• Title/Summary/Keyword: 구강 촬영

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Primary Malignant Melanoma Presenting as an Anterior Mediastinal Mass (전종격동에 원발한 악성 흑색종)

  • 김형렬;이정상;김영태;김주현;김지은
    • Journal of Chest Surgery
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    • v.35 no.9
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    • pp.697-700
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    • 2002
  • Primary malignant melanoma of the mediastinum is extremely rare : To date, there have been only 8 cases reported in the literature. We report a case of a 50-year-old woman presented with an anterior mediastinal mass. The mass invaded the lung parenchyme of right upper lobe, which was wedge-resected with the mass. Microscopically, spindle or polygonal tumor cells with prominent nucleoli and intracytoplasmic melanin pigments are characterized and Fontana stain confirmed the presence of melanin pigment. Immunohistochemical studies showed diffuse positive staining for HMB45, S100 protein and vimentin, which further suggested melanoma.

Tooth Diagnosis System Using Deep Learning (딥러닝을 이용한 치아진단 시스템)

  • Kim, Do-Gun;Park, Seung-Kyu;Choi, Woo-Young;Jeon, Gwang-gil
    • Proceedings of the Korea Information Processing Society Conference
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    • 2017.11a
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    • pp.757-759
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    • 2017
  • 현대인들은 삶을 영위하기 위해 매우 바쁘게 생활한다. 아이러니하게도, 이로 인해 자신의 건강은 챙기기 쉽지 않다. 특히 치아 쪽은 건강검진에도 포함되어 있지 않아 더욱 그렇다. 이를 해결하기 위해 본 논문은 충치를 판단해주는 플랫폼을 제안한다. 실시간으로 사용자의 구강 안을 촬영한 영상에서 충치, 아말감, 골드 크라운 이렇게 세 가지 치아의 상태를 구분하여 검출한다. 치아의 종류를 판단하는 기술은 딥러닝을 이용하였다. 딥러닝 학습모델이 치아 판별기로써의 기능을 다하려면 충분하게 많은 각 종류의 치아 데이터가 필요하다. 따라서, 인터넷, 학술 자료 등을 활용하여 수집했다. 이 시스템을 혈압측정기, 신장계와 같이 공공장소에 설치함으로써 사용자 스스로 치아의 상태를 확인 할 수 있을 것으로 예상된다.

STUDY FOR HOUNSFIELD UNITS IN COMPUTED TOMOGRAM WITH JAW LESION (악골 병소의 켬퓨터 촬영상에서 Hounsfield Unit에 관한 연구)

  • Kim, Chul-Hwan;Jung, Jong-Il
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.32 no.4
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    • pp.391-396
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    • 2006
  • The CT number is called Hounsfield unit(HU). Generally HU has a score between +1000 from -1000, and it is standardized usingthe air(-1000), water(0), and compact bone(+1000). Hounsfield Unit to standardize the density in computed tomography using the air and water has been used to analysis of lesion in other medical field. Computed tomography is popular method to analysis of lesion in oral & maxillofacial field but the analysis about density of lesion by Hounsfield unit is still obscure. For this study, computed tomography taken in Dankook University Dental Hospital and Hounsfield unit was measured to compare the difference of jaw bone lesion as cystic lesion, benign tumor, malignant tumor.

A Study on Usefulness of Planar Bone Scan and Bone SPECT in Diagnosis of Temporomandibular Joint Arthritides (측두하악관절의 관절염 진단에 있어서 골스캔과 단광자방출 전산화 단층촬영의 유용성에 관한 연구)

  • Kim, Chang-Yong;Ahn, Yong-Woo;Park, June-Sang;Ko, Myung-Yun
    • Journal of Oral Medicine and Pain
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    • v.30 no.1
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    • pp.107-119
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    • 2005
  • Temporomandibular joint arthritides is divided into osteoarthritis, osteoarthrosis and polyarthritis. Because the signs, symptoms and radiographical features of osteoarthritis and osteoarthrosis are similar without arthralgia, diffenential diagnosis is difficult. Also non-radiographically change in early Osteoarthritis leads to misdiagnose. Planar bone scan and SPECT are useful to detect bone change early. This study was carried out in order to make diagnostic criteria of planar bone scan and SPECT. Three hundred and four temporomandibular joints were examined with clinical examination, computerized tomograph, planar bone scan, and SPECT. The obtained results were as follows. 1. If temporomandibular joint simple uptake ratio of patient in twenties is over 1.397%, it's condition may be osteoarthritis. And simple uptake ratio over in thirties-fourties may mean osteoarthritis. 2. It may mean osteoarthritis of temporomandibular joint that the number of coronal and transverse SPECT frame with hot spot is over four. 3. Destructive stage may goes on, if simple uptake ratio is over 1.370% in tweenties and over 1.104% in thirties-fourties. 4. If the number of coronal SPECT frame with hot spot is over four, temporomandibular joint may be on destructive stage in tweenties, thirties-fourties. And if the number of transverse SPECT frame with hot spot is over three, it may be on destructive stage in all ages. 5. When patient complains subjective arthralgia and palpation arthralgia, bone change may be more active than each arthralgia. 6. Osteoarthritis may progress gradually worse in 4.5 anamnesis. And then it may be stable gradually and turn to osteoarthrosis.

Ultrasounds Image on the Disorders of the Ligaments Surrounding Temporomandibular Joints (측두하악관절 주변인대 질환의 초음파영상)

  • Hong, Soo-Min;Im, Yeong-Gwan;Kim, Byung-Gook
    • Journal of Oral Medicine and Pain
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    • v.33 no.4
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    • pp.387-394
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    • 2008
  • Purpose : The purpose of this study was to verify the usefulness and feasibility of ultrasonographic imaging for the detection of the disorders of the surrounding supporting structure such as articular capsule, retrodiscal tissue and related ligaments, osteoarthritic evidence and associated disc displacement at the temporomandibular joint(TMJ) Materials and Methods : 20 patients(40 joints) with periodic lock and crepitations were investigated prospectively using 12 MHz array transducer. Ultrasonographic Imagings were assessed for osteoarthritic surface changes of condyle, extent of disc displacement and disorders of surrounding structures. Ultrasonographic images were compared with clinical investigations, conventional radiography and Dental Computed Tomographic scans. Results : In clinical and conventional radiography, osteoarthritic changes were diagnosed in 8 joints. Ultrasonographically 7 of the 8 osteoarthritic changes were diagnosed correctly. Sensitivity, specificity, and accuracy of ultrasonography in the osteoarthritic detections were 87.5%, 62.5%, and 67.5% respectively. About the detection of disc displacement, disc displacement were diagnosed in 21 joints clinically. Ultrasonographically 19 of the 21 disc displacements were diagnosed correctly. Sensitivity, specificity, and accuracy of ultrasonography in the osteoarthritic detections were 95%, 90%, and 92.5% respectively. when the disorders of supportive structure were figured out, the disorders of supportive structure were diagnosed in 18 joints clinically. Ultrasonographically 1 of the 18 the disorders of supportive structure were diagnosed correctly. Sensitivity, specificity, and accuracy of ultrasonography in the osteoarthritic detections were 5.5%, 4.5%, and 55% respectively. Conclusion : Ultrasonography is an relatively reliable diagnostic tool for the detection of disc displacement and some of osteoarthritic changes. But it's not an insufficient imaging technique for the detection of the disorders of the surrounding structure.

The Study on Usefulness of the Standardized Information of Nuclear Medicine Scan in Function Evaluation of the Salivary Glands (침샘의 기능평가에서 핵의학 검사의 표준화된 정보제공의 유용성 연구)

  • Pyo, Sungjai;Han, Jaebok;Choi, Namgil
    • Journal of the Korean Society of Radiology
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    • v.9 no.6
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    • pp.357-362
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    • 2015
  • This study was to evaluate the usefulness through the comparison of patients group and healthy control group by acquiring a variety of functional parameters index from time-activity curves of salivary gland scan using 99mTc-pertechnetate. From December 2014 to February 2015, had the targets of 30 patients with dry mouth and 10 people in healthy control group underwent the salivary gland scan. After intravenous injection of 370 MBq of 99mTc-pertechnetate, Vitamin C powder stimulation was administerd orally at 20 min and then 10 minutes were taken scan. The method of quantitative analysis was as follows, the time-activity curve was drawn after the parotid gland and submandible gland were prescribed as a region of interest, a variety of function parameters index was obtained in each position of the curve, and the patients group and the control group were compared. As for the methods applied in comparison and measurement, uptake ratio (UR), time at maximum counts (Tmax), time at minimum counts (Tmin), maximum accumulation (MA), accumulation velocity, maximum secretion (MS), maximum stimulation secretion (MSS), and secretion velocity (SV) were used. In the comparison of functional parameters index of patient group and normal group, the healthy normal group showed significant difference compared to the patient group in all indices except for the minimum radioactivity time (Tmin), and also in terms of variation over time the normal group showed significant difference compared to the patient group (p<0.05). Consequently, it was considered that the quantitative analysis that used a variety of function parameters index would be useful for evaluating the function of the salivary glands of the patients with dry mouth as an objective and standardized information.

Implant prosthesis for fully edentulous patients using intra-oral scanning and abutment merging technique: A case report (무치악 환자에서 구강 스캔과 지대주 중첩을 이용한 임플란트 보철수복 증례)

  • Hwang, Chan-Hyeon;Jeong, Seung-Mi;Kim, Yong-Jun;Kim, Kyeong-Hee;Fang, Jeong-Whan;Kim, Dae-Hwan;Choi, Byung-Ho
    • The Journal of Korean Academy of Prosthodontics
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    • v.55 no.1
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    • pp.61-70
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    • 2017
  • In this case, the impression surface of the existing denture was scanned and was inverted three-dimensionally to express the residual ridge form. Implant planning was performed on the superimposed data of the CT with the scanned image of the denture with radiopaque markers attached. At the day of surgery, customized abutments fabricated in accordance with the form of the gingival margin were linked with fixtures and temporary restorations were set. In the process of fabricating the final prosthesis after the osseointegration of implant fixture, the intraoral scan images at abutment level were merged with images of the abutments scanned and stored before implant surgery. By fabricating the final prosthesis with the abutments obtained by merging can increase the marginal fitness of the final prosthesis and simplify the clinical process.

ECTOPIC CANINES INTO THE MAXILLARY SINUS (상악동으로 이소맹출한 견치)

  • Kim, Hyun-Ok;Choi, Byung-Jai;Lee, Jong-Gap
    • Journal of the korean academy of Pediatric Dentistry
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    • v.27 no.4
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    • pp.535-539
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    • 2000
  • Ectopic eruption of a tooth into the oral environment occurs commonly whereas ectopic eruption of a tooth into other sites is rare. Those that have been reported include the nasal cavity, chin, mandibular condyles, coronoid processes, orbits and maxillary sinus. The etiologic factors of ectopic eruption are developmental disturbances such as cleft palate and teeth displaced by trauma or cysts, maxillary infection, genetic factors, crowding and exceptionally dense bone. In many cases, however, the etiology cannot be identified. Eruption of the teeth into the maxillary sinus is uncommon, however the identification of such teeth can be important since they have the potential to cause considerable morbidity. The definitive treatment is surgical removal of the teeth. A 7 year-old-boy visited the Department of Pediatric Dentistry, College of Dentistry, Yonsei University for treatment of dental caries. The abnormal erupting paths of the left and right maxillary canines were found during routine panoramic radiographic investigations. A panoramic radiograph taken at 13 years old revealed that two maxillary canines were located into the sinus. The teeth were extracted by the Caldwell-Luc approach.

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A Study on Oral Health Knowledge, Recognition, Practice and Satisfaction of Patients by Applying a Targeted Program within a Dental Hygiene Process (치위생과정에서의 일부 프로그램 적용에 따른 환자의 구강건강지식, 인식, 실천과 만족도 조사)

  • Seong, Mi Kyung;Jo, Moon Mi;Kim, Yu Rin
    • Journal of dental hygiene science
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    • v.17 no.2
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    • pp.183-191
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    • 2017
  • The purpose of this study was to evaluate a clinical preventative care program, based on a dental hygiene process (accessment, diagnosis, planning, implementation, evaluation; ADPIE) in a dental clinic, by analyzing patient recognition, knowledge, practice, and satisfaction with respect to oral health. The collected data (in percentages) were analyzed Fisher's exact test and paired t-test using IBM SPSS ver. 21.0 (IBM Co., USA). This study demonstrated a significant difference in oral health knowledge, recognition, and practice before and after the clinical preventive care program (p<0.05). The results were significant in the individual preventive plan within the planning stage, and in the professional teeth cleaning implementation stage (p<0.05). This result can be attributed to the sympathy of the dental hygienist (p<0.05). There was a positive correlation between recommending dental checkups and regular checking of the (r=0.552, p<0.05), undergoing radiography (r=0.434, p<0.01), following an individual preventive plan (r=0.568, p<0.01), undergoing proximal machine teeth cleaning (r=0.437, p<0.05), following tooth brushing instructions (r=0.552, p<0.05), and the evaluation results (r=1.000, p<0.05). Our results demonstrate, that the clinical preventive care program, based on dental hygiene, is an effective program. Given the positive effect of dental revisits and patient recommendations promoting dental hygienists, it is hoped that this preventative program will be widely used.

An convergence study on the effect of plaque removal through the number of operations of the electric toothbrushes (전동칫솔의 작동횟수에 따른 치면세균막 제거율에 관한 융합연구)

  • Moon, Kyung-Hui;Lee, Ji-Young;Kim, Jang-Mi
    • Journal of the Korea Convergence Society
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    • v.10 no.2
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    • pp.21-28
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    • 2019
  • The study was to expand the choice of electric toothbrush by number of operations of the plaque removal effect on the tooth surface. Three different toothbrushes were selected for oscillations and pulsations type of electric toothbrush. A is Oral-B D12 (7,600 pulsations), B is Oral-B D16 (20,000 oscillations and a 7,600 pulsations), C is Oral-B D20 (40,000 oscillations and an 8,800 pulsations). In each trial, each tooth was brushed for 2 seconds. For the 10 trials. And each tooth was coated with 1layer, 2layers and 3layers. After the experiment, the plaque removal effect was calculated and analzed using the Image J program(p<0.05). According to the study, C toothbrush had the highest rate of plaque removal effect. Based on this results of the study, dental worker will need to evaluate oral hygiene and recommend appropriate toothbrushes according to oral conditions.