• Title/Summary/Keyword: temporomandibular disorder

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Case Report of Temporomandibular Joint Disorder Patient by "Yangmuji Anchu Traction Technique" (양무지 안추 신전법을 이용한 악관절장애로 인한 개구장애 환자 치험 3례)

  • Lee, Joong-Keun;Song, Yun-Kyung;Lim, Hyung-Ho
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.4 no.2
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    • pp.121-135
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    • 2009
  • Objectives : This study was carried out to investigate the effects of "Yangmuji Anchu Traction Technique" on Temporomandibular Joint Disorder Patient. Methods : The therapies were Chuna("Yangmuji Anchu Traction Technique"), acupuncture treatment, Carthami-Semen Herbal Acupuncture treatment and herbal medicine. We estimated the effects of treatment by measuring from a lower front teeth to upper front teeth in open mouth, measuring a gap of center line on front teeth in open mouth. And by measuring Visual Analog Scale(VAS) and Patient Global Assessment(PGA) before and after treatment. Results : After treatment, we confirmed these improvements : the length measuring from a lower front teeth to upper front teeth in open mouth and the gap of center line on front teeth in open mouth was improved in all cases. Also Visual Analog Scale(VAS) was improved in all cases. Conclusions : These results suggested that "Yangmuji Anchu Traction Technique" effected for Temporomandibular Joint Disorder Patient.

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The Study on Anxiety of Patients with Temporomandibular Disorder(TMD) (측두하악장애(Temporomandibular Disorder, TMD) 환자의 불안에 대한 연구)

  • Kim, Gwang-Ho;Kim, Jae-Joong;Lee, Jong-Jin
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.1 no.2
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    • pp.21-29
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    • 2006
  • Objective: The aim of this study is to investigate whether patients with temporomandibular disorder have more anxiety than normal people. Methods: Patients group(n=50) with TMD and normal group(n=30) without TMD and other disease completed STAl(State-Trait Anxiety Inventory), and there was comparison of mean scores between patients and normal groups. Results: The mean of total STAl scores of patients group was $91.32{\pm}20.32$, whereas that of normal group was $81.27{\pm}12.97(p<0.01)$. The mean of state-anxiety scores of patients group was $45.68{\pm}11.30$, whereas that of normal group was $40.70{\pm}7.28(p<0.05)$. The mean of trait-anxiety scores of patients group was $45.64{\pm}10.02$, whereas that of normal group was $40.57{\pm}7.22(p<0.05)$. There was a tendency that patients with TMD had more anxiety. So, doctors had better give attention to patients' anxiety when they treat the patients with TMD.

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Effectiveness of Cervical Chuna Manipulation and Acupuncture in the Management of Traumatic Temporomandibular Joint Disorder : a Case Report (경추 추나 요법과 침치료를 적용한 외상성 악관절 장애 치험 1례)

  • Jung, Il-Min;You, Kyung-Gon;Park, Min-Jung;Park, Man-Yong;Yeom, Seung-Ryong;Kwon, Young-Dal
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.26 no.1
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    • pp.133-136
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    • 2012
  • This case report describes the effectiveness of cervical chuna manipulation in the management of traumatic temporomandibular joint disorder. A 14-year-old male developed trismus after being stuck. He received cervical chuna manipulation and acupuncture. The mouth opening range was assessed to measure disability, and the visual analogue scale to measure discomfort. This was carried out at the beginning, during and at the end of treatment. After treatment, the patient's mouth opening range was improved from 10 mm to 45 mm. Also, the visual analogue scale was decreased. This case study suggests that cervical chuna manipulation can be effective for the management of traumatic temporomandibular joint disorder.

The Effects of Chuna for Temporomandibular Joint in Nuchal Pain Patients with Temporomandibular Joint Disorder, Four case Reports (턱관절 장애가 동반된 경항통 환자에 대한 턱관절의 추나요법 치험 4례 보고)

  • Cho, Dong-In;Park, Dong-Su;Kim, Soon-Joong
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.9 no.1
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    • pp.39-53
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    • 2014
  • Objectives : The purpose of this study is to investigate the clinical application of chuna for temporomandibular joint(TMJ) in nuchal pain patients with temporomandibular joint disorder(TMD). Methods : Four patients were treated by chuna for TMJ to evaluate the effect of the treatment. The patient's symptoms were assessed by visual analogue scale(VAS), neck disability index(NDI), cervical lordotic curvature. Results : In all case, the pain was reduced according to VAS, NDI. cervical lordotic curvature of three cases were improved. Conclusions : These results suggest that chuna for TMJ might be an effective method to treat nuchal pain with TMD. But, it's necessary to have more observations and experiments.

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Association between psychological factors and temporomandibular disorders in Korean adults : The fouth Korean national health and nutritional examination survey(2009) (한국 성인의 심리적 요인과 측두하악관절 장애와의 관련성 : 제4기 3차년도(2009) 국민건강영양조사)

  • Sim, Soo-Hyun;Ha, Mina
    • Journal of Korean society of Dental Hygiene
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    • v.13 no.5
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    • pp.739-747
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    • 2013
  • Objectives : This study aimed to investigate relationship between the psychological factors, the prevalence, and perception of temporomandibular disorder in Korean adults. Methods : A total of 7203 data were derived from Korean national health and nutritional examination survey. All data were analyzed using R-COMMANDER(12.2 SDI) program. Results : The prevalence of temporomandibular disorder in Korean adults was 3.1% and 10.5% of adults with temporomandibular disorder (TMD) had more than one TMD related symptom. Women had higher prevalence rate of TMD related symptom than men. Prevalence rate in TMD was low in the younger age, the higher education level, higher income, and the professionals. Psychological factors including cognition of stress and depression was shown to be closely related with suicidal ideation and TMD prevalence. Conclusions : To prevent TMD, it is necessary to provide the systematic oral health education and to develop the combined psychological counseling with treatment program.

Treatment of hearing loss due to temporomandibular joint disorders: Case Report (턱관절 장애로 인한 청각장애의 치료: 증례보고)

  • Kang, Dong-Woo;Kim, Young-Kyun
    • The Journal of the Korean dental association
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    • v.57 no.4
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    • pp.204-212
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    • 2019
  • Introduction : Patients with temporomandibular disorder may have various ear-related symptoms. If an excessive load is applied to the ear area due to the skeletal shape of the mandibular condyle or malposition of the disc, an auditory problems may occur. Case report : The patient was referred to our clinic due to the suspicion of temporomandibular disorder from the local otorhinolaryngology clinic. A few days ago, his right ear could not be heard. MRI showed that the left TMJ disc was anterior displacement with reduction, the right TMJ disc was anteromedial displacement without reduction. Also Right mandibular condyle showed sclerotic bone change, subchondral cyst and was compressing the frontal wall of the ear on MRI view. Right TMJ arthroplasty was done under the diagnosis of right TMJ osteoarthritis and osteochondroma. Postoperative intermaxillary fixation was done with SAS screw and elastics for 2 weeks. One month after the operation, hearing and TMJ discomfort were recovered without any complications. Conclusions As seen in this case, hearing loss due to benign tumor-like lesions of the temporomandibular joint should be treated surgically to restore the TMJ function and hearing.

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The role of patient education and self-management method in the treatment of temporomandibular disorder (측두하악장애 치료에서 환자교육 및 자가 요법의 방법과 그 역할에 대한 고찰)

  • Choi, Young-Yuhn
    • Journal of Korean Dental Hygiene Science
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    • v.1 no.1
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    • pp.65-71
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    • 2018
  • In the treatment of temporomandibular disorders, patient education and self-management method are necessary in addition to other specialized treatments to prevent recurrence of symptoms or development of chronic pain. The causes of temporomandibular disorders are very diverse, but in many cases the patients continue to suffer or experience recurrence because of the repeated exposure to micro traumas such as oral parafunctions, bad habits, and harmful eating habits. Much better prognosis is expected if a dental hygienist who is teamed up with a specialist in the dental clinic can perform patient education and management based on the understanding of temporomandibular disorder.

A Study on Stress and TMD Factor of University Student (대학생들의 스트레스와 악관절 장애 요인에 관한 연구)

  • Lim, Ji-Seon;Jang, So-Young;Jang, Hae-Jin;Jeong, Jae-Young;Kang, Kyung-Hee
    • Journal of the Korea Convergence Society
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    • v.2 no.4
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    • pp.39-45
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    • 2011
  • This paper examined the relationship between stress, the most potential cause among a variety of factors causing temporomandibular joint disorder, and temporomandibular joint disorder. In particular, this paper aimed to identify the temporomandibular joint disorder of those who were in their 20s, the age when temporomandibular joint disorder possibility increased. The survey was conducted by randomly selecting 120 college students who understood the purposes of this research and agreed to the survey from July 11 to 30, 2011. For the general features of the subjects, only gender showed any statistically significant difference. In the relationship between stress and habits related to temporomandibular joint disorder, the habit which the subjects had the most was "propping up of the chin", 64.4%. Five habits were observed the most frequently in the group with the highest stress. The habit of chewing on one side of the mouth showed the highest response as 81.5% in the group with high stress. Other habits showed similar results, about 60%.

The Effect of Postural Yinyang Correction of Temporomandibular Joint for Temporomandibular Disorder

  • Lee, Seung-Jeong;Ryu, Hye-Min;Kim, Su-Gyeong;Park, Eun-Jin;Lim, Jae-Eun;Lee, Young-Jun;Song, Choon-Ho;Yoon, Hyun-Min;Kim, Cheol-Hong
    • Journal of Acupuncture Research
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    • v.35 no.3
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    • pp.129-137
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    • 2018
  • Background: The purpose of this study was to determine the effect of Postural Yinyang correction of the temporomandibular joint (functional cerebrospinal therapy) on temporomandibular disorder. Methods: Medical records of 21 outpatients were reviewed who were diagnosed with temporomandibular joint disorder, unspecified (K0769) and treated at the Department of Acupuncture & Moxibustion, Dong-Eui University Korean Medicine Hospital from May $1^{st}$, 2017 to April $30^{th}$, 2018. Patients received more than 10 treatments of upper cervical manipulation and performed self-exercise therapy more than 3 times a day and wore an accurate balancing appliance in the oral cavity for more than 8 hours per day. To estimate the efficacy, visual analogue scale (VAS), numerical rating scale (NRS), maximum mouth opening (MMO), symptom intensity scale (SIS), max SIS (MSIS), symptom frequency scale (SFS), mandibular function impairment questionnaire (MFIQ) and 5-point Likert scale were used. Results: NRS and MSIS were significantly improved during each period. VAS, MMO, SIS, and SFS were significantly improved during each period, except the period from the $8^{th}$ to $10^{th}$ visit. MFIQ score was significantly improved during the period from the $1^{st}$ to $10^{th}$ visit. In the 5-point Likert scale, the results showed a high patient satisfaction with the treatment. Conclusion: These results showed that functional cerebrospinal therapy using an accurate balancing appliance, may be useful for reducing the symptoms of temporomandibular disorder.

Sleep-related Breathing Disorder and Its Relationship with Temporomandibular Disorders: Literature Review

  • Park, Jeongryul;Lee, Seunghoon;Lee, Sanghoon;Choi, Doyoung
    • Journal of TMJ Balancing Medicine
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    • v.7 no.1
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    • pp.1-10
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    • 2017
  • In order to establish a relationship between sleep related breathing disorder (SBD) and temporomandibular disorders (TMDs), a literature review was performed. A researching was performed based on PubMed, including english languages. Any clinical study identified relationship between SBD and TMD were selected in this review. 13 studies were analyzed in this review. According to SBD diagnosis, articles were grouped as follows: polysomnographic diagnosis (n=7), clinical diagnosis (n=2) and survey/self-report (n=4). 12 articles established a positive relation between SBD and TMD and 1 did not. SBD would be associated with protrusion/retrusion degree, myofascial pain, muscular and joint pathology, and other orofacial findings. It was analyzed that the retrusion of the mandible had the significant influence on the severity of the SBD.

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