• 제목/요약/키워드: TMJ pain

검색결과 324건 처리시간 0.022초

노인의 주관적 구강건강상태가 사회적 효능감에 미치는 영향 (Subjective Oral Health Status of the Elderly and Social Impact Efficacy)

  • 노은미;백종욱
    • 치위생과학회지
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    • 제10권4호
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    • pp.233-239
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    • 2010
  • The study of the elderly and poor oral status interpersonal relationships and smooth social life limited to give is the social alienation and isolation, promoting to having problems with a sense of the elderly subjective oral health status and social efficacy affects whether analyzed. 1. Subjective oral health status authoring feel healthy food disorders, toothache, periodontal problems, tmj pain, dry mouth, bad breath symptoms such as 'sometimes' 'often' than a 'no' if you appear to be a highly subjective and social efficacy Efficacy of oral health status and social influence were more (p<0.01). 2. Subjective oral health status of the seven kinds of sub-variable that oral health status, food authoring disorders, toothache, gum disease, jaw joint or more, dry mouth, bad breath instantly and look at the relationship between social efficacy oral health status, ability of mastication, pain in oral, gum disease, tmj pain, dry mouth, presence of halitosis than positive (+) was correlated.

Considerations in the Diagnosis and Treatment of Temporomandibular Disorders in Children and Adolescents: A Review

  • Ji-Won Ryu
    • Journal of Oral Medicine and Pain
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    • 제48권3호
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    • pp.75-80
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    • 2023
  • Temporomandibular disorders (TMDs) are a group of musculoskeletal disorders that encompass symptoms caused by abnormalities of the craniofacial structures of the temporomandibular joint (TMJ), muscles involved in the masticatory system, and other related tissues or structures. Although TMDs can occur at any age, research on the prevalence, epidemiology, and treatment strategies of TMDs has been conducted in all age groups, but primarily in adults. Unlike adults, children and adolescents are in a period of cognitive and physical development. Because of this growth potential, children respond better to TMD treatment than adults do. However, clinicians must remember that chronic pain and growth abnormalities can occur if the patient's symptoms and signs are not accurately diagnosed and treated. This article reviews the growth and development of the craniofacial region, including the TMJ, and discusses considerations when diagnosing and treating TMDs in children and adolescents.

Influencing factor on the prognosis of arthrocentesis

  • Kim, Yoon Ho;Jeong, Tae Min;Pang, Kang Mi;Song, Seung Il
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제40권4호
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    • pp.155-159
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    • 2014
  • Objectives: The purpose of this article is to evaluate factors influencing prognosis of arthrocentesis in patients with temporomandibular joint (TMJ) disorder. Materials and Methods: The subjects included 145 patients treated with arthrocentesis at the Dental Center of Ajou University Hospital from 2011 to 2013 for the purpose of recovering mouth opening limitation (MOL) and pain relief. Prognosis of arthrocentesis was evaluated 1 month after the operation. Improvement on MOL was defined as an increase from below 30 mm (MOL ${\leq}30mm$) to above 40 mm (MOL ${\geq}40mm$), and pain relief was defined as when a group with TMJ pain with a visual analog scale (VAS) score of 4 or more (VAS ${\geq}4$) decreased to a score of 3 or more. The success of arthrocentesis was determined when either mouth opening improved or pain relief was fulfilled. To determine the factors influencing the success of arthrocentesis, the patients were classified by age, gender, diagnosis group (the anterior disc displacement without reduction group, the anterior disc displacement with reduction group, or other TMJ disorders group), time of onset and oral habits (clenching, bruxism) to investigate the correlations between these factors and prognosis. Results: One hundred twenty out of 145 patients who underwent arthrocentesis (83.4%) were found to be successful. Among the influencing factors mentioned above, age, diagnosis and time of onset had no statistically significant correlation with the success of arthrocentesis. However, a group of patients in their fifties showed a lower success rate (ANOVA P=0.053) and the success rate of the group with oral habits was 71% (Pearson's chi-square test P=0.035). Conclusion: From this study, we find that factors influencing the success of arthrocentesis include age and oral habits. We also conclude that arthrocentesis is effective in treating mouth opening symptoms and for pain relief.

하악과두에 생긴 박리성 뼈연골증의 조직학적 관찰 (Histological Observation of Osteochondrosis Dissecans Occurred in Mandibular Condyle)

  • 정필훈;김성민;이석근
    • 대한구강악안면병리학회지
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    • 제42권5호
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    • pp.145-152
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    • 2018
  • A 57 years old female complained of severe pain on the right temporomandibular joint (TMJ) area. Her right condyle had been partly resected under surgical operation 13 years ago due to condyle hypertrophy, thereafter she felt dull pain on TMJ area and recently the lesion became severely swelled and painful leading to cancer phobia. The present radiological views showed slightly enlarged and sclerosed condyle with increased radiopacity, but its articular sliding function was almost disable during mouth opening. The patient's TMJ lesion was carefully managed with conservative physiotherapy and pain treatment. The microsection of condyle head obtained from the previous operation was re-evaluated histologically, and it was finally diagnosed as osteochondrosis dissecans (OCD), exhibiting hyperplastic proliferation of cartilage in condyle head and marked vascular dilatation in epiphyseal zone. This abnormal cartilage tissue was distinguishable from normal cartilage tissue found in the peripheral cartilaginous cap of the same microsection. The involved cartilage cap showed thick hypertrophic chondrocyte zone with horizontal and vertical clefts accompanying diffuse hyaline degeneration. The superficial fibrous zone of cartilage cap was thickened and frequently peeled off, while lower hypertrophic zone of cartilage cap was highly cellular and proliferative. Consequently, the endochondral ossification became aberrant and resulted pre-mature apoptosis of many hypertrophic chondrocytes, followed by diffuse and mild inflammatory reaction in the underlying marrow tissue. Therefore, it was suggested that this hypertrophic condyle lesion, OCD, be differentiated depending on radiological and histological features from ordinary condyle hyperplasia, osteochondroma, and osteoarthritis, and that the pathological confirmation of OCD may provide a reliable modality for dental and medical treatment of chronic and painful TMJ lesion.

Participation of IL-1β in temporomandibular nociception in rats with CFA-induced inflammation

  • Ju, Jin-Sook;Choi, Seung-Ho;Kim, Hye-Jin;Son, Jo-Young;Ahn, Dong-Kuk
    • International Journal of Oral Biology
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    • 제41권3호
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    • pp.125-131
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    • 2016
  • The aim of the present study was to develop an animal model for evaluation of temporomandibular (TMJ) nociception under TMJ inflammation. We also investigated the participation of $IL-1{\beta}$ in inflammation-induced TMJ nociception. Experiments were carried out using male Sprague-Dawley rats. Intra-articular injection of 3% formalin was administered to evaluate hyperalgesia 3 days after CFA injection. Intra-articular injection of 3% formalin did not produce nociceptive behavior in normal rats. Although intra-articular injection of 3 doses of CFA produced TMJ inflammation, only 1:3 diluted CFA produced hyperalgesia when formalin was injected intra-articularly 3 days after CFA injection. Co-administration of IL-1 receptor inhibitor with formalin into the TMJ cavity 3 days after CFA injection was performed. Co-administration of IL-1 receptor inhibitor significantly inhibited formalin-induced hyperalgesia in rats with CFA-induced TMJ inflammation. These results suggested that intra-articular injection of formalin produced hyperalgesia under chronic TMJ inflammation. Moreover, $IL-1{\beta}$ plays an important role in TMJ hyperalgesia under chronic inflammation and blockade of $IL-1{\beta}$ is a potential therapeutic target for inflammatory TMJ pain.

Synovial Chondromatosis in the Temporomandibular Joint: Report of Two Cases

  • 하용찬;김철환
    • 대한치과의사협회지
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    • 제55권10호
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    • pp.706-714
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    • 2017
  • Background Synocial chondromatosis(SC), a proliferative disorder of the synovial membrane. The etiology or cause of SC remains unclear. SC usually occurs in large articular joints such as knee, hip, elbow, and ankle. SC of the TMJ is very rare. It is a benign disease that mainly affects unilateral side. It can form cartilagenous and calcified loose bodies of various sizes and cause abnormal function of TMJ. Case Report In this paper, we report two cases of SC in the upper joint space of the left TMJ. One complained that "Sometimes the left jaw joint feels disoriented" and the other had no symptoms. CT scan and MRI showed left TMJ space widening, multiple tiny calcified mass. After clinical and radiographic analysis, we performed surgical removal of the lesion under genereal anesthesia. In the histologic examination, synovial chondromatosis was diagnosed in both patients. Conclusions We report two cases of synovial chondromatosis in the upper joint space of the left TMJ. We performed surgical removal of the lesion. The two patients showed good prognosis without recurrence or pain up to date.

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측두하악 관절 장애의 평가 (Clinical Assessment of Temporomandibular Joint Dysfunction)

  • 류재관;김종순
    • 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.

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측두하악장애 환자에서 주관적 증상과 임상검사 소견 간의 일치성 (Correspondence between Temporomandibular Disorder Symptoms and Clinical Examination Findings)

  • 임영관;백혜성;김병국
    • Journal of Oral Medicine and Pain
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    • 제35권1호
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    • pp.83-91
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    • 2010
  • 목적: 측두하악장애 환자에서 다양한 증상의 양상을 평가하고, 측두하악장애 증상과 임상검사 소견 간의 일치 정도를 평가하고자 하였다. 재료 및 방법: 총 218명의 환자(여자 143명, 남자 75명, 평균 연령 $31.3{\pm}14.0$세)를 대상으로 하였으며, 설문지 작성, 임상검사 및 방사선 검사를 수행하였다. 증상의 발생 시기 및 위치를 포함하여 주소와 관련된 모든 증상을 문진하였다. 임상검사로는 개구량 측정, 악관절 잡음 촉진, 악관절 및 저작근 촉진 검사를 하였다. 촉진에 의한 압통검사 결과수치를 이용하여 압통점수합을 구하였다. 결과: 통증이 가장 흔한 증상이었으며(78.9%), 다음으로 악관절 잡음(45.4%), 그리고 개구 제한(17.0%) 순으로 흔하였다. 턱의 통증이 통증 증상 부위의 91.9%를 차지하였다. 주관적인 턱의 통증 강도는 대부분의 환자에서 낮거나 중등도였으며 (93.7%), 이것과 악관절과 저작근의 압통 점수 합과의 상관성은 낮았다(Kendall tau = 0.084). 이와 대조적으로 환자가 보고하는 통증의 좌우측 위치는 임상검사 결과와 관련성이 높았다(우측 통증 p<0.001, 좌측 통증 p<0.001). 악관절 잡음은 환자가 증상으로 인지하는 측과 임상검사 소견 간에 상당한 일치를 보였다(kappa = 0.482). 개구제한을 호소하는 환자는 세가지 개구량 측정값 모두에서 그렇지 않은 환자보다 약 10 mm가 적은 개구량을 보였다(p<0.001). 결론: 턱의 통증, 악관절 잡음 및 개구제한은 측두하악장애 환자의 주소와 관련된 주요한 증상이었다. 환자가 보고하는 통증 부위와 악관절 잡음 및 개구제한이 임상검사 결과와 중등도 내지 높은 일치성을 보임으로서 가장 신뢰할 만한 항목으로 평가되었다.

Treatment of Temporomandibular Joint Disorder by Alloplastic Total Temporomandibular Joint Replacement

  • Roh, Young-Chea;Lee, Sung-Tak;Geum, Dong-Ho;Chung, In-Kyo;Shin, Sang-Hun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제35권6호
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    • pp.412-420
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    • 2013
  • The literature on alloplastic total temporomandibular joint (TMJ) replacement is encouraging, with acceptable improvement of treatment outcomes in terms of both pain level and jaw function. This is a case report on patients who suffered from degenerative joint disease and ankylosis after mandibular condyle fracture or prior TMJ surgery and were treated by TMJ replacement with condyle prosthesis. We obtained good results from the procedures, including total TMJ replacement.

턱관절균형의학의 기본 진단검사법 (Diagnostic Evaluation Methods in TMJ Balancing Medicine)

  • 이영준;인창식
    • 턱관절균형의학회지
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    • 제3권1호
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    • pp.27-30
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    • 2013
  • Diagnostic evaluation methods frequently adopted in Temporomandibular Balancing Medicine (TBM) are briefly reviewed as to their basic concepts and procedures. TBM diagnostic evaluation methods may be classified into direct and indirect ones. Indirect methods are to observe any change in the manifestations with regard to the (1) posture, (2) pain, (3) muscle strength, and (4) stretching. Direct methods are to evaluate through (1) cervical palpation test, (2) restricted cervical rotation test, and (3) lateral cervical tension test. These methods may provide clinicians valuable information on the current yinyang balance and potential therapeutic factors in relation with the temporomandibular joint, a meridian system, and the whole body.

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