• Title/Summary/Keyword: 턱관절 증상

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Effect of supportive periodontal treatment in the oral lichen planus patients (구강편평태선 환자에서 보조적 치주치료의 효과)

  • Kwon, Eun-Young;Choi, Jeomil;Lee, Ju-Youn
    • Journal of Dental Rehabilitation and Applied Science
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    • v.31 no.2
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    • pp.134-142
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    • 2015
  • Lichen planus is an immune-mediated mucocutaneous disease, affects more frequently middle-aged Caucasian women and makes signs and symptoms in the oral mucosa. Cutaneous lichen planus lesions cause itching but they are self-limiting, oral lichen planus lesions are usually chronic, recalcitrant to treatment and potentially premalignant in some cases. Although, oral lichen planus is non-plaque related disease, they possess particular problems because plaque control is complicated by pain and bleeding and might cause plaque-related disease. The resulting condition comprises accumulations of plaque, which again can influence the progress of oral lichen planus with burning sensation, spontaneous gingival bleeding. Thus, it should be noted that both medication and supportive periodontal treatment are essential for the remission of the lesions. This case report introduces topical corticosteroid therapy and supportive periodontal treatment including intensive oral hygiene procedures to obtain an improvement of subjective symptoms and objective changes and to prevent relapse the lesions.

A literature review on burning mouth syndrome (구강작열감 증후군에 대한 논문 고찰)

  • Choi, Sung-Hyeon;Lee, Bin-Na;Lim, Hae-Soon;Oh, Won-Mann;Kim, Jae-Hyung
    • Journal of Dental Rehabilitation and Applied Science
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    • v.35 no.3
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    • pp.123-131
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    • 2019
  • Burning mouth syndrome (BMS) is defined as the xerostomia, burning sensation and various discomfort of tongue and oral mucosa. BMS can occur in both men and women, but is more frequent in middle-aged menopausal women. Because exact cause can't be identified clearly and it is hard to make diagnosis in clinic, the purpose of the treatment have been to relieve symptoms. Etiology of BMS is divided into local, systemic, and psychological factors. ${\alpha}$-lipoic acid, clonazepam, supplemental therapy and cognitive behavior therapy can be prescribed for BMS. Nowdays, many experts focus attention on effect of combination therapy. It is necessary to solve the symptoms of the patients by combination of pharmacological approach and psychotherapy with cognitive behavior therapy considering the factors in various aspects.

Study for discriminating method of origin side vibration from non-symptomatic clicking group (단순악관절 잡음군에서 좌/우 진동 감별방법 연구)

  • Jung, Da-Un;Kang, Dong-Wan
    • Journal of Dental Rehabilitation and Applied Science
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    • v.32 no.1
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    • pp.38-46
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    • 2016
  • Purpose: study for discriminating method of origin side vibration from non-symptomatic clicking group. Materials and Methods: 60 joints vibrations of 30 subjects in non-symptomatic clicking group was recorded via subject's awareness, examiner's palpation and JVA analysis. Origin side vibration was discriminated with consideration for frequency spectrum, time delay and phase shift of waveforms, analysis of numeric values. Results: There were all unilateral vibrations with JVA analysis and number of origin vibrations were 42. 11 pairs of vibrations showed time delay and phase shift and transferred side vibrations showed smaller values of total integral and bigger values of > 300 / < 300 ratio than origin side vibrations except one pair of vibrations. Also as the ipsi-lateral joint vibrations with smaller values of total integral showed bigger values of > 300 / < 300 ratio than the contra-lateral joint vibrations and there all ipsi-lateral vibrations were showed small values of total integral below 10 and hard to detect time delay and phase shift. So the features were used in discrimination of origin side vibrations. Conclusion: There should be all-around considerations for discrimination of origin side vibrations that is frequency spectrum, phase shift and time delay and analysis of numeric values.

Dental Occlusion and Relationship to TMD and Systemic Symptoms (II) - Craniosacral Mechanism, Osteopathy - (교합이 악구강계 및 전신에 미치는 영향 (II) - 두개-천골요법과 정골요법을 중심으로 -)

  • Bae, Hanna Eun-Kyung;Choi, Byeong-Gap;Kim, Eun-Seok;Park, Eun-Jin
    • Journal of Dental Rehabilitation and Applied Science
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    • v.26 no.1
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    • pp.13-20
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    • 2010
  • This is the following report of the previous summary report 'Dental occlusion and relationship to TMD and systemic symptoms(I).' Among 5 representative theories about dental occlusion, stomatognathic system, and related systemic symptoms, this article will introduce two of them. Which are (1) Craniosacral mechanism and (2)Osteopathy. Brief history, definition, basic concepts, and the limitation of each theory are reviewed.

Non Hodgkin lymphoma in the maxillary sinus mimicking dental abscess: a case report (치성 농양과 유사한 상악동에 발생한 비호지킨 림프종의 증례 보고)

  • Song, Ji-Young
    • Journal of Dental Rehabilitation and Applied Science
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    • v.32 no.2
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    • pp.130-134
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    • 2016
  • Malignant lymphomas are neoplasms with diffuse proliferation of neoplastic lymphocytes and their precursor cells. Diffuse large B-cell lymphoma, which is a subtype of non-Hodgkin's lymphomas, rarely occurs in the head and neck area and is especially rare in the maxillary sinus. We report a case of a 76-year-old female patient who was referred to the oral and maxillofacial surgery office for evaluation of a dental abscess as a clinical diagnosis. Laboratory tests revealed no signs of inflammation or infection; therefore, incisional biopsy was performed. The final diagnosis was diffuse large B-cell lymphoma in the maxillary sinus. Here we describe this case with a review of relevant literature.

Dental Occlusion and Relationship to TMD and Systemic Symptoms (III) -Chirodontics, Dental Distress Syndrome(DDS), Quadrant Theorem- (교합이 악구강계 및 전신에 미치는 영향 (III) -카이로돈틱과 치아 스트레스 원인 증후군 및 Quadrant Theorem을 중심으로-)

  • Park, Eun-Jin;Choi, Byeong-Gap;Bae, Hanna Eun-Kyong
    • Journal of Dental Rehabilitation and Applied Science
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    • v.26 no.2
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    • pp.89-95
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    • 2010
  • This is the third series of article on dental occlusion and relationship to TMD and systemic symptoms. In this part of the series, it will overview the theory, treatment methods, criteria, their limitation of Chirodontics, Dental Distress Syndrome (DDS) and quadrant theorem(QT). Chirodontics has its root on Chiropractic and to maintain the 'healthy status' of TMJ with stable occlusion via dental treatment. Dental distress syndrome on the other hand believes that all the TMD has originated from reduced or collapse of posterior support and incorrect posterior vertical support had caused imbalance of the head and neck structure which eventually affect the whole body symptoms. The analysis and treatment is planned using quadrant theorem where the position of head, rotatory pivot point and occlusal plane is analyzed.

Prevalence of Temporomandibular Joint Dysfunction and Malocclusion in 10 - 12 year Old Children (10-12세 아동의 측두하악장애와 부정교합의 유병율에 관한 연구)

  • Lee, Nam-Ki;Choi, Dong-Soon;Lee, Hye-Mi;Cha, Bong-Kuen
    • Journal of Dental Rehabilitation and Applied Science
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    • v.24 no.1
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    • pp.29-40
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    • 2008
  • The purpose of this study was to evaluate the prevalence of symptoms and signs of temporomandibular joint dysfunction (TMD) and malocclusion in 10-12 year old children and to determine if a relationship exists between symptoms and signs of TMD and malocclusion. The subjects were composed of 465 school children (233 boys and 232 girls). Each subject was evaluated with simplified questionnaire and clinical examination to measure symptoms and signs of TMD and malocclusion. The results showed an elevated prevalence of headache (34.6%), which were more frequent in girls than boys. The most common cardinal sign of TMD was clicking (32.9%), which increased with age. TMJ lateral tenderness was present in 18.1% of the subjects and had a tendency to increase with age. Masseter muscle tenderness was found to be sensitive in 15.1%of the subjects and had a tendency to increase with age. Restriction of mandibular mobilitywas present in 30.3% of the subjects and had a tendency to increase with age. There was no significant difference in the prevalence of TMD signs between sex. The occlusal status showed Class I malocclusion in 73.3%, Class III in 12.9%,Class II division 1 in 11%, Class II division 2 in 2.8%. There was no significant difference in malocclusion traits between sex. There was statistically significant relationship between TMD signs and symptoms and class II division 1 and Class III malocclusion(p<0.05). The results indicate that the prevalence of TMD symptoms and signs in children is high, and the evaluation of TMD in children seems to be important.

Dental Occlusion and Relationship to TMD and Systemic Symptoms (I) (교합이 악구강계 및 전신에 미치는 영향 (I))

  • Bae, Hanna Eun-Kyung;Choi, Byeong-Gap;Kim, Seong-Taek;Kim, Eun-Seok;Park, Eun-Jin
    • Journal of Dental Rehabilitation and Applied Science
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    • v.25 no.4
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    • pp.307-317
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    • 2009
  • A growing interest in management and treatment for patients with temporomandibular disorder(TMD) by many health workers, including oriental medicine doctors, physical therapists as well as dentists, have been noted in South Korea. Some of these health workers claim correlation between dental occlusion, TMD, and systemic symptoms such as tinnitus, dizziness, neck pain, myalgia, low back pain, posture and many other systemic symptoms and many controversial treatments are being carried out on bases of theories and reasons with no strong scientific evidence. This article is a result of preliminary study by authors in gathering scientific data on few of these various treatment modalities for TMD using MEDLINE data, internet and tutorials given by those who are using these TMD treatment methods. The modalities that had been searched are as follows; (1) Craniosacral mechanism (2) Osteopathy (3) Myodontics (4) Chirodontics (5) Dental Distress Syndrome and Quadrant Theorem. An outline of those theories will be introduced, and the contents in detail for respective theory will be reported in the following articles.

Orthognathic surgery on Skeletal Class III patiens with collapsed vertical dimension: case report (수직고경이 붕괴된 골격성 III급 부정교합자의 악교정 수술 치험례)

  • Choi, Youn-Kyung;Kim, Yong-Deok;Park, Soo-Byung;Kim, Yong-Il;Kim, Seong-Sik;Son, Woo-Sung
    • Journal of Dental Rehabilitation and Applied Science
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    • v.32 no.1
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    • pp.70-79
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    • 2016
  • Patients who lost posterior teeth due to periodontitis or dental caries have collapsed vertical dimension, unstable occlusion and change of the mandibular position. In particular, patients in orthognathic surgery, clinician should re-establish the pre-operative stable position of mandibular condyle in articular fossa and favorable vertical dimension for high post-operative stability of mandible. Therefore, interdisciplinary approach and co-operation, including prosthetics, orthodontics, oral and maxillofacial surgeon, from diagnosis and treatment plan is important to get a good outcome. This case report was patients who had collapsed occlusal plane due to severe dental caries on maxillary molars with skeletal Class III malocclusion. Before orthognathic surgery, resetting of maxillary occlusal plane with temporary removable denture was performed. Then successful multidisciplinary approach was done and lead to acceptable clinical outcome.

Orthodontic upright treatment for mesioangular impacted lower second molar (근심경사 매복된 하악 제2대구치의 직립 치료)

  • Choi, Baekgue;Jeong, Dongkee;Lim, Sunghoon;Gang, Sungnam
    • Journal of Dental Rehabilitation and Applied Science
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    • v.33 no.1
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    • pp.25-33
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    • 2017
  • The lower $2^{nd}$ molar eruption is beginning to mesiolingually, then rotate to distobuccally so it has a tendency to be tilted and impacted mesially. Signs and symptoms of impacted $2^{nd}$ molar are similar to impacted $3^{rd}$ molar's. However, treatment plan for impacted $2^{nd}$ molar is different from that of impacted $3^{rd}$'s. The former is the preservation and uprighting of $2^{nd}$ molar so that it could act to recovery of mastication, symmetrical facial growth, maintaining the symmetry of dental arch, stable occlusion, while the latter is the extraction of tooth. If the uprighting treatment is planned, most proper protocol of treatment and the additional treatment opition should be applied with consideration for it's crown exposure, present of $3^{rd}$ molar which interrupt the uprighting process, extrusion of opposite tooth. Although it could not improve the esthetic result, it could prevent many dental problems. Therefore, uprighting for impacted lower $2^{nd}$ molar is meaningful treatment.