• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제48권1호
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• pp.50-58
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• 2022

Objectives: Osteoarthritis (OA) is the most prevalent and disabling joint disease in the world. Temporomandibular joint (TMJ) exercise is a widely used treatment and could be a beneficial and long-term tool for treating TMJ OA. The present study aims to evaluate the effects of therapeutic exercise in the conservative treatment of TMJ OA. Materials and Methods: A single-group experimental pre-post test was performed. We included patients who met the diagnostic criteria for TMJ OA. Outcome variables were pain intensity (visual analogue scale), functionality (Helkimo index), and structural changes (ultrasound). Follow-up periods were at months 1, 3, and 6. The intervention included a home-based program with thermotherapy, manual therapy, and therapeutic exercise during the entire follow-up period. Results: We included 15 patients and 26 joints, all women with a median age of 57 years (range, 49-62 years). Median change in pain intensity on joint palpation, mouth opening, and at rest at the first month was 47.5 mm, 51 mm, and 60 mm, respectively, and 48 mm, 49.5 mm, and 42.5 mm, at six months (P=0.001). The Helkimo index showed significant improvement in medians from baseline severe dysfunction (17 points) to minimal dysfunction at three and six months (2 points) (P=0.001). Ultrasound showed improved disc position. Conclusion: This study demonstrated significant improvements in pain, function, and joint disc position and represents a valuable tool for the long-term treatment of patients with TMJ OA.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제22권3호
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• pp.294-300
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• 2000

Purpose: The aim of this study was to find the clinical characteristics of the patients who had temporomandibular joint internal derangement(ID) with disc adhesion(adhesion group) compared to only disc displacement without disc adhesion, perforation, hyperemia, and so on(ID group). Materials and methods: Thirty seven joints were included in adhesion group and 54 joints in ID group of all 174 patients(174 joints) treated surgically and had been checked periodically over 12 months at TMJ clinic of Yongdong Severance Hospital, Yonsei University, between 1992 and 1997. Mouth opening range, pain during mouth opening and biting, headache, neck/shoulder pain and TMJ sound were checked his/her every visit before and after surgery. Results: The maximum mouth opening was improved significantly after postoperative 3 months in two groups(p<0.01), but adhesion group was less improved. Pain during mouth opening was improved significantly over 3 months after surgery in adhesion group(p<0.01), but in ID group 1 month after surgery. Biting pain was improved and maintained it after surgery and not significant difference between two groups. Headache and neck/shoulder pain were much improved after surgery(p<0.01), but slight relapse was found in adhesion group after 12 months. TMJ sound was more found in adhesion group after 1 month(p<0.05), but after 3 months, no significant difference was found between two groups. Conclusions: The postoperative results of adhesion group were worse than ID group. Therefore, it is considered more carefully to diagnose and treat in cases of internal derangement with adhesion.

• 한국도로학회논문집
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• 제13권4호
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• pp.51-59
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• 2011

온도와 습도 변화에 의해 수축될 경우 콘크리트 포장 슬래브에는 인장응력이 생기고 이로 인해 무작위 균열이 발생한다. 일정한 간격으로 줄눈을 설치하고 균열을 유도함으로써 슬래브에 발생하는 인장응력을 줄이고 무작위 균열을 최소화할 수 있다.줄눈간격이 너무 넓으면 무작위 균열, 줄눈부 파손, 하중전달률 저하가 일어나고, 반대로 줄눈간격이 너무 좁으면 공사비 증가와 승차감 저하가 유발된다. 본 연구에서는 콘크리트 포장의 역학적-경험적 줄눈간격 설계방법을 개발하였다. 이를 위하여 우수한 공용성을 보이는 콘크리트 포장 구간 중 구조적 및 환경적으로 가장 취약한 구간을 찾고 그 구간에 대한 유한요소해석으로 설계기준강도를 결정하였다. 기존 연구결과를 참고하여 하중전달률이 급격히 낮아질 때의 줄눈폭을 허용줄눈폭으로 결정하였다. 유한요소해석으로 계산된 설계대상구간의 최대인장응력이 설계기준강도를 초과하지 않는 최대줄눈간격을 찾아냈다. 그리고 이 줄눈간격으로 예측된 최대줄눈폭을 허용줄눈폭과 비교하였다. 본 연구에서 개발된 방법을 설계 중인 함양-울산 고속도로의 두 공구에 적용해 보았다. 기존보다 넓은 8.0m의 줄눈간격으로 시험시공된 구간과 동일한 줄눈간격이 본 연구의 설계방법으로 계산되었다. 공용 6년 후 측정된 시험시공 구간의 매우 낮은 균열률로 본 연구에서 개발된 설계방법이 검증되었다.

• Journal of Oral Medicine and Pain
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• 제23권4호
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• pp.379-385
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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.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제36권2호
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• pp.78-83
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• 2014

Management of temporomandibular joint (TMJ) ankylosis is challenging for the oral and maxillofacial surgeon because it involves the mouth opening, dentofacial deformity, diet problem, and quality of life. Although surgical techniques to treat TMJ ankylosis have improved, reankylosis is a persistent problem. The temporalis myofascial flap provides good material for interpositional arthroplasty, because of its good vascular supply, anatomic proximity, and adequate thickness. This case report examines the efficacy of submandibular anchorage to prevent reankylosis by inhibiting flap dislocation.

• 대한방사선기술학회지:방사선기술과학
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• 제22권1호
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• pp.35-42
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• 1999

This study was undertaken to take the correct vocal technique(especially about the resonance of oral cavity). The resonance of oral and pharyngeal cavity is the principle which can vocalize well without any abnormal signs in the throat. Therefore it is important for us to understand how to use the correct resonance of oral and pharyngeal cavity. Shimadzu X-ray remote control TV system and Shimadzu magnet $nex-{\alpha}$ (SMT-50CX/H) were used for checking the movements of T-M joint and diaphragmatic respiration. The results obtained were summerized as follows: 1. While opening T-M joint space like the vowel "A" [a], We should vocalize five fundamental vowel [a,e,i,o,u] with diaphragmatic respiration holded. 2. Diminuendo must be expressed by increasing a breath volume while descending a mandible gradually because we can not ascend maxilla. So we can make a delicate expression. 3. The resonance of oral cavity must be scattered by elevating the soft palatine lightly with relax of throat.

• 대한치과의사협회지
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• 제58권6호
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• pp.364-376
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• 2020

Internal derangement of the temporomandibular joint (TMJ) is condition in which articular disc has become displaced from its normal functional relationship with the mandibular condyle and the articular portion of the temporal bone. Common types of internal derangement include disc displacement with reduction (with or without intermittent locking), and disc displacement without reduction (with or without limited opening) classified according to the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD). Treatment varies depending on diagnosis. Therefore, differential diagnosis should be made for appropriate treatment.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제36권2호
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• pp.134-140
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• 2010

Synovial condromatosis of the temporomandibular joint (TMJ) is characterized by the presence of loose bodies (joint mices). It can be confused with temporomandibular disorder clinically, and be with chondrosarcoma histologically. The purpose of this clinical report was to review the clinical, radiological, arthroscopic findings, histological feature and the results of surgical treatment of TMJ synovial chondromatosis. Four patients presented with pain of TMJ and limited mouth opening. The dynamic magnetic resonance imaging (MRI) disclosed a characteristic morphologic changes and displacement of the meniscus with limited translation of the condyle head. Bone scans showed progressive resorptive changes with hot-uptake of the radioisotope. The synovial loose bodies in the joint spaces were removed and sent to pathology for diagnosis as the synovial chondromatosis. The follow-up examination with computed tomography (CT) and MRI revealed no evidence of recurrence and good in function until postoperative 18 months. Diagnostically, the distension of the lateral capsule and fluid findings in the joint on the MRI are very suggestive tool for this synovial chondromatosis, but they are not always detected on the preoperative MRI. Arthroscopic approaches are very useful to inspect the joint spaces and to remove the loose bodies without interruption of the whole synovial membranes.

• 치과방사선
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• 제20권2호
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• pp.235-250
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• 1990

Thirty-nine patients (forty-four joints) who had been diagnosed as having meniscus perforation of the temporomandibular joint by inferior joint space arthrography and had been treated by surgical procedures were evaluated retrospectively. Information of clinical findings, arthrotomographic findings and surgical findings was collected on a standardized form and evaluated. The results were as follows: 1. On the 34 patients of 38 joints which were surgically confirmed perforation of meniscus or its attachments of the temporomandibular joint, there were 29 females and 5 males (5.8:1). The average age was 36 years (range 17 to 70). 2. The common clinical findings of group that had meniscus displacement without reduction and with perforation were pain on the affected joint and limitation of mouth opening. In the group showing meniscus displacement with reduction and with perforation the common clinical findings were pain and clicking on the affected joint. 3. 32 joints (84.2%) were arthrotomographically anterior meniscus displacement without reduction and with perforation, 6 joints (15.8%) showed anterior meniscus displacement with reduction and with perforation. 4. Joints categorized arthrotomographically as having meniscus displacement without reduction and with perforation were less likely to have full translation of the condyle in comparison with the normal or meniscus displacement with reduction and with perforation groups. (p<0.05) 5.The arthrographic findings of 44 joints having meniscus perforation were compared with surgical findings, there were 6 false positive findings of meniscus perforation, the reliability of arthrographic findings of meniscus perforation was a 86.4% correlation with surgical findings. 6. On the site of perforations of 38 joints which were surgically confirmed perforation of meniscus or its attachments, twenty-three of perforations (60.5%) were in location at the junction of the meniscus and posterior attachment, forteen (36.9%) were located at the posterior attachment and one (2.6%) was at the meniscus itself.

• KCI Concrete Journal
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• 제12권2호
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• pp.23-30
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• 2000

This paper presents behavior of concrete pavement at transverse joint subject to static test load. The test was conducted on 1/10 scale model in the laboratory. Load transfer across the crack is developed either by the interlocking action of the aggregate particles at the faces of the joint or by a combination of aggregate interlock and mechanical devices such as dowel bars. In this study, significant three variables considered to the performance of joints were selected. : (a)diameter of dowel bars(2.5mm, 3.0mm, 4.0mm), (b)presence or absence of dowel bars, (c)aggregate types(crushed stone, round stone). Experimental results were analyzed to find relationships among displacement of discontinuous plane at jointed slab, load transfer efficiency and joint opening, etc. Displacement of discontinuous plane at joint was decreased according to the increase of dowel bar diameter. In addition, it is found that model slabs made using crushed stone had better load transfer characteristics by aggregate interlock than model slabs made using similarly graded round stone. Displacement of discontinuous plane was increased according to the increase of loading. In addition, it was decreased as dowel diameter(2.5mm, 3.0mm, 4.0mm) was increased. In the case of slab without dowel bars, displacement of discontinuous plane was greatly increased and load transfer effciency of slab applied crushed stone was shown 30 percent greater than round stone. In addition, load transfer efficiency of slabs, which were made using crushed and round stone without dowel bars, was decreased to 20 percent and 30 percent, respectively as it was compared with slabs made us-ing dowel bars.