• Title/Summary/Keyword: 치은출혈

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Dental Management in a Patient with Glanzmann's Thrombasthenia : A Case Report (글란즈만 혈소판무력증 환자의 치과적 관리)

  • Han, Miran;Kim, Jongsoo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.47 no.3
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    • pp.352-358
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    • 2020
  • Glanzmann's thrombasthenia (GT) is a rare, autosomal recessive inherited congenital disorder, characterized by impaired blood coagulation due to platelet dysfunction. It was first reported by the pediatrician Glanzmann in 1918. GT affects both males and females, and it is more common in regions of the Middle East, India, and France, where intermarriage is common. It has an incidence of about 1 in 1,000,000 people. In South Korea, according to the Division of Rare Diseases, Korea Centers for Disease Control and Prevention, around 200 cases have been reported in 2018. Clinical symptoms include petechia, ecchymosis, epistaxis, and gingival bleeding. The spontaneous loss of deciduous teeth can result in excessive bleeding with that blood transfusion should be considered. Preventing hemorrhages and hemostasis are most important factors in dental treatment. Local bleeding can be controlled by compression, but platelet transfusion can be required by prolonged bleeding. Pediatric dentists can minimize the gingival bleeding by control of the oral hygiene to prevent gingivitis and dental caries. The importance of oral hygiene and periodic recall check-up should be emphasized. During dental treatment, the examination and the treatment plan of patient should be modified to prevention of hemorrhages carefully. A 6-year-old girl with GT was referred for the treatment of dental caries, and resin restoration was performed under nitrous oxide inhalation sedation. After treatment, compression was required for the bleeding control.

Factors associated with gingival bleeding by tooth brushing in college students (일부 대학생들의 칫솔질 시 치은출혈 관련요인)

  • Cho, Myung-Sook
    • Journal of Korean society of Dental Hygiene
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    • v.14 no.6
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    • pp.921-926
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    • 2014
  • Objectives: The purpose of the study is to investigate the factors associated with gingival bleeding(GB) by tooth brushing in college students. Methods: A self-reported questionnaire was filled out by 232 college students in Daegu Health College from March to June, 2014. Data were analyzed for frequency, chi square test, and logistic regression analysis using SPSS 12.0 program. The study was a cross sectional study. The questionnaire consisted of general characteristics of the subjects(gender, age, marital status, and smoking), frequency and duration of tooth brushing, scaling experience, and physical health status. Self-reporting hemorrhage was reported by yes or no. Frequency of tooth brushing was documented as the number of behavior. Above 4 times of tooth brushing was defined as 4. Duration of tooth brushing was documented as minute. Above 4 minutes, it was recorded as 4. In physical health status, 1 is feeling weak and 4 is feeling very healthy. Cronbach alpha was 0.82 in the study. Results: There were significant relationships between gingival bleeding and age(p<0.05), subjective health(p<0.01), tooth brushing frequency(p<0.05) and duration(p<0.05) by chi square test. Logistic regression analysis showed that the age(p<0.05), subjective health(p<0.01), tooth brushing frequency(p<0.05) and duration(p<0.05) were associated with gingival bleeding. Prevalence of gingival bleeding in 20 years was 0.62(odds ratio 1.85, 95% CI 1.00~3.43) and it was higher than that in 10 years. Prevalence of gingival bleeding in good health group was -1.38 and it was lower than that in poor health group. Conclusions: The factors associated with gingival bleeding were age, subjective health, and tooth brushing frequency and time.

Oral symptoms experienced by adolescents based on Body Mass Index (체질량지수에 따른 청소년의 구강증상 경험)

  • Kim, Young-Suk
    • Journal of the Korea Convergence Society
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    • v.12 no.3
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    • pp.317-323
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    • 2021
  • The purpose of this study was to analyze the oral symptoms experienced by adolescents according to Body Mass Index. We analyzed the data using the Korea Youth Risk Behavior Web-based Survey and conducted complex-sample descriptive statistics on 55,728 participants. The prevalence of sensitive teeth, tooth pain, gingival bleeding, and swelling was highest in the overweight group (36.8%, 23.9%, and 19.2%) and lowest in the underweight group (34.6%, 20.8%, and 17.0%) (p<0.001). Tooth pain, gingival bleeding, and swelling were significantly higher (all 1.08) in the overweight group than in the normal group. Halitosis was 1.19-and 1.43-higher in the overweight and obese groups, respectively. The relationship between systemic diseases and oral health among adolescents should be further investigated.

The Effect of Splinting with Concomitant Root Planing;Clinical and Digital Subtraction Radiographic Study (치근활택술과 스프린트 병행처치의 효과에 관한 연구;디지털 공제 촬영술을 이용한 임상적 연구)

  • Lee, Ji-Young;Kye, Seung-Bum;Kim, Won-Kyoung;Lee, Yong-Moo;Ku, Young;Ryu, In-Chul;Chung, Chong-Pyoung;Choi, Sang-Mook;Han, Soo-Boo
    • Journal of Periodontal and Implant Science
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    • v.31 no.1
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    • pp.207-227
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    • 2001
  • 스프린트는 치주처지료에서 부가적 처치법으로 널리 사용되고 있으며, 한편, 디지털 공제 활영술은 기존방사선촬영술의 한계점을 극복하기 위해 기발된 새로운 방법이다. 이번 연구에서는 치근활택술 단독시행시와 스피린트 병행 처치시의 효과를 임상적, 방사선학적으로 비교하였다. 중정도의 성인성 치주염을 가진 20명의 환자를 대상으로 하되 10명은 치근활택술 단독으로, 나머지 10명은 스프린트 병행처치로 처치하였다. 임상적, 방사선학적인 평가는 처치전, 처치후 6개월에 행하고, 임상적 평가의 경우 3개월에 추가로 실시하였다. 이번 연구에서 사용된 임상 지수로는 치태지수, 치은지수, 치은퇴축, 치주낭깊이, 임상부착수준, 임상부착증가, 탐침시출혈, 치아동요도 등이며, 방사선학적 평가는 기존 방사선촬영술에 의한 방법과 디지털 공제촬영수렝 의한 방법으로 행하였다. 디지털 공제 촬영술에 의한 평가시, 영상은 Digora 프로그램에 의해 획득하고 Emago 프로그램으로 처리 하여 다음과 같은 결론을 얻었다. 1. 처치후 3개월에 치태지수, 치은지수, 치은퇴축, 치주낭깊이, 임상적부착수준, 탐침시 출혈 등의 임상지수들이 변했으며, 특히 이러한 변화는 치주낭깊이, 치은퇴축, 탐침시출혈에서 유의성이 있었다. ( p<0.05 ) 그러나 두군간 차이는 인정되지 않았다. ( p>0.05 ) 2. 처치후 6개월에도 치태지수, 치은지수, 치은퇴축, 치주낭깊이, 임상적부착수준, 탐침시출혈, 치아동요도 등의 임상지수들이 변했으며, 특히 이러한 변화는 치주낭깊이, 치은퇴축, 탐침시출혈, 치태지수, 치아동요도에서 유의성이 있었다. ( p<0.05 ) 그러나 두 군간 차이는 인정되지 않았다. ( p>0.05 ) 3. 켄달 상관분석시, 임상적 평가와 기존 방사선 촬영술에 의한 평가사이의 관련성을 낮았으며 거의 0에 가까운 수치를 보였으며 (r=0.110, p=0.639 ) 임상적 평가와 디지털 공제 방사선 촬영술에 의한 평가사이에서 약간 높은 관련성을 보였다. ( r=0.257, p=0.315 ) 즉 치주치료후의 골변화는 디지털 공제 방사선 촬영술에 의한 평가시 기존 방사선 사진보다 임상적 부착증가와 더욱 긴밀한 관련성을 보여준다. 이상의 결과로 볼 때, 스프린팅 처치는 치주 치료에 있어 치근활택술에 부가적 표과를 제공하지 못한다.

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The Treatment of Gingival Hyperpigmentation by $CO_2$ Laser ($CO_2$ 레이저를 이용한 착색치은의 치료)

  • Kwon, Kyung-Min;Tae, Il-Ho;Ko, Myung-Yun;Ahn, Yong-Woo
    • Journal of Oral Medicine and Pain
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    • v.34 no.3
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    • pp.257-260
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    • 2009
  • Gingival hyperpigmentation may cause esthetic problems, especially in patients with a gummy smile. This report presents the use of the $CO_2$ laser for gingival depigmentation. Two cases presented with the same chief complaint of unesthetic gingiva caused by melanin hyperpigmentation. The $CO_2$ laser was setted at 0.8 watt, 40Hz, 0.01sec. The procedure were performed with non-contact mode in all pigmented areas. Ablation of the gingival hyperpigmentation areas were accomplished without any bleeding complications or postoperative pain. After 2 weeks and 4 weeks later, healing is completed and hyperpigmented gingiva appeared pink and firm.

Clinical accuracy of impression technique using digital superimposition of customized abutment with subgingival margin: A case report (치은연하 변연을 가지는 맞춤형 지대주에서 디지털 중첩기술을 이용한 인상채득술의 임상 적용 증례)

  • Kim, Jin-Wan;Jeong, Chang-Mo;Yun, Mi-Jung;Lee, So-Hyoun;Lee, Hyeonjong;Huh, Jung-Bo
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.2
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    • pp.169-175
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    • 2020
  • Traditionally, gingival retraction has been performed to obtain customized abutment impressions with subgingival margins of the implant supported prosthesis. However, gingival retraction may have side effects such as gingival recession and bleed, leading to an inaccurate impression. In order to prevent these problems, in this case, the new technique has been introduced; a customized abutment which is designed for superimposition is used. Before the connection of the abutment to the implant fixture, pre-scanned shape data are stored, and then the optical impression without gingival retraction is obtained after connecting to the fixture. The suprastructure is fabricated by superimposing the two data. This technique showed the clinical efficacy of fabricating the implant supported prosthesis with subgingival margin, which satisfied the aesthetics, convenience, and clinically acceptable marginal and internal fit.

Evaluation of Sonic Toothbrush on the Reduction of Clinical Parameters, Interleukin-1, MMP-8 and Periodontal Pathogens in Incipient to Moderate Periodontitis (초기 및 중등도 치주염에서 임상지수, Interleukin-1, MMP-8, 치주원인균 감소에 대한 전동칫솔의 효과)

  • Yoo, Ho-Sun;Chae, Gyung-Joon;Hong, Ji-Youn;Choi, Seong-Ho;Kim, Chong-Kwan
    • The Journal of the Korean dental association
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    • v.46 no.12
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    • pp.742-754
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    • 2008
  • 이 연구의 목적은 초기 및 중등도 치주염 환자에서 전동칫솔을 사용할 경우 임상 지수의 향상 정도와 치주원인균의 정량적 감소 효과를 12주의 연구 기간 동안 평가하는 것이다. $25{\sim}55$세의 환자 80명을 대상으로 12주 동안 진행하였으며, 치태지수 0.5 이상, 치은지수 0.5 이상을 나타내는 대상에서 일반 칫솔 혹은 전동칫솔 ($Sonicare^{(R)}$ Elite, Philips Oral Healthcare Inc., Snoqualmie, Washington, USA) 사용 군을 임의로 선정하였다. 하루 2회, 매 회 2분 간 사용하고, 각 군의 칫솔 사용을 교육하였다. 임상지수는 치태지수 (PI; Silness & $L{\ddot{o}}e$), 치은지수 (GI; $L{\ddot{o}}e$ & Silness), 탐침 후 출혈 부위 (%), 치주낭 깊이 부착소실을 초진 1, 4, 12주에 측정하였다. Interleukin-1 (IL-1), MMP-8과 치은연하치태샘플에서 채취한 4 종류의 치주원인균 (Actinomyces visco년, Porphyromonas gingivalis, Streptococcus sanguis, Tannerella forsythensis)에 대한 16S rRNA test는 초진, 1주, 12주에 측정하였다. 측정 결과 전동칫솔과 일반 칫솔 모두 임상지수의 유의한 감소가 나타났으며, 치은지수는 일반칫솔에 비해 전동칫솔에서 감소효과가 통계적으로 더 우수하게 나타났다 (p<0.001). 탐침 후 출혈의 감소는 전동칫솔에서 76.73%, 일반칫솔에서 44.57% 정도로 전동칫솔 군이 더 우수하게 나타났다. 치주낭 깊이 감소는 초진에 비해 전동칫솔 군에서 18.55%, 일반칫솔 군에서 14.81% 정도로 나타났으며, 초진과 비교하였을 때 부착수준의 향상 정도는 전동칫솔 25.24%, 일반 칫솔 16.94% 정도로 두 군 모두 통계적으로 유의하게 개선되었다 (p < 0.001). 두 군 모두 IL-1 beta, MMP-8 농도의 감소가 있었으며, 치주원인균 중 A.viscosus, P.gingivalis, T.forsythensis 역시 두 군 모두에서 초진에 비해 12주에 유의한 감소를 나타내었으나, S.sanguis는 전동칫솔 군에서만 12주에 유의한 감소가 있었다. 이상의 결과에서 12주 간의 연구 기간 동안 초기 및 중등도 치주염 환자에서 소니케어 전동칫솔의 사용은 임상지수 및 치주 원인균 감소에 통계적으로 유의한 개선 효과를 나타내었다.

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The clinical and microbiological effects of non-surgical periodontal treatments in necrotizing periodontal disease: case report (괴사성 치주질환 환자에서 비외과적 치주치료의 임상적 미생물학적 효과: 증례 보고)

  • Kim, Sangmin;Lee, Jaemin;Kang, Dae-Young;Shin, Hyun-Seung
    • Journal of Dental Rehabilitation and Applied Science
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    • v.37 no.4
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    • pp.294-300
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    • 2021
  • Necrotizing periodontal disease caused by plaque bacteria is showed clinical findings including pseudo-membrane, interproximal necrosis of the affected area, pain on palpation and gingiva bleeding. Microbiological examination is showed that patients have fusospirochetal bacteria. Two patients who were provisionally diagnosed as necrotizing periodontal disease received nonsurgical periodontal treatments in conjunction with dressing using 3% hydrogen peroxide and local antibiotic delivery. Before and 3 - 5 days after initial treatment, the levels of periodontal bacteria in gingival crevicular fluid obtained using quantitative PCR were compared. After treatment, patients recovered normal gingiva. The number of periodontal diseases related bacterial species decreased from seven or eight to one. As a result, periodontium of patients with necrotizing periodontal disease was recovered to normal periodontium by nonsurgical periodontal treatments.

Comparison of slim bristled and V-shaped orthodontic toothbrushes in patients with fixed orthodontic appliances (고정식 교정장치 장착환자에서 슬림모 칫솔과 V형 교정칫솔 간의 구강위생관리 효과 비교)

  • Choi, Jin-Hugh
    • The korean journal of orthodontics
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    • v.39 no.6
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    • pp.383-392
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    • 2009
  • Objective: The purpose of this study was to evaluate the efficacy of a slim bristled toothbrush compared with a V-shaped orthodontic toothbrush in patients with fixed orthodontic appliances. Methods: Thirty four orthodontic patients receiving edgewise treatment were randomly assigned to two groups, a slim bristled toothbrush (Nano silver slim care) and a V-shaped toothbrush (Oral-B). Plaque index, gingival index and bleeding index were recorded at the beginning of the study (baseline), 2 weeks, 4 weeks and 6 weeks after new toothbrushes were supplied and the results were analyzed statistically. Results: No statistically significant differences were found for plaque index, gingival index and bleeding index between toothbrush groups during the 6 weeks. Plaque and gingival indices were decreased at 2 weeks and 4 weeks but increased at 6 weeks in both toothbrush groups. Bleeding index in the V-shaped toothbrush group showed the lowest value at 2 weeks then increased at 4 weeks and 6 weeks but in the slim bristled toothbrush group decreased from 2 weeks through 6 weeks to under baseline levels. Patients in their twenties had significantly lower values than teenagers in the slim bristled toothbrush group (p < 0.013). Conclusions: The results would suggest that both of the toothbrushes are equally effective but the use of a slim bristled toothbrush may be of benefit in promoting gingival health for fixed orthodontic appliance patients in their twenties and over.