• 제목/요약/키워드: 구강·악안면

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이갈이 환자의 치과 치료에 관한 임상적 접근을 위한 문헌 고찰 (Clinical assessment to the dental treatment of bruxism: literature review)

  • 최유성
    • 구강회복응용과학지
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    • 제30권1호
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    • pp.36-44
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    • 2014
  • 이갈이는 치과에서 많이 다루어지는 임상적 주제이다. 이갈이가 생명을 위협하지는 않을 지라도, 마모나 보철물의 파절, 악안면의 통증과 같은 치과적인 문제를 통해 삶의 질에 영향을 미칠 수 있다. 본 고찰에서는 이갈이에 대한 진단법을 알아보고 임상적 상황에서 가능한 다양한 치료 방법에 관한 정보를 알아봄으로써, 그 방법들의 효과와 유용성에 대해 정리해보고자 하였다. 기술적으로 효용성이 있고 치료 결정에 영향을 미치는 확실한 이갈이 진단법이나 치료법은 아직 없기 때문에 치료의 일차적인 목표는 이갈이로 인한 구강 악안면 조직의 손상을 막고 통증이나 관련 증상을 치료하는 데 있다고 본다. 따라서 행동수정요법이나 구강 장치요법, 물리 요법 같은 가역적인 방법들을 복합적으로 사용하는 것이 추천된다.

임플란트 표면에서 배양된 정상인 조골세포의 증식 및 분화에 미치는 니코틴의 영향 (The Effect of Nicotine on the Proliferation and Differentiation of Normal Human Osteoblast at the Surface of Implants)

  • 안태웅;이종헌
    • 대한구강악안면병리학회지
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    • 제42권5호
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    • pp.111-118
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    • 2018
  • Nicotine of tobacco component has a controversial impact in the clinical outcome of dental implants. Although numerous nicotine effects on bone healing around implants have been presented, it is rarely reported in vitro study about normal human osteoblast(NHost) from oral and maxillofacial area at the surface of implants. The purpose of the present study was to evaluate the effect of nicotine on the proliferation and differentiation response of NHost to plasmatic and salivary levels of nicotine reported in smokers at the surface of screw-type plasma-sprayed titanium implants. NHosts were seeded on the surface of titanium implants and cultured for 21 days in ${\alpha}-MEM$ supplemented with 10% FBS, 50mg/ml ascorbic acid, 5mM ${\beta}$-glycerophosphate and 100nM dexamethasone. Seeded implants were exposed to various nicotine concentration(0.05-0.5mg/ml) from 1 to 21 days, and characterized for cell morphology, proliferation, differentiation, alkaline phosphatase(ALP) activity and ionized calcium concentration(Cai) of medium. Continuous exposure to higher nicotine concentration(above 0.3mg/ml) induced a dose- and time-dependent vacuolation of the cytoplasm, and a tendency to detach from the implant surface. 0.05mg/ml(lower nicotine concentration) did not cause significant effects in the cell proliferation and ALP activity. 0.1-0.2mg/ml caused evident dose-dependent effects in increased cell proliferation, ALP activity and earlier onset of matrix mineralization at levels up to 0.2mg/ml, while a dose-dependent inhibitory effect at 0.3-0.5mg/ml. Cai concentration of control group was decreased at 14 days. Increased Cai concentration at 0.1-0.2mg/ml, decreased Cai concentration at 0.3mg/ml and no change at 0.5mg/ml during the culture period were seen. It suggested that nicotine concentration could paly an role in modulating NHost activity as a contributing factor associated with proliferation and differentiation of NHost at the surface of implants.

구강악안면 영역에서의 동정맥 기형 치험례 (ARTERIOVENOUS MALFORMATION IN ORAL & MAXILLOFACIAL REGION : A CASE REPORT)

  • 김나영;김기홍;김성곤;이정구;조병욱
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제28권1호
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    • pp.61-63
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    • 2002
  • 동정맥 기형은 혈관계의 형성, 성숙 동안에 발생되는 이상을 일컷는 일반적인 용어로서 현재 주로 혈관 전색술로 치료를 하고 있으나 불행하게도 항상 만족스러운 결과를 가져오지는 않는다. 또한 혈관 전색술에 도움이 되는 새로운 테크닉이 계속 개발되고 있으며 특히 외과의와 혈관 방사선 전문의와의 밀접한 협조 관계 및 주기적인 경과 관찰이 요구된다.

구강악안면 영역의 수술이 인체내 세포면역성 억제에 미치는 영향 (THE IMMUNE SUPPRESSIVE EFFECT FROM THE STRESS OF MAXILLOFACIAL OPERATIONS)

  • 김성민;이석근
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제29권2호
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    • pp.108-115
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    • 2003
  • Suppression of cellular immunity is the host responses to surgical stress. When the body is exposed to surgical stress, decreased immunocyte function is one of the surgical stress-induced biologic responses. In all patients exposed to the surgical stress, peripheral blood lymphocyte numbers and function were suppressed until at least 2 weeks postoperatively. This immunosuppression was mainly due to a decrease of helper-inducer T cells, cytotoxic T cells, natural killer cells, and an increase of suppressor T cells. The blood levels of interleukin-6(IL-6) cytokine increase in response to surgical stress and cause an increase of so-called acute phase reactants, including C-reactive protein(CRP). In the previously damaged patients group, expected to early stress expose, immunosuppression was more developed than other normal groups. Cellular immunosuppression by surgical stress was mainly due to an increase of lymphocyte subsets that depress cellular immunity coupled with a decrease of the subsets that promote it. Overproduction of CRP in response to surgical stress may play an important role in the development of immunosuppression.

Soft Tissue Measurement Method Using Radiopaque Material on Cone-beam Computed Tomography: An Ex Vivo Validation Study

  • Lee, Hae-Seok;Yun, Jeong-Ho;Lee, Dong-Won
    • 대한구강악안면임플란트학회지
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    • 제22권4호
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    • pp.210-218
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    • 2018
  • Purpose: The purpose of this study was to investigate the validity and reproducibility of a method based on cone-beam computed tomography (CBCT) technology for the visualization and measurement of gingival soft-tissue dimensions. Material and Methods: A total of 66 selected points in soft-tissue of the ex vivo head of an adult pig were investigated in this study. For the measurement of radiographic thickness (RT), wet soft-tissue surfaces were lightly covered with barium sulfate powder using a powder spray. CBCT was taken and DICOM files were assessed for soft-tissue thickness measurement at reference points. A periodontal probe and a rubber stop were used for the measurement of trans-gingival probing thickness (TPT). After flap elevation, actual thickness of soft-tissue (actual thickness, AT) was measured. Correlation analysis and intraclass correlation coefficients analysis (ICC) were performed for AT, TPT, and RT. Results: All variables were distributed normally. Strong significant correlations of AT with RT and TPT values were found. The two ICC values between TPT vs. AT and RT vs. AT differed significantly. Conclusion: Our results indicated that correlation of RT was stronger than that of TPT with AT. We concluded that soft tissue measurement with CBCT could be a reliable method, compared to the trans-gingival probing measurement method.

Molar-Incisor Hypomineralization에 이환된 환자의 상악 정중과잉치 발거 (Removal of Maxillary Mesiodentes of Patient with Molar-Incisor Hypomineralization (MIH))

  • 배상용;라지영;이제우
    • 대한구강악안면병리학회지
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    • 제42권6호
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    • pp.183-187
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    • 2018
  • The supernumerary tooth which is extra tooth in comparison to normal dentition is one of the developmental problems. The most common type of supernumerary tooth is mesiodens which may cause several complications like delayed eruption, crowding, spacing et al. Moral Incisor Hypomineralization (MIH) describes the clinical appearance of enamel hypomineralization of systemic origin affecting one or more permanent first molars that associated frequently with affected incisors. We report a case of a 6 - year - old boy who visited our clinic for removal of mesiodentes. The patient was diagnosed by mesiodentes and MIH by clinical examination and radiographic examination. Under local anesthesia, Mesiodentes were removed surgically. The demarcated opacities, a feature of MIH, were observed in the removed mesiodentes. After removal of mesiodentes, the maxillary central incisors erupted normally and in order to manage the teeth affected MIH, follow-up and fluoride varnish application were done every 3 months.