• 대한치과보철학회지
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• 제29권1호
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• pp.265-279
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• 1991

This study was performed to diagnose the existence and the degree of TMJ dysfunction using Pantronic-PRI and to investgate the degreeof dysfunction under treatment and to evaluate the period until dysfunction were disappeikared. For this study, 12 patients who had visited at the TMJ Clinic of Dankook University were investgated with Pan-PRI. 8 exper imental group patients were treated with occlusal splint therapy and 4 control group patients were not altered of occlusion during this study. The results were as follows. 1. Occlusal splint therapy was effective on treatment of TMJ dysfunction. 2. in the slight dysfunction group, dysfunction was disappeared after 4-5 weeks since occlusal splint therapy was started. 3. Pan-PRI is useful to evaluate the existence of TMJ dysfunction, the degree of dysfunction results of treatment with occlusal splint therapy and to decide other occlusal treatment modalies.

• Imaging Science in Dentistry
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• 제48권1호
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• pp.1-9
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• 2018

Purpose: To evaluate osseous changes of temporomandibular joint (TMJ) in patients with rheumatoid arthritis (RA) using cone-beam computed tomography (CBCT) and to correlate the imaging findings with the severity of TMJ dysfunction, clinical findings, and laboratory findings. Materials and Methods: This study consisted of 28 subjects, including 14 RA patients and 14 controls, who were scheduled to undergo CBCT imaging for the diagnosis of a complaint not related to or affecting the TMJ. The Fonseca's questionnaire was used to assess the severity of TMJ dysfunction. Rheumatoid factor (RF) and the erythrocyte sedimentation rate (ESR) were assessed in the RA patients. CBCT was then performed in all subjects and osseous TMJ abnormalities were assessed. Results: According to the Fonseca's questionnaire, 14.3% of the patients had no TMJ dysfunction, while 50%, 21.4%, and 14.3% had mild, moderate, and severe dysfunction, respectively. RF was positive in 64.3% of patients, and the ESR level was high in 100%. Imaging findings revealed a statistically significantly higher prevalence of erosion (85.7%), flattening (89.3%), osteophyte formation (32.1%), subchondral cyst (32.1%), sclerosis (64.3%), and condylar irregularities (28.6%) in the RA patients than in the controls. No correlations were found between CBCT findings and the clinical findings, the severity of TMJ dysfunction, disease duration, or laboratory results. Conclusion: RA patients might show extensive osseous abnormalities with no/mild clinical signs or symptoms of TMJ dysfunction that necessitate TMJ imaging for these patients. CBCT is a valuable and efficient modality that can assess osseous TMJ changes in RA patients.

• Journal of Oral Medicine and Pain
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• 제10권1호
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• pp.63-71
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• 1985

A kinematical study of bite force during voluntary isometric contraction was investigated in 20 Korean men with TMJ dysfunction and 30 Korean men as normal subject, ranging from 20 to 27 years old. The author observed maximum bite force, slope of bite force graph, curve index and duration of maximum bite force with the use of the foil strain gauge (MPM-3000) and RS Dymograph (Beckman). The obtained results were as follows : 1. Maximum bite forces were 29kg and 29kg for left and right side of normal subject (p>0.05) and 19kg and 29kg for affected and non-affected side of TMJ dysfunction patient. 2. The slopes of bite force graph were $68^{\circ}$ and $68^{\circ}$ for left and right side of normal subject (p>0.05) and $59^{\circ}$ and $71^{\circ}$ for affected and non-affected side of TMJ dysfunction patient. (p<0.01) 3. The curve indices were 0.93 and 0.90 for left and right side of normal subject and 1.10 and 0.90 for affected and non-affected side of TMJ dysfunction patient. (p>0.05) 4. The durations of maximum bite force were 424 msec and 413 msec for left and right side of normal subject and 337 msec and 334 msec for affected and non-affected side of TMJ dysfunction patient. (p>0.05)

• Journal of Oral Medicine and Pain
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• 제11권1호
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• pp.45-56
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• 1986

악관절 기능장애의 증상들 및 징후들 중의 하나인 하악운동의 부조화를 Pantongraphic Reproducibility Index(PRI)에 의하여 정량적으로 평가할 수 있는 Pantography 가 개발된 이래 많은 연구가 보고 되었으나 국내에서는 PRI에 대한 연구가 미비한 편이며, 특히 Pantronic PRI에 관한 연구는 전무하였다. 이에 저자는 선정기준에 적합한 서울대학교 치과대학에 재학중인 4학년 남학생 20명을 대상으로 Pantronic(Denar Corp., Anacheim, Calif.)을 사용하여 하악 한계운동의 재현도를 나타내는 Pantronic PRI를 측정하여 분석한 결과 다음과 같은 결론을 얻었다. 1. 20명의 피검자들의 Kelkimo의 임상적 기능장애 지수에 의해 Di0 군과 DiI군으로 분류되었으며, 이들 중 45%가 악관절 기능장애를 가지고 있는 것으로 진단되었다. 2. 20명의 피검자들은 Pantronic PRI에 의해 None, Slight 및 Moderate Category로 분류되었으며, 이들 중 82%가 악관절 기능장애를 가지고 있는 것으로 진단되었다. 3. Pantronic PRI의 악관절 기능장애에 대한 감지력은 Helkimo의 임상적 기능장애 지수에 비래 더 예민하였다.(p<0.01) 4. Pantronic PRI 점수들은 시간경과에 따라 반복 기록되었을 때 각 실험 시기 내에서 및 실험 시기 사이에서 일관성이 있었다. 5. 하악 한계 운동의 재현도를 나타내는 Pantronic PRI는 악관절 기능장애를 진단하고 그 정도를 평가하는데 사용될수 있겠다.

• Journal of Oral Medicine and Pain
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• 제10권1호
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• pp.105-112
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• 1985

The author has studied the duration of silent period of the masseter muscle using electromyography in order to obtain the information that is necessary to diagnose the patients with TMJ dysfunction syndrome objectively. The 55 normal subjects and the 40 patients with TMJ dysfunction syndrome were selected for this study. The results were as follows : Duration of silent period of the masseter muscles in normal subjects were 24.4 msec in males, 24.0 msec in females, and mean of $24.2\pm3.19$ msec. Duration of silent periods of the masseter muscles in patients with TMJ dysfunction syndrome were 39.4 msec in males, 41.3 msec in females, and mean of $40.5\pm7.01$ msec. There was no significant difference of the duration of silent periods between in the right and the left side of the masseter muscles, and between in the males and the females (p>0.05). Duration of silent periods of the masseter muscles in patients with TMJ dysfunction syndrome were significantly more prolonged than those in normal subjects (p<0.01). Borderline of silent periods of the masseter muscles between in normal and patients with TMJ dysfunction syndrome was 31.5 msec.

• 대한물리치료과학회지
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• 제5권4호
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• pp.717-728
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• 1998

The Temporomandibural joint(TMJ) is one of the most frequently used joint in the body as $1,500{\sim}2,000$ times per day for the activities of chewing, swallowing, talking, yawing and sneezing. The TMJ are formed by condylar process of mandible and mandible fossa of temporal bone, separated by an articular disc. This articular disc divides into two cavities as upper cavity and lower cavity. The gliding movement occurs in the upper cavity of the joint, whereas hinge movement occurs in the lower cavity. The movements that are allowed at the TMJ are opening, closing, protrusion, retraction and lateral movement. A cause of TMJ dysfunction are capsulitis, internal derangement, osteoarthritis, rheumatoid arthritis, infection and inflammation near the joint, trauma on joint, ankylosis, subluxation or dislocation of joint, injury of articular disc, myositis, muscle contracture or spasm, myofascial pain dysfunction syndrome, dyskinesia of masticatory muscles, developmental abnormality, tumor, connective tissue disease, fibrosis, malocclusion, swallowing abnormality, wrong habits such as bite nail or hair, bruxism, psycological stress and Costen syndrome etc. Assessment of TMJ dysfunction consist of interview, observation, functional examination, palpation, reflex test, joint play test, electromyography and radiologic examination and behavioral and psycological assessment etc.

• 대한치과보철학회지
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• 제22권1호
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• pp.85-94
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• 1984

The purpose of this study was to investigate treatment effectiveness of TENS and bite plane for bruxism and TMJ dysfunction patients. The electromyograms were made on males aged 23 to 25 with sound stomatognathic system, 5 males bruxism aged 24 to 27, and 1 male and 4 females TMJ dysfunction patients (right TMJ pain) aged 14 to 33. The electromyographic study was limited to the middle of masseter muscle and anterior temporal muscle. The electromyographic study was carried out with 8-channel EM2 (Myotronics Research Inc.) and was taken 5 mandibular positions of clinical rest position, clench intercuspal position, clench protruded, cluch right, clench left. The 2 pairs of surface electrodes were used exactly, with the ear lobe as reference point. The recording were subjected to determine the mean voltage. The results were as follows; 1. In the clinical rest position, the muscle activities of bruxism and TMJ dysfunction patients were higher than those of normal at the before treatment, but that were lower or similar to those of normal at the TENS after and after bite plane wearing. 2. In the clench I.C.P., the muscle activities of TMJ dysfunction patients were decreased as the order of the before treatment, after TENS, after occlusal bite plane wearing, but those of bruxism were irregular. 3. In the clench right and the clench left, the muscle activities of the middle of masseter muscle of the non-working side of bruxism were higher than those of the working side at the before treatment and after TENS, but the muscle activities of after occlusal bite plane wearing were similar to those of the normal. 4. In the clench right and the clench left, the muscle activities of the middle of masseter muscle and anterior temporal muscle of the working side of TMJ dysfunction patients were higher than those of non-working side as like the normal at the before treatment, after TENS, and after occlusal bite plane wearing.

• Journal of Oral Medicine and Pain
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• 제10권1호
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• pp.17-31
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• 1985

Personality characteristics of TMJ dysfunction patients was studied by means of MMPI test. 100 TMJ dysfunction patients and 100 healthy controls were subjected at the Department of Oral Diagnosis and Oral Medicine, Pusan National University Hospital, during the period from March 1983 to February 1985. All the patients were divided into 2 groups namely, acute group and chronic group by duration of path and discomfort problems for 6 months or longer. The obtained results were as follows : 1. Mean value of T-scores on each clinical scale was within normal range in both patient and control group. 2. There was significant difference in scales of Hs, D. Hy, Pt, Sc and IR between patient and control group. 3. As compared with control group by sexual subclass, scales of Hs, Hy and Pt of both sex, scales of Sc and M-DI of male and scales of D of female in patient group were significantly higher than those in control group 4. The longer was duration of TMJ problems, i.e., in increasing order of control, acute and chronic group, the higher was mean value of T-scores on scales of Hs, D, Hy, Pt, Sc, IR and M-DI. 5. Mean values of T-scores on scales of Hs, D and Hy were the highest in all the clinical scales of total class and subclasses(i. e. male group, female group, acute group and chronic group) with TMJ dysfunction and showed 1-:i-2 (Hs, -Hy, -D. ) profile pattern, conversion "V.ot;V.

• Imaging Science in Dentistry
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• 제31권4호
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• pp.209-214
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• 2001

Purpose: To investigate the ability of double TMJ view by multifunctional panorama to view the bony components and the space of the temporomandibular joint. Materials and Methods: Ten dry skulls fitted with resin shims over the articular surface of the condyle were used to reproduce the temporomandibular joint space. Fine metal wires were attached to the three portions of contours of the condylar head and the articular eminence. With 10 dry skulls and 20 cases having TMJ dysfunction, double TMJ views by multifunctional panorama (Planmeca 2002 Proline CC) and transcranial views were taken, analyzed from the anatomical view point, and compared statistically in view of the widths of the posterior joint space and the condylar head. Results: In double TMJ view, the supero-anterior part of the condyle represented the lateral 1/3, the most superior part represented center portion, and the posterior part medial l/3 of the condyle. In maximum mouth opening, no other structures were superimposed with the condyle in double TMJ view. In double TMJ view, petrous bone was moderately superimposed with the superior part of the condyle and the posterior increment of angle exposure made wider the images of the articular eminence and the condyle. The tendency of reduction in the posterior joint space appeared in the side of TMJ dysfunction compared with the normal side. The posterior joint spaces in double TMJ view were statistically wider (p<0.05) than those in transcranial view. The correlation coefficient was 0.5179 between the widths of the posterior joint spaces in two radiographic views. Conclusions: Double TMJ view can be substituted for transcranial view in evaluating the TMJ dysfunction.

• Journal of Oral Medicine and Pain
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• 제21권1호
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• pp.103-113
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• 1996

The author examined the clinical signs and symptoms , routine radiographs, laboratory test and bone scan in 73 subjects with TMJ disorders and studied the responses of clinical test on patients, the distribution of signs and symptoms of joints, the simple uptake rate(SUR) of affected joints , the SUR of subclassified groups of TMJ disorders, active joints of subclassified groups of TMJ disorders and the SUR of joints with noises. The obtained results were as follows : 1. The percentage of joint pain on palpation, joint noises joint pain on function, mandibular dysfunction and active finding of bone scan in aptients with TMJ disorders were higher 2. The SUR was higher in joints affected by joint pain on function, joint pain on palpation, mandibular dysfunction and creptius. 3. The SUR of osteoarthrosis was the lowest. 4. The percentage of active joints were the highest in joints with discdisplacement without reduction, and followed by osteoarthritis, and disc displacement with reduction. 5. The SUR of TMJ showing joint noises only was lower.