• 제목/요약/키워드: Temporomandibular joint disorders

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성인의 악관절 증상과 요추질환의 관련성 (The Association between Temporomandibular Joint Disorders and Lumbar Diseases in Adults)

  • 황수현;유지수
    • 치위생과학회지
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    • 제18권2호
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    • pp.124-129
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    • 2018
  • 본 연구는 골관절염의 유병률이 증가하는 시기인 성인을 대상으로 악관절 증상과 요추질환의 관련성 분석을 통해 구강 건강 및 일반적인 건강 향상을 위한 보건정책개발에 도움이 되고자 수행하였다. 대표성이 있는 국민건강영양조사 자료 중 제5기 3차년도(2012년) 자료를 활용하였으며 연구목적에 적합한 만 50세 이상을 대상으로 건강설문 및 요추관절 방사선 검사를 완료한 3,017명을 연구대상으로 분석을 수행하였다. 악관절 증상의 여부는 16.1%가 최근 1년간 악관절 부위에서 이상 증상을 한 가지 이상 경험했다고 답하였다. 요통의 경우 20.6%가 최근 3개월 동안 요통이 있다고 답하였으며, 요추관절 방사선 영상 진단결과에 따른 요추 골관절염이 있는 사람은 30.6%로 나타났다. 악관절 증상을 경험한 사람의 경우 요통 유병위험률이 정상군에 비해 1.70배(95% CI, 1.30~2.22) 증가하는 것으로 나타났으며, 요추 골관절염 유병 위험률은 정상군에 비해 1.20배(95% CI, 0.86~1.68) 증가하는 것으로 나타났다. 본 연구결과 성인의 악관절 증상이 요추 골관절염 유병위험률과의 관련성에서는 유의하지는 않았지만 요추질환의 전형적인 증상인 요통에는 영향을 미치는 것을 알 수 있었다. 따라서 성인들의 악관절 증상에 대한 적절한 치료 및 예방을 한다면 요추질환 유병률을 낮추고, 삶의 질을 높이는 데 중요한 작용이 될 것으로 판단된다. 또한 향후 악관절 장애와 요추질환에 대한 적절한 관리프로그램 개발 및 체계적인 지원이 필요하다고 생각된다.

The Effectiveness of Air Insoles in Improving Temporomandibular Disorders

  • Mi-Ae Sung;Su-Youn Ko;Dong-Kyu Kim
    • PNF and Movement
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    • 제21권3호
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    • pp.273-280
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    • 2023
  • Objective: In patients with temporomandibular joint disorders, air insoles are used to investigate functionality and pain changes in the temporomandibular joint when walking in daily life. Intervention: Sixty-five patients with temporomandibular joint disorder were recruited: 34 as a control group who walked more than 7,000 steps a day in daily life, and 31 as an experimental group who were instructed to take at least 7,000 steps every day while wearing their air insoles. Measurements: To determine the effects of air insoles on temporomandibular joint pain, steady-state pain, maximum mouth opening, average pain, and the most severe pain were measured before and after the experiment. In addition, to evaluate functionality, the ability to open the mouth in a comfortable state, pain when opening the mouth, and the point of sound and maximum degree to which the mouth could be opened were evaluated before and after the experiment. Results: Pain, mouth openness, and sound points showed significant differences from the control group after the experiment, and the maximum mouth opening range showed no significant difference. Conclusion: When air insoles were used by patients with temporomandibular joint disorder, the functionality of the temporomandibular joint was improved and pain was decreased.

Cases Report on Conservative Treatment for the Chronic Closed Lock of Temporomandibular Joint

  • Lee, Gi-Cheol;Park, Su-Hyun
    • Journal of Korean Dental Science
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    • 제4권2호
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    • pp.85-91
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    • 2011
  • Some treatment methods have been proposed for patients with chronic closed lock of temporomandibular joint. We report a conservative treatment for patients who had chronic closed lock of temporomandibular joint and who did not want surgical treatment. Two patients who had been treated in the Template clinic, Soonchunhyang University Bucheon Hospital, are the subjects of this report. The subjects had chronic closed lock symptom for over 3 months after an onset of locking; conventional therapies had no effect. The subjects were treated by making them wear a Template appliance while sleeping and exercise for 10 hours a day. After periodic follow-up, significant improvement was observed for Template treatment in terms of the maximal mouth opening range. When conventional therapy is expected to be ineffective, The Template appliance can be used as conservative treatment for temporomandibular disorders patients with chronic closed lock of temporomandibular joint.

측두하아장애 환자의 증상심도와 행동 및 사회심리적 요인에 관한 연구 (A Study on the Symptom Severity and the Behavioural and Psychosocial Factors of the Patients with Temporomandibular Disorders)

  • Bo-Young Um;Sung-Chang Chung
    • Journal of Oral Medicine and Pain
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    • 제13권1호
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    • pp.71-84
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    • 1988
  • The author examined 206 temporomandibular disorders patients, who visited department of Oral Diagnosis and Oral Medicine in Seoul National University Hospital during the period from May 1st 1987 to April 30th 1988, clinically and radiologically and with prepared questionnaire. By clinical and radiological examination, the patients were divided into 2 groups(the patients with temporomandibular joint internal derangement and myofacial pain dysfunction syndrome or with myofacial pain dysfunction syndrome: the patient with temporomandibular joint internal derangement only). The symptom severity index and contributing factors were examined with the questionnaire, and differences in 2 groups were studied. The conclusions are followings : 1. The symptom severity index presenting the severity of symptom was higher and the scope of symptom was wider in the patients with temporomandibular joint internal derangement and myofacial pain dysfunction syndrome or with myofacial pain dysfunction compared to the patients with temporomandibular joint internal derangement only. 2. Emotions, behaviors, cognitions, and social factors were more undesirable in the patients with temporomandibular joint internal derangement and myofacial pain dysfunction syndrome or with myofacial pain dysfunction syndrome than the patients with temporomandibular joint internal derangement only.

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측두하악관절 장애 환자의 임상증상과 자기공명영상에 관한 비교 연구 (A comparison of clinical symptoms and magnetic resonance images in temporomandibular joint disorders)

  • 최용석;황의환;이상래
    • Imaging Science in Dentistry
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    • 제33권2호
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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.

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측두하악장애 환자의 임상적 양태에 대한 연구 (A prevalence of clinical sign and symptom in temporomandibular disorders patients)

  • 김두용;유임학
    • 구강회복응용과학지
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    • 제17권4호
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    • pp.217-224
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    • 2001
  • A prevalence of temporomandibular disorders(TMD) based on the clinical sign and symptom in 155 patients were investigated. History taking with interview chart and clinical examination were performed. Age and gender of the patients, duration of TMD, location of pain, joint sound, limitation of mouth opening and more detailed diagnostic name were identified. The results of this study were as follows: 1. TMD was more prevalent in female than in male. TMD was the most prevalent at the age of 20s and decreased with age. 2. Acute TMD was more prevalent than chronic one. 3. About ninety percent of TMD patients had pain. Pain had mainly a unilateral origin. Muscle pain was mainly related with the masseter muscle. 4. Joint sound was identified in about fifty-six percent of the TMD patients and unilateral joint sound was more prevalent than bilateral one. 5. Limitation of mouth opening was observed in about forty percent of the TMD patients. 6. In TMD patients, muscle dysfunction was the most prevalent one. In muscle disorders local muscle soreness was the most prevalent one. In joint disorders, capsulitis was the most prevalent one. In muscle-joint disorders, trigger point pain with retrodiscitis was the most prevalent one.

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A Case of Epidermoid Cyst Initially Misdiagnosed as Temporomandibular Joint Disorder

  • Choi, Yun-Jeong;An, Seo-young;Byun, Jin-Seok;Jung, Jae-Kwang;Choi, Jae-Kap
    • 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.

대학생의 스트레스와 턱관절 장애 및 구강건강관련 삶의 질의 관련성 (Relationship between Stress, Temporomandibular Joint Disorders and Oral Health-Related Quality of Life in College Students)

  • 정수진;김현경;김세연;김수빈
    • 융합정보논문지
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    • 제12권3호
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    • pp.204-213
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    • 2022
  • 본 연구는 대학생들의 구강건강수준에 영향을 미칠 수 있는 스트레스와 턱관절 장애를 조사하고 구강건강 관련 삶의 질과의 관련성을 파악하기 위해 실시하였다. 자료조사는 2021년 6월 3부터 2021년 7월 8일까지 대전 일부지역의 대학생 227명을 대상으로 실시하였으며, 독립표본 t검정, one-way ANOVA, Pearson 상관분석, 다중회귀분석을 이용하여 분석하였다. 조사결과, 턱관절 장애는 모든 스트레스 하위요인과 양의 상관성을 보였으며, 구강건강관련 삶의 질은 모든 스트레스 하위요인 및 턱관절 장애와 음의 상관성을 보였다. 또한, 구강건강관련 삶의 질에는 턱관절 장애와 대인 스트레스 및 가치관 스트레스가 영향을 미치는 것으로 나타났다. 이상의 결과를 토대로 대학생들의 스트레스와 턱관절 장애를 예방하여 구강건강관련 삶의 질을 향상시키는 체계적인 방안 모색이 요구된다.

Non-invasive different modalities of treatment for temporomandibular disorders: review of literature

  • Abouelhuda, Amira Mokhtar;khalifa, Ahmad Khalifa;Kim, Young-Kyun;Hegazy, Salah Abdelftah
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제44권2호
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    • pp.43-51
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    • 2018
  • Temporomandibular disorders (TMDs) are diseases that affect the temporomandibular joint and supporting structures. The goal of treatment for TMDs is elimination or reduction of pain and return to normal temporomandibular joint function. Initial treatment for TMDs is non-invasive and conservative, not surgical. Oral and maxillofacial surgeons should fully understand and actively care about non-invasive treatments for TMDs. The purpose of this study is to review the validity and outcomes of non-invasive and surgical treatment modalities for TMDs.

Analysis of Temporomandibular Joint Disorders in Children and Adolescents: Diagnosis and Treatment Pattern by Age

  • Heemin Kim;Jaegon Kim;Daewoo Lee;Yeonmi Yang
    • 대한소아치과학회지
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    • 제51권2호
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    • pp.185-196
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    • 2024
  • Temporomandibular joint disorders (TMDs) can occur at any age, including childhood and adolescence, and pain-related TMDs can affect growth and quality of life. In the present study, recent trends in the diagnosis and treatment of TMDs in children and adolescents were analyzed over a 10-year period. Using 10 years of data from the Health Insurance Review and Assessment Service (HIRA) and Jeonbuk National University (JBNU) Dental Hospital, patients between 0 and 19 years of age diagnosed with K07.6 (temporomandibular joint disorders) were analyzed by 5-year bins. Both datasets indicated a higher prevalence in females (1.2-fold in HIRA, 1.5-fold in JBNU) and in ages 15 to 19 years (72.1% in HIRA, 74.7% in JBNU). HIRA reported a 42.3% increase in prevalence per 100,000 people, from 651.4 in 2011 to 927.0 in 2020. JBNU reported K07.66 (masticatory muscle disorders) as the most common diagnosis in subjects under 10 years of age and K07.60 (internal derangement of temporomandibular joint) in those over 10 years of age. In addition, both were treated mainly by a combination of physical therapy and medication, and the treatment rate increased in accordance with age. Because TMDs can affect various structures in the orofacial region and cause pain that tends to differ with age, an early and specific diagnosis appropriate for age is important for treatment. Therefore, pediatric dentists need to promptly recognize TMDs in children and adolescents and consult with specialists as the prevalence increases.