• Title/Summary/Keyword: Minimally invasive dentistry

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Minimally Invasive Laser-Assisted Biopsy of the Oral Lesions for Oral Graft-Versus-Host Disease after Hematopoietic Stem-Cell Transplantation (조혈줄기세포이식후 발생한 이식편대숙주병의 구강병소에 대한 최소침습적 레이저조직생검 증례)

  • Kim, Yun-Mi;Yun, Hee-Jung;Kim, Hyun-Sil;Kim, Kee-Deog;Jung, Bock-Young;Pang, Nan-Sim;Park, Won-Se
    • Journal of Oral Medicine and Pain
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    • v.37 no.3
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    • pp.147-154
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    • 2012
  • Hematopoietic stem-cell transplantation (HSCT) is a treatment for immune deficiency, autoimmune diseases, and hematopoietic malignancies. The main complication of allogenic HSCT is graft-versus-host disease (GVHD). Oral mucosal biopsy is needed for a definitive diagnosis and treatment planning of GVHD, but this procedure causes bleeding and bacteremia in a poor general condition. We evaluated the efficacy of laser-assisted biopsy as a minimally invasive treatment. Three cases were described in this article. All patients' medical records, clinical photographs, and histopathologic findings were reviewed. All patients felt comfortable and no severe complications occurred. The quality of the obtained biopsy material was adequate for a definitive diagnosis of GVHD. Laser-assisted, minimally invasive biopsy of the oral mucosa does not cause bleeding, and it reduces the chances of infection, bacteremia, and postoperative scarring compared to the usual histopathologic biopsy procedure. It would thus be advantageous to use this procedure to biopsy GVHD patients.

Minimally invasive treatment for esthetic enhancement of white spot lesion in adjacent tooth

  • Lee, Ji-Hye;Kim, Dae-Gon;Park, Chan-Jin;Cho, Lee-Ra
    • The Journal of Advanced Prosthodontics
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    • v.5 no.3
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    • pp.359-363
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    • 2013
  • This article describes the treatment provided to a patient with the maxillary anterior teeth exhibiting severe secondary caries beneath the previous restoration and a white spot lesion on the adjacent incisor. Two implants were placed after extraction of hopeless teeth with the guided bone regeneration technique. A white spot lesion of the adjacent incisor was treated with minimally invasive treatment. This clinical report describes the multidisciplinary treatment for the white spot lesion and esthetic restoration of missing anterior teeth.

임상가를 위한 특집 3 - Minimally Invasive Approach with Composite Resin

  • Jang, Hui-Seon
    • The Journal of the Korean dental association
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    • v.51 no.11
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    • pp.604-609
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    • 2013
  • Crown fractures are relatively common trauma to anterior teeth, and should be restored immediately in most cases. For those who suffer from unfortunate traumatic episode, the best treatment option should be minimally invasive approach. In the presence of fractured tooth fragment, reattachment procedure creates positive emotional response in the patient and simplifies the procedure and maintenance of the patient's original tooth anatomy and occlusion. Without fractured tooth fragment, next conservative option could be direct composite restoration which is based on minimal invasion concept. This article proposes simple and very conservative techniques that anyone can do in daily practice.

Surgical excision of osteochondroma on mandibular condyle via preauricular approach with zygomatic arch osteotomy

  • Park, Sang-Hoon;An, Jun-Hyeong;Han, Jeong Jun;Jung, Seunggon;Park, Hong-Ju;Oh, Hee-Kyun;Kook, Min-Suk
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.39
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    • pp.32.1-32.5
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    • 2017
  • Background: Osteochondroma is a benign tumor that tends to develop in mandibular condyle and coronoid process in the craniofacial region. If tumor mass has grown from condyle into the infratemporal space with zygomatic arch obstructing the access, there are risks associated with surgical exposure and local resection of these masses. Case presentation: This study reports on a case of osteochondroma on mandibular condylar head where we treated with surgical excision via preauricular approach with 3D analysis. After the local resection, there were no surgical and post-operative complications until 8-month follow-up period. Conclusions: In local excision of osteochondroma, our method is a minimally invasive method. It is a good example of osteochondroma treatment.

Management of dental erosion induced by gastro-esophageal reflux disorder with direct composite veneering aided by a flexible splint matrix

  • Chockattu, Sherin Jose;Deepak, Byathnal Suryakant;Sood, Anubhav;Niranjan, Nandini T.;Jayasheel, Arun;Goud, Mallikarjun K.
    • Restorative Dentistry and Endodontics
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    • v.43 no.1
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    • pp.13.1-13.7
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    • 2018
  • Dental erosion is frequently overlooked in clinical practice. The management of erosion-induced damage to the dentition is often delayed, such that extensive occlusal rehabilitation is required. These cases can be diagnosed by a careful clinical examination and a thorough review of the patient's medical history and/or lifestyle habits. This case report presents the diagnosis, categorization, and management of a case of gastro-esophageal reflux disease-induced palatal erosion of the maxillary teeth. The early management of such cases is of utmost importance to delay or prevent the progression of damage both to the dentition and to occlusal stability. Non-invasive adhesively bonded restorations aid in achieving this goal.

Anatomic Description of the Infraorbital Soft Tissues by Three-dimensional Scanning System

  • Peralta, Alonso Andres Hormazabal;Choi, You-Jin;Hu, Hyewon;Hu, Kyung-Seok;Kim, Hee-Jin
    • Journal of Korean Dental Science
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    • v.14 no.2
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    • pp.101-109
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    • 2021
  • Purpose: For minimally invasive procedures, three-dimensional (3D) anatomical knowledge of the structures of the face is essential. This study aimed to describe the thickness of the skin and subcutaneous tissue and depths of the facial muscles located in the infraorbital region using a 3D scanner to provide critical clinical anatomical guidelines for improving minimally invasive cosmetic procedures. Materials and Methods: The 3D scanning images of 38 Korean cadavers (22 males and 16 females; age range: 51~94 years at the time of death) were analyzed. Eight facial landmarks (P1~P8) were marked on the cadaveric faces. The images were scanned in three steps-undissected face, hemiface after skinning, and revealing the facial muscles. Student's t-test was used to identify significant differences. Result: The skin and subcutaneous tissue tended to become thicker from the upper to lower and medial to lateral aspects, and the muscles followed the same pattern as that of the most superficial located muscle and the deepest located muscles. No significant sex-related differences were found in the skin at any landmark. However, the muscles tended to be deeper in the female participants. Conclusion: The study data can serve as a basis for creating or enhancing clinical anatomy-based guidelines or improving procedures in the infraorbital region.

A New Orthodontic Appliance for Rapid Anterior Alignment in Adults; Mini-Tube Appliance (MTA) (성인 전치부 부분교정을 위한 새로운 교정장치 MTA의 이용)

  • Hwang, Hyeon-Shik;Jeon, Hyun-Ran;Kim, Seok-Pil;Kim, Wang-Sik;Lee, Gye-Hyeong
    • The Journal of the Korean dental association
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    • v.49 no.7
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    • pp.398-409
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    • 2011
  • With an increase of public's perception on "minimally invasive dentistry", more patients are demanding orthodontic alignment of anterior teeth rather than restorative treatment which is more invasive. One draw back of orthodontic alignment has been that it takes long time. To overcome this limitation, a new orthodontic device named Mini-Tube Appliance (MTA), have been developed. With the combined use of light NiTi wire and inter-proximal stripping, rapid anterior alignment can be obtained efficiently. This article presents the use of MTA for rapid alignment of anterior teeth and its clinical guidelines with typical case samples.

THE STAINLESS STEEL CROWN RESTORATION OF CARIOUS PRIMARY MOLARS WITH HALL TECHNIQUE : A CASE REPORT (Hall technique을 이용한 우식 유구치의 기성 금속관 수복 : 증례보고)

  • Yu, Seong-Goo;Jeong, Tae-Sung;Kim, Shin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.39 no.2
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    • pp.199-205
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    • 2012
  • Although the stainless steel crowns have been recognized as the most effective and durable form of restoration for primary molars, they have been regarded by many dentists as having definite demerits such as invasive nature of procedural complexity and behavioral aspects of children. As an alternative to conventional technique of stainless steel crown restoration, the Hall technique was first introduced in 1988, which is characterized by just pushing the pre-contoured, cement filled crown form onto the abutment molar with no local anesthesia, no caries removal, no tooth preparation. According to several reports, this can slow, arrest, or even reverse the progress of caries. In addition, its atraumatic feature gives less discomfort and stress to children than conventional one, which is thought excellent especially in younger children. Also, It has been reported to be effective and acceptable to dentist, child patients and their parents. In this case study, three children with age of 4 years 5 months, 4 years 10 months, 6 years 4 months were treated with stainless steel crowns using Hall technique on first primary molar respectively. The teeth were free from pulpal, periapical pathology. After follow up of about 3 to 6 months period, the results showed clinically successful outcomes without any marked complication in pulp, tooth or soft tissue till now. But, it should be kept in mind that this technique is not proper to every child, every carious molar, or every dentist. Thorough distinction of indicated cases and continuous follow-up check is highly required. Conclusively, Hall technique might be an effective and realistic minimally invasive alternative for the carious primary molars especially in younger or disabled children, despite potential doubts on its efficacy and some definite limitations.

Fiber-reinforced composite resin bridges: an alternative method to treat root-fractured teeth

  • Heo, Gun;Lee, Eun-Hye;Kim, Jin-Woo;Cho, Kyung-Mo;Park, Se-Hee
    • Restorative Dentistry and Endodontics
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    • v.45 no.1
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    • pp.8.1-8.9
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    • 2020
  • The replacement of missing teeth, especially in the anterior region, is an essential part of dental practice. Fiber-reinforced composite resin bridges are a conservative alternative to conventional fixed dental prostheses or implants. It is a minimally invasive, reversible technique that can be completed in a single visit. The two cases presented herein exemplify the treatment of root-fractured anterior teeth with a natural pontic immediately after extraction.

Minimally Invasive Marsupialization for Treating Odontogenic Cysts: Case Reports (최소 침습적 조대술을 이용한 치성낭종의 치료 증례 보고)

  • Ryu, Jiyeon;Shin, Teo Jeon;Hyun, Hong-Keun;Kim, Youngjae;Kim, Jungwook;Kim, Chong-Chul;Jang, Ki-Taeg;Lee, Sang-Hoon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.44 no.2
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    • pp.235-242
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    • 2017
  • Marsupialization and decompression constitute a well-established procedure for treating cavitary bone lesions of the jaw. The technique can be a primary treatment option, especially for pediatric patients with large cysts or lesions involving vital anatomical structures, such as a developing tooth germ. In this procedure, a decompression stent, such as a customized acrylic obturator or space-maintaining appliance, silicone tube, or nasal cannula, is inserted to maintain the patency of the cyst. However, this may cause clinical problems, such as irritation or trauma to the adjacent tissues, as well as discomfort to the patient, or failure of the stent due to cyst shrinkage. It can also be a reason for patient noncompliance. In the cases described here, a minimally invasive marsupialization technique using a metal tube made from a 16-gauge needle was used for odontogenic cysts in pediatric patients associated with unerupted teeth. Through this method, the lesions were removed, with patient cooperation, and the cyst-associated teeth erupted spontaneously.