• Title/Summary/Keyword: 악기능

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DENTAL NEWS

  • The Korean Dental Association
    • The Journal of the Korean dental association
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    • v.32 no.12 s.307
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    • pp.901-905
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    • 1994
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Short-term Effect of Botulinum Toxin Injection on the Surface EMG of Masticatory Muscles and Jaw Function (교근 부위의 보툴리눔 독소 주사가 저작근의 근전도 및 악기능에 미치는 영향)

  • Lee, Jeong-Yun;Park, Hee-Kyung;Chung, Jin-Woo
    • Journal of Oral Medicine and Pain
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    • v.31 no.1
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    • pp.69-77
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    • 2006
  • Botulinum toxin injection has been used in the masticatory muscle area as an effective treatment method of various movement disorders and facial contouring, but its effects on jaw function have not been evaluated. The aims of this study were to evaluate the effects of botulinum toxin type A injection into the masseter muscle on the EMG activities of masseter and anterior temporal muscles, and the limitation of jaw function. Fourteen healthy subjects were recruited. Five subjects were injected with 80 units of botulinum toxin type A(Dysport, Ipsen, Wrexham, UK) into each side of masseter muscle, and nine subjects were injected with saline into the same site as the botulinum toxin group. The surface EMG activities at maximum voluntary contraction of masseter and anterior temporal muscles were recorded before, 1 week, 2 weeks, and 3 weeks after injection. Presence of jaw functional limitations in each subject was investigated using Korean version of Jaw Functional Limitation Scale(JFLS) questionnaire. The masseter muscle EMG was gradually decreased in the botulinum toxin group comparing with that of the control group(p<0.001), but the anterior temporal muscle EMG did not show significant changes. There was significant increases in the mastication (p<0.01), and global jaw limitation(p<0.05) subscales of JFLS at 1 week after injection, but no significant changes in the other subscales including opening, and verbal and emotional expression during the recording periods. Our results suggest that botulinum toxin injection into masseter muscle can affect modest limitation in mastication function at 1 week after injection but recovered to the baseline until 3 weeks after injection. The EMG activity of masseter muscle had been gradually decreased until 3 weeks after botulinum toxin injection but the anterior temporal muscle did not show any significant changes.

Screening Evaluation and Predicting Prognosis of Craniomandibular Disorder Patients with the Solberg Questionnaire (Solberg 설문지를 이용한 두개하악장애환자의 간이평가 및 예후예측)

  • Mi-Hi Park;Myung-Yun Ko
    • Journal of Oral Medicine and Pain
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    • v.19 no.2
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    • pp.111-123
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    • 1994
  • 저자는 1990년부터 1993년 사이에 부산대학병원 구강내과에 내원하여 두 개하악장애로 진단되어 보존적 치료를 시행받은 884명의 환자를 대상으로 Solberg의 악관절장애조사 설문지를 작성케한 후, 성, 연령, 병력기간, 진단명, SCL-90-R, 치료에 대한 반응에 따라 환자군을 세분하여 각 환자군의 설문지 문항별 응답양태 및 이에 따른 예후예측을 분석한 바 다음과 같은 결론을 얻었다. 1. 악기능 및 예후악화요인 문항에서는 여성이 높은 응답수를 보인 반면, 기여요인 및 습관문항에 서는 남성이 높은 응답수를 나타내었다. 2. 고령층의 환자에서 행동 및 예후악화요인이 두드러졌다. 3. 만성군이 급성군에 비해 전 문항에서 높은 응답수를 나타내었다. 4. 혼합군 및 근육장애혼자가 관절장애환자에 비해 설문지 전 문항에서 많은 응답을 하였다. 5. SCL-90-R에서 비정상인 환자가 정상군의 환자에 비해 악기능을 제외한 전 문항에서 높은 응답수를 보였다. 6. 치료에 무반응인 환자가 성공한 환자에 비해 습관요인 문항을 제외한 설문지 전체에서 많은 응답을 하였다.

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Non-Surgical Treatment of Mandibular Condylar Fracture with Functional Appliance:Clinical and Radiographic Analysis of 1 Case (악기능 장치를 이용한 하악 과두 골절의 치험례:1증례에 대한 임상적, 방사선학적 분석)

  • Chun, Sang-Deuk;Rho, Jae-Hwan;Song, Jae-Chul;Chin, Byung-Rho
    • Journal of Yeungnam Medical Science
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    • v.19 no.2
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    • pp.144-150
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    • 2002
  • Mandibular condylar fracture is common in mandibular fractures. Unlike other facial, skeletal fractures, most of mandibular condylar neck or head fractures are treated with closed reduction and subsequent functional therapy is essential for preventing complications including ankylosis, arthrosis and growth disturbance. From January, 2000 to September, 2002, we have treated 15 cases of mandibular condylar fractures with closed reduction by using functional appliance with bite block. Among these cases, we report a case of 14-year-old female with mandibular condylar neck fracture, resulted in good clinical and radiographic progress.

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