• Title/Summary/Keyword: joint opening

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Prevalence of Signs and Symptoms of Temporomandibular disorders with aging (연령에 따른 턱관절장애의 증상과 징후의 유병률)

  • Chang, Joo-Yeon;Kang, Soo-Kyung;Auh, Q-Schick;Hong, Jung-Pyo;Chun, Yang-Hyun
    • Journal of Oral Medicine and Pain
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    • v.37 no.3
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    • pp.183-188
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    • 2012
  • Previous studies of the relationship of TMJ signs and symptoms in elderly people have provided inconsistent findings. The objective of this study was to retrospectively analyze the prevalence of signs and symptoms of temporomandibular disorders(TMD). Additionally, young subjects were examined as a control group. Forty old patients (28 female, 12 male, mean age: $65.2{\pm}2.5$ years) and forty young patients (30 female, 10 male, mean age: $23.3{\pm}2.6$ years) clinically diagnosed with TMD were screened. Patient records were analyzed regarding: pain on chief complain, amount of range of mouth opening, TMJ noises(clicking sounds, crepitus), pain on palpation of the TMJ and masticatory muscles and neck and upper back muscles. Differences between the groups were assessed using t-test and the chi-squared test. (SPSS v.17) P value <0.05 was considered statistically significant. Geriatric subjects more often exhibited crepitus on mouth opening (25%), muscular palpation pain of masseter muscles (82.5%) and temporal muscles(60%). In contrast, young subjects more frequently exhibited joint sounds (62.5%), more amount of range of passive mouth opening (p=0.043). It was found that the younger subjects (82.5%) and the older subjects (87.5%) suffered from subjective sign (orofacial pain on chief complain). There were not statistically significant relationships between orofacial pain (VAS) and the groups. Differences between the groups with respect to joint sounds, muscular palpation pain and mandibular range of motion were significant. Although older subjects more frequently exhibited objective signs (crepitus on opening, pain on muscular palpation) of TMD, younger subjects more frequently objective signs (clicking sound on mouth opening, amount of mandibular range of motion).

RADIOLOGICAL STUDY OF THE CONDYLAR HEADS IN TEMPOROMANDIBULAR JOINT ARTHROSIS (악관절증에서의 하악과두의 방사선학적 소견)

  • You Dong Soo
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.15 no.1
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    • pp.13-20
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    • 1985
  • The author obtained the oblique lateral trans cranial radiograms from 376 patients (114 of male, and 262 of female) with temporomandibular joint arthrosis. After tracing each film, the author analyzed the dimensional changes of the condylar heads with pain, clicking, mouth opening limitation, and masticatory difficulty respectively, which were the chief complaints of the TMJ arthrosis and compared these data with control group. The results were as follows; 1. There was a great predilection for occurrence of the TMJ arthrosis in female (262 cases) over male (114 cases). But there was no significant difference in ratio between the sexes on each symptom. In male, 60 patients (52.6%) had pain, 28 patients (24.6%) had clicking, 21 patients (18.4%) had mouth opening limitation, and 5 patients (4.4%) had masticatory difficulty. In female, 148 parients (56.5%) had pain, 57 patients (21.8%) had clicking, 47 patients (17.9%) had mouth opening limitation, and 10 patients (3.8%) had masticatory difficulty. 2. Examined controlled group, the author analyzed the dimension of W-W', 0-H, 0-A, 0-B on the right side first, and left side second. In male, the dimension of W-W' was 14.52㎜, 14.13㎜; 0-H was 13.92㎜, 13. 71㎜' 0-A was 8.91㎜, 9.0㎜ and 0-B was 8.67㎜, 8.78㎜. In female, W-W' was 13.77㎜, 13.51㎜; 0-H was 13.42㎜, 13.35㎜; 0-A was 8.92㎜, 9.01㎜; and 0-B was 8.59㎜, 8.80㎜. 3. W-W' and 0-H of the experimental group were distinctly lesser than the controlled group. Male with mouth opening limitation show the least (12.70㎜, 13.00㎜) on W-W', but both sexes with pain show the least on 0-H. There was no significant difference between experimental group with Clicking and controlled group on 0-H, 0-A, and 0-B. And also there was no difference on 0-B in patients with every symptom except masticatory difficulty. The dimensional changes of the condylar heads with those symptoms were as follows; a) In male patients, complaing of pain, W-W' of the right and left was 13.80㎜, 12.80㎜; 0-H was 13.10㎜, 12.90㎜; 0-A was 8.69㎜, 8.18㎜; 0-B was 8.33㎜, 8.42㎜. In female, W-W' was 13.01㎜, 12.90㎜; 0-H was 12.48㎜, 12.80㎜; 0-A was 8.60㎜, 8.49㎜; 0-B was 8.48㎜, 8.50㎜. b) In male patients with clicking, W-W' was 13.70㎜, 13.10㎜; 0-H was 13.90㎜, 13.10㎜; 0-A was 8.81㎜, 8.16㎜ 0-B was 8.34㎜, 8.25㎜. In female, W-W' was 13.10㎜, 13.50㎜; 0-H was 13.30㎜, 12.91㎜; 0-A was 8.95㎜, 8.49㎜; 0-B was 8.23㎜, 8.70㎜. c) In male patients with mouth opening limitation, W-W' was 12.70㎜, 13.00㎜; 0-H was 13.40㎜, 13.40㎜; 0-A was 8.37㎜, 8.48㎜; 0-B was 8.33㎜, 8.62㎜. In female, W-W' was 13.00㎜, 12.50㎜ 0-H was 12.90㎜, 13.10㎜; 0-A was 8.49㎜, 8.09㎜; 0-B was 8.77㎜, 8.01㎜. d) In male patients with masticatory difficulty, W-W' was 13.30㎜, 13.20㎜; 0-H was 13.40㎜, 12.60㎜; 0-A was 8.26㎜, 8.32㎜; 0-B was 7.80㎜, 8.20㎜. In female, W-W' was 12.30㎜, 12.00㎜; 0-H was 13.10㎜, 13.20㎜; 0-A was 8.68㎜, 7.95㎜; 0-B was 7.46㎜, 7.87㎜.

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CLINICAL STUDY ON THE ETIOLOGY, DIFFERENTIAL DIAGNOSIS AND TREATMENT OF TRISMUS (개구장애 환자의 병인, 감별진단 및 치료방식에 대한 임상연구)

  • Kang, Hee-Jea;Hwang, Dae-Seok;Kim, Yong-Deok;Shin, Sang-Hun;Kim, Uk-Kyu;Kim, Jong-Ryoul;Chung, In-Kyo
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.32 no.6
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    • pp.544-558
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    • 2006
  • Trismus is a common problem to most people experiencing at once in his or her life and to most dental practitioners experiencing frequently. It has a number of potential causes which are single factor or complex factors. Its treatment will depend on the cause. The purpose of this study was to discuss the causes of trismus condition and the various treatments available. This study was made by reviewing of collected data from 86 patients complained of trismus among patients who were diagnosed by TMD, tumor, infection including tetanus, soft tissue anomalies, bony fracture and ankylosis from Jan 2002 to Dec 2004 on department of oral and maxillofacial surgery at Pusan National University Hospital, South Korea. The clinical reviews regarding chief complaints, clinical characteristics, diagnostic examination, treatments and the results on the patients were given as follows. 1. The etiology of trismus commonly were derived from temporomandibular joint(TMJ) disorder, TMJ ankylosis, TMJ tumor, odontogenic maxillofacial infection, mandibular condylar fracture, tetanus. 2. The chief complaints of trismus patients were progressive mouth opening limitation, TMJ pain, malocclusion, facial asymmetry, retrognathic state. 3. Especially, for the differential diagnosis between the fibrous ankylosis and true bony ankylosis, computed tomogram (CT) was useful. Surgical gap arthroplasty on bony ankylosis patients was applied and the gain of mouth opening after operation was average 35.8 mm during 19 months. 4. The tetanus, rarely, also induced the trismus with the range of mouth opening less than 10 mm. The average serum level of tetanus anti-toxin was 0.02-0.04 IU/mL. The limitation of mouth opening was improved into average 38 mm on 4 weeks after injection of 10,000 units of tetanus immune globulin. 5. In the treatment of osteochondroma, TMD, odontogenic infection and fracture, and the others inducing trismus, to obtian the maximum result and decreased inadequate time and effort, it is important to finding the causes from the exact clinical examination and diagnosis.

Decomposition of Interfacial Crack Driving Forces in Dissimilar Joints

  • Kim, Yun-Jae;Lee, Hyung-Yil
    • Journal of Mechanical Science and Technology
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    • v.14 no.1
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    • pp.30-38
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    • 2000
  • This paper presents a framework how to estimate crack driving forces in terms of crack-tip opening displacement and J-integral for mismatched dissimilar joints with interface cracks. The mismatch in elastic, thermal, and plastic hardening properties is not considered, but the mismatch in plastic yield strengths is emphasized here. The main outcome of the present work is that the existing methods to estimate crack driving forces for homogeneous materials can be used with slight modification. Such modification includes (i) mismatch- corrected limit load solutions, and (ii) evaluating the contribution of each material in dissimilar joints to the total crack driving force, which depends on the strength mismatch of the dissimilar joints.

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Clinical Features of the Recurred Patients with Temporomandibular Disorders (측두하악장애 재발환자의 임상양태에 관한 연구)

  • 고명연;박준상
    • Journal of Oral Medicine and Pain
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    • v.23 no.4
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    • pp.369-377
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    • 1998
  • A patient with TMJ osteoarthritis and anterior open bite was treated with an intermaxillary traction device. Pretreatment examination revelaed a pain in both TMJ during mouth opening, moderate tendernesso f left sternocleidomastoid and right trapezius muscles. Anterior open Bite was aobserved with interincisal distance of 2mm. Tomograms and MRI showed anterior disc displacement withouit reductoin of both temporomandibular joints, and the condyles were flattened and slightly eroded. A pair of full-coverage occlusal appliances was made on both maxillary and mandibular dentition, with pivoting fulcrum on the site of the second moalr. Traction force was gained by the intermaxillary orthodontic elastics which were hooked by orthodontic brackets on the labial surfaces of the upper and lower anterior and premolar teeth. After 8 weeks of traction treatment, the joint pain was subsided completely and the anterior open bite was closed to get an edge to edge relationship of anterior teeth.

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The study on characteristic of efflorescence phenomenon and reduction plan through research (사례 조사를 통한 백화현상의 특징 및 저감 방안 연구)

  • 박영민;이희두;이해진;임남기
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2002.05a
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    • pp.1-6
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    • 2002
  • The study offer a suggestion that from result in being a case to efflorescence for decrease a plan: $\circled1$ A efflorescence of concreat a structure will be the prograss plan; In the materials, depress use to the water-sand in the construction, admonish unification of front and rear in the environment, consideration requisite concreat don't the occurrence efflorescence. $\circled2$ Ma sonry building efflorescence establish a ventilation opening and a waterway to ma sonry the times avoid the winter or the rainy season. Ma sonry building efflorescence will be make good among a brick to a brick interval closely mortar. $\circled3$ Tile building, tile of plasticity temperature is appropriate, reduce the deviation, parapet part of efflorescence will be make good closely mortar. A construction material part a meterial developing need Perfection of construction a efflorescence occurrence is the minimum, a plan Part developed so on, composition of a ommection field systematic effort need a efflorescence Prevention a kind of detail.

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Prediction Methodology for Reliability of Semiconductor Packages

  • Kim, Jin-Young
    • Proceedings of the International Microelectronics And Packaging Society Conference
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    • 2002.09a
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    • pp.79-94
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    • 2002
  • Root cause -Thermal expansion coefficient mismatch -Tape warpage -Initial die crack (die roughness) Guideline for failure prevention -Optimized tape/Substrate design for minimizing the warpage -Fine surface of die backside Root cause -Thermal expansion coefficient mismatch - Repetitive bending of a signal trace during TC cycle - Solder mask damage Guideline for failure prevention - Increase of trace width - Don't make signal trace passing the die edge - Proper material selection with thick substrate core Root cause -Thermal expansion coefficient mismatch -Creep deformation of solder joint(shear/normal) -Material degradation Guideline for failure Prevention -Increase of solder ball size -Proper selection of the PCB/Substrate thickness -Optimal design of the ball array -Solder mask opening type : NSMD -In some case, LGA type is better

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Development of Experimental Equation of Hood Frame for Vehicle Considering Operating Angle (작동각을 고려한 차량 후드 프레임의 실험식 개발)

  • Song, Yo-Sun;Hur, Kwan-Do;Son, In-Soo
    • Journal of Power System Engineering
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    • v.20 no.3
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    • pp.57-63
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    • 2016
  • This paper presents the experimental result and theoretical analysis result to investigate the correlation between the operating force, angle and locking torque for vehicle hood frame. Also, we derived the experimental equation that using the results for experiment and theory. The hood frame is switching-devices used for opening and closing the vehicle hood. It needs the correlation data between locking torques of each joint, operating force and angle of hood frame. The correlation data for torque and reaction force of hood frame obtained through experiment and theory analysis. Finally, the experimental equation of the locking torque prediction for the hood frame is derived.

Low Tibial Osteotomy For Primary Osteoarthritis of The Ankle - Cases Report - (원발성 족근관절 퇴행성 관절염에 시행한 경골원위부 절골술 - 증례 보고 -)

  • Park, I.H.;Lee, K.B.;Song, K.W.;Lee, J.Y.;Lee, S.S.
    • Journal of Korean Foot and Ankle Society
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    • v.2 no.2
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    • pp.64-70
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    • 1998
  • Primary osteoarthritis of the ankle without history of trauma is rare. We are reporting the use of a low tibial osteotomy on 2 ankles in one patient. The osteotomy is designed to correct the varus tilt and anterior opening of the distal tibial joint surface where it has been shown by weight-bearing radiographs. Follow-up at 8 months the result showed to be excellent, by Takakura's scoring system. We experienced that slight overcorrection of deformity by low tibial osteotomy is effective in treating intermediate-stage primary osteoarthritis of the ankle.

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A Study on Characteristics of Inter-Articular Coordination of Human Fingers for Robotic Hands (로봇 손을 위한 인간 손가락의 관절간 운동특성 고찰)

  • Kim Byoung-Ho
    • Journal of the Korean Society for Precision Engineering
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    • v.23 no.7 s.184
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    • pp.67-75
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    • 2006
  • One of challenging topics for humanoid hands is to modulate a human-like motion of humanoid fingers handling an object. To this end, recognizing the motion behavior of human fingers is very important aspect. Based on this concept, this paper identifies the .joint trajectories of human fingers for an operation of hand opening and closing, and specifies an empirical model that coordinates an inter-articular relationship of human fingers doing the given motion. It is expected that the inter-articular model presented in this paper is applicable for humanoid fingers to mimic the natural motion of human fingers.