A Web-based Survey for Assessment of Korean Medical Treatment Clinical Practice Patterns for Temporomandibular Disorders

턱관절 질환의 한의진료 임상현황조사를 위한 웹기반 설문조사

  • Received : 2017.11.06
  • Accepted : 2017.11.22
  • Published : 2018.01.31


Objectives While Temporomandibular disorders (TMD) is highly prevalent in Korea, studies examining its Korean medical treatment are currently lacking. The aim of this study was to assess current Korean medical treatment practice patterns for TMD. Methods A preliminary questionnaire was developed to investigate current practice patterns of TMD treatment and underwent further revision through external review. The final questionnaire was distributed as a web-based survey to 18,289 potential respondents by email. Results The response rate was 2.23%. Most participants replied that they received multiple Korean medicine interventions for TMD treatment consisting of such methods as acupuncture, chuna manipulation, electroacupuncture. The percentage of treatment services among uncovered services, which need to be covered by national health insurance was high in the order of pharmacopuncture, chuna manipulation, and herbal medicine. The most commonly used diagnostic examination tools for TMD was Physical examination and next was Imaging diagnosis. The frequency of TMD treatment was the highest at 2~3 times per week (76%) and the period was from 4 to 12 weeks (63%). Conclusions This survey study helps determine current practice patterns of TMD, and recognizes the need for use of diagnostic devices in TMD treatment. These results are further anticipated to provide basic data for clinical practice guide lines (CPGs).


Temporomandibular disorders;Practice guideline;Survey;Questionnaire


  1. Chung SC, Ko MY, Kim YJ. A study on the background variables in the patients with TMJ dysfunction. Korean J Oral Med. 1983;8:69-76.
  2. Clark GT, Solberg WK. Perspectives in temporomandibular disorders: 1st ed. Berlin: Quintessence. 1987: 1-150.
  3. Bonjardim LR, Gaviao MB, Pereira LJ, Castelo PM. Anxiety and depression in adolescents and their relationship with signs and symptoms of temporomandibular disorders. Int J Prosthodont. 2005;18:347-52.
  4. Sonmez H, Sari S, OksakOray G, Camdeviren H. Prevalence of temporomandibular dysfunction in Turkish children with mixed and permanent dentition. J Oral Rehabil. 2001;28:280-5.
  5. Sim SH, Ha M. Association between psychological factors and temporomandibular disorders in Korean adults: The fouth Korean national health and nutritional examination survey(2009). Journal of Korean Society of Dental Hygiene. 2013;13(5):739-47.
  6. Song MC, Heo YK, Choi KW, Kang MW, Kim SL, Kim JH, Kim YI, Hong KE, Lee H, Lim YK. Clinical Comparison Study on 40 Cases of Temporomandibular Disorder Patients with Idiopathic Scoliosis Treated by Chuna & General Oriental Method. The J of Korean Acupuncture & Moxibustion Society. 2005;22(5):133-40.
  7. Moon JY, Cho JH, Lee HE, Lim MJ, Kang I, Wang WH, Park CJ, Lim JK. The Clinical Report on 3 cases of the patient of Tempormandibular Disorder Treated with Motion Style Treatment. The Journal of Korean Society of Chuna manual Medicine for Spine & Nerves. 2008; 3(2):29-36.
  8. Cho JH, Lee HE, Lee H, Jung HS, Kim ES, Han KW, Moon JY. The Clinical Study on 194 Patients of Temporomandibular Disorder. The J of Korean Acupuncture & Moxibustion Society. 2009;26(4):39-47.
  9. Chang DH, Bae UY, Lee IS, Cho SW. Two Clinical Case Studies on Temporomandibular Disorder with Upper Cervical Manipulation. The Journal of Korean Society of Chuna manual Medicine for Spine & Nerves. 2011; 6(2):45-52.
  10. Jin ES, Lee JH, Kim HK, Yeom SK, Jeong HC, Lim CS. The Clinical Study for the Effects of Chuna Treatment on Patients with Temporomandibular Disorder. Journal of Korean Rehab Med. 2011;21(1):125-35.
  11. Graham R, Mancher M, Wolman DM, Greenfield S, Steinberg E. Clinical Practice Guidelines We Can Trust. 1st. Washington (DC):National Academies Press (US). 2011:1-4.
  12. Choi JA, Choi TY, Lee JA, Yun KJ , Lim HJ, Lee MS. Perceptions on developing clinical practice guidelines for traditional medicine in Korea : Results of aweb-based survey. European Journal of Integrative Medicine. 2014;6:156-63.
  13. Bae DR, Cho HJ, Kim HN, Hwang EH. Chuna Manual Therapy for Temporomandibular Joint Disorder: Systematic Review. Journal of Korean Rehab Med. 2017; 27(3):71-9.
  14. Jin JH, Lee JC, Jang ES. Research Trends of Pattern Identification of Korean Medicine Using the Network Analysis. The Journal of the Korea Contents Association. 2014;12:1037-46.
  15. Kim TH. Steps Of Deciding ByunZheng. The Journal of the Society of Korean Medicine Diagnostics. 2015;19(2): 109-13.
  16. Roh DH, Lee MJ. A Literature review of the Temporomandibular Joint Disorder. J Oriental Rehab Med 2005; 15(3):13-24.
  17. Cairns B, List T, Michelotti A, Ohrbach R, Svensson P. JOR-CORE recommendations on rehabilitation of temporomandibular disorders. J Oral Rehabil 2010;37:481-9.
  18. Durham J, Steele J, Wassell R, Exley C. Living with uncertainty: temporomandibular disorders. Journal of dental research. 2010;89(8):827-30.


Supported by : Korea Health Industry Development Institute (KHIDI)