• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.12
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• pp.645-651
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• 2019

This study examined the correlation between the forward head posture (FHP), temporomandibular joint disorder (TMD), and temporomandibular joint quantitative somatosensory sensation. This study examined the correlation between the temporomandibular joint function and somatosensory sensation according to the change in FHP after the intervention on the head posture in 62 subjects (22.15 ± 2.56 years) Biofeedback training was administered to the FHP, which was performed 12 times for a total of four weeks. To assess the FHP, the craneovertebral angle (CVA) was examined. The temporomandibular joint (TMJ) function was measured by the Therapeutic Range of Motion Scale and the left and right lateral deviation, and the sensation of vibration threshold was measured to confirm the change in somatic sensation. Multiple regression analysis was performed to confirm the influence of each variable and Pearson's correlation analysis was performed to assess the correlation. Changes in the temporal joint function (p<.001) and somatic sensation (p<.001) were correlated significantly with the changes in CVA. These results show that there is a significant correlation between the frontal head position, TMJ function, and somatosensory sensation. These results provide a new paradigm for the treatment of jaw joints for patients suffering from TMD and provide a basis for the future treatment of the temporomandibular joint.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.38
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• pp.24.1-24.7
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• 2016

Background: This study aimed to evaluate the structural changes of temporomandibular joint immediately after condylar fractures with magnetic resonance imaging (MRI). Method: We evaluated 34 subjects of condylar fractures with MRI. The position, shape, and signal intensity of the condyle, disc, and retrodiscal tissue were analyzed with MR images. Results: Immediately after trauma, the disc was displaced with the fractured segment in almost all cases. And, the changes of signal intensity at the retrodiscal tissue were found but less related to the degree of fracture displacement. And, the high signals were observed almost at all fractured joint spaces and even at some contralateral joints. Conclusions: The displaced disc as well as the increased signal intensity of the joint space, condylar head, and retrodiscal tissue demands more attention to prevent the possible sequela of joint.

• Imaging Science in Dentistry
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• v.33 no.2
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• pp.107-112
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• 2003

Purpose : To determine the relationship between clinical symptoms and magnetic resoncance (MR) images in patients presenting with temoporomandibular joint (TMJ) disorders. Materials and Methods: This study was based on 172 joints in 86 patients presenting with TMJ disorders. Joint pain and sound during jaw opening and closing movements were recorded, and the possible relationship between disc positions and bony changes of the condylar head and the articular fossa in MR images in the oblique sagittal planes were examined. Data were analyzed by Chi-square test. Results : There was no statistically significant relationship between clinical symptoms and MR images in the patients with TMJ disorders. Conclusion: In the patient with TMJ disorders, joint pain and sound could not be specific clinical symptoms that are related with MR image findings, and asymptomatic joints did not necessarily imply that the joints are normal according to MR image findings.

• Journal of Oral Medicine and Pain
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• v.42 no.2
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• pp.35-43
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• 2017

Purpose: This study aims to evaluate the correlation between joint sounds and radiographic bone change patterns along with clinical symptoms of temporomandibular joint osteoarthritis (TMJ OA) patients. Methods: The patients for this study were over 19 years of age, diagnosed tentatively with TMJ OA. The patients were examined with temporomandibular disorders analysis test and all three radiographs, including panoramic radiography, transcranial radiography, and cone beam computed tomography (CBCT). Information of the patients' age, pain status, joint sound and mouth opening range were collected. And bone change pattern was examined by reviewing panoramic radiography, transcranial radiography and CBCT images. Results: The patients with crepitus had a higher average active mouth opening (AMO) range than patients without crepitus, and the group with bilateral crepitus had a higher average AMO range than the group with unilateral crepitus (p<0.001). And the patient with pain during mastication was increased in the group with clicking than the group without clicking, and the group with bilateral clicking showed a statistically significant increase in the patient with pain during mastication than the group with unilateral clicking (p<0.05). The analytical results of the relevance of crepitus showed a high correlation with bone change observed from each of the three radiographs. And the agreement in bone change findings from 3 groups of paired radiographs showed high agreement (p<0.001). Meanwhile, 77.2% of CBCT findings showed bone change of condyle without crepitus (p<0.001). Conclusions: This study presented significant results in the evaluation of the correlation with crepitus and bone change of TMJ OA patients from panoramic radiography or transcranial projection. However, the accurate assessment is required through CBCT for the patient with complains of persistent pain, limitation of mouth opening, and occlusal change even if the crepitus does not exist.

• Imaging Science in Dentistry
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• v.44 no.4
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• pp.293-299
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• 2014

Purpose: This study was performed to find the relationship between pain and joint effusion using magnetic resonance imaging (MRI) in temporomandibular disorder (TMD) patients. Materials and Methods: The study subjects included 232 TMD patients. The inclusion criteria in this study were the presence of spontaneous pain or provoked pain on one or both temporomandibular joints (TMJs). The provoked pain was divided into three groups: pain on palpation (G1), pain on mouth opening (G2), and pain on mastication (G3). MRI examinations were performed using a 1.5-T MRI scanner. T1- and T2-weighted images with para-sagittal and para-coronal images were obtained. According to the T2-weighted image findings, the cases of effusions were divided into four groups: normal, mild (E1), moderate (E2), and marked effusion (E3). A statistical analysis was carried out using the $X^2$ test with SPSS (version 12.0, SPSS Inc., Chicago, IL, USA). Results: Spontaneous pain, provoked pain, and both spontaneous and provoked pain were significantly related to joint effusion in TMD patients (p<0.05). However, among the various types of provoked pain, pain on palpation of the masticatory muscles and TMJ (G1) was not related to joint effusion in TMD patients (p>0.05). Conclusion: Spontaneous pain was related to the MRI findings of joint effusion; however, among the various types of provoked pain, pain on palpation of the masticatory muscles and TMJ was not related to the MRI findings of joint effusion. These results suggest that joint effusion has a significant influence on the prediction of TMJ pain.

• Journal of Oral Medicine and Pain
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• v.20 no.1
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• pp.141-158
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• 1995

This study was performed to invetigate the relationship between clinical manifestations related to temporomandibular joint sounds and temporomandibular joint vibrations that occurred synchronously with sounds. There have been reported in many articles that joint sounds indicate internal joint pathology. Therefore, it is necessary to evaluate type and patterns of joint sounds, and radiographic changes of temporomandibular joint(TMJ) in order to diagnose and deal with the Temporomandibular Disorders(TMD). For this study 142 patients with TMDs were collected and they were examined by routine diagnostic procedure for TMDs. The author classified TMJ sounds clinically into 3 types : click, popping, and crepitus. Transcranial and panoramic radiographs were taken for observein bony changes of TMJ, and for observing vibrations of TMJ Sonopak of Biopak system was used. The obtained results were as follows : 1. Female subjects with crepitus were older than those with click or popping and their mean ages were about 45 years old. But in male subjects, there was no age difference. 2. For all subjects, mean value of maximal mouth opening were above 40mm, which are lower limit of normal vertical opening. But in subjects with L-type opening deviation, mouth opening capacity were about 36mm of range. 3. Symptom duration stated when patient presented first were slightly longer in subjects with crepitus but there were no statistical differences. And there were also no radiographic differences among 3 types of joint sounds in regard to symptom duration. 4. In subjects wih click, it might have been interpreted that 12% had closed lock, 12% had degenerative joint disease, and about 17% of he subjects had normal joints by Sonopak. 5. There were no significant relationships between subjective loudness of joint sounds and magnitude of joint vibrations. 6. The highest value of Integral and peak amplitude were observed in popping sounds and though it was not significant, value of peak frequency was highest in crepitus. 7. Amount of mandibular positional change were differed between click and crepitus on frontal plane, between click, crepitus and popping on horizontal plane in rotational movement, respectively. However, there no difference among them in translational movements.

• Journal of Korean Medicine Rehabilitation
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• v.34 no.1
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• pp.49-64
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• 2024

Objectives By bibliographically analyzing acupuncture treatment studies for temporomandibular disorders over the past 20 years, we found an overview of global trends and a new perspective on future research directions. Methods We searched on the Web of Science webpage through the formula (TS=[temporomandibular] OR TS=[craniomandibular] OR TS=[jaw]) AND (TS=[^*acupuncture] OR TS=[dry needl^*] OR TS=[warm needl^*] OR TS=[thread embed^*]) AND (PY=[2003-2022]). And it was analyzed by year, research field, academic journal, country, research institute, author, and keyword. Results 194 papers were searched, and 92 papers were finally selected. The number of papers published over the past 20 years has been on the rise. Research has been the most active in the field of Dentistry Oral Surgery Medicine. Brazil published the most papers. And by institution, Universidade de Sao Paulo published the most papers. Among the authors, Fernández-de-las-Peñas has published the most papers. In the analysis by keyword, the top five keywords were temporomandibular joint disorder, acupuncture, myofascial pain, pain and management. Conclusions This study will provide useful guidelines for setting the direction of research by referring to the research status and keyword analysis when conducting research on the acupuncture on temporomandibular disorder in the future.

• Imaging Science in Dentistry
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• v.31 no.4
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• pp.221-225
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• 2001

Purpose: To observe the relationship of bilaminar zone of temporomandibular joint retrodiscal tissues to the disc condition. Materials and Methods : The upper and lower stratum of bilaminar zone were identified on magnetic resonance open mouth images of 148 joints from 74 patients with disc displacements. Results: Both strata were identifiable in 105 joints which had disc displacement with reduction. Lower stratum was not identifiable in 35 joints which had disc displacement without reduction but 12 of 35 had hyalinized posterior attachment where the disc was. The 8 joints which had partial disc displacement without reduction showed identifiable lower stratum at the reducing site which was medial. Conclusion: Disruption or no identification of lower stratum which corresponds to the condylar portion of posterior attachment may be the sign of disc displacement without reduction.

• The Journal of the Korean dental association
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• v.51 no.2
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• pp.74-83
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• 2013

In the management of temporomandibular joint(TMJ) disorders, dental practioner should conduct the reversible, conservative, and inexpensive treatment modalities prior to the irreversible and invasive treatment. That is to say, behavioral, pharmacologic, and physical therapy should be conducted firstly, and then the occlusal appliance therapy could be considered. If patients do not react to these conservative treatments, we have to consider surgical treatments. If the accurate diagnosis is confirmed by intimate history taking, clinical and imaging examinations, we can rehabilitate the normal TMJ function and relieve the clinical symptoms with only conservative treatments in most TMJ disorder cases.

• Journal of Oral Medicine and Pain
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• v.41 no.3
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• pp.137-143
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• 2016

Posterior disk displacement (PDD) of the temporomandibular joint (TMJ) is a rare condition and most descriptions of TMJ PDD are about the adhesion of superior TMJ in which the position of disk is relatively posterior to anteriorly translated condyle in open mouth position. However, there have been reports about truly posteriorly positioned disk to the condyle in closed mouth position. This type of PDD has been classified into three subtypes-thin flat disk type, grossly posterior displaced disk type, and perforated disk type. Here, we report two rare cases of TMJ PDD, one with thin flat disk and one with perforated disk. Its possible etiology, pathogenetic mechanisms, related signs and symptoms, differential diagnoses, and treatments were reviewed and discussed.