpersonal relationship (p<0.01), and own problem (p<0.05) showed the significant difference; 3) The significance analysis results between the five areas of stress according to the stress of latent variable and the oral parafunctional habits all showed the significant difference (p<0.001). The correlation between the stress and the oral parafunctional habits showed a weak negative correlation as -0.30, and the stress of the school life, own problem, environment problem, and interpersonal relationship showed very strong correlations more than 0.7; 4) Fit measures test result of stress, academic level, and family economic level model all showed more than 0.9 in good of fit index, adjusted goodness of fit index, normed fit index and root mean square residual and root mean square error of approximation values is all estimated less than 0.1, so it showed good model. From this study, it can be concluded that there is the correlation between stress and oral parafunctional habits.

Effects of Oral Parafunction on the Stiffness and Elasticity in the Muscles of the Mastication and Facial Expression (구강악습관이 저작근 및 안면표정근의 경직도 및 탄성도에 미치는 영향)

  • Kim, Seung-Ki;Kim, Mee-Eun;Kim, Ki-Suk
    • Journal of Oral Medicine and Pain
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    • v.33 no.1
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    • pp.85-95
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    • 2008
  • The purpose of this study was to evaluate the effects of oral habits on the muscles of mastication and facial expression by means of two parameters: muscle stiffness and elasticity. 10 healthy, fully-dentate male subjects in their twenties were selected for this study; all had normal Class I occlusal relationships. Muscle stiffness and elasticity were measured with a tactile sensor(Venustron, Axiom Co., JAPAN) while subjects were asked to relax and perform various parafunctional activities such unilateral clenching(biting the bite force recorder with a force of 50kg on each subject's preferred side), jaw thrusting and lip bracing. The following muscles were examined: temporalis anterior(Ta), masseter(Mm), frontalis(Fr), inferior orbicularis oculi(OOci), zygomaticus major(Zm), superior and inferior orbularis oris(OOrs and OOri) and mentalis(Mn). Paired t-test, Correlation Coefficients, ANOVA and Multiple Comparison t-tests were used for statistical analysis. Unilateral clenching was highly correlated with bilateral stiffness and elasticity of all the muscles tested. Mm was affected by all three oral habits; Ta was affected by unilateral clenching(p<0.05); Zm was affected by unilateral clenching and OOrs, OOri and Mn were most affected by lip bracing(p<0.05). This study indicates that not only the masticatory muscles but also the muscles of facial expression, mainly circumoral muscles, can be significantly influenced by parafunctional activities such as unilateral clenching and lip bracing.

Temporomandibular disorders and risk factors in office workers, service workers, and teachers (측두하악장애의 유병률과 관련요인에 관한 연구 -일부 일반사무직, 서비스직, 교직원을 대상으로-)

  • Seo, Eui-Gyeong;Kim, Soon-Duck;Lee, June-Young;Rim, Jae-Suk
    • Journal of Korean society of Dental Hygiene
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    • v.12 no.3
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    • pp.563-576
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    • 2012
  • 목적 : 본 연구는 업무형태에 따른 측두하악장애의 유병률과 업무 시 노출되는 직무스트레스 및 구강 내 악습관이 측두하악장애와 어떠한 연관성이 있는지 알아보아 보건학적 기초자료를 제공하고자 실시되었다. 방법 : 본 연구의 자료 수집을 위하여 서울과 경기 일부지역에 근무하고 있는 일반사무직, 서비스직, 교직원으로부터 편의 추출된 452명을 대상으로 2010년 1월부터 2010년 4월까지 설문조사를 실시하였고, 수거된 353명을 연구대상으로 하였다. 설문지는 측두하악장애의 증상, 하악사용에 관한 구강 내 악습관, 직무스트레스, 인구사회학적 특성으로 구성되었다. 측두하악장애의 증상의 정도를 구분하기 위해 설문지의 양성응답 수의 빈도에 따라 무증상인 1단계에서 양성응답 수가 가장 많은 4단계 까지 총 4그룹으로 나누었다. 측두하악장애의 유병률을 알아보기 위하여 빈도분석을 시행하였고, 측두하악장애의 증상의 정도에 따른 여러 요인들 간의 연관성 및 관련요인을 알아보기 위하여 교차분석 및 경향성 분석과 다항로지스틱회기 분석을 시행하였다. 결과 : 측두하악장애의 유병률은 75.4%였고, 측두하악장애에 대한 주관적 증상으로는 관절잡음이 56.4%로 가장 주된 증상 중 하나였으나 남녀 간의 차이는 통계적으로 유의하지 않았다. 다음으로는 두통이나 목의 통증이 36.5%이었고, 귀, 관자놀이, 볼 주위의 통증이 22.1%로 높았다. 측두하악장애의 주관적인 증상 수에 따른 인구사회학적 특성은 증상이 없는 경우 여성에서 19.1%, 남성에서 36.6%로 여성에서 더 높은 유병률을 보였다. 연령별로는 40세 이상의 그룹보다 20 - 30대그룹에서 측두하악장애 증상수가 높아지는 경향을 보였다. 하악 사용과 관련된 악습관 및 직무스트레스는 측두하악장애 증상수와 유의한 관련성이 있는 것으로 나타났는데, 하악 사용과 관련된 습관의 개수가 많아질수록 측두하악장애의 증상의 개수도 많아졌고, 습관이 한 가지씩 늘어날수록 측두하악장애 증상이 없는 1단계보다 3단계가 될 위험이 1.45배, 4단계가 될 위험이 1.57배 높아졌다. 스트레스 수준도 가장 하위단계에서 한 단계 높아지면 측두하악장애 1단계에서 4단계가 될 위험이 2.49배, 두 단계 높아지면 3.43배 높아졌다. 결론 : 본 연구의 결과 측두하악장애와 업무특성에 따른 연관성은 설명하지 못하였지만, 직무스트레스가 높은 경우 측두하악장애 증상의 개수 또한 높아짐을 확인할 수 있었다. 이는 측두하악장애의 주관적인 증상을 발생시키는데 있어서 업무형태 보다는 심인적인 부분이 더 중요한 인자임을 의미한다. 그러므로 측두하악장애 평가 시 신체적인 문제뿐 아니라 행동적, 심리 사회적 문제로 예측인자를 폭넓게 인식함으로써 다각적인 접근을 하는 것이 필요하며, 측두하악장애 증상이 발생된 경우 임상적 치료뿐 아니라 행동요법 및 심리 치료와 자가 관리 등이 함께 수반되어 기여요인 조절을 조절하는 것이 중요하다 하겠다.

Evaluation of the Pressure of the Tongue, Lips, and Cheeks in Patients with Myofunctional Therapy and Appliance (근 기능 훈련 및 장치 치료를 시행한 환자들의 혀, 입술, 볼의 최대 압력 비교)

  • Minah Sung;Myeongkwan Jih;Nanyoung Lee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.50 no.1
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    • pp.13-23
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    • 2023
  • The purpose of this study was to compare the values of tongue pressure (TP), lip closing pressure (LCP), right buccal pressure (RBP), and left buccal pressure (LBP) and check the intraoral muscle imbalance and observe the changed values according to the myofunctional therapy (MFT) period. The MFT with a prefabricated appliance was performed on patients with certain muscular dysfunctions due to oral habits. And the improvement of perioral muscles was evaluated using a balloon-based pressure measurement. The group consisted of 21 patients with oral habits such as chronic mouth breathing, finger sucking, lip sucking, tongue thrusting, and atypical swallowing habits. When comparing the two groups before treatment, there was a significant difference in TP and LCP values. The TP increased the most in the first month since the start of myofunctional therapy, and the LCP increased the most between 3 and 6 months after treatment began. The values of TP, LCP, RBP, and LBP in the control group measured before treatment were very similar to the results of the experimental group 6 months after the myofunctional therapy. When the MFT was steadily performed, it was possible to observe a noticeable increase in the tongue and lip closing pressure. At least 6 months of myofunctional therapy is recommended for patients with intraoral muscle imbalance due to oral habits.

A Study of Temporomandibular Disorders and Food Intake Ability among Dental Clinic Outpatients (일부 치과 외래환자의 측두하악장애 실태와 음식섭취능력에 관한 연구)

  • Han, Se-Young;Yu, Ji-Su
    • Journal of dental hygiene science
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    • v.11 no.3
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    • pp.285-292
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    • 2011
  • The purpose of this study was to analyze and investigate temporomandibular disorders(TMD) and dental clinic outpatients by food intake ability to improve the quality of life. A survey of questionnaires with 208 subjects visiting a dental clinics located in Daejeon city from January to September in 2010 was performed. Analysis were performed with survey results, in which a symptoms of TMD, parafunctional habits and abnormal functions, food intake ability : 1. The main symptoms of TMD showed pain on TMJ(45.7%), pain on joint sound(45.2%), pain during chewing(41.3%), pain during mouth opening(38.0%), pain during non chewing(19.7%) and pain on joint dislocation(13.0%) in turn. 2. The symptoms of TMD by gender showed joint dislocation of 18.0% for male and 8.3% for female(p=0.038); pain on chewing of 49.0% for male and 34.3% for female(p=0.031), which were statistically significant. 3. The parafunctional habits and abnormal functions by gender showed clenching habit of 35.0% for male and 22.0% for female; bruxism of 21.0% for male and 9.3% for female, which were statistically significant. 4. The symptoms of TMD by age showed 52.8% of 27.8% for often and 25.0% for sometimes of 21-30 age in pain on TMJ, which were statistically significant(p=0.001). 5. The parafunctional habits and abnormal functions by age showed over 31 age of 48.3%, which were statistically significant(p=0.003). 6. The food intake ability by symptoms of TMD showed no joint sound(p=0.000), no pain on chewing(p=0.000) and without pain on TMJ(p=0.000), which were statistically significant. 7. The food intake ability by parafunctional habits and abnormal functions showed no clenching habit(p=0.000), no bruxism(p=0.000) and no headache, which were statistically significant. 8. The distribution type of operation by symptoms of TMD showed 30.8% of rest, 24.0% of physical medicine and 16.4% of pharmacotherapy. The pain on chewing showed 36.0% of pharmacotherapy; 52.4% of pain on TMJ for often and 40.5% for sometimes, in which pharmacotherapy and physical medicine were statistically significant(p=0.000). These results showed that management run parallel with survey for multiple factors in TMD we consider aspect of physical, social, physiology to enhance quality of life to increase food intake, construction of program for treatment and prevention because the individual differences need to be multifaceted, further research is suggested to continue.

Case Report : Treatment of Burning mouth Syndrome Using a Removable Anti-Nociceptive Appliance (가철성 유해자극차단장치를 이용한 구강작열감증후군의 치료 증례)

  • Roh, Byung-Yoon;Ahn, Jong-Mo;Yoon, Chang-Lyuk;Ryu, Ji-Won
    • Journal of Oral Medicine and Pain
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    • v.37 no.1
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    • pp.1-7
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    • 2012
  • Burning mouth syndrome(BMS) refers to a chronic orofacial pain disorder usually unaccompanied by mucosal lesions or other clinical signs. Tongue(anterior and lateral border) is found to be the most common site for the burning sensations in the oral cavity, and various oral sites may be affected including hard palate and lips. The etiology of this disorder remains poorly understood, but the various factors might be related with the pathogenesis of the BMS. These factors have been devided into local, systemic and psychological. Recently, there have been increasing reports that the pain of BMS may be neuropathic in origin. The complex and multifactorial etiology of BMS necessitates multidisciplinary approach for the management of these patients. Recently, several studies have reported that oral parafunctional habits could be related the pathogenesis of BMS, and tried to control the symptom of BMS with various methods. We reported the cases who had the symptom of burning mouth syndrome with removable anti-nociceptive appliance in the lower dentition.

Pattern of Pain on Temporomandibular Joint-Muscle Area in Tension-type Headache Patients (긴장성 두통 환자에서의 측두하악부 관절-근육통의 양상)

  • Oh, Byung-Sub;Auh, Q-Schick;Hong, Jung-Pyo;Chun, Yang-Hyun
    • Journal of Oral Medicine and Pain
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    • v.32 no.1
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    • pp.113-120
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    • 2007
  • Although most cases of tension-type headache(TTH) are myogenic headache, in some cases, arthralgia appears, such as the disorder of the temporamandibular joint. This study is designed to compare the clinical patterns of arthralgia to those of myalgia, when both symptoms are co-existing. Among 167 patients who visit our clinic during a certain period, whose chief complaint was TTH, 18 patients were the arthralgia group, 50 patients were the myalgia group, and 99 patients who have both arthralgia and myalgia were the arthromyalgia group. Three groups were asked to answer the questionnaires about their age, gender, and oral parafunction such as bruxism or clenching. Then we gathered statistics on the data from the accomplished questionnaires. 1. There was statistical significance in age among the three groups(p=0.02). 2. There was no statistical significance in sex and oral parafunction among the three groups. 3. There was statistical significance the myalgia group was older than the arthromyalgia group(p<0.03). The results of the study show that as patients become older, TTH with myalgia happens more frequently than TTH with arthralgia and myalgia does.

SPONTANEOUS NORMAL ERUPTION OF PERMANENT TOOTH WITH ABNORMAL ERUPTION PATH (비정상적인 맹출 경로를 보이는 소구치의 자발적 맹출 유도)

  • Kim, Sang-Min;Park, Ho-Won;Lee, Ju-Hyun;Seo, Hyun-Woo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.38 no.1
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    • pp.82-87
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    • 2011
  • The pulp infection of primary tooth is often caused by dental caries or trauma. But, if it is not managed properly, it can be produce the periapical lesion. The periapical lesion can cause some complications such as enamel hypoplasia, displacement, root dilaceration and impaction. Treatment options of displaced permanent successor are clinical and radiological follow-up after extraction of primary teeth, surgical opening, orthodontic traction, transplantation and extraction. In these cases, the premolars with abnormal eruption path caused by periapical lesion of the primary tooth have shown successful spontaneous eruption just as a result of extraction of infected primary tooth and space maintenance.

An Epidemiology Study on Temporo-mandibular Disorders of Employees Residing at Seoul (서울에 거주하는 직장인의 측두하악장애에 대한 역학적 연구)

  • Lee, Hee-Kyung
    • Journal of Yeungnam Medical Science
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    • v.13 no.2
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    • pp.308-323
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    • 1996
  • This study tried to find the prevalence and distribution of temporo-mandibulr disorders(TMD) for workers (employee) in Seoul area to investigate the correlation between TMD and possible etiological factors such as general muscle and joint symptoms, headache, unilateral chewing and parafunction. This study was an epidemiological investigation of answers obtained from 282 persons by questionaire from Aug. 1995 to Nov. 1995. The major findings from the questionaire were as follows. (1) 43.26% of the subjects(282 persons) has TMD. (41.88% of man and 43.26% of women) (2) The more often people have general muscle and joint symptoms and headache, the more susceptible they are to TMD. Their correlation was very significant(p<0.001). (3) The more people have bad oral habits such as bruxism, clenching and biting habit, the more likely they have TMD. The more sensitive people are to stress, the more frequently they have bad oral habits such as bruxism, clenching and biting habit. (4) Unilateral chewing has higher TMD index than bilateral chewing. There is no relationship between ache areas and TMD index.

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