• Title/Summary/Keyword: TMDs

Search Result 179, Processing Time 0.025 seconds

A Study on the Sounds and Vibrations of the Temporomandibular Joint using Electrovibratography (전자 진동술을 이용한 악관절의 잡음과 진동에 관한 연구)

  • Seok-Man Kang;Kyung-Soo Han;Min Shin
    • Journal of Oral Medicine and Pain
    • /
    • v.20 no.1
    • /
    • pp.141-158
    • /
    • 1995
  • This study was performed to invetigate the relationship between clinical manifestations related to temporomandibular joint sounds and temporomandibular joint vibrations that occurred synchronously with sounds. There have been reported in many articles that joint sounds indicate internal joint pathology. Therefore, it is necessary to evaluate type and patterns of joint sounds, and radiographic changes of temporomandibular joint(TMJ) in order to diagnose and deal with the Temporomandibular Disorders(TMD). For this study 142 patients with TMDs were collected and they were examined by routine diagnostic procedure for TMDs. The author classified TMJ sounds clinically into 3 types : click, popping, and crepitus. Transcranial and panoramic radiographs were taken for observein bony changes of TMJ, and for observing vibrations of TMJ Sonopak of Biopak system was used. The obtained results were as follows : 1. Female subjects with crepitus were older than those with click or popping and their mean ages were about 45 years old. But in male subjects, there was no age difference. 2. For all subjects, mean value of maximal mouth opening were above 40mm, which are lower limit of normal vertical opening. But in subjects with L-type opening deviation, mouth opening capacity were about 36mm of range. 3. Symptom duration stated when patient presented first were slightly longer in subjects with crepitus but there were no statistical differences. And there were also no radiographic differences among 3 types of joint sounds in regard to symptom duration. 4. In subjects wih click, it might have been interpreted that 12% had closed lock, 12% had degenerative joint disease, and about 17% of he subjects had normal joints by Sonopak. 5. There were no significant relationships between subjective loudness of joint sounds and magnitude of joint vibrations. 6. The highest value of Integral and peak amplitude were observed in popping sounds and though it was not significant, value of peak frequency was highest in crepitus. 7. Amount of mandibular positional change were differed between click and crepitus on frontal plane, between click, crepitus and popping on horizontal plane in rotational movement, respectively. However, there no difference among them in translational movements.

  • PDF

Changes of the Electromyographic Activity by Head Posture and Cervical Spine Shape (두부자세와 경추형태에 따른 근활성의 변화에 관한 연구)

  • Ho-Chun Hwang;Kyung-Soo Han;Chan Jung
    • Journal of Oral Medicine and Pain
    • /
    • v.21 no.2
    • /
    • pp.393-405
    • /
    • 1996
  • This study was performed to investigate the effects of changes of head posture and cervical spine shape on the mandibular resting or clenching electromyographic(EMG) activity in anterior temporalis(TA), masseter(MM), sternocleidomastoid muscle(SCM) and trapezius insertion(TI). 30 patients with Temporomandibular Disorders(TMDs) participated in this study. EMG activity($\mu$V) at rest and clenching was observed in four head postures, namely natural head posture(NHP), forward head posture(FHP), upward head posture(UHP), and downward head posture(DHP). For taking in upward or downward head posture head was inclined 10$^{\circ}$ upward or downward and CROM$^\textregistered$(cervical-range-of motion, Performance attainment Inc., USA) was used to maintain same posture during the procedure, and BioEMG$^\textregistered$ (Bioelectromyograph, Bioresearch Inc., USA) was used to record EMG activity in the above four muscles at eight locations on both sides. The recorded EMG activity($\mu\textrm{V}$) were compared and analyzed by cervical spine shape such as the head position from plum line, cervical curvature, and cervical inclination. Head position from plum line was measured in vertical plate calibrated with cm scale, comical curvature by radius was measured with adjustable curved ruler, and cervical inclination by cervical vertebrae tangent(CVT)was measured in lateral cephalograph. The results obtained were as follows : 1. Mean value of head position from plum line, cervical curvature, and cervical inclination were 4.8cm, 26.7cm, and 86.6$^{\circ}$, respectively, And There were no correlationship among these items. 2. For resting EMG activity by head posture, the value in anterior temporalis was higher at FHP than at DHP, the value in masseter was higher at FHP than at NHP, and DHP, the value in sternocleidomastoid muscle was higher at UHP than at NHP, and the value in trapezius insertion was higher at FHP and DHP than, NHP and UHP. The clenching EMG activity, however, did not show any difference by head posture. 3. Comparison of resting and clenching EMG activity between higher and lower groups by head position from plum line, cervical curvature, and cervical inclination did not show any significant difference. From this result, the author concluded that the cervical spine shape had not significantly affected to EMG activity in usual patients with TMDs.

  • PDF

Prognosis of Recurred TMD Patients According to Conservative Therapy (측두하악장애 재발환자의 보존적 처치에 따른 예후)

  • Ko, Myung-Yun;Kim, Ik-Hwan;Ok, Seung-Joon;Ahn, Yong-Woo
    • Journal of Oral Medicine and Pain
    • /
    • v.32 no.2
    • /
    • pp.241-250
    • /
    • 2007
  • We examined 104 patients(primary group, controlled group) who had visited PNUH from 1994 to 2002, having been diagnosed as temporomandibular disorders(TMDs) and treated in conservative ways such as Behavior modification, medications, physical therapies and splint therapies. We also examined 54 patients(recurred group, experimental group) who had visited PNUH from 1991 to 2001, having been diagnosed as TMDs and experienced recurrence after conservatively treated. To find out the symptoms of Recurred TMD patients and their results of conservative treatments, we compared these two groups mentioned above. The obtained results were as follows: 1. Both primary and recurred groups have showed great improvements with conservative treatments. 2. Both primary and recurred groups have showed no differences in pain, LOM, MCO in their first visits but the noise were louder in primary group. 3. Both primary and recurred groups have showed no differences in pain, LOM, MCO when the treatments were over but the noise were louder in recurred group. 4. Treatments modalities, diagnosis, sex, kind of disease had not affected the results of treatment in either of groups. 5. It has come out that much better results were achieved when the patients in primary group had treated for over 6 months and for more than 10 times.

Postoperative malocclusion after maxillofacial fracture management: a retrospective case study

  • Kim, Sang-Yun;Choi, Yong-Hoon;Kim, Young-Kyun
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • v.40
    • /
    • pp.27.1-27.8
    • /
    • 2018
  • Purpose: Various complications occur when a maxillofacial fracture is malunionized or improperly resolved. Malocclusion is the most common complication, followed by facial deformity, temporomandibular joint disorder (TMD), and neurological symptoms. The purpose of this study was to evaluate the dental treatment of postoperative complications after maxillofacial fracture. Materials and methods: In this study, nine patients with a postoperative complication after maxillofacial fracture who had been performed the initial operation from other units and were referred to the authors' department had been included. Of the nine patients, six had mandibular fractures, one had maxillary fractures, one had maxillary and mandibular complex fractures, and one had multiple facial fractures. All the patients had tooth fractures, dislocations, displacements, and alveolar bone fractures at the time of trauma, but complications occurred because none of the patients underwent preoperative and postoperative dental treatment. Malocclusion and TMD are the most common complications, followed by dental problems (pulp necrosis, tooth extrusion, osteomyelitis, etc.) due to improper treatment of teeth and alveolar bone injuries. The patients were referred to the department of dentistry to undergo treatment for the complications. One of the nine patients underwent orthognathic surgery for a severe open bite. Another patient underwent bone reconstruction using an iliac bone graft and vestibuloplasty with extensive bone loss. The other patients, who complained of moderate occlusal abnormalities and TMDs such as mouth-opening limitation, underwent occlusal treatment by prosthodontic repair and temporomandibular joint treatment instead of surgery. Results: One patient who underwent orthognathic surgery had complete loss of open bite and TMD after surgery. One patient who underwent reconstruction using an iliac bone graft had a good healing process. Other patients were treated with splint, injection, and physical therapy for mouth-opening limitation and temporomandibular joint pain. After treatment, the TMDs were resolved, but the remaining occlusal abnormalities were resolved with prosthetic restoration. Conclusions: Considering the severity of malocclusion and TMJ symptom and the feasibillity of reoperation, nonsurgical methods such as orthodontic and prosthodontic treatments and splint therapy can be used to manage the dental and TMD complication after the trauma surgery. However, reoperation needs to be strongly considered for severe malocclusion and TMD problem.

Analyzing the Effects of the Initiation Sequences of the MDS Blasting Method on Rock Fracturing Using SPH-FEM Coupling Technique (SPH-FEM 연계기법을 이용한 MDS 발파법의 기폭패턴별 암석파괴 효과 분석)

  • Byung-Hee Choi;Young-Geun Kim;Ki-Chan Jeon;Se-Wook Oh
    • Explosives and Blasting
    • /
    • v.41 no.3
    • /
    • pp.13-25
    • /
    • 2023
  • The conventional bench blasting method uses the bottom initiation in all blast holes in a round, whereas the MDS (mixture detonation system) method applies the bottom and top initiations alternately according to the spatial position or temporal sequence of each blast hole. The former and latter are respectively called the SMDS (spatial MDS) and TMDS (temporal MDS) methods. Another variant called MMDS (modified MDS) is designed for the specific use in the site having a fly-rock problem. This study compares the MDS method to the conventional method in the aspect of rock fracturing effect. The comparison is made by numerical simulations for a two-row bench blasting model in the LS-DYNA. The SPH-FEM coupling method is utilized for constructing the blasting model. The SPH elements are used for the rock in the near-field region of the blast holes, and the FEM elements for that in the far-field region. The RHT material model is used for the rock. As a result of the simulations, it was found that up to 0.4 m deeper damaged zone was appeared in the SMDS method than in the conventional method for the case of the burden 1.6 m and bench height 3.0 m. In addition, the fly-rock velocity to the normal direction of the bench slope was appeared about 2.0 m/s lower in the MMDS method compared to the other methods.

Motion-based design of TMD for vibrating footbridges under uncertainty conditions

  • Jimenez-Alonso, Javier F.;Saez, Andres
    • Smart Structures and Systems
    • /
    • v.21 no.6
    • /
    • pp.727-740
    • /
    • 2018
  • Tuned mass dampers (TMDs) are passive damping devices widely employed to mitigate the pedestrian-induced vibrations on footbridges. The TMD design must ensure an adequate performance during the overall life-cycle of the structure. Although the TMD is initially adjusted to match the natural frequency of the vibration mode which needs to be controlled, its design must further take into account the change of the modal parameters of the footbridge due to the modification of the operational and environmental conditions. For this purpose, a motion-based design optimization method is proposed and implemented herein, aimed at ensuring the adequate behavior of footbridges under uncertainty conditions. The uncertainty associated with the variation of such modal parameters is simulated by a probabilistic approach based on the results of previous research reported in literature. The pedestrian action is modelled according to the recommendations of the Synpex guidelines. A comparison among the TMD parameters obtained considering different design criteria, design requirements and uncertainty levels is performed. To illustrate the proposed approach, a benchmark footbridge is considered. Results show both which is the most adequate design criterion to control the pedestrian-induced vibrations on the footbridge and the influence of the design requirements and the uncertainty level in the final TMD design.

Optimization and application of multiple tuned mass dampers in the vibration control of pedestrian bridges

  • Lu, Zheng;Chen, Xiaoyi;Li, Xiaowei;Li, Peizhen
    • Structural Engineering and Mechanics
    • /
    • v.62 no.1
    • /
    • pp.55-64
    • /
    • 2017
  • An effective design approach for Multiple Tuned Mass Dampers (MTMDs) in pedestrian bridges was proposed by utilizing the transfer function to obtain each TMD's optimum stiffness and damping. A systematic simulation of pedestrian excitations was described. The motion equation of a typical MTMD system attached to a Multi-degree-of-freedom (MDOF) system was presented, and the transfer function from the input pedestrian excitations to the output acceleration responses was defined. By solving the minimum norm of the transfer function, the parameters of the MTMD which resulted in the minimum overall responses can be obtained. Two applications of lightly damped pedestrian bridges attached with MTMD showed that MTMDs designed through this method can significantly reduce the structural responses when subjected to pedestrian excitations, and the vibration control effects were better than the MTMD when it was considered as being composed of equal number and mass ratios of TMDs designed by classical Den Hartog method.

Performance of TMDs on nonlinear structures subjected to near-fault earthquakes

  • Domizio, Martin;Ambrosini, Daniel;Curadelli, Oscar
    • Smart Structures and Systems
    • /
    • v.16 no.4
    • /
    • pp.725-742
    • /
    • 2015
  • Tuned mass dampers (TMD) are devices employed in vibration control since the beginning of the twentieth century. However, their implementation for controlling the seismic response in civil structures is more recent. While the efficiency of TMD on structures under far-field earthquakes has been demonstrated, the convenience of its employment against near-fault earthquakes is still under discussion. In this context, the study of this type of device is raised, not as an alternative to the seismic isolation, which is clearly a better choice for new buildings, but rather as an improvement in the structural safety of existing buildings. Seismic records with an impulsive character have been registered in the vicinity of faults that cause seismic events. In this paper, the ability of TMD to control the response of structures that experience inelastic deformations and eventually reach collapse subject to the action of such earthquakes is studied. The results of a series of nonlinear dynamic analyses are presented. These analyses are performed on a numerical model of a structure under the action of near-fault earthquakes. The structure analyzed in this study is a steel frame which behaves as a single degree of freedom (SDOF) system. TMD with different mass values are added on the numerical model of the structure, and the TMD performance is evaluated by comparing the response of the structure with and without the control device.

Extracting parameters of TMD and primary structure from the combined system responses

  • Wang, Jer-Fu;Lin, Chi-Chang
    • Smart Structures and Systems
    • /
    • v.16 no.5
    • /
    • pp.937-960
    • /
    • 2015
  • Tuned mass dampers (TMDs) have been a prevalent vibration control device for suppressing excessive vibration because of environmental loadings in contemporary tall buildings since the mid-1970s. A TMD must be tuned to the natural frequency of the primary structure to be effective. In practice, a TMD may be assembled in situ, simultaneously with the building construction. In such a situation, the respective dynamic properties of the TMD device and building cannot be identified to determine the tuning status of the TMD. For this purpose, a methodology was developed to obtain the parameters of the TMD and primary building on the basis of the eigenparameters of any two complex modes of the combined building-TMD system. The theory was derived in state-space to characterize the nonclassical damping feature of the system, and combined with a system identification technique to obtain the system eigenparameters using the acceleration measurements. The proposed procedure was first demonstrated using a numerical verification and then applied to real, experimental data of a large-scale building-TMD system. The results showed that the procedure is capable of identifying the respective parameters of the TMD and primary structure and is applicable in real implementations by using only the acceleration response measurements of the TMD and its located floor.

Schottky Barrier Free Contacts in Graphene/MoS2 Field-Effect-Transistor

  • Qiu, Dongri;Kim, Eun Kyu
    • Proceedings of the Korean Vacuum Society Conference
    • /
    • 2015.08a
    • /
    • pp.209.2-209.2
    • /
    • 2015
  • Two dimensional layered materials, such as transition metal dichalcogenides (TMDs) family have been attracted significant attention due to novel physical and chemical properties. Among them, molybdenum disulfide ($MoS_2$) has novel physical phenomena such as absence of dangling bonds, lack of inversion symmetry, valley degrees of freedom. Previous studies have shown that the interface of metal/$MoS_2$ contacts significantly affects device performance due to presence of a scalable Schottky barrier height at their interface, resulting voltage drops and restricting carrier injection. In this study, we report a new device structure by using few-layer graphene as the bottom interconnections, in order to offer Schottky barrier free contact to bi-layer $MoS_2$. The fabrication of process start with mechanically exfoliates bulk graphite that served as the source/drain electrodes. The semiconducting $MoS_2$ flake was deposited onto a $SiO_2$ (280 nm-thick)/Si substrate in which graphene electrodes were pre-deposited. To evaluate the barrier height of contact, we employed thermionic-emission theory to describe our experimental findings. We demonstrate that, the Schottky barrier height dramatically decreases from 300 to 0 meV as function of gate voltages, and further becomes negative values. Our findings suggested that, few-layer graphene could be able to realize ohmic contact and to provide new opportunities in ohmic formations.

  • PDF