• Title/Summary/Keyword: mandibular movement

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Surgical treatment of recurrent mandibular dislocation by augmentation of the articular eminence (악관절 융기 증강술을 통한 습관성 악관절 탈구환자의 치험례)

  • Kim, Il-Kyu;Sihn, Joo-Ho;Oh, Sung-Seop;Choi, Jin-Ho;Kim, Hyung-Don;Oh, Nam-Sik;Kim, Eui-Seong
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.22 no.2
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    • pp.238-242
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    • 2000
  • Recurrent mandibular dislocation is frequent morbidity of temporomandibular joint relatively. There are many etiologic causes in TMJ disorders but, difficult to find obvious one. Various treatment methods have been utilized for a mandibular dislocation. It is categorized into two groups broadly - nonsurgical or surgical methods. The basic rationale of the surgical method is to allow free movement of the condyle by reducing height of articular eminence or to limit anterior excessive movement of the condyle by increasing height of articular eminence or soft tissue anchoring procedure. In this case, 69 year-old woman was treated by augmentation of the articular eminence with mandibular symphysial bone graft leading to osteosynthesis without difficulty. As a result, favorable postoperative outcome was obtained functionally without any complication or recurrence.

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Analysis on mandibular movement using the JT-3D system (JT-3D system을 이용한 하악의 운동 분석)

  • Song, Joo-Hun;Kim, Ryeo-Woon;Byun, Jae-Joon;Kim, Hee-Jung;Heo, Yu-ri;Lee, Gyeong-Je
    • Journal of Dental Rehabilitation and Applied Science
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    • v.36 no.2
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    • pp.80-87
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    • 2020
  • Purpose: This study aims to measure the mandibular movement using JT-3D system and provide a range of mandibular movement that can serve as a good reference for diagnosing the temporomandibular disorder. Materials and Methods: This study was conducted in 60 young male and female adults. The maximum opening and closing movement was recorded using JT-3D system, and by regarding 5 times of repetitive movement as 1 cycle of movement, total 3 cycles of movement were recorded. During the maximum opening, vertical position of lower jaw, antero-posterior position, lateral deflection position, and maximum opening distance were recorded. To evaluate the reproducibility of JT-3D system, statistical analysis were conducted (α = 0.05). Results: During the maximum opening, the average value appeared at 31.56 mm vertically and 24.42 mm rearwardly, lateral deflection position 0.72 mm, and maximum opening distance 40.32 mm. There was no statistical significance in all measured values for three cycles of movement recorded with JT-3D system (P > 0.05). Conclusion: During the maximum opening, the average value appeared at 0.72 mm in lateral deflection position and the maximum opening distance at 40.32 mm, and the analysis on the maximum opening of lower jaw using JT-3D system showed sufficiently reproducible results.

A Study on the Determination of Instantaneous Centre of Rotation in the Mandibular Movement (하악골 운동의 순간회전 중심결정에 관한 연구)

  • Kang, Keun-Su;Yoon, Chang-Keun
    • The Journal of Korean Academy of Prosthodontics
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    • v.25 no.1
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    • pp.119-135
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    • 1987
  • For the determination of instantaneous centre of rotation in the mandibular movement, the habitual opening path was recorded on the sagittal tracing plate by a Gnathorecorder attached on the lower anterior teeth which was designed for this study. The opening path was demonstrated mathematically and the instantaneous centre of rotation in the opening path were calculated and plotted by computer programs, and then a computer graphic movement of the mandible was obtained according to the opening path. The hinge path of posterior border movement was graphied by the Gnathorecorder as well and demonstated mathematically. This hinge path was compared with the same obtained by Visitrainer to prove a reliability of the Gnathorecorder. The results obtained from this study were as follows. 1. The habitual opening path and hinge path obtained from the Gnathorecorder movement were expressed mathematically as follows: $y=0.11x^2-0.66x+3.09$ (equation of opening path), $y=0.04x^2+0.21x+3.71$ (equation of hinge path), and a kinematic hinge axis was not shown in the equation of kings path. 2. The early habitual opening movement of the mandible demonstrated almost a straight opening path or an arc motion with the larger radius and it's centre of rotation moved parallelly in the more rear and lower position than a kinematic hinge axis. 3. Instantaneous centre of rotation occured along with the translation of the condyle, and mandible was rotated around an axis in the close to the maximum opening and then moved toward the forward and upward position. 4. There were some similarities between the articular eminence and the movement pattern of a special point which was the kinematic hinge axis.

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Non-extraction treatment in Class III malocclusion by using improved superelastic NiTi wire (III급 부정교합 환자에서 초탄성 Ni-Ti alloy wire를 이용한 비발치 치료)

  • Min, Sam;Chung, Chu-Ryung;Hwang, Chung-Ju;Cha, Jung-Yul
    • The korean journal of orthodontics
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    • v.41 no.4
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    • pp.297-306
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    • 2011
  • Nonextraction camouflage treatment in mild Class III malocclusion is achieved by backward movement of the lower dentition and forward movement of the upper dentition. Many camouflage treatment modalities have been used for distal tipping and distal movement of mandibular posterior teeth. The amount of distal movement of mandibular dentition can be improved in cases of severe crowding, even without the patient's cooperation, by using miniscrews for anchorage. However, miniscrew insertion may be unsuccessful, and it may contact the adjacent root because of the distal movement of dentition. Distal tipping of mandibular dentition can be achieved using multiloop edgewise archwires and intermaxillary elastics. However, the complexity of this wire design causes discomfort to patients. Recently, a new treatment using improved superelastic NiTi wires (ISWs) and intermaxillary elastics has been introduced. ISWs can deliver orthodontic force more effectively, and their use with molar tip-back treatment has several advantages-this approach is effective, simple, and easy to use and reduces patient discomfort. The aim of this study was to report a case of camouflage treatment using ISW with tip-back and intermaxillary elastics for distal tipping of mandibular posterior dentition and to evaluate the effectiveness of this treatment in a clinical setting.

A Clinical Report of Patient with Mandibula Tremor Caused by Spiritual Trauma (심리적인 충격으로 인해 발병한 하악진전(下顎振顫) 환자 치험 1례)

  • Seo, Young-Min;Lee, Ji-Won;Cha, Hye-Jin;Seo, Deok-Won;Park, Se-Jin;Lee, Chang-Hee
    • Journal of Oriental Neuropsychiatry
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    • v.20 no.3
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    • pp.237-247
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    • 2009
  • Objectives : Tremor is increasing recently especially among senior citizens. In this case, the patient who had mandibular tremor caused by trauma, was not improved by western medicine. We tried to apply Oriental medical treatment. Methods : We treated the patient with acupuncture therapy and herbal medication and measured the frequency of the tremor, Jaw expression of Abnormal Involuntary Movement Scale(AIMS) and Visual analog scale. Results: After treatment symptom of mandibular tremor was decreased significantly and other symptoms such as insomnia disappeared. Conclusions : During the admission days symptoms are decreased in contentment. This result suggests that Oriental medical treatment has good effect on tremor.

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Noninvasive Functional Therapy of Mandibular Condylar Fracture (기능적 처치에 의한 하악과두 골절의 치험 3례)

  • Park, Jin-Ho;Kim, Jong-Sup;Im, Nan-Hi;Yun, Hong-Sil;Chin, Byung-Rho;Lee, Hee-Kyung
    • Journal of Yeungnam Medical Science
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    • v.11 no.2
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    • pp.398-404
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    • 1994
  • Functional recovery after mandibular condyle fracture was a contradictory result of many authors. The treatment goal of condyle fracture has been directed primarily toward restoration of functional movement of the mandible. We selected some patients who requested functional therapy in many cases of condylar fracture, depend on pattern of fracture, patient's demand, occlusion, age. Without intermaxillary fixation, we induced the patients to rapid healing of temporomandibular function and normal mandibular protrusive, lateral movement as a result of early functional therapy by activator. So, the authors report the cases with review of concerned literature.

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Differences in opening and protrusive mandibular movements between Class I and II malocclusions in healthy adolescents

  • Tuncer, Bureu Balos;Ozogul, Berk;Akkaya, Sevil
    • The korean journal of orthodontics
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    • v.41 no.2
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    • pp.127-137
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    • 2011
  • Objective: The aim of the study was to compare the opening and protrusive mandibular movements between Class I and Class II malocclusions in healthy adolescents by clinical and axiographic evaluations. Methods: Mechanical axiography was performed on non-orthodontically treated, temporomandibular disorder (TMD)-free adolescents (12 - 16 years) with Class I (n = 38, 16 boys, 22 girls) or Class II (n = 40, 19 boys, 21 girls) malocclusion. Opening and protrusive movements were measured clinically and axiographically. Intergroup comparisons were evaluated by t-tests. Results: In opening movement, the maximum clinical opening capacity was significantly different (p ${\leq}$ 0.05) between the groups. In protrusive movement, the Class II group had significantly greater maximum clinical protrusion (p < 0.001) and maximum axiographic protrusive length (p < 0.01) than the Class I group. No significant difference in the other opening and protrusive axiographic measurements was observed. Conclusions: TMD-free adolescents with Class II malocclusion have increased protrusive capacity compared with TMD-free adolescents with Class I malocclusion; however, the detected differences could be normal variations during adolescence.

Surgical Treatment of Transverse Mandibular Deficiency by using Split and Replantation of Corticocancellous Bone Graft (하악골 Malunion에 따른 Transverse Mandibular Deficiency에 대하여 split and Replantation of Corticocancellous Bone Graft를 이용한 외과적 교정술의 증례보고)

  • Kim, Chin-Soo
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.11 no.1
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    • pp.249-254
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    • 1989
  • Transverse mandibular deficiency is rare maxillomandibular malrelationship. Most of this malrelationship is considered to be caused by loss of bone substances. This can be corrected by subapical osteotomy, midsagittal vertical osteotomy, midline horizontal L sliding osteotomy, etc., case by case. In these cases, malrelationship after malunion of mandibular fracture, combination of vertical osteotomy and sliding autogenous cortical bone graft was used and favorable results were obtained. Advantages over previous traditional surgical methods were as follows : 1. This method provided easy access and good visibility. 2. It provided broad bone contact area, thus no other operation to obtain bone graft was needed. 3. There were little circumstances to extract teeth. 4. There were no difficulty in tongue movement after operation.

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Mandibular Symphysis Transverse Widening (임상가를 위한 특집 2 - 하악골의 외과적 확장)

  • Oh, Sung-Hwan
    • The Journal of the Korean dental association
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    • v.51 no.6
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    • pp.313-321
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    • 2013
  • The most common orthodontic methods of treating mandibular transverse deficiencies is extractions, interdental stripping, and other dento-alveolar compensation but it can not addressesd about skeletal problem This study assessed the treatment outcomes after surgically assisted rapid tooth orthodontics using the symphysis osteotomy and dentoalveolar distraction osteogenesis technique. The applications of distraction osteogenesis in mandibular widening, by symphysis osteotomy, has emerged as a definitive, predictable and better stability. The most important factors in mandibular widening is performed with simple surgical technique and devices. As a results, these techniques are very useful and effective in cases of difficult tooth movement in adult orthodontics transverse problems There were few intraoperative or postoperative complications and were not clinically significant.

Stability of camouflage treatment using mandibular full arch distalization in Skeletal Class III malocclusion (성인 골격성 III급 부정교합 환자에서 하악 전치열 후방이동 절충치료의 안정성)

  • Song, Ho Jin;Yu, Hyung Seog
    • The Journal of the Korean dental association
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    • v.57 no.6
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    • pp.344-351
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    • 2019
  • Skeletal Class III malocclusion is a relatively common form of malocclusion in Korea. In borderline cases where only mild skeletal discrepancy exists and if worsening of the facial profile is expected as a result of premolar extraction, mandibular full arch distalization with miniscrews is the treatment of choice. The purpose of this study was to investigate the pattern of tooth movement and evaluate the stability of mandibular full arch distalization and to identify correlation between stability and factors such as initial skeletal pattern, dental changes during treatment and alveolar bone in symphysis region using lateral cephalograms.

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