• Title, Summary, Keyword: Temporomandibular joint disorder

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A Study on Correlation between the Prevalence Rate of Temporomandibular Disorder and Oral Habits (측두하악장애 유병률과 구강관련 악습관과의 연관성에 관한 연구)

  • Kim, Hong-Sik
    • The Journal of Korean Academy of Dental Technology
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    • v.37 no.4
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    • pp.261-270
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    • 2015
  • Purpose: This study is intended to survey male and female university students to see if there is correlation between temporomandibular disorder and oral habits known to cause temporomandibular disorder. Methods: A survey was conducted to 400 male and female university students attending two universities located in Daegu Metropolitan City and Gyeongsangbuk-do to examine if there is correlation between oral habits and temporomandibular disorder. Among total 400 questionnaire sheets, 334 (83.5%) sheets were used for final analysis except for those unreliably answered or containing error. Results: Female students showed a higher prevalence rate of temporomandibular joint pain than male students, and those having the habit of resting jaw on hand indicated a higher prevalence rate of temporomandibular joint pain, temporomandibular joint clicking, or trismus than normal students not having it. Also, those having the habit of tooth clenching showed a significantly higher prevalence rate of temporomandibular joint pain or temporomandibular joint clicking than normal students not having it. Conclusion: It can be concluded that the habit of resting jaw on hand is closely related with temporomandibular disorder like temporomandibular joint pain, temporomandibular joint clicking, or trismus, and the habit of tooth clenching is significantly correlated with such symptoms as temporomandibular joint pain and temporomandibular joint clicking.

A Study on the Relationship between Malocclusion and the Prevalence of Temporomandibular Disorder (부정교합과 측두하악장애 유병상태와의 관련성에 관한 연구)

  • Kim, Hong-Sik;Park, Soo-Chul;Jung, Myung-Hee
    • The Journal of Korean Academy of Dental Technology
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    • v.35 no.3
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    • pp.231-242
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    • 2013
  • Purpose: The study is to discover the relationship between malocclusion, which is known to cause temporomandibular disorder, and temporomandibular disorder and is aimed at college students who have retained their natural teeth. Methods: The study was aimed at 500 college students at two colleges located in Gyeongsangbuk-do and Daegu metropolitan city and survey research was conducted in order to discover any relationship between malocclusion and temporomandibular disorder. After excluding copies with insincere answers or errors out of the 500 copies of the questionnaire, the study used a total of 435 copies (87%) for research and analysis. Results: Females showed a prevalence of temporomandibular joint clicking and temporomandibular joint pain, and students who had crowding showed a high prevalence of temporomandibular joint pain, temporomandibular joint clicking, and trismus. Students whose occlusal condition was not good demonstrated a high prevalence of temporomandibular joint pain, temporomandibular joint clicking, and trismus. Students who had maxillary protrusion showed a prevalence of temporomandibular joint clicking and trimus, whereas students who had mandibular protrusion showed a high prevalence of temporomandibular joint clicking. Conclusion: Students whose dental condition was crowding and students whose occlusal condition was not good exhibited a high prevalence of three types of symptoms of temporomandibular disorder. Meanwhile student who had maxillary protrusion showed a high prevalence of temporomandibular joint clicking and trismus, while students who had mandibular protrusion showed a prevalence of temporomandibular joint clicking.

Factors affecting subjective symptoms of temporomandibular joint disorders in adults (성인의 턱관절장애 자각증상에 영향을 미치는 요인)

  • Kim, Soo-Kyung;Kim, So-Ra;Kim, Hyun-Kyung;Park, Ji-Su;Lee, Yu-Jin;Cho, Min-Seo;Jung, Eun-Seo
    • Journal of Korean society of Dental Hygiene
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    • v.17 no.4
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    • pp.601-611
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    • 2017
  • Objectives: The purpose of this study is to identify the perceived symptoms of oral and temporomandibular joint disorders in adults and to analyze the factors affecting subjective symptoms of temporomandibular joint disorders. Methods: 249 adults over 20 years old who had subjective symptoms of temporomandibular joint disorders were surveyed and analyzed. Independent t-test and ANOVA test were used to examine the relationship between oral habits and temporomandibular joint disorder according to general characteristics. $Scheff{\acute{e}}$ test was used for post-hoc analysis. Multiple regression analysis was conducted to examine the factors affecting oral habits and temporomandibular joint disorder. Results: First, the factors affecting oral and habitual behaviors were married (p<0.05) and monthly income between 1 million~1.9 million won (p<0.001), higher temporomandibular joint disorder (p<0.01) And the degree of habit was increased. Second, the factors affecting temporomandibular joint disorder were increased in occupation (p<0.05) and the degree of oral habit (p<0.01). Conclusions: In conclusion, it was confirmed that oral habit influences temporomandibular joint disorder. Especially, it is suggested that prevention and promotion of temporomandibular joint disorder are needed to recognize the removal of oral habits.

The relationship between Oral Habits and the Prevalent Status of Temporomandibular Disorders (구강악습관과 측두하악장애 유병상태와의 관련성)

  • Kim, Hong-Sik
    • The Journal of Korean Academy of Dental Technology
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    • v.36 no.3
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    • pp.187-196
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    • 2014
  • Purpose: This study aims to examine correlation between temporomandibular disorder and oral habits that have been known to cause temporomandibular disorder with both male and female undergraduates. Methods: To figure out correlation between temporomandibular disorder and oral habits, a survey was conducted to 500 students of two universities located in Daegu Metropolitan City and Gyeongsangbuk-do, and excluding the ones unreliably answered or indicating errors, total 427 (85.4%) out of 500 questionnaire sheets were used for final analysis. Results: Female students showed higher prevalence rates than male students in temporomandibular joint pain and temporomandibular joint clicking, and students having the lip biting habit, tongue thrust habit, or bruxism habit indicated a higher prevalence rate of temporomandibular joint pain than normal students. Also, students having the tongue thrust habit indicated a significantly higher prevalence rate of temporomandibular joint clicking than normal students not having it. And about trismus, students having the bruxism habit showed a significantly higher prevalence rate than normal students not having it. Conclusion: The findings imply that oral habits like lip biting, tongue thrust, or bruxism are closely related with temporomandibular joint pain, tongue thrust influences temporomandibular joint clicking, and bruxism does affect trismus.

Treatment of occlusal changes associated with temporomandibular joint disorder (임상가를 위한 특집 2 - 턱관절장애와 관련된 교합변화의 치료)

  • Jung, Jae-Kwang
    • The journal of the Korean dental association
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    • v.51 no.2
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    • pp.84-91
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    • 2013
  • Temporomandibular joint disorder(TMJD) was mainly characterized with joint pain, motion limitation, joint sound, resulted from pathologic conditions in temporomandibular joint and around tissue. As temporomandibular joint is one of decisive factors determining the occlusion, disorders in temporomandibular joint may cause the occlusal changes. The causes of occlusal changes related with TMJD can be classified into 2 categories; (1) those related to progression of disorder, 2) those related to treatment of the disorder. The clinical manifestation of occlusal changes depend on their causes and affected site. Therefore, whenever possible, treatment should be directed to the relief of the underlying causes, However, it is not always possible to relieve the underlying conditions. Moreover, some occlusal changes may remain irreversible even after the considerable improvement in clinical symptoms. Regarding the treatment of the permanent occlusal changes, it has been reported that the extensive occlusal treatment including occlusal adjustment, prosthodontic treatment, orthodontic treatment should be applied. Here, we present with a case report of occlusal change caused by the progressive temporomandibular joint disorder, together with introducing the intermaxillary traction appliance as the possible treatment option.

Chuna Manual Therapy for Temporomandibular Joint Disorder: Systematic Review (추나요법이 턱관절 증후군에 미치는 영향: 체계적 문헌 고찰)

  • Bae, Dong-Ryeol;Cho, Hyung-Joon;Kim, Hee-Na;Hwang, Eui-Hyoung
    • Journal of Korean Medicine Rehabilitation
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    • v.27 no.3
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    • pp.71-79
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    • 2017
  • Objectives To determine the effectiveness of Tuina for temporomandibular joint disorder. Methods We searched 10 electronic databases (Pubmed, CNKI, EMBASE, Cochrane Library, KISS, KISTI, NDSL, RISS, KMBASE, DBpia) up to May 2017. We included randomized controlled trials (RCTs) using Tuina for temporomandibular joint disorder. The methodological quality of each RCT was assessed by the Cochrane risk of bias tool. Results 14 RCT studies were eligible in our review. 14 studies were divided into 4 groups, and meta-analysised. The meta-analysis of 6 studies showed favorable results for the use of Tuina. High risk of bias were observed in 9 studies. Conclusions Although there are favorable results with meta-analysis, our systematic review are highly dependent on the single source of Chinese electrical database, CNKI. Now limited evidence is available to support Tuina for temporomandibular joint disorder and further well-designed RCTs should be encouraged.

Temporomandibular Joint Disorder and Occlusal Changes: Case Reports

  • Kim, Young-Kyun
    • Journal of Korean Dental Science
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    • v.11 no.1
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    • pp.21-31
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    • 2018
  • Occlusion may change spontaneously but dental treatment or trauma in the patients with temporomandibular disorders (TMDs) may also alter occlusion. This report presents three cases displaying occlusal changes. Review of literature emphasizes the significance of TMD treatment. Conservative treatment modalities such as counseling, medication, physical therapy and splint therapy may be selected as initial treatment options. Irreversible or invasive treatment, such as orthodontic, prosthodontic, and occlusal adjustment should not be attempted early. In case there is no response to conservative treatment, joint injection, muscle injection, arthrocentesis or arthroscopic surgery might be performed.

Two Clinical Case Studies on Temporomandibular Disorder with Upper Cervical Manipulation (상부경추 교정기법을 사용하여 치료한 턱관절 장애 치험 2례)

  • Chang, Dong-Ho;Bae, U-Yeol;Lee, In-Sun;Cho, Sung-Woo
    • The Journal of Korea CHUNA Manual Medicine for Spine and Nerves
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    • v.6 no.2
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    • pp.45-52
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    • 2011
  • Objective : We had good effects on two patients who had problem with temporomandibular joint by using upper cervical manipulation combined with acupuncture therapy. Methods : Two temporomandibular disorder cases were managed by using upper cervical manipulation, combined with acupuncture therapy. We used Toggle-recoil technique for the purpose of upper cervical manipulation. Results :Even though symptoms of two patients were not same, each cases showed clinical changes by using upper cervical manipulation. Two cases had effects on decreasing pain of temporomandibular joint, and at the first case, the range of motion of temporomandibular joint was increased. Conclusion : We could treat temporomandibular disorder patients by using upper cervical manipulation combined with acupuncture therapy.

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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.

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 Korea CHUNA 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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