• Title/Summary/Keyword: Oral diagnosis

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An Analysis of Duration of Occlusal Sounds in TMD Patients (측두하악장애 화낮의 교합음 지속시간에 관한 분석)

  • Young-Mee Kwon;Jae-Kap Choi
    • Journal of Oral Medicine and Pain
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    • v.14 no.1
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    • pp.9-17
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    • 1989
  • The author has measured the duration of occlusal sounds during centric occlusal tapping in 30 patients with TMD and 30 normal subjects as controls, and then correlated the duration of occlusal sounds with CMI, amount of centric slide, midline deviation, habitual side of mastication, and presence of occlusal interference. The results were as follows 1. The duration of occlusal sounds during centric occlusal tapping were 36.26 msec in TMD patients and 22.8 msec in normal subjects (p<0.01). 2. The correlation between duration of occlusal sounds and CMI was significant (p<0.01). 3. The correlations between duration of occlusal sounds with amount of centric slide, midline deviation, habitual side of mastication, and presence of occlusal interference were not significant (p<0.05).

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Influences of Myo-monitoring on Masticatory Muscles (Myo-Monitoring이 저항근에 미치는 영향)

  • Kwang-Woo Lee;Woo-Cheon Kee;Sung-Su Jung
    • Journal of Oral Medicine and Pain
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    • v.14 no.1
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    • pp.89-103
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    • 1989
  • In order to evaluate the influences of Myo-monitoring on masticatory muscles, Myo-monitoring on 31 normal persons and 30 persons with one more temporomandibular dysfunction symptoms during 45 minutes or above. The author observed velocities of mandibular opening and closing movement, variabilities of mandibular rest position and EMG activities of temporal and masseter muscles. The obtained results were as follows : 1. There were no significant differences on velocities of mandibular opening and closing movement between before and after Myo-monitoring. 2. There were significant differences on vertical dimension and total dimension form mandibular rest position to centric occlusion between before and after Myo-monitoring but no significant differences on anteroposterior and lateral dimension. 3. Activities of temporal and masseter muscles were decreased in Myo-Monitoring. 4. There were disappeared significant differences on EMG activity values between normal and symptom groups after myo-monitoring.

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A Study of Polymorphisms of Proline-Rich Protein in the Korean Population (한국인 이하선 타액 내 Proline-rich Protein의 다형현상에 대한 연구)

  • YS Koo;CY Kim
    • Journal of Oral Medicine and Pain
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    • v.13 no.1
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    • pp.35-41
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    • 1988
  • After Akline slab polyacrylamide gel electrophoresis and 3-3' DMB staining of parotid saliva from 100 Korean population, Author have got following conclusions. 1. The gene frequencies of proline-rich protein in the Korean population were Pr1=0.79, Pr2=0.21 2. The gene frequencies of Double-band protein in the Korean population were DB+=0.007, Db-=0.933 3. The gene frequencies of proline-rich protein and Double-band protein of the Korean population were between those of he Chinese and Japanese population.

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A Case Report of Tetanus Patient Showing Trismus and Dysphagia as Early Symptoms

  • Jang, Seo-Hee;Byun, Jin-Seok;Jung, Jae-Kwang;Choi, Jae-Kap
    • Journal of Oral Medicine and Pain
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    • v.45 no.3
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    • pp.79-82
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    • 2020
  • Tetanus is a fatal disease caused by the infection Clostridium tetani found in animal feces and soil. It is a vaccine-preventable disease and rarely occurs in developed countries. However, approximately 30 cases still occur annually in South Korea. Tetanus, commonly called lockjaw, cause contraction of the masseter muscles in the early stage, resulting in trismus as the first symptom. As it progresses, spasm extends to various muscles in the face, neck, shoulder, and back, leading to distorted facial expression, dysphagia, backward arching of the body, dyspnea, and even death. Early diagnosis of tetanus is critical because it can quickly become fatal if left untreated. We present a case of trismus caused by tetanus and emphasize the importance of early diagnosis of acute trismus.

Primary hydatid cyst of the pterygomandibular region: an unusual cyst, location and case report

  • Chiramel, Siji J.;Gopinath, Arjun;Sreejith, VP;Sayd, Shermil
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.46 no.1
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    • pp.66-69
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    • 2020
  • Hydatid disease is a zoonotic infection in humans. The disease is endemic in some parts of the world, including Africa, Australia, and Asia, where cattle grazing is common; the disease is spread by an enteric route following the consumption of food contaminated with the eggs of the parasite. Failure to identify this parasite results in delayed diagnosis and increased morbidity to the patient. Upon diagnosis, every possible step should be taken, both surgical and medical, to prevent anaphylactic reactions from the cystic fluid. Postsurgical long-term follow up along with periodical ultrasonography of the liver and computed tomography scan of the abdomen is essential to rule out possible recurrence.

A Study on TMJ Sound by Sonopak (SONOPAK를 이용한 약관절음에 관한 연구)

  • Sung-Chang Chung;Soo-Young Kim
    • Journal of Oral Medicine and Pain
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    • v.17 no.1
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    • pp.9-17
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    • 1992
  • The purpose of this study was to investigate the characteristics of TMJ sounds by computerized sound power-spectrum analyser(SONOPAK, Bioresearch Inc., U.S.A.). TMJ sounds were recorded and anaylsed in the 87 patients wit TMJ noises by SONOPAK. The followings are the criteria of TMJ sound analysis. 1. It is possible to record the location of the TMJ sound in relation to the opening/closing cycle of mouth. 2. It is possible to record amplitude of sound(loudness) and frequency of sound (Hz) 3. Clicks display a narrow band of sound within the 0-300 Hz range. The peak frequency generally occurs between 50-150 Hz. And crepitus appear as a wide band of sound, occuring from 0-1300Hz. The data obtained from quantitative TMJ sound analysis give lots of information, but further researches are needed.

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Effect of Botulinum Toxin Injection and Physical Therapy to Reduce Tongue Pain and Discomfort: Case Reports

  • Kwon, Dae-Kyung;Park, Hee-Kyung
    • Journal of Oral Medicine and Pain
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    • v.45 no.4
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    • pp.120-123
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    • 2020
  • The causes of tongue pain and discomfort include systemic disease, malnutrition, mental illness, fungal infection, and neuropathy. Three postmenopausal women reported burning sensations and stiffness of the tongue for various periods, from one month to four years. There were no objective etiological factors to cause the tongue pain and discomfort. Muscular tenderness upon palpation of masticatory muscles, sternocleidomastoid, trapezius, and tongue were observed. Physical therapy approaches such as moist hot pack, ultrasound, and myomonitor were performed on three patients with tongue pain, just as for temporomandibular joint disease. Additional botulinum toxin injection therapy was applied to one patient who displayed a clenching habit. All three patients showed a marked improvement in their tongue symptoms after the muscle relaxation and botulinum toxin injection therapy.

Myofascial Orofacial Pain Exacerbated after Masseteric Nerve Neurectomy

  • Nam, Hyun;Ko, Daeun;Kang, Jin-Kyu;Shim, YoungJoo
    • Journal of Oral Medicine and Pain
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    • v.45 no.4
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    • pp.110-114
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    • 2020
  • Myofascial pain (MFP) is one of the most common causes of persistent orofacial pain. Patients with chronic myofascial orofacial pain may present with diffuse heterotopic pain, complicating the correct diagnosis. Treatment of chronic MFP should focus on the elimination of aetiologic factors. This article describes two cases of chronic MFP of the masticatory muscles, whose symptoms were exacerbated after masseteric nerve neurectomy. The patients had suffered from irrelevant treatment which did not resolve the symptom. Their symptom was managed by conventional treatment protocol. These cases emphasize the importance of correct diagnosis and evidence-based approach.

Sialolithiasis of minor salivary gland: a challenging diagnostic dilemma

  • Matiakis, Apostolos;Tzermpos, Fotios
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.47 no.2
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    • pp.145-148
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    • 2021
  • Minor salivary gland sialolithiasis (MSGS) is a not uncommon oral mucosal disease. Its clinical appearance may mimic a mucocyst or other benign submucosal overgrowth. Stasis of saliva, which accompanies MSGS, usually results in minor salivary gland inflammation, with a chronic sialadenitis appearance. MSGS typically is a painless lesion but can become painful when the salivary gland parenchyma or excretory duct becomes infected, with or without pus. However, misdiagnosis of this condition is rather common, as the clinical appearance is asymptomatic. The most common location is the upper lip, and MSGS affects males and females, with a slight predilection for males. The sialolith causing MSGS may be obvious during surgical excision, as in the case reported. In other cases, sialolith may be absent or fragmented. Differential diagnosis includes mucocele, swelling due to local irritation like fibroma and diapneusia, chronic abscess of the oral mucosa, and neoplasms either benign (lymphangioma, pleiomorphic adenoma) or malignant. Histopathological examination is needed to establish clinical diagnosis.

Eustachian tube calcification as an unusual finding on a panoramic radiograph

  • Galal Omami
    • Imaging Science in Dentistry
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    • v.54 no.1
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    • pp.105-107
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    • 2024
  • The author herein presents an unusual case of eustachian tube calcification masquerading as loose radiopacities in the temporomandibular joints on a panoramic image, creating a diagnostic challenge. The patient, a 72-year-old woman, presented to the dental service for implant treatment to improve her masticatory function. A cone-beam computed tomography scan was performed and reviewed by a board-certified oral and maxillofacial radiologist. The scan showed no evidence of calcifications in the temporomandibular joints; however, it revealed nodular calcifications within the cartilaginous portion of the eustachian tube bilaterally. Additionally, this report briefly reviews the differential diagnosis of calcified loose bodies in the temporomandibular joint and provides information that needs to be reinforced periodically.