• Title/Summary/Keyword: 저작운동

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Temporo-Mandibular Disorder Syndrome Evaluation by Masseter EMG (교근 근전도 비교를 통한 턱관절 기능장애 평가)

  • Eo, Seungjoon;Jeon, Jinwoo;Yeom, Hojun;Han, Whiejong
    • The Journal of the Convergence on Culture Technology
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    • v.4 no.4
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    • pp.349-354
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    • 2018
  • Human beings have made remarkable advances in medical technology as well as technological advances. However, as was the case in the past, incurable diseases still exist: temporo-mandibular joint (TMJ). The diagnosis of the Korean medical staff, currently called a "medical advance," is adhering to the outdated patient's comments, diagnosis using a doctor's auditory diagnosis and a ruler, and diagnosis of X-ray imaging. Therefore, it is important to have accurate patient symptoms, to have a doctor's own diagnosis and experience, to increase the number of diagnoses due to the severity of the symptoms, and to cover the costs of medical care. To solve this problem, the core conductive signal generated from the bridge was quantified through %MVC. Quantified EMG will be assessed and compared with Cortex to establish a jaw joint condition evaluation criterion.

Prosthetic rehabilitation of partially edentulous patient after hemimandiblectomy: Case report (하악골 부분절제술 시행한 부분 무치악 환자에서 보철 수복 증례)

  • Lee, Dong-Hun;Yoo, Dong-Soo;Lee, Jong-Hyuk
    • The Journal of Korean Academy of Prosthodontics
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    • v.53 no.1
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    • pp.39-45
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    • 2015
  • Loss of continuity of the mandible destroys the balance and symmetry of mandibular function, leading to altered mandibular movements and deviation of the residual fragment towards the resected side. Apart from deviation, other dysfunctions include difficulty in swallowing, speech, mandibular movements, mastication, and respiration are accompanied. In general, surgical reconstruction is considered first then proceeds to the prosthetic restorations. However, patients with systemic disease such as BRONJ (Bisphosphonate related osteonecrosis of the Jaw), surgical reconstruction may be limited. Thus, the prosthetic restoration remains as the only resort. Numerous prosthetic methods are employed to minimize deviation and to improve masticatory efficiency, function and esthetics. If a removable partial denture is the selected treatment modality, maximum stability of the partial denture base may be accomplished with a functional impression procedure by means of eliminating lateral and horizontal forces caused by the functional movements of the lips, cheeks and tongue. Also, Twin occlusion is used to obtain a favorable occlusal relationship and check support for esthetics. The purpose of this case report is to demonstrate how neutral zone impression technique and twin occlusion scheme were applied to restore a hemi-mandiblectomy patient with BRONJ syndrome to achieve satisfactory results in functional and esthetic aspects.

Effect of Occlusal Stabilization Appliance on Driving Distance in Golf (교합안정장치가 전문골프선수들의 드라이버 비거리에 미치는 영향)

  • Kwon, Tae-Hoon;Shin, Sang-Wan;Ryu, Jae-Jun;Lee, Richard Sung-Bok;Ahn, Su-Jin;Choi, Yeo-Jin
    • Journal of Dental Rehabilitation and Applied Science
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    • v.26 no.2
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    • pp.157-168
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    • 2010
  • Many athletes have been using occlusal stabilization appliances to improve their performance. Few studies have examined the benefits of such an appliance in golf. We determined the effect of such appliances on the masticatory muscle activities and driving distances of professional golf players. The appliances were customized for each player and adjusted using a computerized device. The electromyographic muscle activities and driving distances with and without the appliance were measured and compared using the K7 Analyzer and the GolfAchiever II assembly. A paired t-test was used for statistical analysis. The muscle activities of the temporo-frontal and masseter muscles with the appliance were significantly more stable than those without the appliance, and the driving distances with the appliance were significantly different from those without it. Although there were intra-individual differences, professional golf players with temporomandibular disorders showed a greater improvement in performance.

Interrelationship in the Translations of the Works of P. A. Kropotkin in East Asian Countries (동아시아와 식민지 조선에서 크로포트킨 번역의 경로들과 상호참조 양상 고찰)

  • Kim, Mi Ji
    • Cross-Cultural Studies
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    • v.43
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    • pp.171-206
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    • 2016
  • Russian anarchist thinker P. A. Kropotkin had a significant impact on the school of thought, the literary field and the anarchist movement in East Asia in the early 20th century. This paper examines the history of the translation of Kropotkin in terms of the routes and paths of translation in colonial Korea in comparison with those in Japan and China. It is a known fact that the acceptance of Kropotkin in colonial Korea is owed to pioneering translation works in Japan, but it appears that there have been various transformations and magnetizations in the process of translating the texts into the Korean language. Despite a disturbing censorship, the works of Kropotkin, such as "I appeal to the youth ("Aux Jeunes Gens" in French)", were imported, translated and distributed by various routes throughout the 1920s and there were various versions of translated Korean texts. At this point, it is noteworthy that there are works which were translated from Chinese texts about Kropotkin, such as the works of Yu Seo (柳絮), and it can be said that there is a relationship between Korean translations and Chinese original texts. Since the 1930s, the phenomenon of the appropriation of Kropotkin as a litterateur and critic rather than an anarchist thinker is particularly apparent, and this allows us to understand that Kropotkin became a major pathway to interpret Russian literature in East Asia. In colonial Korea, translations of Kropotkin were generally via Japan and China, but the process of translation also showed the struggle to accept and adapt 'the foreign text' into the Korean language.

Full mouth Rehabilitation in a Patient with Occlusal Collapse with Vertical Dimension Increase (교합 붕괴 환자에서 수직 고경을 증가한 보철 수복 : 증례 보고)

  • Jo, Si-Hoon;Jeong, Su-Yang;Nam, Hyun-Seok;Song, Kwang-Yeob;Park, Ju-Mi;Ahn, Seung-Geun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.26 no.4
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    • pp.477-482
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    • 2010
  • In a case of multiple posterior teeth loss, antagonistic teeth extrude to the edentulous space and compensatory occlusion on the remained anterior teeth leads to occlusal trauma. Extrusion of antagonistic teeth breaks down occlusion plane and loss of posterior support bring about severe wear of remained teeth. In this situation, it is needed to restore remained teeth and edentulous space by increasing vertical dimension to obtain prosthodontic rehabilitation space and to correct occlusion plane. In this case report, the patient had a masticatory problem with loss of posterior teeth support and an esthetic problem of shortened anterior teeth. Before the tooth preparation for the prosthodontic restoration, the patient used removable device for 2 months to increase vertical dimension reversibly. After that, he got provisional fixed restoration with irreversible tooth reduction and used it for 3 months. It had spent 5 month to evaluate the adaptation state on final restoration with incresed vertical dimension. The increasing amount was 3 mm, which was relatively in less degree and masticatory system adapted to the increased vertical dimension without any pathologic changes. Final restoration was made to have equal-intensity contacts on all teeth in a verifiable centric relations and immediate disclusion of all posterior contacts the moment the mandible moves in any direction from centric relation. In addition, metal occlusion surface on posterior teeth was applied to prevent excessive muscle activation, occlusal trauma and the porcelain fracture.

Prevalence of Signs and Symptoms of Temporomandibular disorders with aging (연령에 따른 턱관절장애의 증상과 징후의 유병률)

  • Chang, Joo-Yeon;Kang, Soo-Kyung;Auh, Q-Schick;Hong, Jung-Pyo;Chun, Yang-Hyun
    • Journal of Oral Medicine and Pain
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    • v.37 no.3
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    • pp.183-188
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    • 2012
  • Previous studies of the relationship of TMJ signs and symptoms in elderly people have provided inconsistent findings. The objective of this study was to retrospectively analyze the prevalence of signs and symptoms of temporomandibular disorders(TMD). Additionally, young subjects were examined as a control group. Forty old patients (28 female, 12 male, mean age: $65.2{\pm}2.5$ years) and forty young patients (30 female, 10 male, mean age: $23.3{\pm}2.6$ years) clinically diagnosed with TMD were screened. Patient records were analyzed regarding: pain on chief complain, amount of range of mouth opening, TMJ noises(clicking sounds, crepitus), pain on palpation of the TMJ and masticatory muscles and neck and upper back muscles. Differences between the groups were assessed using t-test and the chi-squared test. (SPSS v.17) P value <0.05 was considered statistically significant. Geriatric subjects more often exhibited crepitus on mouth opening (25%), muscular palpation pain of masseter muscles (82.5%) and temporal muscles(60%). In contrast, young subjects more frequently exhibited joint sounds (62.5%), more amount of range of passive mouth opening (p=0.043). It was found that the younger subjects (82.5%) and the older subjects (87.5%) suffered from subjective sign (orofacial pain on chief complain). There were not statistically significant relationships between orofacial pain (VAS) and the groups. Differences between the groups with respect to joint sounds, muscular palpation pain and mandibular range of motion were significant. Although older subjects more frequently exhibited objective signs (crepitus on opening, pain on muscular palpation) of TMD, younger subjects more frequently objective signs (clicking sound on mouth opening, amount of mandibular range of motion).

Case report : Anterior Open bite after injection of Botulinum Toxin on Masseter Muscles (보툴리눔 톡신 교근 주입 후 발생한 전방 개교합 증례보고)

  • Ryu, Ji-won
    • Journal of Oral Medicine and Pain
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    • v.38 no.4
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    • pp.325-331
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    • 2013
  • Botulinum neurotoxin(BoNT) is a protease exotoxin produced from Clostridium botulinum. It works by blocking the release of acetylcholine from cholinergic nerve endings causing inactivity of muscles or glands. Recently, the therapeutic use of BoNT have expanded to include a wide range of medical and dental conditions. Botulinum neurotoxin type A(BoNT/A) is used off-label in the orofacial region to treat primary and secondary masticatory and facial muscle spasm, severe bruxism, facial tics, orofacial dyskinesias, dystonias, and hypertrophy of the masticatory muscles. Local hematoma, infection, and persistent pain in the injection site are the site-of-injection side effects. Medication-related side effects are adjacent muscle weakness, slurred speech, an alteration in the character of the saliva, and severe headaches. In most cases, these complications are not persistent and bothersome. We reported a case report of a patient who had transient anterior open bite after BoNT/A injection on masseter muscles to treat the refractory myofascial pain.

The Virtual Review System for Car Interior/Exterior Design Review (자동차 내.외관 품평을 위한 가상 디자인 품평 시스템)

  • Ghyme, Sang-Won;Shin, Seon-Hyung;Son, Wook-Ho
    • 한국HCI학회:학술대회논문집
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    • 2006.02a
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    • pp.1069-1074
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    • 2006
  • 자동차/선박/정보통신기기 등의 각종 제조 산업 분야에서 신제품 개발기간과 비용단축을 위해 제품의 설계/스타일링 단계에서 디자인 및 사용자 사용성/편이성 등에 대해 가상으로 품평하는 기술에 대한 관심이 날로 증가하고 있다. 이상적인 가상 품평 기술은 사용자가 실물에 대한 품평 상황과 동일한 체험을 얻을 수 있도록 해야 한다. 이를 위해서 품평 대상물을 사실적으로 표현할 수 있도록 하는 실사 수준의 고품질 가시화 기술과 사용자가 품평 대상물을 자연스럽게 조작할 수 있는 상호작용 기술이 필요하다. 본 연구는 자동차의 내 외관 디자인 품평을 위한 가상 디자인 품평 시스템의 개발에 관한 것으로, 사실적인 자동차 가시화를 위한 환경 반사, 빛 산란, 범프 매핑등의 고품질 쉐이더 구현 및 저작 기술, 몰입환경에서 품평 작업을 위한 3D GUI 지원, 자동차 각 부품의 사용성/편이성 평가를 위한 운동성 조작 기능, 멀티프로젝션 디스플레이 시스템 및 3 차원 인간 모델, 장갑형 입력장치 지원을 통한 몰입형 가상 품평 환경 구축에 관한 기술 및 구현 방법을 제시하고자 한다.

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Surgical Repair of Rostral Hemimandibular Fractures with Canine Tooth Luxation in a Dog (개에서 견치 탈구를 동반한 앞쪽 하악골 골절의 수술적 정복 1례)

  • Yoon, Hun-Young;Kang, Myung-Gon;Jeong, Soon-Wuk
    • Journal of Veterinary Clinics
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    • v.26 no.4
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    • pp.359-361
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    • 2009
  • A sexually intact female Alaskan Malamute, 5-year-old weighing 25.2 kg presented to the Hangang Animal Hospital, following hit-by-car. On initial presentation, the dog had severe salivation and the right canine tooth luxation. Radiographs revealed fractures of the right rostral hemimandible with the right canine tooth luxation and symphyseal separation. Surgical repair of fractures was performed by use of an interdental wiring technique and external fixation technique that included pins, an acrylic connecting bar, and polymethyl methacrylate bone cement. Post-operative radiographs revealed that bridging callus was well formed over cortices of the fracture area. Pins and an acrylic connecting bar were removed 7 weeks post-operatively. The dog exhibited evidence of normal mastication.

Bruxism의 치료 -장치를 이용한 치료법을 중심으로-

  • Lee, Gi-Su
    • The Journal of the Korean dental association
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    • v.21 no.4 s.167
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    • pp.293-297
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    • 1983
  • Bruxism이란, 일반적으로 기능이외의 목적으로 상하악 치아를 악물거나 갈음질 하는 것이라고 정의된다. 동일한 상태를 서술하는 용어로 neuralgia traumatica, Karolyi effect, occlusal habit neurosis, parafunction 등이 있으며, 수면중의 이갈음질을 bruxism, 주간의 습관성 이갈음질을 bruxomania로 구분하기로 한다. 또한 centric bruxism과 eccentric bruxism으로 분류하기도 한다. eccentric bruxism은 통상적 의미의 수면중의 bruxism이며, 하악의 측방운동중의 이갈음질이고 뽀드득하는 갈음질 소리를 냄, 저작근육의 긴장도가 증가되어 있으면서 등장성수축을 나타내고, 비중심위의(eccentric) 교합간섭이 주요 유발인자인 반면에 centric bruxism은 중심교합위에서 상하악 치아를 간헐적으로 악무는 것(clenching)은 의미하고 - 지속적으로 악무고 있는 것은 clamping이라고 함.- 주로 주간에 행하며 갈음질소리를 들을 수 없고, 역시 저자근육의 긴장도가 증가되어 있으며 등률성수축을 나타내고, 중심교합위에 근접하여 존재하는 교두간섭이 유발인자이다. bruxism이나 clenching과 부정교합의 관계는 bruxism과 clenching은 부정교합을 야기할 수 있고, 부정교합도 역시 bruxism과 clenching을 유발시키는 작용을 할 수 있는 악순환적 관계이다. 현저한 부정교합을 가지고 있는 bruxism환자의 교정치료는 그 목적이 bruxism의 치료라기보다는 오히려 부정교합의 치료이며 부차적으로 bruxism의 치료를 기대하게 된다. 그러나 bruxism이 장기간 지속되어 치아 및 그 주위조직, 악관절과 신경근계에 심한 손상을 주었을때의 교정치료는 일반적으로 제한을 받을 뿐만아니라 bruxism의 처치에는 거의 무의미한 치료가 될 수 있다. 따라서 거자는 bruxism 환자의 교정치료라는 제목의 원고 청탁을 받았으나 편집위원의 양해아래 장치를 이용한 bruxism의 치료에 관하여 서술하려 한다.

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