• 구강회복응용과학지
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• 제17권4호
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• pp.231-244
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• 2001

This study was conducted to observe the effect on appendage muscle strength according to increase in occlusal vertical dimension. For this study, ten males with a mean age of 21 were selected. The subjects had a complete or almost complete set of natural teeth and reported no subjected symptoms of pain or dysfunction in the masticatory system. The tested occlusal splints were made at the position of increased occlusal vertical dimension of 2mm, 3.5mm, and 5mm from the ICP. Before and after wearing occlusal splints, the appendage muscle strength were tested by CybexII Dynamometer in each subject. The results were as follows : 1. When occlusal vertical dimension was increased, most of mean muscular strength values were increased except for those of supination and pronation of forearm at the position of 5mm increased occlusal vertical dimension. 2. The statistical analyses demonstrated that the increased occlusal vertical dimension position to be significantly stronger than intercuspal position for the muscle strength of the flexion and extension of hip, supination of forearm, external and internal rotation of knee, dorsiflexion and plantarflexion of ankle (p<0.05). 3. At the position of 3.5mm increased vertical dimension displayed the highest mean muscluar strength value than other positions. 4. Statistically demonstrated values, except for supination of forearm, internal rotation of shoulder, were related to lower appendage. Therefore splint was more effective on lower appendage than upper appendage to make muscle strength increased. 5. The mean increased rate of muscular strength tested on knee(57%), ankle(42%), and wrist(20%) were higher than hip(31%), elbow(14%), and shoulder(17%).

• Journal of Korean Dental Science
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• 제11권1호
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• pp.21-31
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• 2018

Occlusion may change spontaneously but dental treatment or trauma in the patients with temporomandibular disorders (TMDs) may also alter occlusion. This report presents three cases displaying occlusal changes. Review of literature emphasizes the significance of TMD treatment. Conservative treatment modalities such as counseling, medication, physical therapy and splint therapy may be selected as initial treatment options. Irreversible or invasive treatment, such as orthodontic, prosthodontic, and occlusal adjustment should not be attempted early. In case there is no response to conservative treatment, joint injection, muscle injection, arthrocentesis or arthroscopic surgery might be performed.

• 대한치과의사협회지
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• 제25권10호통권221호
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• pp.927-930
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• 1987

하기 내용은 네델란드 Amsterdam치대의 Hansson교수와 스웨덴 Karolinska의 Riise교수의 ‘악관절 기능장애환자의 진단 및 처치’에 관한 course work의 내용중 일부이며 최근에 유럽제국에서는 시술이 간편하여 임상가에게 널리 이용되는 방법중에 하나이다. 현금에는 TMJ를 전공하는 학자들도 그 분야의 광범위성에 비추어 전공을 세분화하는 경향이 있어 Dr. Hansson은 splint therapy에 의한 muscle activity를 Dr. Riise는 occlusal adjustment를 주로 연구하고 있다.

• Journal of Oral Medicine and Pain
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• 제30권2호
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• pp.247-255
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• 2005

본 연구의 목적은 교근에 보툴리눔 A형 독소주사량에 따른 교근위축 효과의 차이와, 교합안정장치의 동반치료시 교근위축의 증감의 관련성이 있는지, 부가적으로 주사부위로부터 어느정도 부위까지 근육위축의 효과가 나타날 수 있는지 전산화 단층촬영을 이용하여 평가하는데 있다. 자원자 32명을 8명씩 25 U, 25 U와 교합안정장치 장착, 35 U, 35 U와 교합안정장치 장착 군으로 나누어 보툴리눔 A형 독소주사량 차이와 교합안정장치 동반시의 교근위축효과 차이를 전산화 단층촬영을 이용하여 1, 2, 3 position의 3부위에서 측정, 평가한 결과 다음과 같은 결론을 얻었다. 1. 25 U 군에서 3 position 우측 두께감소, 25 U와 교합안정장치 군에서 3 position 우측 두께감소, 35 U 군에서 3 position 우측 두께감소와 좌측 면적감소를 제외하고 모든 부위에서 근육위축효과가 나타났으며 35 U와 교합안정장치 군에서는 모든 부위에서 근육위축효과가 유의성 있게 나타났다. (P < 0.05) 2. 보툴리눔 독소주사량 차이(25 U와 35 U)에 따른 근육 두께와 면적의 감소효과 차이는 나타나지 않았다. (P > 0.05) 3. 교합안정장치를 장착했을 때 근육두께 감소효과가 증가하는 것으로 나타났다. (P <0.05) 이상의 결과를 종합해 볼 때 교근비대 치료에 있어서, 보툴리눔 독소주사 이용시 교합안정장치의 동반치료가 보다 높은 근육위축 효과를 보이기에 이를 임상적으로 적용할 가치가 높다고 사료된다.

• 구강회복응용과학지
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• 제17권3호
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• pp.157-161
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• 2001

• 대한치과보철학회:학술대회논문집
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• 대한치과보철학회 1995년도 추계학술대회
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• pp.103-103
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• 1995

• 대한치과의사협회지
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• 제29권9호통권268호
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• pp.695-703
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• 1991

• 대한치과의사협회지
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• 제42권8호통권423호
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• pp.539-545
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• 2004

• Maxillofacial Plastic and Reconstructive Surgery
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• 제15권2호
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• pp.113-122
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• 1993

In recent years the relationship between occlusal stability, mandibular position and temporomandibular joint function has been greatly emphasized. Anterior repositiong splint has been used for the purpose of correcting a disk-condyle in coordination, so we have usually wed it in ease of the click of the temporpmandibular joint. We have used anterior repositioning splint in 28 patients who have chief-complain of click in symptoms of the temporomandibular joint arthrosis. At the patients who had long-lasting symptom and sign, late click or degenerative change of the temporomandibular joint, the anterior repositioning splint had less effect on than we had expected. So we are now to report that we must pay attention to use of anterior repositioning spint.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제27권2호
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• pp.188-195
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• 2005

After making the surgical treatment plan, the surgical movements are duplicated in the model surgery. During this procedure, reference points and lines are drawn on the base of the models over the dental arch, and sawcuts are made according to these marked osteotomy lines. This method requires more accuracy for better postsurgical results in that the surgical splint which enables the surgeon to position the jaws intraoperatively is made from the casts as repositioned by the model surgery, and finally it will define the postsurgical results. This technique, however, has been found to be inexact, especially when the jaws are moved in several dimensions simultaneously. To overcome this, different methods have been developed for an accurate repositioning of the jaws as planned. A new appliance, Surgical Jaw Relator, was devised by the author for the simple 3-dimensional relocation of the upper and lower models, resulting in the easy construction of the splints such as centric relation splint, intermediate and final splint. This article describes an introduction and a clinical application of this appliance.