• Journal of Acupuncture Research
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• 제35권3호
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• pp.129-137
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• 2018

Background: The purpose of this study was to determine the effect of Postural Yinyang correction of the temporomandibular joint (functional cerebrospinal therapy) on temporomandibular disorder. Methods: Medical records of 21 outpatients were reviewed who were diagnosed with temporomandibular joint disorder, unspecified (K0769) and treated at the Department of Acupuncture & Moxibustion, Dong-Eui University Korean Medicine Hospital from May $1^{st}$, 2017 to April $30^{th}$, 2018. Patients received more than 10 treatments of upper cervical manipulation and performed self-exercise therapy more than 3 times a day and wore an accurate balancing appliance in the oral cavity for more than 8 hours per day. To estimate the efficacy, visual analogue scale (VAS), numerical rating scale (NRS), maximum mouth opening (MMO), symptom intensity scale (SIS), max SIS (MSIS), symptom frequency scale (SFS), mandibular function impairment questionnaire (MFIQ) and 5-point Likert scale were used. Results: NRS and MSIS were significantly improved during each period. VAS, MMO, SIS, and SFS were significantly improved during each period, except the period from the $8^{th}$ to $10^{th}$ visit. MFIQ score was significantly improved during the period from the $1^{st}$ to $10^{th}$ visit. In the 5-point Likert scale, the results showed a high patient satisfaction with the treatment. Conclusion: These results showed that functional cerebrospinal therapy using an accurate balancing appliance, may be useful for reducing the symptoms of temporomandibular disorder.

• 턱관절균형의학회지
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• 제7권1호
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• pp.1-10
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• 2017

In order to establish a relationship between sleep related breathing disorder (SBD) and temporomandibular disorders (TMDs), a literature review was performed. A researching was performed based on PubMed, including english languages. Any clinical study identified relationship between SBD and TMD were selected in this review. 13 studies were analyzed in this review. According to SBD diagnosis, articles were grouped as follows: polysomnographic diagnosis (n=7), clinical diagnosis (n=2) and survey/self-report (n=4). 12 articles established a positive relation between SBD and TMD and 1 did not. SBD would be associated with protrusion/retrusion degree, myofascial pain, muscular and joint pathology, and other orofacial findings. It was analyzed that the retrusion of the mandible had the significant influence on the severity of the SBD.

• 한방안이비인후피부과학회지
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• 제24권3호
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• pp.74-83
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• 2011

Objective : We investigated relationship between tinnitus and temporomandibular disorder(TMD) and tried to find approach possibility in oriental medicine. Method : We searched Pubmed, Scopus, The Cocharane library and additional sources for published and unpublished trials. Search word was "Tinnitus and TMD" Result : We investigated 18 studies. We divided these studies into three parts, epidemiological studies, mechanical studies and treatment studies. In many epidemiological studies. there was significant relationship between tinnitus and TMD. The mechanism was not clear but in recently several studies proposed neurological approach. TMD treatment showed significant improvement in tinnitus accompanied by TMD. Conclusion : In tinnitus accompanied by TMD, TMD treatment can be available to resolve or reduce tinnitus. Especially in oriental medicine acupuncture can be applied to treat this.

• 대한추나의학회지
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• 제6권1호
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• pp.51-57
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• 2005

Objectives : The aim of this study was to try to embody the method of treating Tempromandibular Joint Disorder in Oriental Medicine. Methods : I had researched anatomic features and functions of TMJ, causes and symptoms of TMD and reviewed classic medicine books in Oriental Medicine on Sanjiao. Then, I tried to interpret the disorder in the point of Sanjiao's 'Cooperative Relationship'. Results and Conclusions : 1. Symptoms of TMD IS not limited at TMJ and spread in whole body by circulation of Sanjiaojing. 2. Sanjiao is a invisible organ to control the general physical functions as 'Cooperative Relationship'. 3. It is a due in improving the symptoms of TMD to regulate Sanjiao-Jing-qi and balance the Yin-Yang.

• 대한치과의사협회지
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• 제50권5호
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• pp.244-255
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• 2012

Temporomandibular disorder(TMD) is described as a cluster of disorders characterized by pain in the preauricular area and/or the muscles of mastication; limitations or deviations in mandibular range of motion; and noises in the TMJ during mandibular function. The most common symptom in TMD patients is pain that is aggravated by chewing or other jaw function. These symptoms are appeared when the stimuli loaded in TMJ are over the physiologic tolerance. The primary goal in treatment of TMD is to alleviate pain and lor mandibular dysfunction. TMD treatment can be divided into 2 categories: reversible and irreversible methods. Reversible methods include medication, thermal therapy, habit modification, physical therapy, appliance therpy and arthrocentesis and lavage and irreversible methods include arthroscopic lysis, surgery, occlusal adjustment et al. It is widely accepted that reversible methods are ther first choice of treatments. However if reversible ones are not effective, irreversible methods are considered.

• 한방재활의학과학회지
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• 제20권2호
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• pp.199-208
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• 2010

Objectives : To study the cervical lordosis and roentgenographic analysis of cervical disc space in neck pain with or without temporomandibular disorder(TMD). Methods : Radiographic measures of cervical lordosis, cervical disc space narrowing were collected, statiscally analyzed. Results : TMD group showed a significant increase in cervical lordotic angle as compared with non-TMD group, whereas no significant change in cervical disc degeneration. Conclusions : The findings from this study suggest that the curvature of the cervical spine is related to the subject's TMD.

• Journal of Oral Medicine and Pain
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• 제43권2호
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• pp.56-60
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• 2018

Epidermoid cyst in bony wall of external auditory canal (EAC) is a very rare pathologic condition. In addition to its extreme rarity, its positional proximity to temporomandibular joint (TMJ) might lead to clinical misdiagnosis as TMJ disorders, especially when it is accompanied by temporomandibular disorders-like symptoms. In this article, we report a patient with epidermoid cyst in anterior bony wall of EAC, which was misdiagnosed as TMJ disorder because the left TMJ pain aggravated during mastication.

• Journal of Oral Medicine and Pain
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• 제44권2호
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• pp.69-73
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• 2019

Synovial chondromatosis (SC) is an uncommon progressive cartilaginous metaplasia of residual mesenchymal cells in synovial tissue. This disorder usually affects large joints and is rarely observed in the temporomandibular joint (TMJ). SC in TMJ is difficult to diagnose early owing to non-specific clinical symptoms. In this article, we report a patient with SC on the right TMJ, who presented with pain in the right TMJ and progressive occlusal changes, not responsive to conventional conservative temporomandibular disorder treatment for several months. This case emphasizes the importance of an accurate specific diagnosis for TMJ problems before the delivery of any treatment.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제48권3호
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• pp.178-181
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• 2022

Williams-Beuren syndrome (WS) is a rare genetic disorder that results from microdeletion at chromosome 7, which harbors the elastin gene. Clinical findings include arteriopathy, aortic stenosis, hypertension, and laxities and contractures in different joints throughout the body. While many components of the temporomandibular joint (TMJ) normally contain elastin, there are few reports on TMJ manifestations of WS. This study reports a TMJ ankylosis case in a WS patient and shares insight on a possible link between development of TMJ ankylosis and elastin deficiency in WS patients. A WS patient presented with bilateral TMJ ankylosis and was successfully treated with TMJ gap arthroplasty. Hypermobility of TMJ and lack of elastin in retrodiscal tissue can induce anterior disc displacement without reduction. Due to lack of elastin, which has a significant role in the compensatory and reparatory mechanism of TMJ, WS patients might be prone to TMJ ankylosis.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제38권
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• pp.5.1-5.5
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• 2016

Background: This study clinically evaluated the effect of botulinum toxin type A (BTX-A) in the temporomandibular disorder (TMD) treatment using Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). Methods: A total of 21 TMD patients were recruited to be treated with BTX-A injections on the bilateral masseter and temporalis muscles and were followed up by an oral and maxillofacial surgeon highly experienced in the TMD treatment. For each patient, diagnostic data gathering were conducted according to the RDC/TMD. Characteristic pain intensity, disability points, chronic pain grade, depression index, and grade of nonspecific physical symptoms were evaluated. Wilcoxon signed-rank test was applied for statistical analysis. Results: The results showed that more than half of the participants (85.7 %) had parafunctional oral habits such as bruxism or clenching. In comparison between pre- and post-treatment results, graded pain score, characteristic pain intensity, disability points, chronic pain grade, and grade of nonspecific physical symptoms showed statistically significant differences after the BTX-A injection therapy (p < 0.05). Most patients experienced collective decrease in clinical manifestations of TMD including pain relief and improved masticatory functions after the treatment. Conclusions: Within the limitation of our study, BTX-A injections in masticatory musculatures of TMD patients could be considered as a useful option for controlling complex TMD and helping its associated symptoms.