• 척추신경추나의학회지
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• 제4권2호
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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.

• 척추신경추나의학회지
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• 제1권2호
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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.

• 동의생리병리학회지
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• 제26권1호
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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.

• 척추신경추나의학회지
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• 제9권1호
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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.

• 한국치위생학회지
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• 제13권5호
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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.

• 대한치과의사협회지
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• 제57권4호
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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.

• 대한치위생과학회지
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• 제1권1호
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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.

• 한국융합학회논문지
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• 제2권4호
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• pp.39-45
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• 2011

본 연구는 측두하악장애를 우발하는 다양한 요인들 가운데 가장 유력한 원인인 스트레스와 측두하악장애와의 관련성을 알아보고, 특히 최근 악관절 장애 호발의 증가연령인 20대의 악관절 장애에 대하여 알아보고자 본 연구를 시행하였다. 2011년 7월 11일부터 7월 30일 까지 본 연구의 목적을 이해하고 연구 참여에 동의한 대학생 120명을 임의 표출하여 설문조사를 실시하였다. 조사대상자의 일반적 특성에서는 성별만이 통계적 유의한 차이가 있는 것으로 나타났다. 턱관절 장애와 관련된 습관과 스트레스의 관계에서 대상자들이 가장 많이 가지고 있는 습관은 '턱을 괴는 습관'이 64.4%로 가장 높게 나타났다. 5가지의 습관들은 모두 스트레스가 높은 그룹에게서 많이 나타났으며 그 중 '한쪽으로만 씹는 습관'의 스트레스가 높은 그룹의 비율이 81.5%로 가장 높았고 나머지 습관들은 60% 정도로 비슷하게 나타났다.

• Journal of Acupuncture Research
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• 제35권3호
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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.

• 턱관절균형의학회지
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• 제7권1호
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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.