• Journal of Oral Medicine and Pain
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• 제42권4호
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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.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제32권1호
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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.

• 한국치위생학회지
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• 제16권5호
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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.

• Journal of Oral Medicine and Pain
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• 제46권1호
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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.

• 한국콘텐츠학회논문지
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• 제9권7호
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• pp.218-224
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• 2009

이 연구는 악안면외상경험과 측두하악장애 유병상태와의 관련성을 조사하여 측두하악장애의 예방과 치료계획에 도움을 주고자 울산광역시에 소재한 C보건대학 학생 370명을 대상으로 설문조사를 실시하였다. 수집된 자료는 SPSS 프로그램을 이용하여 분석하여 다음과 같은 결론을 얻었다. 1. 측두하악관절잡음 유병률은 남학생 25.7%, 여학생 22.7%로 남학생이 측두관절잡음 발생이 높았으나(p<0.01), 학년별로는 유의한 차이를 보이지 않았다. 2. 측두하악동통 유병률은 여학생이 높게 나타났다. 3. 개구장애 유병률은 여학생 10.8%, 남학생 7.0%로 여학생이 개구장애 발생이 약간 높게 나타났다. 4 측두하악장애로 인한 치료 경험은 남학생 6.5%, 여학생 4.3%로 남학생이 측두하악장애 치료경험률이 높게 나타났다(p<0.05). 5. 악 안연외상 경험률은 남학생이 높게 나타났으며(p<0.01), 악안면외상 경험 경로 중 넘어짐이 가장 많았으며, 운동, 기타 순으로 나타났다. 6. 악안면 외상과 측두하악장애와의 관련성은 악악면외상과 측두하악관절잡 음 간에 통계적으로 유의한 관련성을 보였다(p<0.01). 이상의 결과 악안면외상 경험유무와 측두하악장애 간에는 관련성이 존재하며 악안면외상을 측두하악장애 발생의 기여요인으로 볼 수 있겠다. 따라서 향후 측두하악장애를 일으키는 요인이 무엇인지 그 관련요인에 대한 추가연구가 필요하다고 사료된다.

• Journal of Dental Anesthesia and Pain Medicine
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• 제20권5호
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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.

• 대한약침학회지
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• 제8권3호
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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.

• PNF and Movement
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• 제14권1호
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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.

• The Journal of Korean Physical Therapy
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• 제34권6호
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• pp.321-325
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• 2022

Purpose: Temporomandibular disorder (TMD) is a condition defined as pain and dysfunction of temporomandibular joints and masticatory muscles. Abnormal interconnections between temporomandibular muscles and cervical spine structures can cause the changes of postural alignment and balance ability. The aim of this study was to investigate changes in static balance ability in subjects with painrelated TMD. Methods: This study conducted on 25 subjects with TMD and 25 control subjects with no TMD. Pressure pain thresholds (PPTs) of the masseter and temporalis muscles were measured using a pressure algometer. Static balance ability was assessed during one leg standing using an Inertial Measurement Unit (IMU) sensor. During balance task, the IMU sensors measured motion and transfer movement data for center of mass (COM) motion, ankle sway and hip sway. Results: PPTs of masseter and temporalis muscles were significantly lower in the TMD group than in the control group (p<0.05). One leg standing, hip sway, and COM sway results were significantly greater in the TMD group (p<0.05), but ankle sways were not different between group. Conclusion: We suggest pain-related TMD is positively related to reduced PPTs of masticatory muscles and to static balance ability. These results should be considered together with global body posture when evaluating or treating pain-related TMD.

• Journal of Acupuncture Research
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• 제18권5호
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• pp.109-121
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• 2001

Objective : The purpose of This study is to analyze influence of functional and clinical improvement effect on temporomandibular disorders of Dong-Qi acupuncture treatment that often be used to temporomandibular disorder patients. Methods : We investigated to focus temporomandibular disorders in Jaseng oriental medicine hospital from September 8, 2000 to March 22, 2001. We compared to before and after treatment situation using temporomandibular disease & facial ache dolor pain and malignant function disorders & activation inhibition analysis from one cured Dong-Qi acupuncture treatment of outpatients-40 examples. Results : These results appeared that Sex distinction occurrence ratio was much more female than male of 1: 7. Age distinction occupied the most ratio in 20-30 generation. Jobs was mainly ranked students and companion. In cases treated before visiting our hospital, was mainly ranked our hospital first dignosis. the distribution interval of solider was mainly followed above 3 years. the distribution interval of treatment was mainly gone within 1 month and above 3 month, frequency of treatment was examined below 5 times, into 6 to 10 times, more than 11 times, respectively. Everything showed a very valuable effect except chewing and dentalgia in decrease of ache dolor pain and linkage pain related to mal-function. There are meaningful effect in Every part on Mal-function improvement. Every contents showed a very excellent effect except activation such as motivation ingestion and recreation in influence of activation. Conclusion : The above results showed a very valuable treatment effect of temporomandibular disorders on Dong-Qi acupuncture treatment. Therefore we are considered the necessity of continuous study and observation applying to other disease as well as temporomandibular disorders.