• The Journal of the Korean dental association
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• v.40 no.6
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• pp.436-441
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• 2002

턱관절 장애와 관련된 안면통의 진단술식에는 턱관절 검진, 저작근, 두경부 검진, 교합분석과 같은 구강검사, 진단성 마취검사, 방사선검사 등이 있다. 여기에서는 가장 흔히 술자가 시행할 수 있고 간편한 술식을 중심으로 턱관절 검사와 저작근 검사, 그리고 두경부 근육애 대한 검사에 대하여 고찰키로 한다.

• Journal of Oral Medicine and Pain
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• v.26 no.3
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• pp.277-290
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• 2001

영상촬영술은 개방형 외과적 관절수술이나 관절경 검사법을 할 수 없는 상태에서 관절의 상태에 대한 시각적 정보를 확보할 수 있는 유일한 방법이다. 이것의 주된 목적은 진단과 치료계획과정을 도와주는 정보를 제공하는데 있다. 그중 방사선 촬영술은 턱관절의 구조적 질병을 진단하는데 기본적인 수단으로서 오래동안 사용되어 왔 다. 그러나 어떠한 방사선 소견이 개별 관절질환의 특징적 소견인지는 찾아내기가 어려운 실정이다. 그러나 통상적 턱관절 방사선 촬영술로서도 구조적 골변화를 찾아낼 수 있으며 특히 시상 단층촬영술은 턱관절에서 가장 유익한 정보를 보여준다고 한다. 또한 보고에 의하면 턱관절 장애는 다양한 해부학적 요인들과 관련이 있다고 한다. 따라서 본 연구에서는 통상적인 방사선 단층촬영술을 이용하여 턱관절 장애환자의 턱관절에서 나타나는 골변화를 찾아내고 이러한 골변화가 하악과두 수평각, 하악과두 형태, 과두위치 등과 같은 여러 요인들과 서로 관련이 있는 지 찾아보고저 하였다. 단국치대 구강내과 안면동통진료실에 내원한 256명의 환자 중, 턱관절장애를 편측으로만 호소하는 환자 73명을 대상으로 SCANORA를 이용하여 방사선 단층촬영을 시행하였다. 먼저 악하두정위 촬영을 통해 정중선에 대한 하악과두의 방향을 찾아내고 단층촬영 부위를 계산하였으며, 모든 촬영면은 4 mm 두께로 하고 턱관절 부위에만 국한되도록 조준하였다. 폐구 시 4개의 시상 촬영과 개구 시 한개의 시상 및 전두촬영상을 구한 후, 하악과두, 과두 형태 및 하악과두위치 등과 같은 요인들에 대한 골변화간의 관련성을 조사하고저 자료를 측정한 후 Contengency table analyses를 시행하였다. 본 연구의 결과에 따르면 결론적으로 하악과두의 형태, 하악과두의 수평각 및 하악과두의 위치 등은 턱관절의 골변화와 상호 관련이 있다는 가설을 확인할 수 있었다. 즉 하악과두상의 골변화는 과두가 후방위치되고 과두각이 25도 이상 크며, 특히 20대에서는 flat type, 40대에서는 angled type의 과두형태를 가지며 두 과두각의 차이가 9도에서 12도 정도로 큰 차이가 있는 남성환자에서 증가한다.

• Journal of TMJ Balancing Medicine
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• v.6 no.1
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• pp.27-28
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• 2016

• Journal of TMJ Balancing Medicine
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• v.8 no.1
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• pp.30-31
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• 2018

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.2
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• pp.381-387
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• 2020

This study investigates the effects of mental health and daily oral habits on temporomandibular joint symptoms. The study was conducted from September 1 to 30, 2019, enrolling a total of 402 young adults. We determined that mental health levels of anxiety, depression, and social maladjustment are significantly different, depending on life satisfaction (p<0.001), subjective health status (p<0.001), and trauma (p<0.01). Treating jaw joints exerted a significant difference in social maladjustment (p<0.05). Temporomandibular joint symptoms are significantly higher among women (p<0.05), drinkers (p<0.01), trauma (p<0.01) and jaw joint treatment patients (p<0.001). Mental health levels (p<0.001), oral habits (p<0.001), and temporomandibular joint symptoms (p<0.001) are all positively correlated. In addition, oral hygiene has the greatest influence on temporomandibular joint symptoms of trauma. Furthermore, factors experienced during treatment of the jaw joints also affect the temporomandibular joint symptoms. We conclude that it is imperative to improve oral health and malpractice in treating jaw joint disorders, and also develop a program that effectively improves jaw joint health, by combining mental health counseling and daily lifestyle improvements.

• Journal of TMJ Balancing Medicine
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• v.7 no.1
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• pp.32-33
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• 2017

• Journal of TMJ Balancing Medicine
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• v.5 no.1
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• pp.33-34
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• 2015

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.12
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• pp.645-651
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• 2019

This study examined the correlation between the forward head posture (FHP), temporomandibular joint disorder (TMD), and temporomandibular joint quantitative somatosensory sensation. This study examined the correlation between the temporomandibular joint function and somatosensory sensation according to the change in FHP after the intervention on the head posture in 62 subjects (22.15 ± 2.56 years) Biofeedback training was administered to the FHP, which was performed 12 times for a total of four weeks. To assess the FHP, the craneovertebral angle (CVA) was examined. The temporomandibular joint (TMJ) function was measured by the Therapeutic Range of Motion Scale and the left and right lateral deviation, and the sensation of vibration threshold was measured to confirm the change in somatic sensation. Multiple regression analysis was performed to confirm the influence of each variable and Pearson's correlation analysis was performed to assess the correlation. Changes in the temporal joint function (p<.001) and somatic sensation (p<.001) were correlated significantly with the changes in CVA. These results show that there is a significant correlation between the frontal head position, TMJ function, and somatosensory sensation. These results provide a new paradigm for the treatment of jaw joints for patients suffering from TMD and provide a basis for the future treatment of the temporomandibular joint.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.11
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• pp.193-200
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• 2020

This study used a structured questionnaire to analyze the effects of oral habits and stress on temporomandibular disorders in high school students. A total of 339 students attending high schools in Ulsan agreed to participate in the study. Data was analyzed using the SPSS Statistics ver. 18.0 for Windows program, t-test, one-way ANOVA, correlation, and regression analysis. Our results reveal that the temporomandibular disorder index is statistically correlated with the oral habit index, school life stress index, family life stress index, interpersonal stress index, and egosphere stress index (p≤0.01). The oral habit index had maximum influence on the temporomandibular disorder index. Moreover, higher the stress level in egosphere stress, greater significant differences were observed in the temporomandibular disorder index (p≤0.01). In other words, persistence of oral habits and non-addressal of stress increased the likelihood of experiencing temporomandibular disorders in adulthood. This was determined by the regression formula Y (temporomandibular disorder index) = 2.563 + 0.550X1 (oral habit index) + 0.134X2 (egosphere stress index). Thus, bad oral habits and stress in adolescence can be the potential cause of jaw joint disorders in adulthood. We believe that measures are needed to actively recognize and improve oral habits, and properly cope with stress during adolescence.

• Journal of TMJ Balancing Medicine
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• v.6 no.1
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• pp.24-26
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• 2016

To investigate the effects of the postural balance of TMJ using intraoral balancing appliance of functional cerebrospinal technique (FCST) combined acupuncture and manual medicine therapeutics in the treatment of congenital muscular torticollis. An idiopathic cervical dystonia case was managed with postural training with intraoral balancing appliance, combined with acupuncture and manual medicine therapeutics. Clinical assessment included radiography, Toronto Western Spasmodic Torticollis Rating Scale, and global clinical impression. Clinical improvement was observed over 5 months of treatment period. Clinical observational data on spasmodic torticollis provide an positive prospective for further investigation on the effect of FCST.