• Title/Summary/Keyword: Dental findings

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Diagnosis of Articular Disc Perforation: A Case Series

  • Ko, Daeun;Nam, Hyun;Shim, Young-Joo;Kang, Jin-Kyu
    • Journal of Oral Medicine and Pain
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    • v.44 no.4
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    • pp.189-194
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    • 2019
  • Perforation of articular disc of temporomandibular joint is a unusual condition and diagnosed through magnetic resonance imaging (MRI), arthrography or arthroscopic surgery. We attempted to investigate the suspicious findings of articular disc perforation through examination commonly used in temporomandibular disorder (TMD) patients. We retrospectively analyzed the clinical and imaging findings of five TMD patients whose articular discs were perforated based on MRI. The most meaningful finding was the abnormal width of the joint space in cone-beam computed tomography. Thus, the clinician should perform a thorough assessment of the joint space in TMD patients and conduct additional investigation to determine what caused the abnormal joint space.

A Study on the Occupational Diseases and Dental Hygiene of Laborers in Cement Industry (시멘트 취급 근로자들에 대한 구강위생실태 연구)

  • Park, Il-Soon;Chung, Mi-Ae;Han, Ji-Hyoung
    • Journal of Korean society of Dental Hygiene
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    • v.2 no.1
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    • pp.115-129
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    • 2002
  • The purpose of this study was to examine the actual dental hygiene status of workers in cement industry in an effort to serve as a basis for enhancing their dental hygiene. The subjects in this study were 420 laborers from the cities of Curi, Donghae and Samcheok who handled cement. As a result of conducting a survey, the following findings were given : l. The workers investigated found their working environment satisfactory, getting a mean score of 323. They also expressed a high job satisfaction with a mean score of 333. 2. They didn't have a big interest in oral health. By age group, those who were aged between 36 and 40, or who cared less about health management, showed a higher interest in oral health. Besides, the laborers who kept smoking for a longer period, or who drunk more, expressed greater interest. 3. The toothbrushing method was considered most important for periodontal health, by 45.0% of the workers, and the next most crucial one was regular dental examination, followed by refraining from smoking and staying away from sweet food in the order named. 4. Concerning daily mean toothbrushing frequency, 455% brushed their teeth three times a day on the average. More than half them didn't pay enough attention to toothbrushing. 5. Regarding scaling, the large number of the workers, 42.4%, had no experience to get their teeth scaled, 37.6%, the greatest percentage, didn't have their teeth scaled because it seemed to make their teeth painful or cold. 6. As fororal health education experience, 67.6%, the great number of them, had no experience to receive dental health education. The above-mentioned findings suggest that the cement-related workers generally neglected dental health management. They should be encouraged to correct their wrong oral health knowledge or habit to make their oral cavity more healthy. To make it happen, it's required to provide oral health education and promote organized dental health projects.

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A Study on Career-Related Attitude and Awareness of Employment in Dental Hygiene Students from Some Regions (일부지역 치위생과 학생의 진로관련 태도 및 취업의식 연구)

  • Jeong, Mikyoung;Lee, Jiyoung
    • Journal of The Korean Society of Integrative Medicine
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    • v.5 no.4
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    • pp.91-101
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    • 2017
  • Purpose : The purpose of this study was to examine the career-related awareness of dental hygiene students and their awareness of employment in an effort to shed light on the consciousness of dental hygiene students on career and employment. Methods : A survey was conducted on 340 selected dental hygiene students in several colleges of health located in an urban community, South Gyeongsang Province, from June 8 and 16, 2016. The collected data from 335 respondents were analyzed by SPSS 21.0 for Windows. Result : Where they hoped to find a job was analyzed, and they hoped to be hired in an large city due to the possibility of development and expectations for high pay, and the students who wanted to be employed in a small or mid-sized urban community cited personal connections as the reason(p<.001). As for conditions for getting a good job, the largest number of the students placed importance on skills, and the students who were in the higher academic years attached more importance to skills and money(p<.01). As for preferred workplace, dental hospital was the biggest group's favorite workplace, and the students who were in the higher academic years preferred to work in dental clinic or dental hospital(p<.05). Concerning the length of dental hygienist career, the greatest group thought it would be between 11 and 15 years(p<.05). Conclusion : The findings of the study might not be generalizable because students from a few colleges only were investigated, but the findings are expected to help improve the understanding of dental hygiene students on career and how to prepare for the job market and to provide colleges and educational institutions with information on career and ways of offering vocational guidance.

ATTITUDE OF DENTAL HYGIENE STUDENTS TOWARD THE DISABLED (치위생과 학생들의 장애인에 대한 태도)

  • Kwag, Jung-Suk;Woo, Seung-Hee
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.7 no.1
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    • pp.1-10
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    • 2011
  • The purpose of this study was to examine the general attitude of dental hygiene students toward the disabled and their oral care in an effort to improve their awareness of the disabled and their accessibility to them and suggest some of the right directions for dental hygiene education related to dental treatment for the disabled. The subjects in this study were dental hygiene students at three different colleges located in South Jeolla Province. The general attitude of the selected students toward the disabled and their oral care were investigated from November 1 to December 20, 2007. The findings of the study were as follows: When their general attitude toward disabled people was checked, they agreed the most that there was nothing that the disabled lagged behind nondisabled people. Those who felt the need for that took a more positive attitude in eight items, and the differences between them and the others were significant. Whether they were cognizant of the necessity of dental treatment education for the disabled made the most significant differences to each variable of their attitude toward the oral care of disabled people, and those who were aware of the necessity showed a more positive attitude in five items. The differences between them and the others were significant. The findings of the study illustrated that the dental hygiene students took a relatively favorable attitude toward disabled people's oral health care, and that they hardly felt a sense of distance to them. So it can be predicted that they will get to take the right attitude to them in the future. Yet the dental hygiene curriculum should give more weight to dental treatment education for the disabled and offer more relevant information, since they didn't get high scores on positive attitude.

Dental Hygienists' Perception of the Usefulness of Clinic Practice Training (임상실습 내용 및 활동의 유용성에 대한 치과위생사의 인식)

  • Jang, Gye-Won;Kang, Yong-Ju;Won, Boak-Yeon
    • Journal of Korean society of Dental Hygiene
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    • v.6 no.3
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    • pp.203-218
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    • 2006
  • The purpose of this study was to measure dental hygienists' perception of the usefulness of clinical practice training. A total of 195 dental hygienists participated in the study. The findings of the study were analyzed according to age, the type of hospitals where respondents were working, experience in clinical practices and educational level as follows: 1. There were statistically significant differences in perception of the usefulness of the practice of amalgam filling preparation performed for dental operation among subjects at different ages (p<.01). 2. There were statistically significant differences in perception of the usefulness of the practice of paralleling technique(p<.001), the practice of amalgam filling preparation(p<.01) and the practice of trauma treatment preparation(p<.05) among subjects working at different clinics 3. Significant differences were observed in perception of the usefulness of the practice of sterilization(p<.05), the practice of suction(p<.05), the practice of history taking preparation (p<.01) and the practice of halitosis patient management preparation(p<.05) among subjects with different years of experience in clinical practices. 4. Significant differences were found in perception of the usefulness of the practice of paralleling technique among subjects with different education levels. The findings of the study suggest the need for strengthening education programs for clinical training content and practices which subjects considered important for their job. At the same time, the study emphasizes the need for developing training programs designed to produce dental hygiene preceptor who can provide dental hygienists with practical clinical training in cooperation with college and dental clinics.

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CLINICAL STUDY OF AMELOBLASTOMA ON THE JAW (악골에 발생한 법랑아세포종의 임상적 연구)

  • Kim, Hyun-Syeob;Ryu, Jae-Young;Yu, Min-Gi;Seo, Il-Young;Shet, Uttom Kumar;Kook, Min-Suk;Park, Hong-Ju;Ryu, Sun-Youl;Choi, Hong-Ran;Oh, Hee-Kyun
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.33 no.5
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    • pp.535-542
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    • 2007
  • Ameloblastoma, a benign tumor of odontogenic type, represents 10% of all tumors of the jaw. It is localized in the mandible(80%) and in the maxilla(20%). In every case, the selection of the surgical treatment must consider some fundamental elements, including the age and general state of health the clinicopathological variant, and the localization and extent of the tumor. This study was invested the clinicopathological findings of 23 patients with ameloblastoma which had been diagnosed by biopsy during the period of 1987 to 2005 at Chonnam National University Hospital. And it contained the statistical analysis according to the treatment methods and the clinicopathological findings such as sex, age, location, chief complaints, duration, radiographic findings, histologic findings, treatment methods. The results obtained are were follows. The age of patient ranged from 10 to 91 years(means, 35.9 years) at biopsy. Thirteen(57%) of the 23 subjects were males, and 10(43%) were females. Twenty(87%) of the 23 ameloblastomas were located in the mandible. Swelling was the most common symptom and was experienced by 20(87%) patients. Radiographically, 11(48%) of the 23 tumors were unilocular with a well-demarcated border and 12(52%) were multilocular. The most common histologic pattern was plexiform and acanthomatous rather then follicular. Conservative treatment was performed 7 cases(30%), radical treatment 11 cases(48%), and combined treatment 5 cases(22%). Follow-up period ranged from 2.1 years to 22 years(mean 5.1 years). Based on the above results, surgical excision after marsupialization was found to be useful as a preliminary treatment of the large cystic ameloblastoma in children and adolescents. On the contrary, the lesion with a soap bubble appearance, the one with ineffective marsupialization was subjected to extensive excision of the tumor with a wide margin of normal bone.

DIAGNOSTIC ACCURACY OF $^{18}F$-FDG IN NODAL NEGATIVE ORAL SQUAMOUS CELL CARCINOMA (구강암 환자에서 경부 임파절 평가에 대한 $^{18}F$-FDG PET(Fluorine 18-Labelled Deoxyglucose Positron Emission Tomography)의 유용성)

  • Choi, Eun-Joo;Kang, Sang-Hoon;Kim, Ki-Ho;Nam, Woong;Kim, Hyung-Jun;Cha, In-Ho
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.33 no.6
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    • pp.597-600
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    • 2007
  • PET is one of the most widely used verification methods for evaluation of metastasis on the lymph nodes of the neck in oral cancer patients. The purpose of this study was to assess the correlation between PET findings and histopathologic findings in patients who had been diagnosed as squamous cell carcinoma and performed neck dissection. Thirty-four necks in 25 patients had been evaluated on pathologic lymph nodes and the data were compared with preoperative PET scan. The sensitivity of PET at the level of the neck was 72.7%, specificity was 60%, and accuracy was 79.2%. Since FDG-PET show high false-positive results, it should be used with other diagnostic tools for evaluation of lymph node metastasis.

FEATURES OF HISTOPATHOLOGIC AND RADIOGRAPHIC FINDINGS IN BISPHOSPHONATE-RELATED OSTEONECROSIS OF JAW-CLINICAL REVIEW (Bisphosphonate-related osteonecrosis of the jaw의 병리조직학적 소견 및 방사선학적 특징에 대한 임상적 고찰)

  • Ohe, Joo-Young;Kwon, Yong-Dae;Kim, Yeo-Gab;Lee, Baek-Soo;Yoon, Byoung-Wook;Choi, Byoung-Jun
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.34 no.5
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    • pp.550-554
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    • 2008
  • Bisphosphonates (BPs) are a class of agent used to treat patient with osteoporosis or malignant bone metastases. BPs can be categorized into 2 groups: nitrogen-containing and non-nitrogen containing. Nitrogen-containing BPs are considered to have more toxicity. Despite their clinical benefits, bisphosphonate-related osteonecrosis of jaw(BRONJ) is a significant complication to patients receveing these drugs. Since the first description of BRONJ in 2003 by Marx, the number of reports on BRONJ has been rapidly increasing. BRONJ is considered as an emerging problem in oral & maxillofacial surgery. Generally, osteonecrosis in the maxilla is rare, however BRONJ is found both in the maxilla and the mandible. This is an important feature of BRONJ compared to common infectious osteomyelitis of the jaw. Growing number of case reports, suggest that bisphosphonate therapy may cause exposed, necrotic bone. BRONJ has simillar features compared to IORN (infected osteoradionecrosis). BRONJ has meaningful features established through the interestigation on histopathologic and radiographic findings. These features have an impact on treatment plan and prognosis. This presentation contemplates on features of histopathologic and radiographic findings in bisphosphonate-related osteonecrosis of the jaw.

Efficacy of panoramic radiography as a screening procedure in dental examination compared with clinical evaluation (구강검진에서 임상검사와 비교한 파노라마방사선사진의 유용성)

  • An, Seo-Young;An, Chang-Hyeon;Choi, Karp-Shik
    • Imaging Science in Dentistry
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    • v.37 no.2
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    • pp.83-86
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    • 2007
  • Purpose : To evaluate the efficacy of panoramic radiography by comparing the results of clinical examination with radiographic findings. Materials and Methods: We studied 190 patients (20 men and 170 women; mean age, 40 years; range, 22 to 68 years) who visited the health promotion center of Korea Medical Science Institute and were examined both clinically and by panoramic radiography. We compared results from both examinations. Treatment options by clinical examination were described as "no treatment indicated", "treatment of dental caries", "removal of calculus", "treatment of periodontal disease", "prothodontic treatment" and "extraction of the third molar". Findings taken from the panoramic radiography were: dental caries, periapical lesion, alveolar bone loss, calculus deposition, retained root, impaction of the third molar, disease of maxillary sinus, bony change of mandibular condyle, etc. Results: The prevalence of panoramic findings were: 37.9% of dental caries, 17.4% of periapical lesions, 44.7% of alveolar bone losses, 62.6% of calculi deposition, 7.9% of retained roots, 26.8% of third molar impactions, 6.3% of diseases of maxillary sinus, 2.1 % of bony changes of mandibular condlye and 35.8% of miscellaneous lesions. Abnormal conditions revealed by panoramic radiography which had not been discovered on clinical examination were: 24.2% of the patients had dental caries, 17.4% had periapical lesions, 7.4% had calculi deposition, 5.3% had retained roots, 15.3% had third molar impactions. The opposite cases were: 5.2% had dental caries, 12.6% had calculi deposition, and 9.5% had third molar impactions. Conclusion: The use of panoramic radiography as a supplement to the clinical examination might be a valuable screening technique.

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