• 한국도로학회:학술대회논문집
• /
• 2009.11a
• /
• pp.73-80
• /
• 2009

• Proceedings of the KWS Conference
• /
• 2006.10a
• /
• pp.98-100
• /
• 2006

• Maxillofacial Plastic and Reconstructive Surgery
• /
• v.23 no.1
• /
• pp.70-76
• /
• 2001

Purpose : To evaluate the efficacy of arthrocentesis for treatment of closed lock. Material : 42 patients were diagnosed to closed lock by physical, radiographic examriation and undergone arthrocentesis. All patients have a pain and mouth opening limitation on affected site. Method : Arthrocentesis was done under conscious sedation and local infiltration anesthesia, normal saline and some steroid was injected on upper compartment of tempormandibular joint. After pumping and lavage, manual reduction procedure of anterially displaced disc was done. All the patients wear an anterior repositioning splint just after arthrocentesis. The result of arthrocentesis was assessed by pain and difference of mouth opening. Result : Difference of mouth opening after arthrocentesis was improved to 18.85mm and pain was gradually decreased. All patients were worn stabilization type splint after mean 1.84 months. 6 patients had relapse of mouth opening limitation so done arthrocentesis again and delivered good results.

• Journal of the Korean Society of Physical Medicine
• /
• v.4 no.4
• /
• pp.257-267
• /
• 2009

Purpose：The purpose of this study is to examine the effectiveness of ultrasound and myofascial release in patients who have opening mouth limitation and temporomandibular disorder. Methods：Twenty students were randomly assigned to a myofascial release group(n=10) or an ultrasound group(n=7). Each group was treated for 15 minutes per a every treatment session for four weeks. Cervial range of motion(CROM) was used to measure cervical R.O.M., and a mm(millimeter) graduated ruler was used to measure opening mouth limitation. Results：Results of the follows : 1. The neck extension of range of motion of both groups was significantly increased in length of time (p<.05). 2. The neck flexion of range of motion of both groups was significantly increased (p<.05). 3. The quantity of opening mouth of temporomandibular joint of both groups was significantly increased (p<.05). Conclusion：These data suggest that myofascial release and ultrasound are beneficial to increasing a functional recovery of neck(flexion and extension) and opening mouth.

• Journal of Oral Medicine and Pain
• /
• v.37 no.4
• /
• pp.205-211
• /
• 2012

A 35 year-old female presented with the complaint of sudden occurrence of bite change and concurrent opening limitation, as well as pain in the right temporomandibular joint (TMJ) during mouth opening. From her history it was revealed that she had simple clicking of right TMJ for several years before onset of these symptoms, and that the clicking sound subsided recently after development of opening limitation. On clinical examination, anterior open bite, midline shift of the mandible to right, and premature contacts on left posterior teeth were observed. Maximum mouth opening and lateral movement to left were also restricted. On magnetic resonance images, the right TMJ showed anterior disc displacement without reduction and the posterior joint space is greatly collapsed by retrusion of the condyle. It was thought that the sudden occurrence of occlusal change would be resulted from abrupt displacement of the mandible associated with development of the anterior disc displacement without reduction. The stabilization appliance traction therapy was performed initially for first 3 months along with physical and pharmacologic therapy. However, the anterior open bite and opening limitation didn't resolve and the position of mandible still remained altered. So the stabilization appliance was changed to intermaxillary traction device. Then the mandible returned progressively to normal position and the occlusion became more stable and comfortable. After 5 months of intermaxillary traction therapy, the anterior open bite was dissolved completely and the occlusion became stabilized satisfactorily along with recovery of normal mouth opening range. On post-treatment magnetic resonance image, remodeling of condylar head was observed.

• Journal of Oral Medicine and Pain
• /
• v.38 no.3
• /
• pp.275-289
• /
• 2013

This study was conducted to investigate and analyze the dental patients' awareness and understanding about TMDs. Among the total number of 243 patients who had visited the department of dentistry of Busan Paik Hospital, Inje University or Hanvit dental hospital in Ulsan metropolitan city and participated in the survey, 195 patients who filled in all parts of the questionnaire were selected as the subjects. The results were as follows. 1. The subjects who were aware of the term, "TMDs" were 17.4%. The group with total education period of 12 years and over was significantly more aware of "TMD"(82.4%, p<0.01) than the other group. The subjects who were aware of the term, "jaw joint disease" were 81.0%. 30 to 49 age group(45.6%, p<0.05) and the group with total education period of 12 years and over(60.1%, p<0.01) were significantly more aware of "jaw joint disease" than other groups. 2. More than half of the subjects chose "overuse of the jaws" as the concept of jaw joint disease(50.6%). 3. TV, radio(41.4%) was the most frequent source of awareness about jaw joint disease followed by family and friends(20.2%), hospitals and health professionals(18.2%), internet(15.7%) and newspapers, magazines(4.5%). Among the respondents who were aware of jaw joint disease through TV, radio, 30 to 49 age group showed significantly higher percentage(52.4%, p<0.05) than other age groups. Among the respondents who were aware of jaw joint disease through internet, 18 to 29 age group showed significantly higher percentage(61.3%, p<0.01) than other age groups. Among the respondents who were aware of jaw joint disease from hospitals and health professionals, the group with total education period of 12 years and over showed significantly higher percentage(75.0%, p<0.05) than the other group. 4. Noise during mouth opening and closing(26.9%), mouth opening difficulty(25.1%) and jaw pain(13.7%) were the most frequently responded sign and symptoms of jaw joint disease. For the causes of jaw joint disease, enjoying hard food chewing(19.5%), occlusal discrepancy(19.0%) and chewing with one side only(18.5%) were responded in sequence. TMJ surgery(28%) was the most frequently responded treatment method for jaw joint disease, followed by occlusal appliance therapy(23.9%) and physical therapy(14.6%). For preventive method of jaw joint disease, avoid eating hard food(21.1%), avoid opening mouth wide(17.0%) and simultaneous using of molar of both side when chewing food(15.4%) were chosen frequently.

• Steel and Composite Structures
• /
• v.21 no.1
• /
• pp.137-156
• /
• 2016

Due to excellent advantages such as better illuminative effects, considerable material savings and ease and rapidness of construction, the bolted ball-cylinder joint which is a new type joint system has been proposed in space truss structures. In order to reveal more information and understanding on the behaviour of bolted ball-cylinder joints, full-scale experiments on eight bolted ball-cylinder joint specimens were conducted. Five joint specimens were subjected to axial compressive force, while another three joint specimens were subjected to axial tensile force. The parameters investigated herein were the outside diameter of hollow cylinders, the height of hollow cylinders, the thickness of hollow cylinders, ribbed stiffener and axial force. These joint specimens were collapsed by excessive deformation of hollow cylinders, punching damage of hollow cylinders, evulsion of bolts, and weld cracking. The strain distributions on the hollow cylinder opening were mainly controlled by bending moments. To improve the ultimate bearing capacity and axial stiffness of bolted ball-cylinder joints, two effective measures were developed: (1) the thickness of the hollow cylinder needed to be thicker; (2) the ribbed stiffener should be adopted. In addition, the axial stiffness of bolted ball-cylinder joints exhibited significant non-linear characteristics.

• Journal of Industrial Technology
• /
• v.23 no.A
• /
• pp.69-81
• /
• 2003

Numerical analysis is important for the design, construction and maintenance of large caverns. The rock mass contains generally discontinuities such as faults, joints and fissures. The mechanical behavior and geometric characteristics of these discontinuities would have a significant impact on the stability of the caverns. In this research the Distinct Element Method(DEM) was used to analyze the structural stability of the large cavern. The Barton-Bandis Joint Model (B-B J.M) was used as a constitutive model for the joint. In addition, two different cases 1) analysis with a support system and 2) analysis with no support system, were analyzed to optimize a support system and to investigate reinforcing effects of a support system. The most significant parameters of in-situ stress, JRC of in-situ natural joints, and spatial distribution characteristics of discontinuities were acquired through field investigation. Displacement (horizontal, joint shear), maximum joint opening, maximum and minimum principal stresses, range of relaxed zone, rockbolt axial forces and shotcrete stresses were calculated at each excavation stage. As a result of analysis the calculated values proved to be under the allowable value Rockbolts also proved to be an efficient support measure to control joint shear displacement which had significant effects on extending the relaxed zone. As a consequence, the structural stability of the cavern was assured with an appropriate support system.

• Imaging Science in Dentistry
• /
• v.33 no.2
• /
• pp.107-112
• /
• 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
• /
• v.23 no.3
• /
• pp.281-288
• /
• 1998

The authors treated a 30-years old female patient who visited the Department of Oral Medicine, PNUH due to the chief complaint of limitation of mouth opening. The magnetic resonance imaging following clinical examination was used for establishing an accurate and reliable diagnosis and the patient was diagnosed as having anterior disc displacement without reduction in the right joint and anterior disc displacement with reduction in the left joint. For managing acute anterior disc displacement without reduction, mandible manipulation was applied first focusing on pain control and then stabilization appliance was used for maintenance of joint stabilization. With time, the sign and symptom was remarkably reduced and an active exercise program was recommended to maintain of normal muscle length, increase joint range of motion and develop normal coordination arthrokinematics. As a result of treatment, the patient did not complain discomfort of normal daily activities and it was difficult to consider that the displace disc was not reduced completely, but the improvement in range of motion and joint mobility were remarkably found. Therefore, an exercise program should be considered to maintain joint mobility and be effective as a self-care.