• Title, Summary, Keyword: Temporomandibular disorder(TMD)

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A clinical evaluation of botulinum toxin-A injections in the temporomandibular disorder treatment

  • Kim, Hyun-Suk;Yun, Pil-Young;Kim, Young-Kyun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.38
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    • pp.5.1-5.5
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    • 2016
  • Background: This study clinically evaluated the effect of botulinum toxin type A (BTX-A) in the temporomandibular disorder (TMD) treatment using Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). Methods: A total of 21 TMD patients were recruited to be treated with BTX-A injections on the bilateral masseter and temporalis muscles and were followed up by an oral and maxillofacial surgeon highly experienced in the TMD treatment. For each patient, diagnostic data gathering were conducted according to the RDC/TMD. Characteristic pain intensity, disability points, chronic pain grade, depression index, and grade of nonspecific physical symptoms were evaluated. Wilcoxon signed-rank test was applied for statistical analysis. Results: The results showed that more than half of the participants (85.7 %) had parafunctional oral habits such as bruxism or clenching. In comparison between pre- and post-treatment results, graded pain score, characteristic pain intensity, disability points, chronic pain grade, and grade of nonspecific physical symptoms showed statistically significant differences after the BTX-A injection therapy (p < 0.05). Most patients experienced collective decrease in clinical manifestations of TMD including pain relief and improved masticatory functions after the treatment. Conclusions: Within the limitation of our study, BTX-A injections in masticatory musculatures of TMD patients could be considered as a useful option for controlling complex TMD and helping its associated symptoms.

The Literature Study on the Relationship between Tinnitus and Temporomandibular disorder (이명과 악관절장애간의 상호관계 문헌연구)

  • Kim, Bong-Hyun;Nam, Hae-Jeong
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.24 no.3
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    • pp.74-83
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    • 2011
  • Objective : We investigated relationship between tinnitus and temporomandibular disorder(TMD) and tried to find approach possibility in oriental medicine. Method : We searched Pubmed, Scopus, The Cocharane library and additional sources for published and unpublished trials. Search word was "Tinnitus and TMD" Result : We investigated 18 studies. We divided these studies into three parts, epidemiological studies, mechanical studies and treatment studies. In many epidemiological studies. there was significant relationship between tinnitus and TMD. The mechanism was not clear but in recently several studies proposed neurological approach. TMD treatment showed significant improvement in tinnitus accompanied by TMD. Conclusion : In tinnitus accompanied by TMD, TMD treatment can be available to resolve or reduce tinnitus. Especially in oriental medicine acupuncture can be applied to treat this.

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 Korea CHUNA 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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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.

The Effects of Academic Stress and Self-Control on Temporomandibular Disorder of Adolescents

  • Bang, Hee-Soo;Son, Dong-Jun;Khim, Mee-Ae
    • Journal of Oral Medicine and Pain
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    • v.39 no.2
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    • pp.46-54
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    • 2014
  • Purpose: The aim of this study was to investigate the effects of academic stress and self-control ability on temporomandibular disorder (TMD) of adolescents. Methods: Participants were 1,112 teenagers who were 1st grade students of middle and high school. After checking their academic stress and self-control ability through a self-administrated questionnaire, the students were examined their TMD by two trained dentists. We drew a comparison the level of their academic stress and self-control ability between the students with and without TMD. We divided them to four groups according to the level of academic stress and self-control. And we checked prevalence of TMD in each level. Results: The group of students with TMD was higher academic stress score level than the students without TMD (p<0.05). And they had lower self-control score level than the students without TMD (p<0.05). Even if they were under the same academic stress, the group of students with higher self-control score was less TMD prevalence than the students with lower score. Conclusions: Academic stress makes adolescents to increase TMD and high ability of self-control makes them to decrease it. And these tendencies are seemed to have a great influence on young male student.

Relationship between national exam stress and temporomandibular disorder(TMD) in allied health students (일부 보건계열 학생들의 국가시험 스트레스와 측두하악장애의 관계)

  • Kim, Myung-Eun;Jang, Won-Seok
    • Journal of Korean society of Dental Hygiene
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    • v.16 no.5
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    • pp.791-798
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    • 2016
  • Objective: The aim of the study was to investigate degree of national exam's stress, symptom of temporomanibular disorder(TMD) in allied health students and relationship between of them. Methods: A self-reported questionnaire was completed by 305 students of dental hygiene and physical therapy in Chungbuk and Gyeongnam in December 2015. Except incomplete questionnaire, 260 data were analyzed using SPSS 12.0 program. The study instruments consisted of subjective symptom of temporomandibular disorder, bad habit of mouth and degree of national exam's stress. Results: National exam stress was higher in female and subjective unhealthy students(p<0.05). High group and usual group on national exams's stress showed high subjective symptom(p<0.05). National exam's stress were related to subjective symptom of TMD and bad habit of mouth(p<0.05, p<0.01). Subjective symptom of TMD were related to bad habits of mouth(p<0.01). Conclusion: The degree of stress, TMD and bad habits of mouth on national exam test was high. therefore, it is important to manage the national exam's stress and to develop program in order to reduce the national exam's stress in allied health students.

Diagnosis and Treatment of the Temporomandibular Disorder (임상가를 위한 특집 1 - 측두 하악 장애의 진단과 치료)

  • Kim, Chul-Hoon
    • The journal of the Korean dental association
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    • v.50 no.5
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    • pp.244-255
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    • 2012
  • Temporomandibular disorder(TMD) is described as a cluster of disorders characterized by pain in the preauricular area and/or the muscles of mastication; limitations or deviations in mandibular range of motion; and noises in the TMJ during mandibular function. The most common symptom in TMD patients is pain that is aggravated by chewing or other jaw function. These symptoms are appeared when the stimuli loaded in TMJ are over the physiologic tolerance. The primary goal in treatment of TMD is to alleviate pain and lor mandibular dysfunction. TMD treatment can be divided into 2 categories: reversible and irreversible methods. Reversible methods include medication, thermal therapy, habit modification, physical therapy, appliance therpy and arthrocentesis and lavage and irreversible methods include arthroscopic lysis, surgery, occlusal adjustment et al. It is widely accepted that reversible methods are ther first choice of treatments. However if reversible ones are not effective, irreversible methods are considered.

An epidemiological study on the prevalence of temporomandibular disorder and associated history and problems in Nepalese subjects

  • Rokaya, Dinesh;Suttagul, Kanokwan;Joshi, Shraddha;Bhattarai, Bishwa Prakash;Shah, Pravin Kumar;Dixit, Shantanu
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.18 no.1
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    • pp.27-33
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    • 2018
  • Background: Temporomandibular disorder (TMD) represents a subgroup of painful orofacial disorders involving pain in the temporomandibular joint (TMJ) region, fatigue of the cranio-cervico-facial muscles (especially masticatory muscles), limitation of mandible movement, and the presence of a clicking sound in the TMJ. TMD is associated with multiple factors and systemic diseases. This study aimed to assess the prevalence of TMD in Nepalese subjects for the first time. Methods: A total of 500 medical and dental students (127 men and 373 women) participated in this study from May 2016 to September 2016. The Fonseca questionnaire was used as a tool to evaluate the prevalence of TMD, and Fonseca's Anamnestic Index (FAI) was used to classify the severity of TMD. Results: The majority of the participants with TMD had a history of head trauma, psychological stress, and dental treatment or dental problems. The prevalence of TMD in Nepalese students was mild to moderate. Conclusions: The prevalence of TMD in Nepalese subjects was mild to moderate. The majority of the study subjects had eyesight problems, history of head trauma, psychological stress, and drinking alcohol and had received dental treatments.

Roentgenographic Analysis of Cervical Lordosis and Disc Degeneration in Neck Pain Patients with or without TMD(Temporomandibular Disorder) (측두하악관절 장애(TMD) 유무에 따른 경항통 환자의 경추 단순 방사선 검사 소견에 대한 비교 분석)

  • Han, Kyung-Wan;Lee, Myeong-Jong;Kim, Ho-Jun;Keum, Dong-Ho;Park, Young-Hoi
    • Journal of Korean Medicine Rehabilitation
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    • v.20 no.2
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    • pp.199-208
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    • 2010
  • Objectives : To study the cervical lordosis and roentgenographic analysis of cervical disc space in neck pain with or without temporomandibular disorder(TMD). Methods : Radiographic measures of cervical lordosis, cervical disc space narrowing were collected, statiscally analyzed. Results : TMD group showed a significant increase in cervical lordotic angle as compared with non-TMD group, whereas no significant change in cervical disc degeneration. Conclusions : The findings from this study suggest that the curvature of the cervical spine is related to the subject's TMD.

Use of Magnetic Neurostimulator Appliance in Temporomandibular Disorder

  • Florian, Marcelo Rossiti;Zotelli, Vera Lucia Rasera;de Sousa, Maria da Luz Rosario;Polloni, Larissa Angelica Bachir
    • Journal of Acupuncture & Meridian Studies
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    • v.10 no.2
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    • pp.104-108
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    • 2017
  • Temporomandibular disorder (TMD) is ranked the second leading cause of orofacial pain after toothache, and there is no effective standard treatment for all cases. Therefore, much research has been conducted in the therapeutic areas of TMD, such as acupuncture and electrotherapy, for this purpose. The aim of this research was to evaluate application of the neuromagnetic stimulator device Haihua model CD-9, used within the precepts of acupuncture in treating TMD-related pain symptoms and limited mouth opening. Analysis and discussion of this study were based on pain intensity index and range of mouth-opening evaluation before and after each session. Nine patients diagnosed with muscle TMD, referred by the surgery sector of Center Dental Specialties (CEO - I) in Piracicaba-$S{\tilde{a}}o$ Paulo participated in this research. Considering the simplicity of the technique and good results obtained, use of this device is suggested as an additional therapeutic tool for relief of TMD symptoms.