• 제목/요약/키워드: TMJ Device

검색결과 26건 처리시간 0.026초

스테레오 카메라를 이용한 측두하악관절 교정장치(NO SICK)의 성능 평가 (Evaluation of orthodontics for treating temporo-mandibular joint disorders using a stereo camera)

  • 윤홍일;박준수;정구영;신기영;박준기
    • 한국정보전자통신기술학회논문지
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    • 제8권5호
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    • pp.359-366
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    • 2015
  • 카이로프래틱 치료에서 측두하악관절(TMJ)는 인체의 균형을 유지하는데 중요한 역할을 하는 관절로서 구강내 교정장치를 통해 인체의 균형을 교정할 수 있게 된다. 현재 이러한 구강내 교정장치의 효과를 스테레오비전을 이용하여 정량적으로 평가할 수 있는 측정 장치가 없었기 때문에 본 연구에서는 이를 측정 할 수 있는 시스템을 개발하였다. 이 시스템은 스테레오 비전과 적외선 조명, 적외선 통과 필터 등으로 구성되어 있으며, 광학식 마커를 피험자의 주요 부위에 부착하여야 한다. 마커의 부착위치는 얼굴의 주요 랜드 마커 중 구강내 교정장치의 착용으로 인해 변화가 나타날 수 있는 8개의 부위를 선택하였다. 개발된 시스템을 이용하여 11명의 피험자를 대상으로 교정장치 착용 전/후 마커의 변화량을 측정하였을 때, 피험자의 얼굴에 부착된 마커의 위치 변화가 정량적으로 측정되었다.

Anterior Open Bite with Temporomandibular Joint Osteoarthritis Treated with Skeletal Anchorage Device: A Case Report

  • Seo-Rin Jeong;So-Yoon Lee;Sung-Hoon Lim;Hye-Min Kim;Shin-Gu Kang;Hyun-Jeong Park
    • Journal of Oral Medicine and Pain
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    • 제48권3호
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    • pp.123-130
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    • 2023
  • This case report describes the orthodontic treatment of a patient with severe anterior open bite and skeletal class II malocclusion with temporomandibular joint (TMJ) osteoarthritis (OA) of the left condyle. The 21-year-old male patient had open-bite malocclusion, mild crowding, and protrusion of the anterior teeth. Mild erosive changes were detected in the anterior part of the left mandibular condyle on cone-beam computed tomography; however, because no clinical symptoms were present, orthodontic treatment was performed. It is imperative to consider the potential implications of orthodontic treatment on the stability of the TMJ throughout the duration of treatment, as any instability can exacerbate TMJ OA. Hence, it is crucial to opt for the least invasive treatment modality available. In this regard, orthodontic treatment using a skeletal anchorage system as an alternative to conventional orthognathic surgery for patients with open bite holds great promise, as it not only ensures mandibular stability but also significantly ameliorates the open-bite condition.

측두하악장애 재발환자의 임상양태에 관한 연구 (Clinical Features of the Recurred Patients with Temporomandibular Disorders)

  • 고명연;박준상
    • Journal of Oral Medicine and Pain
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    • 제23권4호
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    • pp.369-377
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    • 1998
  • A patient with TMJ osteoarthritis and anterior open bite was treated with an intermaxillary traction device. Pretreatment examination revelaed a pain in both TMJ during mouth opening, moderate tendernesso f left sternocleidomastoid and right trapezius muscles. Anterior open Bite was aobserved with interincisal distance of 2mm. Tomograms and MRI showed anterior disc displacement withouit reductoin of both temporomandibular joints, and the condyles were flattened and slightly eroded. A pair of full-coverage occlusal appliances was made on both maxillary and mandibular dentition, with pivoting fulcrum on the site of the second moalr. Traction force was gained by the intermaxillary orthodontic elastics which were hooked by orthodontic brackets on the labial surfaces of the upper and lower anterior and premolar teeth. After 8 weeks of traction treatment, the joint pain was subsided completely and the anterior open bite was closed to get an edge to edge relationship of anterior teeth.

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교근의 휴지기 측정기기에 관한 연구 (A STUDY ON THE SLIENT PERIOD MEASURING DEVICE OF MASSETER MUSCLE)

  • 김성환;한현배;서활
    • 대한치과의사협회지
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    • 제22권12호통권187호
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    • pp.1075-1082
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    • 1984
  • 교근에 대한 휴지기 측정은 치과질환의 하나인 TMJ증후군의 진단에 매우 유용한 방법이다. 본 연구에서는 마이크로 프로세서를 이용하여 휴지기를 측정함에 있어서 환자의 근신호에 따른 이득조정이 필요없고 실행시간도 빠르며 가격이 저렴하고 사용이 매우 편리한 치과용 의료장비를 설계하였다.

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코골이와 수면무호흡증의 구강내 장치 치료 (Treatment of Snoring and Obstructive Apnea with Oral Appliance)

  • 태일호
    • 대한치과의사협회지
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    • 제53권4호
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    • pp.259-265
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    • 2015
  • Recently, oral appliances for treating snoring and obstructive sleep apnea are widely used. Among various appliances, mandibular advancement devices are most effective without serious side effects. Advancement of mandible keep airway open and decrease snoring and/or obstructive apnea events. They can be used as stand-alone therapy or an adjunct to continuous positive air pressure for lowering air pressure. Oral appliances should be applied by dentists who have knowledges and experiences on occlusion and temporomandibular disorders and manage of side effects.

압축력을 병용한 하악골 신장술 (MANDIBULAR DISTRACTION OSTEOGENESIS WITH COMPRESSION FORCE - BONE DENSITY, HISTOLOGICAL FINDINGS AND TMJ RESPONSE)

  • 황영섭;허준;김욱규;박성진;황대석;김용덕;정인교;김규천
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제28권6호
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    • pp.531-548
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    • 2006
  • The purpose of this study was to investigate the biomechanical, histologic findings of distracted regenerate and TMJ response in modified distraction osteogenesis (DO) technique combined with compression force as biomechanical stimulation method which has been suggested in 2002, and developed thereafter by authors. This study was performed with two experiments. First experiment was designed to explore the optimal ratio of compression force versus distraction force for the new DO technique. Second experiment was planned to evaluate the reaction of TMJ tissue, especially condyle, disc after application of the DO technique with compression force. Total 52 New Zealand adult male-rabbits with 3.0kg body weight were used for the study. For the first study, 30 adult male-rabbits underwent osteotomy at one side of mandibular body and a external distraction device was applied on each rabbit with same manner. In the control group of 10 rabbits, final 8 mm of distraction with 1 mm rate per day was done with conventional DO technique after 5 latency days. For the experimental group of 20 rabbits, a compression force with 1 mm rate per day was added to the distracted mandible on 3-latency day after over-distraction (over-lengthening). As the amount of the rate of compression versus distraction, experimental subgroup I (10 rabbits) was set up as 2 mm compression versus 10 mm distraction (1/5) and experimental subgroup II (10 rabbits) was set up as 3 mm compression versus 11 mm distraction (about 1/3). All 30 rabbits were set up to obtain final 8 mm distraction and sacrificed on postoperative 55 day to analysis on biomechanical, and histologic findings of the bone regenerates. For second study, 22 adult male-rabbits were used to evaluate TMJ response after the DO method application with compression force. In the control group, 10 rabbits was used to be performed with conventional DO method, on the other hand, in a experimental group of 10 rabbits, 10 mm distraction with 2 mm compression (1/5 ratio) was done. The remaining 2 rabbits served as the normal control group. Histomorphologic examinations on both condyle, histological studies on condyle, disc were done at 1, 2, 3, 4, 7 weeks after distraction force application. The results were as follows: 1. On the bone density findings, the experimental group II (force ratio - 1/3) showed higher bone density than the other experimental group (force ratio - 1/5) and control group (control group - $0,2906\;g/cm^2$, experimental group I - $0.2961\;g/cm^2$, experimental group II - $0.3328\;g/cm^2$). 2. In the histologic findings, more rapid bone maturation like as wide lamellar bone site, more trabeculae formation was observed in two experimental groups compared to the conventional DO control group. 3. In morphologic findings of condyle, there were no differences of size and architecture in the condyle in the control and experimental groups. 4. In histologic findings of condyles, there were thicker fiberous and proliferative layers in experimental group than those of control group until 2 weeks after distraction with compression force. But, no differences were seen between two groups on 3, 4, 7 weeks after compression. 5. In histologic findings of disc, more collagen contents in extracellular matrix, more regular fiber bundles, and less elastin fibers were seen in experimental group than control group until 2 weeks after distraction with compression. But, no differences were seen between two groups on 3, 4, 7 weeks after distraction with compression. From this study, we could identify that the new distraction osteogenesis technique with compression stimulation might improve the quality of bone regeneration. The no remarkable differences on TMJ response between control and experimental groups were seen and TMJ tissues were recovered similarly to normal TMJ condition after 3 weeks.

악관절의 규격화 촬영에 관한 연구 (THE STUDIES ON STANDARDIZED PROJECTION FOR TEMPOROMANDIBULAR JOINT)

  • 박태원
    • 치과방사선
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    • 제12권1호
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    • pp.63-67
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    • 1982
  • The author modified the Aquard 100 head holder device from Denar Co. to be adequate to the Koreans and to enhance the standardization and reproducibility of the temporomandibular joint radiographs. The results were obtained as follows; 1. The projected central ray was at an angle of 25 degrees. 2. Standardization of patients head position was obtained by means of vertical and horizontal bar which were attached to the head holder. 3. Arbitrary 3 points (A.B.C.) which were on the TMJ area of dry skull were measured for the identification of reproducibility. 4. Measured distances in dry skull were as follow; A-B, 28.0±0.25, B-C 11.9±0.25 and C-A 30.4±0.21, in closed position.

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급성 비정복성 관절원판 변위에 따른 급성 교합변화의 증례 (Acute Occlusal Change Following Acute Anterior Disc Displacement without Reduction: A Case Report)

  • 정재광;허윤경;최재갑
    • Journal of Oral Medicine and Pain
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    • 제37권4호
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    • pp.205-211
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    • 2012
  • 35세 여자환자가 갑작스런 개구장애와 함께 발생한 급성 교합변화를 주소로 내원하였다. 환자는 이전 수년 동안의 관절잡음의 병력을 가지고 있었으며 관절잡음의 소실과 동시에 개구제한이 발생하였음을 보고하였다. 환자는 개구제한과 함께 개구시 우측 악관절의 통증을 호소하였으며 구강내 교합 검사 시 전치부의 개교합과 함께 하악이 우측으로 전위된 양상이 관찰되었다. 또한 좌측으로의 측방운동량 또한 감소된 것으로 관찰되었다. 자기공명영상에서 우측 악관절에서 비정복성 관절 원판 전방 변위가 관찰되었으며 후방 관절강의 협착이 관찰되었다. 이 환자는 우측 악관절의 비정복성 관절원판 전방변위로 진단되었으며, 급성 교합변화는 변위된 관절원판에 의해 야기된 과두위치의 변화로 초래된 것으로 추정하였다. 처음 3개월간의 물리치료와 약물치료와 병행된 안정교합장치요법에서는 만족할 만한 치료결과를 얻지 못하였으나, 그 다음 약 8개월간 사용된 악간견인장치 치료를 통해서 통증 및 교합변화가 해소되었으며 정상적인 개구량으로 회복되었다. 술후 촬영된 자기공명영상에서 우측 과두가 재형성된 양상을 관찰할 수 있었다.

폐쇄성수면무호흡증 환자의 하악전방이동장치 적용에 있어서 전방이동량이 미치는 영향 (The Influence of the Amount of Mandibular Advancement in the Application of Mandibular Advancement Device for Obstructive Sleep Apnea Patients)

  • 김영균;윤인영;김정훈;이철희;윤필영
    • 수면정신생리
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    • 제18권1호
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    • pp.29-34
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    • 2011
  • 목 적: 본 연구의 목적은 폐쇄성수면무호흡증으로 하악 전방이동장치 치료를 시행한 환자들에게 하악전방이동장치의 유용성을 확인하고, 하악전방이동창치 치료시 하악의 전방이동량이 미치는 영향을 평가하고자 하였다. 방 법: 2007년 1월부터 2009년 2월까지 코골이 및 수면무호흡을 주소로 분당서울대학교병원에 내원하여 야간수면다원검사를 통해 폐쇄성수면무호흡증으로 진단받은 환자 중에서, 치료법으로 하악전방이동장치를 선택한 총 86명의 환자를 후향적으로 평가하였다. 임상기록과 수면다원검사를 포함한 모든 환자의 자료를 검토 및 분석하였다. 결 과: 총 86명의 환자 중 65명(75.6%)에게서 성공적인 결과를 얻었다. 경과관찰 기간 중에 28명의 환자에게서 경미한 전치부와 턱관절의 불편감이 보고되었으며, 특히 하악의 전방이동량에 따른 불편감은 7.0 mm 이상의 환자에게서 두드러지게 보고되었다. 하악의 전방이동량과 임상 결과와는 직접적인 관련은 없었다. 결 론: 중증도와 상관없이 하악전방이동장치는 폐쇄성 수면무호흡증 환자의 효과적인 치료방법의 하나로 선택될 수 있다. 잠재적인 치과적인 부작용을 방지하기 위하여 하악전방이동장치의 치료시에 하악의 전방이동량을 우선적으로 고려하여야 할 것이다.

악관절 흡수양상을 보이는 성인 하악 후퇴증 환자에서 양측 하악골 골신장술을 이용한 하악 전진술 (MANDIBULAR ADVANCEMENT WITH DISTRACTION OSTEOGENESIS FOR ADULT CLASS II MALOCCLUSION PATIENT WITH CONDYLAR RESORPTION)

  • 팽준영;이상우;이진용;명훈;황순정;서병무;최진영;이종호;정필훈;김명진
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제29권3호
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    • pp.217-226
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    • 2007
  • Purpose: Distraction osteogenesis is considered to take favorable effect on the TMJ and be beneficial to prevent the relapse after the mandibular advancement of Class II malocclusion patient. This is the report with literature review on the mandibular advancement in the patients showing preoperative condylar resorption and who need larger amount of advancement. Patients and method: Distraction osteogenesis using intraoral device was performed for three mandibular hypoplasia patients (one male and two females). All patients were adult over 18 years old. The patients showed condylar bony resorption preoperatively. The distraction was performed intraorally with modified SSRO. After 7 days of latency period, activation was performed at the rate of 1.0 mm/day with twice turn. The devices were removed after 4-8 month consolidation period. Results: Total advancement of mandible was average 13 mm. One patient showed openbite immediately after removal of distraction device. It took long time to guide the openbite with elastics. The comparison between cephalometries immediately after device removal and postoperative six month revealed average 3.4 mm relapse. This means that mandibular advancement with distraction osteogenesis needs overcorrection and elastic rehabilitation even after enough consolidation periods. Conclusion: Larger amount of mandibular advancement could be achieved with distraction osteogenesis in severe mandibular hypoplasia with condylar resorption. However, some relapse was found during the follow-up period and the over correction is considered to be needed. The effect of distraction osteogenesis seems to be investigated with long-term follow-up.