• Title/Summary/Keyword: 구강영역

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OSTEOMYELITIS OCCURRING LEUKEMIA PATIENT: A CASE REPORT (백혈병 환자에서 발생한 골수염 : 증례보고)

  • Kim, Bong-Gyun;Kim, Su-Gwan;Yeo, Hwan-Ho;Kim, Sang-Ryol
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.26 no.3
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    • pp.310-312
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    • 2000
  • Leukemia is a malignancy caused by precursor cells of white blood cell. It is a malignant tumor of hematopoietic organs, characterized by the disorder of hematopoietic function due to the proliferation of immature bone marrow cells or lymphatic cells and by abnormal tissue infiltration of leukemic cells. The major signs of leukemia are caused by the failure of bone marrow function. As the number of red blood cells decreases, anemia is to appear. The number of white blood cells in leukemia is usually increased but immature white blood cells circulating the body has little defense ability, thus become susceptible to infection. 27 year-old female patient who was treated chemotherapy and bone marrow transplantation after diagnosed as chronic myelogenous leukemia(CML) was diagnosed as osteomyelitis in mandible after clinical and dental radiographic film examination. Because of the result of examination, the involved tooth of the patient was extracted accompanied by sequestrectomy and saucerization under general anesthesia. After the patient had long term medication of antibiotics, the lesion was healed. Therefore. author, et al. report this case with literature review.

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Clinical study of maxillofacial trauma of children (소아 구강악안면 영역의 외상에 관한 임상적 연구)

  • Kim, Hak-Ryeol;Kim, Yeo-Gab
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.36 no.1
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    • pp.43-52
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    • 2010
  • Purpose: To research about maxillofacial traumatic injuries of children in aspects of gender difference, various incidence rates between age, trauma type, cause, monthly and daily incidence rate, type of tooth damage, gingival damage, soft tissue damage, and type of facial bone fracture. Materials and methods: Study group consisted of children under 15 years of age who visited Dental Hospital, School of Dentistry, Kyung Hee University from 2004/7/1 to 2007/6/30 with chief complaint of oral and maxillofacial traumatic injuries. 1,559 cases of traumatic injuries were studied from 1,556 (1,004 male, 552 female) children. Conclusion: 1. There were slightly more boys than girls, giving a male-to-female ratio of 1.82:1.0. The 1-3 year old boys and girls had the highest number of traumatic injuries. 2. Of the 1,556 patients, 68.63% had soft tissue injuries, 50.22% had periodontal injuries, 29.89% had teeth injuries, and 3.85% had maxillofacial bone fractures. 3. Falling down was the most common cause of injury in both sexes. 4. The months with the highest incidence rates were in order May (12.12%), June (11.74%), and October (11.13%). Most of the injuries occurred on weekends. 5. The most common tooth injury was uncomplicated crown fracture, and the most common periodontal injury was subluxation. The majority of traumatizes teeth were the upper central incisors. 6. The most common soft tissue injury was intraoral lacerations. 7. Mandibular fractures were most frequent in facial bone fractures; symphysis, condylar head, and angle fractures were most frequent in mandibular fractures; maxillary and nasal bone fractures were most frequent in midfacial bone fractures.

Diagnosis and Treatment of Temporomandibular Disorders (측두하악장애의 진단 및 치료)

  • Choi, Young-Chan;Kim, Seong-Taek
    • Journal of Dental Rehabilitation and Applied Science
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    • v.25 no.4
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    • pp.319-328
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    • 2009
  • Temporomandibular disorders(TMD) have been defined as a collective term embracing a number of clinical problems that involve the temporomandibular joint, the masticatory muscles, and associated structures. Since Dr. Costen, an otolaryngologist, published his article in 1934 claiming that pain in and around the jaw and "related ear symptoms" improved with alteration of the bite, diagnosis and treatment of temporomandibular disorders(TMD) have been within the concept of occlusion. However most of the modern descriptions for TMD no longer include occlusal disorders within their domain. Despite this trend toward the exclusion of occlusal disorders from TMD domain, the historical linkages between TMD and occlusal therapy are still strong. Currently the most popular theories regarding TMD etiology are based on the biopsychosocial model. In the future, treatment modalities should be directed at the pathophysiological processes of joint and muscle pain as well as the psychosocial aspects of chronic pain.

A CLINICOSTATISTICAL STUDY OF FASCIAL SPACE INFECTIONS OF THE ORAL AND MAXILLOFACIAL REGION (구강 악안면 영역의 근막간극 감염증에 관한 임상 통계학적 연구)

  • Ahn, Shin-Young;Kim, Su-Gwan;Kim, Hak-Kyun;Park, Chul-Min
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.33 no.2
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    • pp.162-168
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    • 2007
  • Oral and maxillofacial infection is the oldest and most common disease in human history. The infection ranges from the low-grade infection that only requires minimal treatment to the high-grade and life-threatening fascial space infection. In this study, the data on oral and maxillofacial infections were analyzed to aid in the diagnosis and treatment, and to predict the prognosis. This report was based on data from 831 patients with oral and maxillofacial infection (394 males and 437 females) who were hospitalized in the Department of Oral and Maxillofacial surgery of Chosun University Dental Hospital from January 1998 to May 2005. The ratio of males to females was 0.9:1. By age, patients between 60 and 70 years old were the greatest in number (17.1%), while only 5.9% of the patients were between 10 and 20 years old. The most common cause of infection was odontogenic origin (84.4%), followed by post-extraction infection (6.2%), unknown (5.9%), and trauma (3.5%). The most common fascial space involved was the buccal space (39.4%), followed by the canine (20.6%), submandibular (15.9%), pterygomandibular (9.5%), submental (7.6%) and sublingual (2.8%) space. The number of the involved fascial space was one (75.2%), two (19.8%), or more than three (5.0%). In terms of the treatment duration, the hospitalization period of 6 to 10 days was the greatest in number (49.9%). All patients had uneventful recovery without major complication. There are statistically significant correlations between age and treatment period, and the involved space and treatment period, but no correlations between the variables of sex and treatment.

A STUDY ON THE RELATIONSHIP BETWEEN RADIOLOGIC CLASSIFICATION AND GLYCOSAMINOGLYCAN ANALYSIS OF CYSTIC FLUIDS IN ORAL REGION (구강영역에서 발생된 낭의 방사선학적 분류에 따른 낭액내 glycosaminoglycan 성분의 비교 연구)

  • Park In-Woo;You Dong-Soo
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.23 no.2
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    • pp.291-299
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    • 1993
  • This study was designed to evaluate the correlationship between radiologic classifications of cysts in oral region and glycosaminoglycan analysis of cystic fluids using cellulose acetate electrophoresis. The materials for this study consisted of 37 cases-8 periapical cysts, 10 dentigerous cysts, 10 primordial cysts, 2 residual cysts, 3 incisive canal cysts, 2 post-operative maxillary cysts, 1 mucocele on maxillary sinus, & 1 unicystic ameloblastoma-diagnosed as cystic lesions radiologically. The obtained results were as follows: 1. At the stepwise discriminant analysis, four variables-low mobility material, heparin, hyaluronic acid, & dermatan sulfate-were used to define diagnostic model for the odotogenic cyst. The model produced a sensitivity of 100% and a specificity of 85%. 2. The intensities of heparin and chondroitin-4-sulfate were greater in dentigerous cyst than periapical cyst(p<0.05). The intensity of chondroitin-4-sulfate was greater in primordial cyst than in periapical cyst(p<0.05). 3. It showed no statistically significant difference in glycosaminoglycan of the cystic fluids between dentigerous cyst and primordial cyst(p>0.05). 4. On the fluids of the cysts originated from maxillary sinus, there were especially high intensities of heparin and dermatan sulfate, and low intensity of chondroitin-4-sulfate. 5. On the fluids of unicystic ameloblastoma, there were high intensity of dermatan sulfate and low intenity of chondroitin-4-sulfate.

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TREATMENT OF MUCOCELE USING THE $CO_2$ LASER : CASE REPORT ($CO_2$ Laser를 이용한 점액종의 치료)

  • Lee, In-Cheoun;Kim, Jong-Soo;Kwon, Soon-Won
    • Journal of the korean academy of Pediatric Dentistry
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    • v.27 no.4
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    • pp.485-489
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    • 2000
  • A mucocele is a thin-walled, bluish, fluctuant swelling occurring just beneath the oral mucosa and filled with mucoid material. It usually results from damage to a salivary gland following which there is extravasation of mucus into the tissues, or occasionally it forms from dilatation of the duct of a salivary gland. The accepted treatment of a mucocele is excision of the sac and the associated minor salivary gland. Use of the $CO_2$ laser in oral surgery has several advantages. It is a very precise means of cutting tissue and causes little adjacent nontarget tissue damage. There is excellent coagulation of small blood vessels and consequently operative hemorrhage is greatly decreased. There is instant sterilization of the operative site, which decreases bacteremia. The operation sites were completely healed without any infection or complication and discomfort from swelling or pain was not noted in all cases throughout the healing process. In addition, following this therapy, there is little contraction or scarring.

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RETROSPECTIVE CLINICAL STUDY OF TRACHEOSTOMY IN ORAL AND MAXILLOFACIAL SURGERY;31 CASES (구강외과 영역에 있어서의 기관절제술 31 례에 대한 임상적 고찰)

  • Yang, Yun-Seok;Min, Byung-Kook;Min, Seong-Kee;Um, In-Woong;Kim, Chang-Soo
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.13 no.1
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    • pp.53-62
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    • 1991
  • Tracheostomy may be used to assure airway protection in various clinical situation. It, as a known operation, has a history spanning 2000 years. The first clear account of a successful tracheostomy was recorded in 1546 by Brasavola. Until 1718 the term "bronchotomy" was used to describe the procedure. Heister then introduce the term "tracheotomy and this was later adopted and popularized by Trousseau about 1830. The term "tracheostomy" appeared in medical literature after 1820 and the two terms "tracheostomy" and "tracheotomy" are used interchangeably today. Indications include relief of upper airway obstruction, facilitation of pulmonary toilet, diminution of dead space and need for prolonged mechanical ventilation. The extent of indication of tracheostomy has a tendency to increase, thus oral and maxillofacial surgeons have some opportunities to face a situation that require tracheostomy. So, we reported retrospective study of 31 cases of tracheostomy patient in oral and maxillofacial surgery with reference review to reveal the significance of surgical skill and management capability of emergercy state maxillofacial surgery patients.

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Implant assisted obturator in patient after maxillectomy: a case report (상악골 절제 환자에서 임플란트를 이용한 구개폐쇄장치 증례)

  • Seo, Yoon-Hee;Lee, Joon-Seok;Song, Young-Gyun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.32 no.4
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    • pp.322-329
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    • 2016
  • Reconstruction of the maxillectomy with an obturator is to restore masticatory, swallowing, phonetic and esthetic problems. Stress created by lateral forces is minimized by the proper selection of an occlusal scheme, elimination of premature occlusal contacts, and wide distribution of supporting area. It should be considered that properly designed retainers reduce the stresses transmitted to the abutment while the obturator is in function. The following clinical report presents palatal obturator treatment with implant assisted removable partial denture (IARPD) design that restores normal function and esthetics in patients who experienced maxillectomy and dental implant failure.

Convergence Factors of Affecting Perception and Social Requirements of Dental Hygienists - Focused on Busan and Gyeongnam - (치과위생사에 대한 인식도 및 사회적 요구도에 미치는 융복합적 영향요인 -부산·경남 지역을 중심으로-)

  • Kwon, Su-Jin
    • Journal of the Korea Convergence Society
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    • v.9 no.12
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    • pp.365-372
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    • 2018
  • This study aimed to investigate the perception on dental hygienists and convergence factors to affect social requirements on their roles so as to utilize them as the fundamental data to assist the common people to understand the occupation and roles of dental hygienists and expand their positive perception further. Upon the multiple regression analysis from 235 final analysis subjects who underwent survey from August 1st to 25th 2017 among 270 adults in Busan and Gyeongnam areas, the awareness level on the dental hygienists was higher as the education level was lower and quality of life was more positive. Requirements were increased more as the education level was lower, quality of life related to oral health was more positive, quality of life was more positive, and awareness level on the roles and knowledge of dental hygienists was increased more. Further programs and promotional plans should be continuously activated to establish the career roles and expand the awareness in every field including dental clinic practices, dental hygiene training, related groups, and so on.

The Study for Radio Protection According to a Possible Danger of Exposure During dental X-ray Examination (치과 방사선 검사 시 노출 위험성에 따른 피폭선량 방어연구)

  • Lim, Cheong-Hwan;Kim, Seung-Chul;Jung, Hong-Ryang;Hong, Dong-Hee;You, In-Gyu;Jeong, Cheon-Soo
    • Journal of the Korean Society of Radiology
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    • v.5 no.5
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    • pp.237-244
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    • 2011
  • Generally, X-ray examinations for dentistry use low energy radiation. It explains that the radiations are mainly absorbed to a human body because of the weak permeability. We made up some counterplans for decrease in radiation exposure, when guardians and radiologists are overexposed owing to unavoidable circumstances. The equipments for the test are GX-770 and CRANEX TOME CEPH which are used for various exams. Besides we measured the radiations in the projection room and in the control room using model 2026c and 20X6-1800. According to the test, the measurement value in the control room was low dose below $20{\mu}R$, the maximum dose in the projection room was $702.8{\mu}R$ and the measurement value of back dose was higher than lateral one. As the result, if we use a shielding door, it's effective for radioprotection and when we didn't prepare protectors, we should secure appropriate distance and be situated at the side area($90{\sim}135^{\circ}$) on the basis of centeral radiation. That way will provide valuable aid for radioprotection.