Journal of Oral Medicine and Pain

Korean Academy of Orofacial Pain and Oral Medicine (대한안면통증구강내과학회)
권호 표지

Occlusal Analysis in the Policemen with Temporomandibular Disorders Using T-scan II System

경찰 종사자의 측두하악장애환자에서 T-scan II System을 이용한 교합분석

  • Lim, Hyun-Dae (Department of Oral medicine, School of Dentistry, Wonkwang University) ;
  • Jung, Seung-Ah (Department of Dentistry, National Police Hospital) ;
  • Lee, You-Mee (Department of Oral medicine, School of Dentistry, Wonkwang University)
  • 임현대 (원광대학교 치과대학 구강내과학 교실) ;
  • 정승아 (경찰병원 치과) ;
  • 이유미 (원광대학교 치과대학 구강내과학 교실)
  • Published : 2006.12.30
Download PDF
⟨ Previous Next ⟩

Abstract

This study suggested correction of excessive mouth opening or maximum occlusal contact to analyse occlusal contact time, occlusal contact number and force through evaluation of occlusal pattern in policemen with temporomandibular disorders. The community of policemen influence on temporomandibular disorder's development and progress due to other condition of mouth opening and maximal occlusal contact. Repeated training or changes of usual life style may cause imbalance of stomatognathic system including the masticatory muscle, then develop or aggravate pain of temporomandibular joints and associated structures. This study uses T-scan II system(Tekscan Co., USA) for evaluation on occlusal pattern may influence temporomandibular disorders, and then the subjects take a sensor at 20 mm opening for maximal occlusal contact force. The policemen with temporomandibualr disorders get more long time on maximum contact timing, more short on end contact timing, and more force on end contact force than general society's. So they get closure of mouth with more short time and more force, then transfer remaining load to temporomandibular joint. There are no statistically significances between affected side and occlusal pattern of occlusal contact time and force. There are Left -right dental arch imbalances seems on Rt. dental arch if affected side is right and Lt. dental arch if affected side is left. In above results, It's worth due consideration that policemen with temporomandibular disorders get more smooth mandibualr movement and less force on maximal occlusal contact position.

이 연구는 경찰사회에서의 측두장애환자의 교합상태를 평가하여 습관적인 최대교합시에 교합접촉 시기와 접촉수, 접촉힘을 분석하여 과도한 개구나 이악물기등의 악습관 교정을 제시 하는데 있다. 경찰사회에서는 일반 사회에는 다른 양상의 최대 개구, 습관적인 긴밀한 최대 교합상태 등으로 인하여 측두하악장애에 영향을 미칠 수 있다. 반복적인 훈련이나 일상생활에서의 변화는 그동안 유지되어 오던 저작근을 비롯한 악구강계 평형 상태에 변화를 초래하여 측두하악관절과 그에 따른 구조물에 동통을 유발 내지는 악화 시킬 수 있다. 본 연구는 측두하악장애에 영향을 미칠 수 있는 교합상태를 조사하기 위하여 T-scan II system(Tekscan Co., USA)을 이용하였으며, 최대 교합력을 발휘하기 위하여 약 20 mm 정도의 개구 상태에서 최대교합시까지 물었다. 경찰종사자의 측두하악장애환자는 일반 측두장애환자보다 최초 접촉부터 최대 접촉까지 걸리는 시간은 오래 걸리며, 최종 접촉까지의 시간은 보다 짧았으며, 최종 교합접촉력은 더 강하여, 더 짧은 시간에 강한 힘을 유지한 채 폐구가 이루어져 측두하악관절에 더 많은 잔존한 부하를 전달하였다. 이환 측과 교합접촉 시간, 교합 접촉 힘등의 교합양상과는 관계가 미약하였으며, 최대 접촉력이 가해진 시기에서 우측이 이환 측이면 우측 악궁에, 좌측이 이환측일 경우 좌측 악궁에 집중되는 좌, 우 악궁간 불균형을 보였다. 이상의 결과에서 측두하악장애를 가진 경찰 종사자들의 하악 운동에 보다 부드러운 움직임과 습관적인 최대 교합상태에서의 보다 적은 힘을 유지해야 할 것으로 생각되어진다.

Keywords

References

  1. Bell WE. Temporomandibular Disorders. Classification, Diagnosis, Management. 3rd ed., Chicago, 1990, Year book Medical Publishers, 166-176
  2. Griffiths RH. Report of the President's Conference on Examination, Diagnosis and Management of Temporomandibular Disorder. J Am Dent Assoc 1983;106:75-77. https://doi.org/10.14219/jada.archive.1983.0020
  3. 정성창 외 역. 악관절장애와 교합의 치료. 제5판 서울, 2004; 대한나래출판사, 160-177
  4. Clark GT, Tsukiyama Y, Baba K, Watanabe T. Sixty-eight years of experimental occlusal interference studies : What have we learned?. J Prosthet Dent 1999;82: 704-713 https://doi.org/10.1016/S0022-3913(99)70012-0
  5. Laskin DM. Etiology of the pain-dysfunction syndrome. J Am Dent Assoc 1969;79;147-153 https://doi.org/10.14219/jada.archive.1969.0234
  6. Flor H, Birbaumer N, Schulte W et al. Stress related electromyographic responses in patients with chronic temporomandibular pain. Pain 1991;46:145-152 https://doi.org/10.1016/0304-3959(91)90069-A
  7. Intrieri RC, Jones GE, Alcorn ID. Masseter muscle hyperactivity and myofascial pain dysfunction syndrome: A relationship under stress. J Behav Med 94;17:479-500 https://doi.org/10.1007/BF01857921
  8. Christensen LV. Progressive jaw muscle fatigue of experimental tooth clenching in man. J Oral Rehabil 1981;8:413-420 https://doi.org/10.1111/j.1365-2842.1981.tb00515.x
  9. Clark GT, Adler RC, Lee JJ. Jaw pain and tenderness levels during and after repeated sustained maximum voluntary protrusion. Pain 1991;45:17–22 https://doi.org/10.1016/0304-3959(91)90159-U
  10. Sato H, Osterberg T, Ahlqwist M, et al. Temporomandibular disorders and radiographic findings of the mandibular condyle in an elderly population. J Orofac Pain 1996;10:180-186.
  11. Conti PC, FerreiraPM, pegoraro LF et al. A crosssectional study of signs and symptoms of temporomandibular dorders in high school and university students. J Orofac Pain 1996;10:254-262
  12. Ciancaglini R, Gherlone EF, Radaelli G. Association between loss of occlusal support and symptoms of functional disturbances of the masticatory system. J Oral Rehabil 1999;26:248-253 https://doi.org/10.1046/j.1365-2842.1999.00368.x
  13. Pullinger AG, Seligman DA, Gornbein JA. A mutlple logistic regression analysis of the risk and relative odds of temporomandibular disorders as a function of common occlusal features. J Dent Res 1993;7:196-208
  14. Dawson PE. A classification system for occlusions that relates maximal intercuspation to the position and condition of the temporomandibular joints. J Prosthet Dent 1996;75:60-66 https://doi.org/10.1016/S0022-3913(96)90419-9
  15. Seligman DA, Pullinger AG. Analysis of occlusal variables, dental attrition, and age for distinguishing healthy controls from female patients with intracapsular temporomandibular disorders. J Prosthet Dent 2000;83:76-82 https://doi.org/10.1016/S0022-3913(00)70091-6
  16. Okeson JP. Management of temporomadibular disorders. 5ed., Singapore, 2003, Elsevier, 151-183
  17. Molin C, Carlsson GE, Friling B. Hedegard B.Frequency of symptoms of mandibular dysfunction in young swedish men. J Oral Rehabil 1976;3:9-17 https://doi.org/10.1111/j.1365-2842.1976.tb00925.x
  18. Ingervall B, Mohlin B, Thilander B. Prevalence of symptom of functional disturbances of the masticatory system in swedish men. J Oral Rehabil 1980;7:185-193 https://doi.org/10.1111/j.1365-2842.1980.tb00435.x
  19. Nilner M. Prevlence of functional disturbances and disease of the stomatognathic system in 15 to 18 years olds. Swed Dent J 1981;5:189-197
  20. Takenami Y, Kuboki T, Acero Jr CO et al. The effects of sustained incisal clenching on the temporomandibular joint space. Dentomaxillofacial Radiology 1999;28:241-218
  21. Fitzig S, Serfaty V, Grazit E. Photoocclusion techinque for simultaneous qualitative occlusal contact registration. J Prosthet Dent 1985;53:413-414 https://doi.org/10.1016/0022-3913(85)90524-4
  22. Dawson P, Arcan M. Attaining harmonious occlusion through visualized atrain analysis. J Prosthet Dent 1981;46:615-622 https://doi.org/10.1016/0022-3913(81)90067-6
  23. Maness WL, Benjamin M, Podoloff R et al. Computerized occlusal analysis: A new techinology. Quintessence Internat 1987;18:287-292
  24. Maness WL, Podoloff R. Distribution of occlusal contacts in maximum intercuspation. J Prosthet Dent 1989;95:238-242
  25. Cartagena AG, Sequeros OG, Garcia VCG. Analysis of two methods for occlusal contact registration with the T-scan system. J Oral Rehabilitation 1996;24: 426-432
  26. Suzuki T, Kumagai H, Watanabe T et al. Evaluation of complete denture occlusal contacts using pressuresensitive sheets. Int J Prosthod 1997;10:386-391
  27. Watanabe M, Hattori Y, Satoh C. Bite force distribution on the dental arch in normal dentitions. In Brain and Oral Functions, oral motor function and dysfunction. Morimoto T, Matsuya T, Takada K, eds., 1995, pp. 399-403, Elsevier Science, Oxford
  28. Kumagai H, Suzuki T, Hamada T et al. Occlusal force distribution on the dental arch during various levels of clenching. J Oral Rehabil 1999;26:932-935. https://doi.org/10.1046/j.1365-2842.1999.00473.x
  29. Kim KS, Choi JH, Kim ST et al. Bite Force, Occlusal Contact Area and Occlusal Pressure of Patients with Temporomandibular Joint Internal Derangement. Korean journal of Oral Medicine 2006;31(3):265-274
  30. Kerstein RB. Combining technologies: A computerized occlusal analysis system synchro-nized with a computerized electromyography system. J Craniomandib Pract 2004;22:96-109
  31. 정승아, 한경수, 이유미 등. 중심위 활주 및 두부자세가 교합접촉과 저작근 활성에 미치는 영향. 대한구강내과학회지 2004;29(4):407-420.
  32. Park EH, Kim ME, Kim KS. Occlusal Analysis of the Subjects with Chewing Side Preference Using the T-Scan II System. Korean journal of Oral Medicine 2006;31(3):245-254
  33. Baba K, Tsukiyama Y, Clark GT. Reliability, validity, and utility of various occlusal measurement methods and techniques. J Prosthet Dent 2000;83:83-89 https://doi.org/10.1016/S0022-3913(00)70092-8
  34. Cordray FE, Three-dimensional analysis of models articulated in the seated condylar position from a deprogrammed asymptomatic population: A prospective study. Part 1. Am J Orthod Dentofacial Orthop 2006;129:619-30 https://doi.org/10.1016/j.ajodo.2004.10.015
  35. Ferrario VF, Sforza C, Lovecchio N et al. Quantification of translational and gliding components in human temporomandibular joint during mouth opening, Archives of Oral Biology 2005;50: 507-515 https://doi.org/10.1016/j.archoralbio.2004.10.002