• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.32 no.5
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• pp.453-457
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• 2006

This study was designed to investigate the effect of intra-articular injection of hyaluronic acid for the treatment of internal derangements of the temporomandibular joint(TMJ). Sixteen patients with internal derangements of TMJ in 1 male and 15 females aged 68 to 18 years comprised the study material. The patients' complaint was limited mouth opening and pain during function. Patients were divided into 3 groups(articular disc displacement with reduction, articular disc displacement without reduction, osteoarthritis group). The preauricular area was disinfected anesthetized locally with 2% lidocaine hydrochloride. Arthrocentesis was performed. Hyaluronic acid(1.5 ㏄) was then injected into the superior compartment of the TMJ. Active range of motion exercises were instituted at approximately 24 hours postoperatively. Antibiotics and NSAID, three times daily by mouth, was prescribed for 3 days. Clinical evaluation of the patients was done before the procedure, immediately after the procedure, final follow-up visit postoperatively. Pain during function was assessed using visual analog scales(VAS). Maximal mouth opening was recorded as a distance between upper incisal edge and lower incisal edge. Intra-articular injection of hyaluronic acid caused significant reduction of pain during function, significant increase of maximal opening range. These findings suggest that intra-articular injection of hyaluronic acid is useful for decreasing patient reports of pain while increasing functional mobility of the mandible in internal derangements of the TMJ.

• The korean journal of orthodontics
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• v.26 no.4
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• pp.423-439
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• 1996

The purpose of this study was to evaluate the diagnostic value of $SONOPAK^*$ in internal derangement of TMJ by comparing the spectral analysis data of TMJ sounds recorded by SONOPAK with the results of MRI. From the patients who came to Department of Orthodontics, Seoul National University Dental Hospital for treatment of malocclusion, eighteen adult patients (five males and thirteen females) with TMD symptoms were selected. After joint sounds were checked by a pediatric stethoscope, they were recorded and analyzed by the SONOPAK. The spectral analysis of the SONOPAK provided SONOPAK INTERPRETATION data about the stage of internal derangement, which were compared with the results of MRI. Among the patients whose disc positions were diagnosed as 'normar by MRI, there were no false positive diagnosis by the SONOPAK INTERPRETATION, But in the cases of anterior disc displacements (reducible and/or nonreducible), most of SONOPAK INTERPRETATION data did not coincide with MRI results. In conclusion, it is not adequate to try to differentiate reducible and non-reducible anterior disc displacements on the basis of joint sounds. And it is recommended not to determine the stage of internal derangement according to the nature of sounds. We suggest that the diagnostic value of the SONOPAK will be enhanced when clinicians combine some other informations such as clinical signs/symptoms and other supplementary diagnostic tools), and that more data be incoporated into the SONOPAK INTERPRETATION software.

• Journal of the Korea Convergence Society
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• v.2 no.4
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• pp.39-45
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• 2011

This paper examined the relationship between stress, the most potential cause among a variety of factors causing temporomandibular joint disorder, and temporomandibular joint disorder. In particular, this paper aimed to identify the temporomandibular joint disorder of those who were in their 20s, the age when temporomandibular joint disorder possibility increased. The survey was conducted by randomly selecting 120 college students who understood the purposes of this research and agreed to the survey from July 11 to 30, 2011. For the general features of the subjects, only gender showed any statistically significant difference. In the relationship between stress and habits related to temporomandibular joint disorder, the habit which the subjects had the most was "propping up of the chin", 64.4%. Five habits were observed the most frequently in the group with the highest stress. The habit of chewing on one side of the mouth showed the highest response as 81.5% in the group with high stress. Other habits showed similar results, about 60%.

• The Journal of the Korean dental association
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• v.17 no.7 s.122
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• pp.491-502
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• 1979

• Journal of The Korean Radiological Technologist Association
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• v.25 no.1
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• pp.153-154
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• 1999

• 대한치과교정학회:학술대회논문집
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• 2002.11a
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• pp.20.1-20.1
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• 2002

• The Journal of the Korean dental association
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• v.16 no.6 s.109
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• pp.435-437
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• 1978

• The Journal of the Korean dental association
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• v.37 no.1 s.356
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• pp.56-61
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• 1999

• The Journal of Korean Academy of Prosthodontics
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• v.26 no.1
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• pp.15-21
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• 1988

• The Journal of the Korean dental association
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• v.33 no.2 s.309
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• pp.82-83
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• 1995