• Title/Summary/Keyword: Extraoral

Search Result 131, Processing Time 0.03 seconds

Atrophic Alveolar Ridge Augmentation using Autogenous Block Bone Graft for Implant Placement (임플란트 식립을 위해 블록형 자가골이식을 이용한 퇴축된 치조골의 재건)

  • Chee, Young-Deok;Cho, Jin-Hyoung
    • Journal of Dental Rehabilitation and Applied Science
    • /
    • v.22 no.2
    • /
    • pp.161-171
    • /
    • 2006
  • Endosseous implants have restored normal function and dental health to many patients. When implants were introduced as an effective treatment modality, their efficacy was limited by the amount of available bone. Today, various grafting procedures can surgically create bone width and volume. Implants can be placed in more ideal locations for successful prosthetic reconstruction. The use of autogenous bone grafts represents the "gold standard" for bone augmentation procedures. Either intraoral or extraoral sites may be considered for donor sites. Alveolar ridge augmentation using autogenous bone block, can be done during implant placement or staged with implant placement, after bone graft healing. In the staged technique, a better implant positioning and the use of wide diameter implants are possible. Alveolar ridge augmentation using autogenous block graft is a predictable way of treatment, for the atrophic alveolar ridge before implant placement. The cases presented in this article clinically demonstrate the efficacy of using a autogenous block graft in generating effective new bone fill for dental implant placement.

A STUDY ON THE FACTORS ASSOCIATED WITH COMPLIANCES OF ORTHDONTIC PATIENT (교정환자의 장치 순응도와 관련된 요인들의 조사연구)

  • Han, Eun-Joo;Ryu, Young-Kyu
    • The korean journal of orthodontics
    • /
    • v.23 no.4 s.43
    • /
    • pp.735-743
    • /
    • 1993
  • In orthodontic field, although lots of new materials have been developed and many mechanics intro duced, we can face the case patient cooperation still remain a problem to solve. So, factors related to the compliance of 254 adolescent orthodontic patients using intraoral elastic or extraoral orthopedic appliances were under investigation. The study subjects were 11 to 18 years old and from 5 exclusive orthodontitc clinics in seoul. The subjects were asked to fill a questionnaire and compliances were evaluated by their assigned orthodontists. The questionnaire was consisted of 63 questions, and they represent 13 factors-7 psychological & 6 nonpsychological fators. The collected data were analyzed using ANOVA test between the compliance group and the factors. 1. The compliances were evenly distributed in both sex and age groups. 2. As a whole, it was found that the Attitude towards appliances ffactor affected the degree of compliance. 3. Besides that, in younger(11-12) age group, Pain and discomfort associated with treatment factor was also found to be related to the degree of compliance. 4. On the contrary, in older(16-18) age group, the degree of compliance was influenced by the factor of Achievement motivation, Role expectation, parental relationship.

  • PDF

Ankylosing Spondylitis Associated with Bilateral TMJ Ankylosis (강직성 척추염에 수반된 양측성 측두하악관절 강직)

  • Song Ju-Seop;Koh Kwang-Joon
    • Imaging Science in Dentistry
    • /
    • v.30 no.3
    • /
    • pp.217-222
    • /
    • 2000
  • A 31-year-old male with the complaint of severe limitation of mouth opening was referred to our department of Chonbuk National University Hospital. The physical status of the patient was hyposthenic. Extraoral examination showed no condylar movement of the both temporomandibular joints, no pain, no facial swelling or paresthesia. Intraoral examination showed several cervical caries on the upper anterior teeth, and gingival swelling on the whole dentition. Transcranial view showed no condylar movement, and narrowing of joint spaces. Chest P-A view showed straightening of thoracic, lumbar spine, and squaring of vertebrae of the same spines. Conventional lateral radiograph of cervical spine showed calcification of the intervertebral ligament. Computed tomograph showed extensive bone formation between temporal bone and the condylar head at both sides. Laboratory findings showed positive reaction on HLA-B27 histocompatibility antigen and increased level of IgA, IgG, ESR. Based on the clinical, radiographic, and the laboratary findings, final diagnosis was made as bony ankylosis of the both temporomandibular joints secondary to ankylosing spondylitis.

  • PDF

Masticator space abscess in a 47-day-old infant

  • Kim, Eun-Hee;Jeon, Ju-Hee;Shim, Yoon-Hee;Lee, Kyu-Seok;Kim, So-Young;Kim, Eun-Ryoung
    • Clinical and Experimental Pediatrics
    • /
    • v.54 no.8
    • /
    • pp.350-353
    • /
    • 2011
  • A 47-day-old male infant presented with fever, poor oral intake, irritability, and right-sided bluish buccal swelling. Contrast-enhanced computed tomography of the neck showed a round mass lesion of about $2.0{\times}1.5cm$ that suggested abscess formation in the right masticator space. Ultrasound-guided extraoral aspiration of the abscess at the right masseter muscle was successful. Staphylococcus aureus was identified in the culture from the aspirated pus and blood. Appropriate antibiotics were given and the patient recovered. The patient underwent follow-up ultrasonography that showed an improved state of the previously observed right masseter muscle swelling at about 1 month after hospital discharge. A masticator space abscess usually originates from an odontogenic infection in adults. We report a case of masticator space abscess in a 47-day-old infant in whom septicemia without odontogenic infection was suspected.

A Case of Mandibular Prognathism Treated by Oblique Osteotomy (사선골절단술에 의한 하악 전돌증의 치험례)

  • Choie, Mok-Kyun;Bae, Chang;Lee, Bong-Won
    • The Journal of the Korean dental association
    • /
    • v.17 no.2 s.117
    • /
    • pp.129-135
    • /
    • 1979
  • This 27 year-old male patient had severe mandibular prognathism (right and left mesio-occlusion were 0.4㎝ and 1.2㎝ , respectively). He had good oral health relatively exception of missing teeth. We examined all of his oral and skeletal status with full mouth x-ray taking, study model, and cephalogram. His general condition was good but above examination indicated the surgical operation for the mandibular prognathism. His laboratory tests were within normal limits. We determined surgical operation which was done by extraoral approach bilaterally. Incisions were made bilaterally 1.5㎝ beneath the inferior border of the mandible in the selected area and then the inferior border of the ascending rami was exposed. Retracting the periosteum to the lingual and buccal a slight amount, the cut in the bone was performed by use of bone drill. Avoiding T.M.J. troubles, the proximal segmant was not fixed to anterior segment, being in overlapping state buccally, in order to expect a natural healing by the environmental muscles and ligaments. We had immobilization with intermaxillary fixation by using the multiple Stout's method. He was discharged 17 days after operation. His general condition and operation results were good and satisfactory.

  • PDF

IMMEDIATE RECONSTRUCTION USING VERTICAL RAMUS OSTEOTOMY AND BONE SLIDNG AFTER CONDYLECTOMY DUE TO OSTEOCHONDROMA: A CASE REPORT (골연골종으로 인한 과두절제 후 하악지 수직 골절단술 및 bone sliding을 통한 즉시 재건: 증례보고)

  • Jang, Ji-Young;Oh, Jae-Kyung;Cha, Du-Won;Baek, Sang-Heum
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • v.29 no.3
    • /
    • pp.233-240
    • /
    • 2007
  • Osteochondroma is a common benign tumor of the axial skeleton, especially the distal metaphysis of the femur and proximal metaphysis of the tibia. However, it occurred rarely on the facial skeleton. The coronoid and condylar processes have been considered to be the most common sites of occurrence for osteochondroma of the facial skeleton. The first treatment of osteochondroma is condylectomy, whereas extirpation was done by excision with condyle salvage. Condylectomy presents decrease of vertical dimension, jaw deviation, malocclusion. So, reconstruction is need. Methods of reconstruction are as follows: no reconstruction, condyloplasty, discectomy, costochondral graft, discplication or coronoidectomy, eminoplasty, alloplastic spacer placement, Le Fort I level maxillary osteotomy, extraoral and intraoral vertical ramus osteotomy. This is a case report of a 28-year old woman who had facial asymmetry, malocclusion and temporomandibular joint pain. We obtained moderate functional and cosmetic results with surgical removal of the osteochondroma by condylectomy and concomitant reconstruction of condyle by vertical ramus osteotomy with sliding technique.

Common positioning errors in panoramic radiography: A review

  • Rondon, Rafael Henrique Nunes;Pereira, Yamba Carla Lara;do Nascimento, Glauce Crivelaro
    • Imaging Science in Dentistry
    • /
    • v.44 no.1
    • /
    • pp.1-6
    • /
    • 2014
  • Professionals performing radiographic examinations are responsible for maintaining optimal image quality for accurate diagnoses. These professionals must competently execute techniques such as film manipulation and processing to minimize patient exposure to radiation. Improper performance by the professional and/or patient may result in a radiographic image of unsatisfactory quality that can also lead to a misdiagnosis and the development of an inadequate treatment plan. Currently, the most commonly performed extraoral examination is panoramic radiography. The invention of panoramic radiography has resulted in improvements in image quality with decreased exposure to radiation and at a low cost. However, this technique requires careful, accurate positioning of the patient's teeth and surrounding maxillofacial bone structure within the focal trough. Therefore, we reviewed the literature for the most common types of positioning errors in panoramic radiography to suggest the correct techniques. We would also discuss how to determine if the most common positioning errors occurred in panoramic radiography, such as in the positioning of the patient's head, tongue, chin, or body.

Ghost cell odontogenic carcinoma on right mandible and its respective surgical reconstruction: a case report

  • Park, Sang Yoon;Park, Joonhyoung;Kwon, Do Hyun;Jeon, Jae ho;Kim, Soung Min;Myoung, Hoon;Lee, Jong Ho
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • v.43 no.6
    • /
    • pp.415-422
    • /
    • 2017
  • Calcifying cystic odontogenic tumor (CCOT) is defined as an odontogenic cyst-like benign neoplasm that characteristically contains several ghost cells, ameloblastoma-like epithelium, and occasional calcification. Ghost cell odontogenic carcinoma (GCOC), a malignant form of CCOT, is an exceptionally rare malignant tumor. In this report, we present a case of a 53-year-old man whose chief complaint was a solitary mass on the right mandible area. The mass was completely removed through an extraoral surgical approach and reconstructive surgery was performed in two phases.

A Case of an Isolated Peripheral Giant Cell Granuloma in the Parotid Gland (이하선에 고립되어 발생한 말초 거대세포 육아종 1예)

  • Kim, Soo Jin;Yun, Ju Hyun;Park, Sohl;Kim, Han Su
    • Korean Journal of Head & Neck Oncology
    • /
    • v.35 no.2
    • /
    • pp.39-43
    • /
    • 2019
  • Peripheral giant cell granuloma (PGCG) is an benign non-neoplastic lesion most commonly occurring in oral cavity but extraoral PGCG is extremely rare. Recently, we experienced a case of an isolated PGCG in the parotid gland in 59-year-old man. FNAB findings and radiologic findings including CT and US were suggestive of Warthin's tumor. Partial parotidectomy was performed. Pathologic findings showed fibrillar connective tissue stroma with spindled, ovoid, and round histiocytes-like cells mixed with uneven multinuclear giant cells, small capillaries, hemorrhage, hemosiderin-laden macrophages, and necrosis which were consistent with giant cell granuloma. We report a case of an PGCG in parotid with a review of literature.

A COMPARATIVE STUDY OF ANATOMIC STRUCTURES ON THE PANORAMIC RADIOGRAPH AND SOME EXTRAORAL RADIOGRAPHS (파노라마방사선사진상과 구외방사선사진상에서의 해부학적 구조에 관한 비교연구)

  • Lee Dong Kyu;Kim Han Pyoung
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
    • /
    • v.14 no.1
    • /
    • pp.71-80
    • /
    • 1984
  • The author has studied each landmark for successful interpretation in the radiograph of the head that have the complex anatomic structures, using panoramic radiograph, postero-anterior cephalometric radiograph, lateral cephalometric radiograph, Waters' radiograph of the skull. The anatomic structures of the human dry skull attached by radiopaque materials were taken radiographs and analysed comparatively. The results were as follows: 1. The overall anatomic structures of the mandible showed sharp images in the panoramic radiograph than other radiographs with relatively less distortion, superimposition, blurring of the image. 2. The anatomic structures were situated on sagital plane of the skull showed blurred images in panoramic radiograph than other radiographs. 3. The anatomic structures which were situated on the basal portion of the skull showed blurred and secondary images in the panoramic radiograph than other radiographs. 4. In the panoramic radiograph, the lower 3rd portion of the orbit appeared to be superimposed with the superior portion of the maxillary sinus and the medial and lateral surface of the nasal cavity showed extensively superimposition of the orbit and the maxillary sinus, which images showed blurring. 5. The inferior surface and posterior surface of maxillary sinus showed to be good image in the panoramic radiograph than other radiographs. 6. In the panoramic radiograph, line of maxillary bone between lateral pterygoid plate, line of maxillary bone between zygomatic bone showed distinct image with another structures.

  • PDF