• Title/Summary/Keyword: bruxism

Search Result 108, Processing Time 0.024 seconds

Effect of Conservative Treatment of Temporomandibular Disorders(II) (약관절 장애의 보존적 치료효과(I I))

  • Sung-Chang Chung;Youn-Joong Kim;Ji-Won Lee
    • Journal of Oral Medicine and Pain
    • /
    • v.14 no.1
    • /
    • pp.113-121
    • /
    • 1989
  • In this study, 94 patients with temporomandibular disorders were interviewed to evaluate the effect of the treatment they received at the department of Oral diagnosis and oral Medicine in Seoul national university Hospital. The treatment administered to the patient were patient education, relaxation procedures, physical therapy, occlusal splint therapy and selective grinding of teeth. The following results were disclosed : 1. 97.9% of the patients reported no pain or considerably less pain than they had reported at their first visits to the department. 2. 89.3% of the patients thought that the treatment provided was either complete or considerably successful. 3. TMJ and facial pain was resolved within average 3.0 months 4. Of the 70 patients who previously reported having jaw joint sound, 34 patients (48.6%) no longer reported int. 5. Of the 48 patients who previously reported having headache regularly, 3 patients (68.8%) no longer reported headache regularly. 6. Of the 66 patients who previously reported having masticatory muscle pain, 41 patients (62.1%) no longer reported masticatory muscle pain. 7. Analysis of the data did not disclose a subgroup or factor, such as age, the stage of internal derangement, capsulitis, bruxism, MPD, duration of symptoms, that could be correlated with the reduction of pain or the patient's perception of success of treatment.

  • PDF

AN EPIDEMIOLOGIC STUDY ON THE TEMPOROMANDIBULAR JOINT SOUND IN ADOLESCENT (청년기의 측두악관절 잡음에 관한 역학적 연구)

  • Kim, Bong-Kap;Kang, Dong-Wan
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.31 no.1
    • /
    • pp.39-50
    • /
    • 1993
  • The purpose of this study was to investigate the association between characteristics of temporomandibular joint sound and possible contributing factors of temporomandibular joint sound. 1487 high school students (798 men and 689 women) aged from 16 to 18 were asked by questionnaires which was made for this study by T.M.J. clinic, dental infirmary, School of Dentistry, Chosun University, and data obtained from questionnaires were analyzed by chi-square test. The following results were obtained: 1. The prevalence of temporomandibular joint sound were found in 35.7% of all the subjects. 2. Temporomandibular joint sound could be unchanged, reduced and increased frequencey over time dependent on the individual. 3. The intensity of temporomandibular joint sound could be unchanged and increased during the chewing of hard food dependent on the individual. 4. The unilateral chewing and bruxism were not considered as possible contributing factors upon the occurring of temporomandibular joint sound. 5. Statistical significant association was found between clenching, stiffness, stress and tempore-mandibular joint sound, respectiely.(P<0.001, P<.01, P<0.05).

  • PDF

An Optimal Restoration Method of Noncarious Cervical Lesions Using Three-Dimensional Finite Element Analysis (3차원 유한요소해석을 이용한 비우식성 치아의 수복 방법)

  • Woo, Sung-Gwan;Kim, Kwang-Hoon;Park, Jeong-Kil;Hur, Bock;Son, Kwon
    • Journal of the Korean Society for Precision Engineering
    • /
    • v.24 no.7 s.196
    • /
    • pp.112-119
    • /
    • 2007
  • Cavities of Class V are caused by heavy occlusal loads due to bruxism and clenching habit. It is general to restore abfraction lesions with dental filler materials to reduce stress concentration. A material should be selected from various dental products based on long term clinical experiences or personal preference concerning filler methods. A quantitative criterion is necessary to make an evaluation of the results as dentists decide treatment methods and dental materials relying on their clinical experiences. The purpose of this study is to find an optimal restoration method and material for noncarious cervical lesions using the finite element method. An objective function was defined to minimize the sum of tensile and compressive stresses. Several models with different combinations of resins were suggested and compared in terms of the values of objective function. An optimal solution was to fill TetricFlow inside the lesion and Z100 in the remaining region with a thickness ratio of 0.125.

Clinical Assessment of Temporomandibular Joint Dysfunction (측두하악 관절 장애의 평가)

  • Ryoo, Jae-Kwan;Kim, Jong-Soon
    • Journal of Korean Physical Therapy Science
    • /
    • v.5 no.4
    • /
    • pp.717-728
    • /
    • 1998
  • The Temporomandibural joint(TMJ) is one of the most frequently used joint in the body as $1,500{\sim}2,000$ times per day for the activities of chewing, swallowing, talking, yawing and sneezing. The TMJ are formed by condylar process of mandible and mandible fossa of temporal bone, separated by an articular disc. This articular disc divides into two cavities as upper cavity and lower cavity. The gliding movement occurs in the upper cavity of the joint, whereas hinge movement occurs in the lower cavity. The movements that are allowed at the TMJ are opening, closing, protrusion, retraction and lateral movement. A cause of TMJ dysfunction are capsulitis, internal derangement, osteoarthritis, rheumatoid arthritis, infection and inflammation near the joint, trauma on joint, ankylosis, subluxation or dislocation of joint, injury of articular disc, myositis, muscle contracture or spasm, myofascial pain dysfunction syndrome, dyskinesia of masticatory muscles, developmental abnormality, tumor, connective tissue disease, fibrosis, malocclusion, swallowing abnormality, wrong habits such as bite nail or hair, bruxism, psycological stress and Costen syndrome etc. Assessment of TMJ dysfunction consist of interview, observation, functional examination, palpation, reflex test, joint play test, electromyography and radiologic examination and behavioral and psycological assessment etc.

  • PDF

Clinical anatomic consideration of the superficial layer of the masseter muscle for botulinum toxin injection (보툴리눔 톡신 주사를 위한 깨물근 얕은층의 임상해부학적 고찰)

  • Lee, Hyung-Jin;Kim, Hee-Jin
    • The Journal of the Korean dental association
    • /
    • v.55 no.5
    • /
    • pp.365-369
    • /
    • 2017
  • In clinical dentistry, botulinum toxin is generally used to treat the square jaw, bruxism, and temporomandibular joint diseases. Recently, this procedure has been expanded and applied for cosmetic purposes, and it is becoming a key task to be aware of the precise anatomical structure of the target muscles to be cautious during treatment and how to prevent side effects. Therefore, the purpose of this study is to observe the anatomical structure of the superficial layer of masseter muscle and to provide a most effective botulinum toxin injection method through clinical anatomical consideration. It was observed that the muscle belly of superficial part of the superficial layer was originated from the deep to the aponeurosis of masseter muscle and descend, then changed gradually into the tendon structure attaching to the inferior border of the mandible. In this study, we named this structure deep inferior tendon. This structure was observed in all specimens. We conclude that the use of superficial layer and deep layer injection should be considered to prevent paradoxical masseteric bulging in consideration of the deep inferior tendon of superficial part of superficial layer of masseter muscle.

  • PDF

A within-subject comparison of short implants in the posterior region: retrospective study of up to 10 years

  • Segalla, Douglas Blum;Villarinho, Eduardo Aydos;Correia, Andre Ricardo Maia;Vigo, Alvaro;Shinkai, Rosemary Sadami Arai
    • The Journal of Advanced Prosthodontics
    • /
    • v.13 no.3
    • /
    • pp.172-179
    • /
    • 2021
  • Purpose. This intra-patient retrospective study of up to 10 years evaluated the clinical success and risk factors of 6- and 8-mm long implants and their respective prostheses. Materials and Methods. The sample consisted of patients treated at a Military Polyclinic dental service, who received both 6- and 8-mm long tissue level implants in the posterior region of the same arch. Data were collected from the dental charts, clinical and radiographic exams, self-report of sleep bruxism, measurement of maximum occlusal force, and clinical crown-to-implant (C/I) ratio. Data were analyzed by descriptive and inferential statistics with univariate and hierarchical multivariate models, at the 0.05 significance level. Results. The 30 patients (27 women) had 85 implants and 83 prostheses. Two implants were lost before prosthesis installation (implant survival: 97.6%). Ten events of prosthetic complication (screw tightening loss) occurred in five patients (success rate: 87.9%) in a single moment. Only the variable C/I ratio had a significant effect for repairable prosthesis complication (P<.05). Conclusion. The results suggest that 6- and 8-mm long implants have similar long-term clinical success for implants and prostheses.

An Ultrasonographic Evaluation of Masseter Muscle Thickness in Patients Having Parafunctional Habit

  • Odkhuu, Michidgerel;Kim, Jinwoo;Kim, Sun-Jong
    • Journal of Korean Dental Science
    • /
    • v.13 no.2
    • /
    • pp.59-66
    • /
    • 2020
  • Purpose: The purpose of this study was to investigate the masseter muscle thickness before and after treatment using ultrasound sonography in patients with parafunctional habits. Materials and Methods: From September 2019 to March 2020, a total of 27 patients who visited the Department of Oral and Maxillofacial Surgery at Ewha Womans University Seoul Hospital were collected. The thickness of both masseter muscles was measured using a tablet ultrasound scanner. Statistical analysis was performed by using the IBM SPSS version 26.0 statistical package (IBM Corp) with significance level at 0.05. Result: According to the statistical results, the thickness of the masseter muscle was thicker on the right side than on the left, with no correlation with sex or age. The severity and duration of pain did not have a significant correlation with the thickness of the masseter muscle. Botulinum A toxin injection in the masseter muscle was the most effective way to reduce pain and reduce the thickness of the masseter muscle. Splint treatment also showed some effects in reducing the thickness of the masseter muscle. Conclusion: Based on the findings, it can be claimed that ultrasonography is simple, inexpensive and easily repeatable method to get real-time diagnosis and treatment results for masseter muscles.

Full mouth rehabilitation of an asthma patient with severe tooth wear and occlusion disharmony (심한 마모 및 교합 부조화를 가진 천식 환자의 전악 수복 증례)

  • Jo, Yu-Jin
    • Journal of Korean society of Dental Hygiene
    • /
    • v.22 no.4
    • /
    • pp.225-230
    • /
    • 2022
  • Objectives: Patients with excessive tooth wear should first be diagnosed for the etiology of the tooth wear. Causes of tooth wear include bruxism, clenching, and taking medications for systemic diseases. After identifying the cause of tooth attrition, the final prosthesis should be restored with an appropriate vertical dimension. Methods: A 79-year-old man with worn out teeth desired a whole dental treatment. He was on medications for high blood pressure and asthma. The treatment proceeded with a consultation with a medical doctor. The medications for asthma evoked multiple teeth wear and a loss of the vertical dimension. After recovery of 3 mm of vertical dimension, 2 months of evaluation was followed by an interim prosthesis. Results: The increased vertical dimension caused no problem in function and esthetics, and the final restoration was performed with a full monolithic zirconia crown. Group function, adequate anterior guidance, and the occlusal plane were determined. Conclusions: After the final restoration, the patient was both esthetically and functionally satisfied, and a night guard splint was delivered to prevent prosthesis fracture. The patient was informed about the potential tooth wear associated with asthma drugs and educated to visit the clinic regularly.

Fractures of implant fixtures: a retrospective clinical study

  • Yu, Han-Chang;Kim, Young-Kyun
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • v.42
    • /
    • pp.13.1-13.6
    • /
    • 2020
  • Background: The aim of this study was to evaluate the factors that may affect implant fixture fractures. Methods: Patients who experienced implant fixture removal at Seoul National University Bundang Hospital from 2007 to 2015 due to implant fixture fracture were included. Implant/crown ratio, time of implant fracture, clinical symptoms before implant fracture, treatment of fractured implants, and the success and survival rate of the replaced implants were evaluated retrospectively. Results: Thirteen implants were fractured in 12 patients. Patient mean age at the time of fracture was 59.3 years. Of the 13 implants, 7 implants were placed at our hospital, and 6 were placed at a local clinic. The mean crown/implant ratio was 0.83:1. The clinical symptoms before fracture were screw loosening in five implants, marginal bone loss in five implants, and the presence of peri-implant diseases in five implants. All the fractured implants were removed, and 12 out of the 13 sites were re-implanted. Parafunctions were observed in two patients: one with bruxism and one with attrition due to a strong chewing habit. Conclusions: Several clinical symptoms before the fracture of an implant can predict implant fixture failure. Therefore, if these clinical symptoms are observed, appropriate treatments can be taken before more serious complications result.

Comparative Analysis of Salivary Cortisol in Young Adult Patients with Temporomandibular Disorders

  • Chan-Young Cheon;Hyun-Jeong Park;Ji-Won Ryu;Jong-Mo Ahn
    • Journal of Oral Medicine and Pain
    • /
    • v.47 no.4
    • /
    • pp.183-188
    • /
    • 2022
  • Purpose: The goal of this study was to investigate the causative factors related to the stress of temporomandibular disorders (TMDs) by evaluating salivary cortisol concentration in young adult TMD patients and control groups. Methods: Saliva was obtained from 32 young adult TMDs patients and 34 control patients without a history of TMDs who visited Chosun University Dental Hospital between June 1 and August 31, 2021. Enzyme-linked immunosorbent assay was conducted to measure the salivary cortisol concentration. Results: The salivary cortisol concentration in the TMD patient group and the control group differed significant significantly (p<0.05). The salivary cortisol concentration according to the duration of the clinical symptom of TMD differed significantly difference between the two groups in the male. The salivary cortisol concentration according to perceived stress level differed significantly in the mild and moderate groups (p<0.05). There was no significant difference in salivary cortisol concentration between the two groups related to bruxism or clenching (p>0.05). Conclusions: The salivary cortisol concentration in the TMD patient group and the control group showed statistical relevance, indicating that stress was a causative factor.