• Title/Summary/Keyword: Oral diagnosis

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Posterior Disk Displacement in the Temporomandibular Joint: A Report of Two Cases

  • Kim, Jihoon;Kim, Moon-Jong;Kho, Hong-Seop
    • Journal of Oral Medicine and Pain
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    • v.41 no.3
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    • pp.137-143
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    • 2016
  • Posterior disk displacement (PDD) of the temporomandibular joint (TMJ) is a rare condition and most descriptions of TMJ PDD are about the adhesion of superior TMJ in which the position of disk is relatively posterior to anteriorly translated condyle in open mouth position. However, there have been reports about truly posteriorly positioned disk to the condyle in closed mouth position. This type of PDD has been classified into three subtypes-thin flat disk type, grossly posterior displaced disk type, and perforated disk type. Here, we report two rare cases of TMJ PDD, one with thin flat disk and one with perforated disk. Its possible etiology, pathogenetic mechanisms, related signs and symptoms, differential diagnoses, and treatments were reviewed and discussed.

A Roentgenographic Study on the Growth and Development of Mandibular Permanent Teeth (하악영구치 발육에 대한 방사선학적 연구)

  • Woo-Cheon Kee;Kwang-Woo Lee;Byung-Kook Kim
    • Journal of Oral Medicine and Pain
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    • v.13 no.1
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    • pp.53-60
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    • 1988
  • The authors have studied the growth and development of mandibular permanent teeth in order to the make basic data that are necessary to determine the forensic age. The 631 subjects whose ages range from 3 years to 18 years were selected to analyze calcification degree of mandibular teeth. The results were as follows: 1. There were significant differences between adjacent ages, except 14-15 years and 17-18 years. 2. In each tooth, these were differences between adjacent ages from 3 years to 10 years, except central incisor and third molars. 3. All teeth were almost completely developed at the age of about 14 years, except second and third molars. 4. In each tooth, there were the widest significances between adjacent ages in premolars.

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Forensic Odontology and DNA Typing in Individual Identification (개인식별에 있어서 법의치과학적 방법과 유전자 검사법의 활용)

  • Shin, Kyoung-Jin;Choi, Jong-Hoon;Kim, Chong-Youl
    • Journal of Oral Medicine and Pain
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    • v.24 no.4
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    • pp.479-487
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    • 1999
  • Forensic odontology and DNA typing in individual identification have been progressing rapidly and its significances has been increasing. But not all individual identification can be done by one single method solely. Therefore, understanding the advantage and disadvantage of each method is necessary to achieve forensic individual identification properly in each case for it to be applied promptly, economically and precisely.

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Preliminary Study on the Age Estimation through a New Scoring System of Tooth Wear

  • Young-Ku Kim;Hyung-Soon Lim;Seung-Ryeul Lee
    • Journal of Oral Medicine and Pain
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    • v.17 no.1
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    • pp.31-39
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    • 1992
  • The authors evaluated the degree of permanent tooth wear in order to make the basic date that are necessary to estimate the age. 10443 teeth of 389 individuals with known age were selected to estimate the degree of tooth wear. The obtained results were as follows : 1. The degree of tooth wear was decreased in males and females with aging. (P<0.001) 2. The degree of tooth wear in males in higher than that of females.(P<0.05) 3. The decision coefficient increased gradually from anterior teeth to posterior teeth.

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Diagnosis of Acute Leukemia from Oral Manifestation

  • Kang, Min-Hye;On, Dohyun;Kim, Jin Woo;Ryu, Jaeyoung
    • Journal of Korean Dental Science
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    • v.11 no.2
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    • pp.82-85
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    • 2018
  • Leukemia is a hematological malignant disease with various clinical symptoms. Due to the fatal nature of the disease, early detection is important. Oral manifestations include ulcers and gingival enlargement with bleeding. Moreover, myeloid sarcoma or opportunistic infections may also occur. This report introduces a 31-year-old male presenting with generalized gingival enlargement with bleeding and another 81-year-old female with neoplasm on the left retromolar area. Both were diagnosed as acute monocytic leukemia. These cases implicate that gingival enlargement or mucosal lesion in the oral cavity may represent underlying systemic diseases. Related to this, it has to be reminded that making timely diagnosis and referral according to the clinical findings is crucial.

Pressure-Pain Thresholds(PPT) of Head and Neck Muscles in Tension-type Headache Patients (긴장성 두통환자의 두경부 압력통각 역치에 관한 연구)

  • Hyung-Suk Kim;Keun-Kook Lee;Sung-Chang Chung
    • Journal of Oral Medicine and Pain
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    • v.17 no.2
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    • pp.19-25
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    • 1992
  • The pressure pain thresholds of head and neck muscles of patients suffering from tensiontype headache220, all female, ages ranged from 13 to 50 years (28.4$\pm$9.6) and 39 healthy controls, all female, ages ranged from 14 to 46 years (24.4$\pm$9.2) were recorded by the electronic algometer (Electyronic Algometer Type I, Somedic, Stockholm, Sweden). And the obtained results were as follows : 1. The pressure pain thresholds of patient group were lower than those of controls in superior sternocleidomastoid muscle, middle sternocleidomastoid muscle, and trapezius insertion muscle (P<0.001) 2. The pressure pain thresholds of patient group were not different from those of controls in anterior temporal, middle temporal, posterior temporal, deep masseter, anterior masseter, inferior masseter, medial pterygoid, posterior digastric, splenius capitus and upper trapezius muscle (P>0.05). 3. Seventy-one percent of tension-type headache patients had more than one muscle, of whicb pressure pain threshold was lowered significantly (less than mean of control - 1.5SD). 4. The pressure pain thresholds of head and neck muscles should be considered as a criterion for the diagnosis of tension-type headache.

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Effect of Chlorhexidine on Causative Microorganisms of Infective Endocarditis in Oral Cavity (Chlorhexidine이 구강내 감염성 심내막염 유발 균주에 미치는 영향)

  • Sung-Woo Lee;Sung-Chang Chung;Young-Ku Kim
    • Journal of Oral Medicine and Pain
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    • v.21 no.1
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    • pp.123-131
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    • 1996
  • Bacteremia occurs in a wide variety of clinical procedures in oral cavity. Reduction of the number of causative microorganisms of infective endocarditis in oral cavity by local administration of antimicrobial agents decreases the magnitude of bacteremia and possibility of infective endocarditis. The effects of chlorhexidine on Streptococcus sanguis, Streptococcus mitis, Streptococcus mutans, Streptococcus oralis, Streptococcus gordonii, Staphylococcus aureus, and Staphylococcus epidermis were investigated by measurement of turbidity. The effects of 0.1% chlorhexidine gargling for 7 days on oral bacterial flora, total streptococci, S. mutans, S. aureus, and S. epidermis in whole saliv a of 7 healthy human subjects, were investigated by measurement of Colony Forming Units (CFU). The obtained results were as follows : 1. Chlorhexidine showed significant antimicrobial effects on Streptococcus snaguis, Streptococcus mitis, Streptococcus mutans, Streptococcus oralis, Streptococcus gordonii, Staphylococcus aureus, and Staphylococcus epidermis. However, the effects on S. sanguis and S. gordonii were not apparent compared with other microorganisms. 2. Oral gargling of 0.1% chlorhexidine decreased the CFU values of normal oral bacterial flora, total streptococci, S. mutans, S. aureus, and S. epidermis in whole saliva. The antimicrobial effects were significant after 4 days of chlorhexidine gargling. 3. Local antimicrobial administration in addition to systemic antibiotic prophylaxis can be highly recommended as an effective adjunct regimen for prevention of infective endocarditis.

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Lymphocytoma cutis: diagnostic enigma for the maxillofacial surgeon

  • Kale, Tejraj P.;Singh, Arjun Gurmeet;Shah, Pushpak
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.42 no.6
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    • pp.379-382
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    • 2016
  • Cutaneous lymphoid hyperplasia (CLH) is a cutaneous pseudolymphoma with a worldwide distribution, equally affecting all races and ethnic groups. Due to its vast array of characteristics, it is most often missed in the differential diagnosis of firm to soft lumps on the head and neck. A systematic approach to the workup and diagnosis along with treatment of such lesions is discussed in this article. A 20-year-old Asian Indian female presented to our Oral and Maxillofacial unit with a lump on the left side of her forehead for 1 month. Local examination revealed a $2.5{\times}3.0cm^2$, well circumscribed swelling over the left para median region that was firm to doughy and non-tender. There was no other significant finding on general examination. Excisional biopsy of the lesion was performed, followed by histopathologic processing. The general etiology, pathogenesis, clinical presentation, differential diagnosis, clinical course, prognosis, treatment, and prevention have been discussed in line with the recent modalities of diagnosis and treatment of CLH. Due to the overlapping clinical and histological characteristics of CLH with many other lesions, it is important to consider this lesion in the differential diagnosis of cutaneous lesions.

Adhesion of Oral Pathogens to Human Submandibular-Sublingual Salivary Proteins (악하선-설하선 혼합타액내 주요 단백질에 대한 구강내 주요 균주의 부착)

  • Lee, Sung-Woo;Chung, Sung-Chang;Kim, Young-Ku;Kho, Hong-Seop
    • Journal of Oral Medicine and Pain
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    • v.24 no.3
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    • pp.235-244
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    • 1999
  • The present study was performed to investigate the binding between salivary proteins(low-molecular-weight mucin;MG2, amylase, proline-rich proteins;PRPs) and oral pathogens(Streptococcus gordonii, Actinomyces viscosus, Staphylococcus aureus) by using solid-phase assay. In the case of transferring proteins to Immobilon-P, S. gordonii binds to MG2. A. viscosus binds to MG2, amylase, and PRPs, and S. aureus binds to MG2 and amylase. On nitrocellulose membrane, S, gordonii and A. viscosus bind to MG2, amylase, and PRPs. S. aureus binds to MG2 and PRPs. However, rabbit anti-A. viscosus antisera and rabbit anti-S. aureus antisera showed cross reactivity to PRPs adsorbed to only nitrocellulose membrane in negative control experiments, which were done without bacterial overlay. The results were different according to the membrane used as solid-phase, which reflected the assay-sensitive nature of binding experiment. PRPs and amylase are known to be components of tooth enamel pellicle. In addition, there was experimental evidence that PRPs and MG2 may covalently bind to oral mucosal epithelium. Considering above facts, the results of the present study can provide information on the interactions between salivary proteins and oral bacteria on tooth and oral mucosal surfaces.

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