open access
메뉴ISSN : 0376-4672
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.
Okeson JP. Bell's orofacial pains : the clinical management of orofacial pain . 6th ed. Chicago. 2005 Quintessence Publishing Co., pp. 329-379
De Boever JA, Carlsson GE, Klineberg IJ. Need for occlusal therapy and prosthodontic treatment in the management of temporomandibular disorders. Part II: tooth loss and prosthodontic treatment J Oral Rehabil 2000;27.647-659.
Yatani H, Minakuchi H. Matsuka Y, Fujisawa T. Yamashita A. The long-term effect of occlusal therapy on self-administered treatment outcomes of TMD. J Orofac Pain 1998; 12:75-88.
대한안면통증.구강내과학회 편. 구강안면통증과측두하악장애. 2012 예낭아이앤씨, pp. 113- 136, 176-254.
Kreisberg MK. Tricyclic antidepressants : analgesic effect and indications in orofacial pain. J Craniomandib Disord 1988;2:171 -177.
김영준, 김철, 치과진료 중 발생한 측두하악장애에 대한 물리치료 대한치과의사협회지 2006;44:711-718.
홍용재, 김철, 박문수, 김영준, 건열요법과 습열요법 적용 후 전이부 표층부 혈류량과 피부온도의 변화. 대한구강내과학회지 2006;31:47-57.
Robertson VJ, Baker KG. A review of therapeutic ultrasound : Effectiveness studies. Phys Ther 2001 ;81 1339- 1350.
Francini F. Maresca M. Procacci P et al. The effects of non-painful transcutaneous electrical nerve stmulation on cutaneous pain threshold and muscular reflexes in normal men and in subjects with chronic pain. Pain 1981,11.49-63.
김철, 박문수, 경피성 신경자극이 근전도 power spectrum 과 압력통각역치에 미치는 영향. 대한구강내과학회지 2007;32: 403-411.
정성창 외 역. 악관절장애와 교합의 치료 제6판. 대한나래출판사, 2009 pp. 362-395, 512-541.