• 대한치과의사협회지
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• 제51권2호
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• pp.74-83
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• 2013

In the management of temporomandibular joint(TMJ) disorders, dental practioner should conduct the reversible, conservative, and inexpensive treatment modalities prior to the irreversible and invasive treatment. That is to say, behavioral, pharmacologic, and physical therapy should be conducted firstly, and then the occlusal appliance therapy could be considered. If patients do not react to these conservative treatments, we have to consider surgical treatments. If the accurate diagnosis is confirmed by intimate history taking, clinical and imaging examinations, we can rehabilitate the normal TMJ function and relieve the clinical symptoms with only conservative treatments in most TMJ disorder cases.

• 한국산학기술학회논문지
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• 제12권5호
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• pp.2203-2208
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• 2011

턱관절의 물리치료를 통한 훈련으로 모음 조음에 관여하는 구강 공명강을 증가시켜, 턱관절의 정상적인 발성패턴을 유지하도록 하여 턱관절장애 환자의 모음의 음향학적 특성 변화를 보고자 하였다. 연구 대상은 턱관절장애로 진단 받은 3명의 20~30대 성인 남자를 대상으로 하였다. 실험방법은 대상자간 중다기초선 설계를 이용하여 기초선 단계, 치료 단계, 유지 단계로 진행하였다. 치료는 한 회기를 30분으로 하여 주 3회 실시하였고 3회기를 한 평가단위로 5회의 중간평가를 실시하였다. 평가방법은 Praat 음성 분석프로그램을 이용하여 /ㅏ/ 모음의 연장 발성에 대한 제 1포먼트 주파수(F1), 제 2포먼트 주파수(F2) 그리고 기본주파수(F0)를 분석하였다. 물리치료를 통한 훈련 프로그램을 실시한 결과 턱관절장애 환자의 제 1포먼트 주파수(F1), 제 2포먼트 주파수(F2) 그리고 기본주파수(F0)는 치료 전 보다 증가하는 변화를 보였고, 이는 모음의 개구도와 관계된 제 1 포먼트 주파수(F1) 뿐만 아니라 모음의 전후설, 성대의 움직임과 관련이 있는 제 2포먼트 주파수(F2) 그리고 기본주파수(F0)의 변화도 함께 보임으로써 턱관절과 모음 및 음성 산출의 연관성을 보여주었다.

• 한국치위생학회지
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• 제14권3호
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• pp.381-390
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• 2014

Objectives : The purpose of the study is to investigate the relationship between job-stress and temporomandibular joint(TMJ) disorder in dental hygienists. This study will provide the basic data to improve the working condition and the quality of life. Methods : The subjects were 229 dental hygienists at general hospitals in Seoul, Korea. A self-reported questionnaire was filled out from May 20 to June 20, 2013. The questionnaire consisted of 4 questions of demographic features, 11 questions for TMJ symptoms and 5 questions for job stress. The data were analyzed by frequency analysis, chi-square test, Mann-Whitney U test and multiple job-stress logistic regression analysis using SPSS version 21.0. Results : During the last six months, 53.3%(122 persons) of the dental hygienists had TMJ disorder symptoms including joint noise(40.6%, 93 persons), TMJ pain(31.4%, 71 persons) and limitation of TMJ(21.8%, 50 persons). Job-stress is divided into two ranges including high stress group(4.3-5.0 points) and low stress group(0.0-3.6 points) in TMJ pain and joint noise(p<0.05). TMJ pain was closely related to low back pain, pelvis pain and tension headache arising from the uncomfortable working posture. Conclusions : It is necessary to prevent the job stress in the dental hygienists by the improvement of working condition, emotional stability, and frequent postural change.

• Journal of Oral Medicine and Pain
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• 제33권4호
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• pp.323-338
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• 2008

한국어판 측두하악장애 연구진단기준(RDC/TMD) 설문지의 신뢰도를 분석하기 위하여 서울대학교 치과병원 구강내과에 내원한 154명의 턱관절장애 환자들(남자 31명, 여자 123명)에게 한국어판 RDC/TMD 설문지를 작성하게 하였다. 검사-재검사 신뢰도는 동일한 피검자에게 1주 내지 2주 간격으로 같은 설문지를 작성토록 하였다. 설문지의 검사-재검사가 완료되기 전까지는 환자에게 어떠한 치료도 제공되지 않았다. 첫번째 검사로 본 통증강도(pain intensity), 장애점수(disability score), 악기능장애(jaw disability) 및 심리사회적 상태(psychosocial status)의 내적 일관성(internal consistency)의 신뢰도는 크론바흐-알파(Cronbach’s alpha) 계수로 각각 0.92, 0.94, 0.68, 0.94 였다. 검사-재검사 신뢰도의 각 설문항목별 상관계수는 0.40에서 0.94까지의 범위로 나타났으며, 각각의 세부 항목별 등급내 상관계수(intra-class correlation coefficient; ICC)는 0.81에서 0.93의 범위로 나타났다. 만성통증척도(Graded Chronic Pain)의 검사-재검사 신뢰도계수는 0.63이었다. 한국어판 RDC/TMD 설문지는 좋은 신뢰도를 보였으며, 한국인의 측두하악장애 환자들에서 심리사회적측면을 분석하는데 유용하게 사용될 수 있다.

• 구강회복응용과학지
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• 제37권4호
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• pp.225-231
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• 2021

목적: 측두하악장애 환자에게 주로 사용되는 장치 치료의 적응증 및 효과에 대한 연구는 다수 존재하나, 증상 개선에 따라 장치를 테이퍼링하여 종료하는 방법에 대한 연구는 부족하다. 따라서 본 후향적 연구는 측두하악장애 환자를 대상으로, 증상 개선에 따라 장치를 테이퍼링하여 종료하는 과정을 고찰하고자 한다. 연구 재료 및 방법: 턱관절 질환, 근막 통증, 이갈이 및 이악물기 등을 주소로 연세대학교 치과대학병원 구강내과를 내원하여 장치 치료(교합안정장치, 전방위치교합장치)를 시행한 130명의 환자의 차트 리뷰를 통해 장치 치료를 테이퍼링하여 종료하는 과정을 알아보았다. 결과: 평균 장치 장착 기간은 29개월로, 매일 장치를 장착한 기간은 8.4개월, 일주일에 3 - 4일간 장치를 장착한 기간은 9.5개월, 일주일에 1 - 2일간 장치를 장착한 기간은 11.1개월이었다. 결론: 측두하악장애 환자에서 장치 장착 시 처음 6개월 간은 매일 장착, 이후 6개월에서 18개월 동안은 일주일에 3 - 4일간 장착, 18개월 이후부터는 일주일에 1 - 2일간 장착하는 방식으로 테이퍼링하여 장치 치료를 종료할 시 측두하악장애 환자의 증상은 완화시키면서 교합 변화 등의 부작용은 최소화시킬 수 있을 것으로 사료된다.

• 대한치과의사협회지
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• 제51권2호
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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.

• 대한치과의사협회지
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• 제46권5호
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• pp.308-314
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• 2008

The risk of temporomandibular joint disorder (TMD) can be increased during dental treatment due to excessive mouth opening and change of occlusion. The aim of this study is to find the relationship between dental treatment and TMD in the patients who developed TMD after dental treatment. The subjects of this study were 21 patients, who developed TMD after dental treatment and were treated with active TMD therapy in Seoul National University Bundang Hospital from June 2003 to February 2007. The subjects were examined with preceding dental treatment, symptom, diagnosis, treatment method of TMD and prognosis of TMD. The obtained results were as follows. 1. Preceding dental treatments were : Implant treatment, 14 cases ; Tooth extraction, 3 cases and others. 2. TMD symptoms were : pain on TMJ, 12cases : Sound on TMJ, 3cases ; Mouth opening limitation, Headache and others. 3. Diagnoses of TMD were : Synovitis and/or capsulitis, 10 cases ; 8 cases of Internal derangement and others. 4. Most TMD were treated by stabilization splint. 5. Prognoses of TMD were : Improvement, 6cases ; sustained 11 cases. In conclusion, the risk of TMD is increased during implant treatment. Prognoses of TMD after dental treatment were bad. It might be that these patients were non-cooperative and have distrust of dental treatment. Because the overloading on TMJ is possible in dental treatment of patients with underlying TMD, prior explanation and knowledge TMJ treatment are very important in these cases.

• 턱관절균형의학회지
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• 제9권1호
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• pp.18-23
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• 2019

Objectives: The aim of our study was to report clinical improvement of a patient who suffered from Temporomandibular Disorder (TMD) being treated with Korean Medical treatments and Intraoral Balancing Appliance (IBA). Methods: During the admission period, the patient was treated with acupuncture, cupping, Korean Medicine, Chuna therapy and FCST (Functional Cerebrospinal Therapy) every day. And we observed patient's condition by Numeric Rating Scale (NRS), Pain Disability Index (PDI), EQ-5D-5L (Five-level EuroQol-5 dimensions), and assessment about range of motion(ROM) for temporomandibular joint and cervix. Results: After treated for 4 weeks, the patient's NRS, PDI, EQ-5D-5L and ROM were improved. Conclusions: Korean Medical treatments including FCST are estimated to be effective for patients with TMD. But the case was only one, so more cases and further research is needed to prove the effectiveness of the treatment.

• 보건의료산업학회지
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• 제9권4호
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• pp.119-130
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• 2015

Objectives : The aim of this study was to determine the effects of job stress on temporomandibular disorders, temporomandibular disorder habits, and xerostomia and on oral health status and to provide basic data necessary to develop oral health promotion programs. Methods : For this purpose, a survey was conducted drawing the following conclusions. Cross-analysis, correlation analysis, One-way ANOVA, data were collected using the program SPSS 18.0 statistical techniques, independent sample T-black, the Scheffe post-implementation verification. Results : Job stress positively affected temporomandibular disorders, temporomandibular disorder habits, and xerostomia: those with more job stress were more likely to have temporomandibular disorders, temporomandibular disorder habits, and xerostomia. Conclusions : It is necessary to have a good understanding of the causes of job stress and recognize and manage oral symptoms caused by job stress in the pursuit of oral health.

• 한국학교ㆍ지역보건교육학회지
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• 제15권3호
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• pp.31-41
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• 2014

Objective: The purpose of this study was to obtain the basic data for quality of life and improve the oral health through relevance of academic stress with academic high school girl temporomandibular joint syndrome. Methods: Data was collected from the students of two academic girl high school in Daegu, using questionnaire. They were the students of the 1st, 2nd grade, in total 311 student. The analysis was made using ${\chi}^2-test$, (one way ANOVA), and Pearson's Correlation, multiple linear regression analysis. These were conducted using spss 14.0 version Results: High school girl had at least one temporomandibular joint syndrome was 70.4%. In subjective of temporomandibular joint syndrome academic stress for grade stress scores were highest 52.3, study stress 35.0 all the depth of a lesson stress 45.5, there was a statistically significant(p<0.001). effect on subjective of temporomandibular joint syndrome influence the bad oral habit(${\beta}=0.325$) were found to have subjective of joint syndrome showed a statistically significant increase in the higher significant positive(p<0.001).