• Title/Summary/Keyword: Oral State

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Ossifying fibroma in the maxilla and orbital floor: report of an uncommon case

  • Macedo, Diogo de Vasconcelos;Ferreira, Gabriely;Vieira, Eduardo Hochuli;Monnazzi, Marcelo Silva
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.46 no.3
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    • pp.204-207
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    • 2020
  • Benign fibro-osseous lesions occur when normal bone is replaced by cellular fibrous connective tissue and mineralized structures. One rare type of these lesions is the ossifying fibroma (OF). The aim of this study is to report an unusual case of OF in a 57-year-old female. Physical examination showed facial asymmetry without any tenderness, fluctuation, ocular pain, or ophthalmoplegia. Imaging exams revealed a solid mass involving the left maxilla and orbital floor. Surgical resection was performed without any complications or sequelae, and the histopathological results confirmed OF. Although recurrence is rare in this condition, the patient remains under follow-up.

The Effect of Disease-related Characteristics and Oral Health State on Oral Health-related Quality of Life in the Elderly with Hypertension (고혈압 노인의 질병관련 특성과 구강건강상태가 구강건강관련 삶의 질에 미치는 영향)

  • Jung, Yunkyoung;Yoo, Eunyoung
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.6
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    • pp.505-514
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    • 2022
  • The Purpose of this study was to identify the influencing factors of oral health state and oral health-related quality of life in the elderly with hypertension. Data was collected from 108 elderly with hypertension registered at public health centers in K city, from January-February, 2020. The collected data was analyzed by using chi-square test, t-test, Pearson's correlation coefficient, stepwise regression of the SPSS 22.0 program. The positive factors influencing the oral health-related quality of life are subjective health status(β=.351, p=.002), BMI(β=.271, p=.024), age(β=-.260, p=.028) and it was explained to 46.0% of the variance. In other words, the higher subjective health status, the higher body mass index, the younger age make the higher oral health-related quality of life. Based on these results, education on the importance of maintaining oral health is necessary to improve the quality of life related to oral health in the elderly with hypertension.

Bilaterality of Internal Derangements of Temporomandibular joint (악관절 내장의 양측성)

  • Choi, Hyung-Sik;Chang, Duk-Soo;Lee, Dong-Soo;Kwon, Chil-Sung;Lee, Sung-Il;Jung, In-Won;Kim, Pan-Sik
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.11 no.1
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    • pp.221-225
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    • 1989
  • Arthrography is one of highly accurate diagnostic tools for internal derangements of the temporomandibular joint (TMJ). Both TM joints are connected by the mandible and one may have influence upon the other. We performed bilateral TMJ arthrograms in 42 patients with TMJ disorders to evaluate the bilaterality of internal derangements of the TMJ. The results were as follows : 1. We could not find any specificity in clinical symptoms according to each state of internal derangements of the TMJ. 2. The bilaterality of internal derangements of the TMJ was 61%. 3. Statistically, significant correlation was found in the aspects of the presence of arthrographic abnormality in both TMJ and each state of internal derangements in them. Therefore, the patients, who are diagnosed as any internal derangement of the TMJ, need to have assured examination in the contralateral joint.

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THE DETECTABILITY OF BONE LOSS IN THE BIFURCATION OF MANDIBULAR MOLARS ON PERIAPICAL RADIOGRAPHS AND DIGITAL IMAGES: AN EXPERIMENTAL STUDY (방사선 사진과 디지털 영상에서 실험적 치근 이개부 병소의 감지도에 관한 연구)

  • Lee Geon-Il;You Hyung-Keun;Shin Hyung-Shik
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.25 no.1
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    • pp.99-107
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    • 1995
  • The aim of this study was to evaluate clinician's detectability in the diagnosis of bone loss in the bifurcation of mandibular molars on periapical radiographs and Digital images. Periapical radiographs were obtained of the first molars in 2 dry mandibles after preparation of bony defects corresponding to degree I, degree II and degree III buccal furcation involvements. The radiographs were randomly presented to 39 clinicians(1 oral radiologist, 4 periodontist, 34 general dentists) who were asked to determine the presence or absence of bone loss. Periapical films were digitized with a TV camera. Digital images were assessed by 15 clinicians(1 oral radiologist, 4 periodontist, 10 general dentists). I. the overall diagnostic accuracy of Digital images for detection of bone loss in the bifurcation of mandibular molars was higher than that of the periapical radiographs. 2. the largest increase in diagnostic accuracy was found between lesion grade II and III on both radiographs and Digital images(P<0.05). 3. there was no significant difference between the standard state and the controlled contrast state on Digital images. 4. the overall diagnostic accuracy of I radiologist and 4 periodontists was better than that of the general dentists for detecting bifurcation involvements.

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A STUDY ON THE PREVALENCE AND INTRA-ORAL DISTRIBUTION OF CANDIDA ALBICANS (캔디다 알비칸스의 구강내 빈도 및 분포도에 관한 연구)

  • Lee, Cheol-Gyu;Kim, Chang-Whe
    • The Journal of Korean Academy of Prosthodontics
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    • v.24 no.1
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    • pp.91-103
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    • 1986
  • Using imprint cultures and epithelial smears, the density and prevalence of colonization of oral mucosal sites and denture surfaces by Candida albicans has been determined in 28 healthy dentate subjects and 20 denture wearers. With questionnaire, oral and denture examination, the relationship between the carrier rates and several factors; DMFT, oral hygiene index, salivary pH & denture plaque score were studied. But these factors have not significant relationship to the carrier rates. Imprint culture appears to be sensitive technique for detecting candidal carriers and be useful for distinguishing between the healthy carrier state and candidal infection. Cigarette smokers had a significantly increased carrier state (P<0.05) compared with nonsmoker in male dentate subjects. Female were more frequent carriers than male in dentate and denture group, but these differences were not significant. In denture wearers, there was a higher density and frequency of candidal colonization of all mucosal sites sampled, compared with that of healthy dentate group especially anterior palate and posterior palate showed highly significant differences in frequency of candidal colonization (P<0.05). The distribution of Candida albicans is not uniform throughout the mouth. The tongue in the healthy dentate subjects and the impression surfaces of upper dentures are the primary oral reservoirs for the fungus. Overnight wearing of dentures was associated with increased density and frequency of candidal colonization and density.

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Relationship between oral-related knowledge and OHIP (Oral Health Impact Profile) in some high school students (일부 고등학생들의 구강관련지식과 구강건강영향지수와의 관계)

  • Lee, Sun-Mi;Kim, Eun-Ju;Lee, Duck-Hye
    • Journal of Korean society of Dental Hygiene
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    • v.10 no.5
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    • pp.877-885
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    • 2010
  • Objectives : This study was carried out with the aim of utilizing it as basic data in a plan for oral health promotion by analyzing oral-health awareness in high school students of some districts in our country, and by analyzing physical, mental and social influential factors in oral health, through using OHIP(Oral Health Impact Profile). Methods : It surveyed by carrying out self-administered questionnaire research targeting 536 boy & girl high school students in the 1st and the 2nd grade at 3 high schools in some districts of Gyeonggi Province. Results : 1. As for experience of having not visited dental clinic, a case of having not visited accounted for 32.5%. On the other hand, a case of having visited accounted for 67.5%. As for the appearance of oral health education, only 2.8% responded as saying of having experience. 97.2% responded as saying of having not taken oral health education. 2. As for oral health state perceived by oneself, the response as saying of 'thinking it to be healthy' and that 'there is something wrong' showed the distribution of 34.1% that is the same ratio. As for oral health interest, a case of having a little interest(58.4%) or of being so much interested(12.5%) showed 70.9%. A case of having no special interest(24.8%) or of having no interest at all(4.3%) showed the level of 29.1%.3. As for oral health knowledge, the toothbrushing knowledge was the highest with 4.54 marks out of 6-point perfection. The toothbrush knowledge(4-point perfection) showed low point with 2.05 marks. 4. By gender, a case of men was high in OHIP(Oral Health Impact Profile) for the functional restriction and physical pain. On the other hand, in the remaining sphere, women were indicated to be high in OHIP. The statistically significant difference was indicated in the spheres such as physical pain, psychological discomfort, a drop in psychological ability, a drop in social ability, and social separation. 5. According to oral health state perceived by oneself, a case of thinking it to be healthy was indicated to be high in OHIP for every sphere. A case of thinking it to have gum disease was indicated to be low in OHIP for every sphere. The statistically significant difference was indicated in every sphere except the sphere of functional restriction. 6. As for a factor of having influence upon OHIP according to oral health knowledge, it was indicated that the higher toothbrush knowledge leads to having more influence upon OHIP. Conclusions : It could be known that the oral health knowledge and OHIP are varied as well according to the oral health interest level. Also, the oral health education proper for subjects is not being performed. Even as for frequency of visiting the dentist, a regular visit is failing to be made. In consideration of these points, the diversified and effective educational program is likely considered to be necessarily developed and improved that subjects can have more interest in oral health.

A study on Oral Health Assessment Index (GOHAI) and life satisfaction of the state of oral health project of the elderly in Jeonbuk Korea (전북 일부 지역 노인구강보건사업 실태와 노인구강건강평가지수 및 삶의 만족도에 관한 연구)

  • Park, Chung-Soon;Han, Ye-Seul
    • Journal of Korean society of Dental Hygiene
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    • v.17 no.4
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    • pp.555-564
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    • 2017
  • Objectives: The purpose of the study is to investigate the oral health assessment and satisfaction according to recognition and beneficiary oral health projects for oral health promotion of the elderly. Methods: The subjects were elderly over 65 years old in Jeonbuk province. The study instrument was structured questionnaire including general characteristics, oral care condition, recognition of project, satisfaction of project, geriatric oral health assessment index, life satisfaction. For data analysis, the study used independent t-test, one way ANOVA and Pearson correlation analysis. Results: The subjects of this study were well aware of the perceived health status of oral health projects. Satisfaction scaling project was the highest in the satisfaction of the received projects. People who recognized the oral health project had a high oral health assessment index. People who benefit from oral health project showed higher satisfaction in life. Conclusions: As for the elderly's perception on oral health care, they showed higher oral health assessment index and life satisfaction.

A study on the dental knowledge and awareness of special education teachers (일부 특수학교 교사의 구강보건지식, 행태, 인식도에 관한 연구)

  • Jang, Sun-Ju;Kim, Hye-Jin
    • Journal of Korean society of Dental Hygiene
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    • v.13 no.1
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    • pp.38-44
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    • 2013
  • Objectives : This study is to dental knowledge and awareness of special education teachers. Methods : This study is conducted with a total of 244 special education teachers in Dae Gu, Gyeong Buk, Gyeong Nam, Bu San city from 1st April to 30th April, 2011. Results : More healthy state of oral health reflected higher point of oral health behavior. In the correlation among the oral health knowledge, behavior and education, higher oral health knowledge reflected higher oral health behavior. In the obstacle factors against oral health education, 41.0% was in the lack of professionalism and understanding of oral health education. The majority method for oral health education was regular teaching and the oral health in charge of education was school nurse 67.1%. The most important point for improvement for oral health class enabled was oral health recognition of teachers about the importance of education. Conclusions : For improving the oral health of the disabled, it is needed to develop the educational program or awareness of oral health monitoring like applying fluorine by special education teachers and parents, including the necessity of various oral health education development suitable for the special education school to make awareness in the importance and necessity of oral health.

Effect of irradiation on the temporomandibular joint in streptozotocin-induced diabetic rat (방사선조사가 당뇨 백서의 측두하악관절에 미치는 영향)

  • Ahn Ki-Dong;Hwang Eui-Hwan;Lee Sang-Rae
    • Imaging Science in Dentistry
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    • v.34 no.2
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    • pp.81-89
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    • 2004
  • Purpose: To investigate the histopathological changes in the temporomandibular joint in streptozotocin-induced diabetic rat following irradiation. Materials and Methods : Sprague-Dawley rats weighing about 250 gm were divided into three groups: control, diabetic, and diabetic-irradiated groups. Diabetes mellitus was induced in the rats by injecting streptozotocin. Rats in the control group were injected with citrate buffer only. After 5 days, the head and neck region of the rats in diabetic-irradiated group were irradiated with single absorbed dose of 10 Gy. The rats were killed at 1, 3, 7, 14, 21, and 28 days after irradiation. The specimen including the temporomandibular joint were sectioned and observed using a histopathological method. Results : In the diabetic group, severe bone resorption in the mandibular condyle was observed throughout the period of experiment. Necrosis of bone marrow and trabeculae was observed at 28 days after diabetic state. Atrophy and fibrosis in the retrodisca] tissue was gradually progressed during the time of the experiment. In the diabetic-irradiated group, severe bone resorption in the mandibular condyle was observed during the early experimental phases, but regeneration of bone marrow was initiated at ]4 days after diabetic state and irradiation. A]so, calcification of abnormal trabeculae was observed at 28 days after diabetic state and irradiation. The retrodisca] tissue was degenerated in the early experimental phases, but it had been gradually regenerated during the experimental time. Conclusion: This experiment suggests that bone resorption and degeneration in the mandibular condyle are caused by the induction of diabetes, and abnormal bone formation is induced after irradiation in diabetic state.

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Effects of pain catastrophizing and anxiety on analgesic use after surgical removal of impacted mandibular third molars

  • Altan, Ahmet;Akkoc, Sumeyra;Erdil, Aras;Colak, Sefa;Demir, Osman;Altan, Halenur
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.19 no.6
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    • pp.379-388
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    • 2019
  • Background: In dentistry, pain is a factor that negatively affects treatments and drug use. The aim of this study was to evaluate the correlations of the postoperative analgesic use with pain catastrophizing and anxiety in patients who underwent removal of an impacted mandibular third molar. Methods: We recruited 92 patients who underwent the extraction of impacted mandibular third molar. In this study, the Pederson index was used to preoperatively determine the difficulty of surgical extraction. Patients were asked to note the number of analgesics used for 7 postoperative days. Patients were divided into two groups based on the Pain Catastrophizing Scale: low and high score groups. State-Trait Anxiety Inventory-trait and State-Trait Anxiety Inventory-state questionnaires were used to determine the anxiety levels of the patients. The obtained data were examined to evaluate the correlations of pain catastrophizing and anxiety with the postoperative analgesic use. Results: In this study, 92 patients, including 60 women and 32 men, were recruited. The analgesic use was higher in women than in men but with no significant difference (P > 0.05). Pain Catastrophizing Scale scores were higher in women than in men but with no significant difference (P > 0.05). The analgesic use was higher in patients with high pain catastrophizing than in those with low pain catastrophizing but with no significant difference (P > 0.05). State-Trait Anxiety Inventory-trait scores were higher in women than in men but with no significant difference. However, state-Trait Anxiety Inventory-state scores were significantly higher in women than in men (P < 0.05). Conclusion: The postoperative analgesic use may be higher in patients who catastrophize pain than in others. Knowing the patient's catastrophic characteristics preoperatively would contribute to successful pain management and appropriate drug selection.