• Title/Summary/Keyword: Temporomandibular Disorder

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Clinical Comparison Study on 40 Cases of Temporomandibular Disorder Patients with Idiopathic Scoliosis Treated by Chuna & General Oriental Method (추나치료를 병행한 척추측만증을 동반한 악관절장애환자 40례에 대한 임상적 비교 고찰)

  • Heo, Yoon-Kyoung;Choi, Ka-Won;Kang, Min-Wan;Kim, Sung-Lae;Kim, Jeong-Ho;Kim, Young-Il;Hong, Kwon-Eui;Lee, Hyun;Lim, Yun-Kyoung;Song, Min-Sic
    • Journal of Acupuncture Research
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    • v.22 no.5
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    • pp.133-140
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    • 2005
  • Objectives : This study was to evaluate the effect of Chuna on Temporomandibular Disorder Patients with idiopathic Scoliosis, utilizing Cobb's angle to determine the degree of curvature progression in the thoracic and lumbar regions. Methods: From October 1st 2004 to June 31st 2005, the clinical comparison study was carried out 40 cases of Temporomandibular Disorder Patients with idiopathic Scoliosis treated by both Chuna and General oriental method(Experimental Group) & only General oriental method(Control Group), who had been treated at Dept. of Acupuncture and Moxibustion Daejon Oriental Medical Hospital. Results : The results obtained as follows; 1. The facial pain of Experimental Group and Control Group was improved significantly. but the difference of two groups is not significant.(p<0.05) 2. The function of Temporomandibular joint of Experimental Group and Control Group was improved significantly. Experimental Group is more effective than Control Group significantly.(p<0.05) 3. The limitation of activity of Temporomandibular joint of Experimental Group and Control Group was improved significantly. Experimental Group is more effective than Control Group significantly. (p<0.05) Conclusion : This result sugests that the Chuna be effective treatment modality on Temporomandibular Disorder Patients with idiopathic Scoliosis. So further research is needed continuously.

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A STUDY ON THE SIZE OF CONDYLE AND THE POSTERIOR SLOPE OF THE ARTICULAR EMINENCE IN PATIENTS WITH TEMPOROMANDIBULAR JOINT DISORDERS. (측두하악장애 환자에서 과두크기와 관절융기의 후방경사에 관한 연구)

  • Park, Won-Hee;Shim, Kwang-Sup;Woo, Soon-Seop;Lee, Young-Soo
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.22 no.1
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    • pp.43-50
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    • 2000
  • The purpose of this study was to investigate the interrelationship between temporomandibular joint disorders, and the condyle size and angle of the posterior slope of the articular eminence. The subjects used in this study were 100 patients with temporomandibular joint disorders and 100 volunteers with normal temporomandibular joints. All the patients and the volunteers were subjected to take panoramic and temporomandibular radiographs for the morphologic evaluation. The films were traced, measured, and analyzed. The data were processed with SPSS/PC+ package for statistical analysis. The obtained results were as follows; 1. The posterior slope of the articular eminence in the group of temporomandibular joint disorders was larger than that in the normal group (p<0.05). The mean articular eminence angle was $31.6^{\circ}\;{\pm}\;6.3$ in the group of temporomandibular joint disorder, and $29.9^{\circ}\;{\pm}\;8.4$ in the normal group. 2. There were no statistically significant differences in the discrepancies of the left and right articular eminence angular measurements between the group (p>0.05). 3. There were no statistically significant differences in the condylar ratio between the groups (p>0.05). 4. There were no statistically significant differences in the discrepancies of the left and right ramus length measurements between the groups (p>0.05). 5. The relative size of condyle to fossa in the group of temporomandibular disorders was smaller than that in the normal group (p<0.05).

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Characteristics and Treatment of Temporomandibular Disorder in Children and Adolescents: An Analytic Review

  • Park, Hyung-Seok;Ahn, Yong-Woo;Jeong, Sung-Hee;Jeon, Hye-Mi;Ok, Soo-Min
    • Journal of Oral Medicine and Pain
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    • v.42 no.4
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    • pp.89-101
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    • 2017
  • Purpose: The purpose of this study is to investigate the prevalence of temporomandibular disorders (TMDs) in children and adolescents, their characteristic contributing factors, the characteristic features of symptoms and symptoms, and the response to treatment. Methods: We studied the researches, that were the results of the searches for words such as temporomandibular disorder, TMD, children, adolescents, and juvenile through PubMed and DBpia. Results: According to a study conducted in Busan, the ratio of adolescents increased from 18.3% to 21% in 2008 compared to 2000, and the proportion of boys increased from 38.58% to 45.38%. One of the characteristic contributing factors for adolescents is the macrotrauma such as jaw trauma, vehicle accidents, sports, physical abuse, forceful intubation, and third molar extraction. The second is a microtrauma from parafunctional habit such as bruxism, clenching, hyperextension, wind instrument, and fingernail biting that can cause joint overload, cartilage breakdown, synovial fluid alterations, and other changes within the joint. The diagnosis of TMDs in juvenile adolescents is not significantly different from that of adults. Medical history, clinical examination and radiological examinations are required. Conclusions: In the temporomandibular joint history and assessment, all comprehensive dental history examination is required, including head and neck pain, mandibular dysfunction, previous orofacial trauma, history of present illness with an account of current symptoms. For the treatment and management of temporomandibular arthritis in juvenile adolescents, understanding the characteristics of TMDs in juvenile adolescents and thoroughly analyzing appropriate diagnosis and possible contributing factors through comprehensive history taking & examination, conservative treatment, including fast and active cautions education, will be essential.

AN EFFECT OF COMBINATION WITH ARTHROCENTESIS AND STABILIZATION SPLINT TREATMENT OF TEMPORPMANDIBULAR JOINT DISORDER PATIENT (측두하악장애 환자에서 악관절 세정술과 교합안정장치를 동반한 치료의 효과)

  • Park, Yong-Hee;Lee, Sang-Hwa;Yoon, Hyun-Joong
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.32 no.1
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    • pp.32-36
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    • 2010
  • The purpose of this study was to evaluate the clinical outcomes of patients with temporomandibular joint disorder before and after performance of arthrocentesis and stabilization splint therapy. The subjects of this study were 33 patients with limited mouth opening or pain or joint effusion who visited the Department of Oral and Maxillofacial Surgery, St Mary's Hospital, Catholic University of Korea. The arthrocentesis was performed and the stabilization splint was worn immediately after the arthrocentesis. Comparing the clinical outcomes of treatment at the times of first medical examination, 3 months and 6 months later on treatment. The results are as follows; 1. Statistically significant increase in the amount of maximum mouth opening occurred 3 months and 6 months later on treatment. 2. Statistically significant decrease in the average value of pain on test measured by VAS during maximum mouth opening, protrusive movement, right lateral movement, left lateral movement occured 3 months and 6 months later on treatment. The results suggested that arthrocentesis and stabilization splint therapy provide a improvement on patients with temporomandibular joint disorder when the exact diagnosis were provided.

Relationship between national exam stress and temporomandibular disorder(TMD) in allied health students (일부 보건계열 학생들의 국가시험 스트레스와 측두하악장애의 관계)

  • Kim, Myung-Eun;Jang, Won-Seok
    • Journal of Korean society of Dental Hygiene
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    • v.16 no.5
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    • pp.791-798
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    • 2016
  • Objective: The aim of the study was to investigate degree of national exam's stress, symptom of temporomanibular disorder(TMD) in allied health students and relationship between of them. Methods: A self-reported questionnaire was completed by 305 students of dental hygiene and physical therapy in Chungbuk and Gyeongnam in December 2015. Except incomplete questionnaire, 260 data were analyzed using SPSS 12.0 program. The study instruments consisted of subjective symptom of temporomandibular disorder, bad habit of mouth and degree of national exam's stress. Results: National exam stress was higher in female and subjective unhealthy students(p<0.05). High group and usual group on national exams's stress showed high subjective symptom(p<0.05). National exam's stress were related to subjective symptom of TMD and bad habit of mouth(p<0.05, p<0.01). Subjective symptom of TMD were related to bad habits of mouth(p<0.01). Conclusion: The degree of stress, TMD and bad habits of mouth on national exam test was high. therefore, it is important to manage the national exam's stress and to develop program in order to reduce the national exam's stress in allied health students.

Recovery from Acute Malocclusion in Temporomandibular Disorders with Stabilization Splint: Case Report

  • Kim, Ji-Rak
    • Journal of Oral Medicine and Pain
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    • v.46 no.1
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    • pp.14-19
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    • 2021
  • Various conditions such as pain or effusion of temporomandibular joint, degenerative condylar resorption, and articular disc displacement can be a cause of malocclusion. However, the reasons of occlusal changes are ambiguous in some patients. Unexpected occlusal change in patients with or without temporomandibular disorder (TMD) symptom was mostly caused by masticatory muscular disorders. This article reports two cases of recovery of occlusal relationship in TMDs patients after stabilization splint therapy. Stabilization splint therapy could be useful in certain conditions of occlusal changes in TMD.

Relation between Maxillofacial Trauma Experience and Temporomandibular Disorder Prevalence among Some College Students (일부 대학생의 악안면외상경험과 측두하악장애 유병상태와의 관련성)

  • Jeon, Eun-Suk;Lee, Jung-Hwa
    • The Journal of the Korea Contents Association
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    • v.9 no.7
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    • pp.218-224
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    • 2009
  • This study was to investigate the relation between maxillofacial trauma experience and temporomandibular disorder prevalence with a view to helping prevent and cure temporomandibular dysfunctions by conducting a questionnaire survey with 370 students attending C Health Care College located in Ulsan Metropolis. Data collected underwent an analysis using SPSS program, resulting in the following:1. As for TMJ(temporomandibular joint) clicking prevalence rate, with 25.7% of male students and 22.7% of female students answering positively, the former showed higher rate of temporomandibular joint clicking (p<0.01), while no significant difference was identified depending on school years. 2. In terms of temporomandibular pain prevalence rates, females were found to have been more affected than male students. 3. When it comes to trismus prevalence rates, 10.8% of female students and 7.0% of male students responded they had experienced the dysfunction and female students showed slightly higher rate of trismus prevalence. 4. 6.5% of males and 4.3% of female students responded they had got treatment experience resulting from temporomandibular disorders, indicating that more male students had gone through treatment for temporomandibular disorders(p<0.05). 5. Male students showed higher experience rate of maxillofacial trauma(p<0.01), mostly due to falling or tumbling down, followed by exercises and etc. 6. The relation between maxillofacial trauma and temporomandibular disorders showed statistically significant relation between maxillofacial trauma and TMJ(temporomandibular joint) clicking (p<0.01).

Fibromyalgia: practical considerations for oral health care providers

  • Jeon, Younghoon
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.20 no.5
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    • pp.263-269
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    • 2020
  • Fibromyalgia is a syndrome characterized by chronic pain in the skeletal system accompanied by stiffness, sleep disturbance, fatigue, and psychiatric problems, such as anxiety and depression. Fibromyalgia commonly affects orofacial health, presenting with a variety of oral manifestations, including temporomandibular disorder, xerostomia, glossodynia, and dysgeusia. Therefore, oral healthcare providers need to be aware of this clinical entity to effectively manage oral symptoms and provide proper oral self-care modification and education on the nature of fibromyalgia. This review focuses on the epidemiology, pathophysiology, clinical manifestation, diagnosis, orofacial concerns, and treatment of fibromyalgia.

A Case of Temporomandibular Disorder Patient Treated with Additional Hominis Placenta and Bee Venom Herbal Acupuncture (자하거(紫河車), 봉약침(蜂藥鍼)을 가미한 한방치료로 호전된 악관절장애 치험 1예(例))

  • Seo, Bo-Myung;Lim, Seong-Chul;Jung, Tae-Young;Han, Sang-Won;Seo, Jung-Chul
    • Journal of Pharmacopuncture
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    • v.8 no.3
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    • pp.99-105
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    • 2005
  • Objectives : The purpose of this study is to analyze the functional and clinical improvement effect on temporomandibular disorder by additional Hominis Placenta and bee venom herbal acupuncture treatment. Methods : A patient was treated with Hominis Placenta, bee venom herbal acupuncture, simple acupuncture, chiropractic therapy, and herbal medicine. We evaluated the improvement by visual analogue scale(VAS) score, mouth opening range, and X-ray image. Results : The VAS score was significantly decreased and mouth opening range was increased after treatment. X-ray image showed improved change after treatments. Conclusions : We think Hominis Placenta and bee venom herbal acupuncture treatment mainly contributed to the improvement of temporomandibular disorders. Further study is needed for the confirmation of this effect of on temporomandibular disorders.

Correlation between the Asymmetric Ratio of Occlusal Force and the Thickness of the Middle Scalene Muscle (교합력 비대칭률과 중간 목갈비근 근육 두께의 비대칭률 상관관계)

  • Chae, Jung-Byung;Cho, Hyun-Rae
    • PNF and Movement
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    • v.14 no.1
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    • pp.53-57
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    • 2016
  • Purpose: This study aimed to examine the correlation between the asymmetric ratio of occlusal force of the temporomandibular joint and the thickness of the middle scalene muscle. Methods: The study measured the occlusal force of the right and left temporomandibular joints in 30 subjects (12 males and 18 females). Pearson's correlation analysis was performed to examine the effect of occlusal force on the asymmetric ratio of the thickness of their middle scalene muscles by measuring the force using ultrasound after the break. Results: The correlation between the asymmetric ratio of occlusal force and muscle thickness is 0.41, according to Pearson's correlation coefficient. Therefore, the result shows a moderate correlation with the asymmetric ratio of the temporomandibular joint depending on differences in the thickness of the middle scalene muscle. Conclusion: Based on the above results, the asymmetric ratio of occlusal force was found to correlate with the thickness of the middle scalene muscle. Thus, therapeutic intervention is required for the middle scalene muscle in the case of temporomandibular joint disorder.