• 대한통합의학회지
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• 제8권3호
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• pp.93-101
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• 2020

Purpose : Temporomandibular joint disorder (TMJD) is often accompanied by pain and limited range of motion of the jaw joint, which affect patients' quality of life and result in hypertrophy or hyperactivity of the muscles around the jaw joint. In this study, we compared the muscle thickness and tone of the masseter and sternocleidomastoid (SCM) muscles and the jaw range of motion in individuals with and without TMJD. Correlation comparison was performed on the results of the TMJD group. Methods : This study included 40 patients; 20 patients were assigned to an experimental group (TMJD group) and 20 to a control group (non-TMJD group). Ultrasonography, myotonometry, and measurements performed with digital Vernier calipers were used to determine the changes in muscle thickness, muscle tone, and maximum jaw opening, respectively. The independent t-test was used for intergroup comparison of data, and Pearson correlation coefficients were used to compare correlations in the TMJD group results. Results : We observed a significant intergroup difference in the masseter and SCM thickness during the relaxed and clenched phases (p<.05). A significant intergroup difference was also observed in maximum jaw opening (p<.05). With regard to muscle tone, we observed a significant intergroup difference in frequency (p=.011) and stiffness (p=.011) of the masseter, as well as in the frequency (p=.009) and stiffness (p=.026) of the SCM. We observed a moderate negative correlation (r=-.524) between maximum jaw opening and the frequency of the masseter. Additionally, we observed a moderately negative correlation between jaw opening and muscle stiffness (r=-.321). Conclusion : Planning exercise programs to treat patients with TMJD who present with pain should focus on efforts to reduce muscle thickness and achieve muscle relaxation (to reduce muscle tension) for improved jaw range of motion.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제45권1호
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• pp.9-14
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• 2019

Objectives: This study aimed to evaluate the effect of clinical factors on the outcome of arthrocentesis in the treatment of temporomandibular joint (TMJ) internal derangement. Materials and Methods: Fifty patients with TMJ internal derangement underwent arthrocentesis using ringer's lactate. The present study evaluated the contribution of the clinical variables of age, time since onset, visual analogue scale (VAS) pain level, and range of motion (ROM) on the outcomes of TMJ arthrocentesis: age (${\leq}25\;years$, >25 and ${\leq}40\;years$, >40 and ${\leq}60\;years$), VAS pain level (${\leq}5$, >5 and ${\leq}7$, >7 and ${\leq}10$), and ROM (<25 and ${\geq}25mm$). Odds ratios (ORs) were used to describe the proportional benefit of each variable the on successful outcome of arthrocentesis. For the OR to be clinically relevant or even clinically noticeable, we assumed that the OR would need to be larger than 2. Results: Mean preoperative pain score was $6.49{\pm}1.560$ and at 6 months postoperative was $0.46{\pm}1.147$ with an average decrease of pain score 6 (P<0.001). The mean preoperactive maximum mouth opening was $26.14{\pm}4.969mm$ and mean maximum mouth opening at 6-month inerval was $38.92{\pm}3.392mm$. The mean increase in the mouth opening was a mean difference of 12.78 mm (P<0.001). Logistic regression showed that the maximum benefit occurred in patients aged <25 years (OR, 12.01; P=0.012), a VAS pain level of >7 (OR, 11.25; P=0.039), and a maximum vertical opening of <25 mm (OR, 7.70; P=0.038). Conclusion: Lavage of the superior joint space with ringer's lactate resulted in significant reduction in pain and improvement in mouth opening. Patients with a greater inflammatory component and younger patients benefitted more from arthrocentesis. Evaluation of these clinical variables helped in predictive modelling, which may provide clinicians with the opportunity to identify "at-benefit" patients early and initiate specific treatment.

• 치과방사선
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• 제25권2호
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• pp.319-330
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• 1995

This study was designed to evaluate the interrelationship between the condylar head position in transcranial view and the articular disc position in the arthrography. The condylar positions were assessed by subjective method and linear measurement method on the transcranial view. The subjects for this study consisted of 24 symptomatic joints with normal disc position, 37 joints with anterior disc displacement with reduction and 44 joints with anterior disc displacement without reduction that were classified by arthrotomography under the fluoroscopic guidance. The interrelationship between the condylar head position in transcranial view and the articular disc position in the arthrography was evaluated by Chi square test. The obtained results were as follows : 1. There was no significant interrelationship between the position of condylar head in closed mouth state on transcraniaJ view and articular disc position in the arthrography (p>0.05). 2. There was no significant interrelationship between the changes of interarticular distance in 1 inch opening state and articular disc position in the arthrography (p>0.05). 3. There was no significant interrelationship between the position of condylar head related to the apex of articular eminence in 1 inch opening state and articular disc position in the arthrography(p>0.05). 4. There was significant interrelationship between the changes of interarticular distance that is assessed by linear measurement method in maximum opening state and articular disc position in the arthrography(p<0.05), but there was no significant interrelationship when the condylar head position was assessed by subjective method(p>0.05). 5. There was significant interrelationship between the degree of condylar translation in maximum opening state and articular disc position in the arthrography(p<0.05). 6. The correlation coefficient between two methods to assess the position of condylar head were 0.7989: the condylar head position in articular fossa in closed state, 0.6847: interarticular space in 1 inch opening state, 0.8965: the degree of condylar translation in 1 inch opening state, 0.5944: the changes of interarticular space in maximum opening state, 0.9215: the degree of condylar translation in maximum opening state.

• Computers and Concrete
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• 제10권6호
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• pp.609-630
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• 2012

Currently, the design of reinforced concrete deep beams with web openings is carried out using empirical or semi-empirical methods and hence their scope of application is limited. In particular, high strength concrete deep beams with various web opening configurations have been given little treatment. In view of this, a nonlinear layered finite element method (LFEM) for cracking and failure analysis of reinforced concrete structures is used to conduct a parametric study to investigate reinforced concrete deep beams various web opening behaviours. This paper initially presents comparisons of LFEM output with published test results to numerical techniques. The paper then focuses on a parametric study on the shear strengths of deep beams with varying web opening configurations such as opening sizes and locations. The results confirm that the current design methods are inadequate in predicting the maximum shear strength when web openings are present. A series of parametric study offers insight into the maximum shear strength of the deep beams being critically influenced by the size and location of web openings.

• 대한치과보철학회지
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• 제23권1호
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• pp.113-123
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• 1985

The purpose of this study was to evaluate the marginal fitness of collarless metal-ceramic crown formed with direct lift technique using wax compared with metal-ceramic crown with metal butt margin. Twenty crowns, ten were collarless metal-ceramic crowns and ten were metal-ceramic crowns with metal butt margins, were made and cemented on epoxy resin dies, and their marginal openings were measured on scanning electron microphotographic prints at x200 magnification. The results were as follows; 1. In the case of collarless metal-ceramic crowns, the mean marginal opeining was $43.78{\pm}17.67{\mu}m$, the mean maximum marginal opening was $52.81{\pm}19.81{\mu}m$, and the mean minimum marginal opening was $34.99{\pm}16.58{\mu}m$. 2. In the case of metal-ceramic crowns with metal butt margins, the mean marginal opening was $47.62{\pm}25.55{\mu}m$, the mean maximum marginal opening was $61.90{\pm}24.39{\mu}m$, and the mean minimum marginal opening was $34.86{\pm}24.92{\mu}m$. 3. There was no significant difference between two types of crowns at the 99% confidence level. 4. The marginal fitness of collarless metal-ceramic crown formed with direct lift technique using wax was clinically acceptable.

• 한국군사과학기술학회지
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• 제22권2호
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• pp.255-265
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• 2019

In the present study, the effect of opening patterns of a flow control valve on underwater discharge systems using a linear pump was investigated numerically. For that, a improved mathematical model was developed. The improvement is to separate a middle tank from a water cylinder because the cross-section area of the inlet of the middle tank is an important parameter. To validate the improved model, calculation results were compared with a previous study. The results showed that $2^{nd}$ order or more polynomial opening patterns had an advantage over ramp opening patterns. Higher an order of polynomial resulted in wider operating limits. An escape velocity and a maximum acceleration of underwater vehicle were affected by time derivative of the cross-section area of the flow control valve. Besides, as a velocity profile of the vehicle got closer to linearity, the escape velocity got faster and the maximum acceleration got smaller. And velocities of the vehicle and piston had similar variation trend.

• 한국초전도ㆍ저온공학회논문지
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• 제12권4호
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• pp.36-40
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• 2010

In this paper, a noble method for rapid cooldown of pulse tube refrigerator (PTR) was proposed and experimentally investigated. An orifice pulse tube refrigerator generates refrigeration effect by expansion PV work at the cold-end, and its amount is affected by the orifice valve opening. There exists the optimum valve opening for maximum cooling capacity and it varies as cold-end temperature. It is verified from simulation results using isothermal model that the optimum valve opening increases as the cold-end temperature increases. In the experiments, a single stage orifice pulse tube refrigerator is fabricated and tested. The fabricated PTR shows 97.5 K of no-load temperature and 10 W at 110 K of cooling capacity with the fixed orifice valve opening. From experiments, the initial cooldown curve with four cases of valve opening control scenario are obtained. And it is experimentally verified that the initial cooldown time can be reduced through the control of orifice valve opening.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제41권
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• pp.18.1-18.10
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• 2019

Background: Temporomandibular joint (TMJ) ankylosis during early childhood may lead to disturbances in growth and facial asymmetry and to serious difficulties in eating as well as in breathing during sleep. The purpose of this study is to describe the effectiveness of an interocclusal splint (IOS) for active mouth opening exercises in the treatment of TMJ ankylosis. Methods: A total of nine patients with 13 instances of TMJ ankylosis from 2008 to 2010 were included in this study, of which five patients were male and four patients were female. Five patients demonstrated unilateral ankylosis, while five patients showed bilateral symptoms. Ankylosed mass resection with coronoidectomy, fibrotic scar release, and resection of stylohyoid ligament calcification was performed with gap arthroplasty without an interpositional graft, and all patients were assessed for maximum mouth opening (MMO) during a mean 6.6-year follow-up period. Results: All patients were subjected to postoperative mouth opening exercises from the day of the operation with the help of an IOS, which was based on an impression taken during surgery. All patients were sufficiently comfortable moving their mandible according to the IOS's guiding plane and impingement, and satisfactory results were achieved, in which MMO was improved by 35 mm more than 6 years after surgery. Conclusions: Complete and adequate resection of the ankylosed mass and postoperative active mouth opening exercises are essential in the treatment of TMJ ankylosis. Moreover, a more comfortable mouth opening guide and interdigitation can be achieved using an IOS, and newly organized fibrosis in the gap space between the newly made resected condylar head and temporal fossa can be suggested.

• 한국전산구조공학회:학술대회논문집
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• 한국전산구조공학회 2001년도 봄 학술발표회 논문집
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• pp.365-372
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• 2001

This study is concerned with the application of an analytical model of cyclic crack growth that includes the effects of crack closure. The crack closure model is based on the Dugdale model and the strip model, considering the plasticity-induced closure which is caused by residual plastic deformation remaining in the wake of an advancing crack. This study is performed to get the relation between crack growth and crack opening stress with the constant stress ratio, and the relation between stress ratio and crack opening stress with the constant maximum stress under constant-amplitude loading. Under constant-amplitude loading, the crack opening stress is conversed the constant value as a crack grows and is proportion to both the stress ratio and the maximum stress. The crack closure effect, however, is decreased in the positive stress ratio and disappeared at about 0.7. The crack growth analysis using the crack closure model shows that the influence of stress ratio is minimized in the relation between crack growth ratio and effective stress intensity range specially at the negative stress ratio.

• 대한치과교정학회지
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• 제27권2호
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• pp.273-282
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• 1997

본 연구는 골격성 III급 부정교합 환자에서 악교정 수술 전후의 하악운동 양상을 관찰하여 수술에 의한 하악운동의 변화를 평가하기 위하여 시행되었다. 서울대학교병원 교정과에서 골격성 III급 부정교합으로 진단받고 수술 전 교정치료를 받은 후, 동 병원 악안면구강외과에서 악교정 수술을 시행한 20명(남;9명, 여;11명)을 대상으로 수술 직전과 수술 2-7개월 후에 Sirognathograph와 BioPak EGN을 이용하여 최대 개폐구 운동과 시상면, 전두면, 수평면에서의 하악한계운동을 기록하고 21개의 항목을 계측하여 다음과 같은 결과를 얻었다. 1. 수술 후에 가장 큰 변화를 보인 항목은 시상면상 전방 운동각도로서, 수술 전 $17.4^{\circ}$ 에서 수술 후 $38.8^{\circ}$ 로 증가하였다. 또한 전치 유도가 형성됨에 따라 전방운동 궤적도 일직선에서 상악 절치의 형태에 따른 곡선으로 변하였다. 2. 수술 전후를 비교할 때 p<0.01 수준에서 유의성을 보인 항목들은 최대 개폐구 운동시 최대 개구량과 최대 전후방 운동량, 시상면상 최대 개구량, 전두면상 좌측방 운동각도의 4항목이었다. 3. 수술 전후를 비교할 때 p<0.05 수준에서 유의성을 보인 항목들은 전두면상 최대 좌우 운동폭, 수평면상 최대 우측방 운동거리, 최대 좌측방 운동각의 3항목이었다. 4. 최대 개폐구 운동시 최대 개구량과 최대 전후방 운동량은 수술 후 측정시간에 따른 차이를 보였다(p<0.05). 즉, 2, 3개월군에서보다 5, 6, 7개월군에서 더 많은 운동량 회복을 나타내었다. 5. 수술 전 불규칙하던 개폐구시 운동 궤적은 수술 후 개구로와 폐구로가 일치하며 부드러운 곡선을 이루었는데, 이는 악교정 수술에 의해 교합장애가 제거되었기 때문인 것으로 생각된다.