• 대한치과의사협회지
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• 제15권2호
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• pp.121-124
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• 1977

The most common and the most serious complication of the burn is infection, which is to a certain extent inevitable in the light of present knowledge and experience. From the burn wound as a rule there may be cultured at any given time the prevailing flora of the individual patient and of the hospital attendants and ward environ ment. Even without contamination from outside sources, organisms embedded in hair follicles and sweat glands survive the sterilizing effects of heat and serve as potential sources of localized and systemic infection. With necrotic tissue serving as nutrient material for pathogens there may occur, in succession, cellulitis, extending necrosis, lymphangitis and final septicemia. This is to report a case of osteomyelitis due to facial burn of 32 year old Korean male. The authors treated the patient by curettage and thin split thickness skin graft. The post operative course was uncomplicated and result was excellent.

• 한국치위생학회지
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• 제24권2호
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• pp.131-139
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• 2024

Objectives: Oral bacterial samples included subgingival, supragingival, and saliva plaques. As the diversity and number of microorganisms deffer depending on the area of the oral cavity and the method used, an appropriate and reliable collection method is important. The present study investigated oral bacterial sampling methods. Methods: Supragingival dental plaque was collected from the buccal and lingual tooth surfaces of study participants using sterilized cotton swabs. Plaques were collected from the subgingival area using a sterilized curette. Bacterial genomic DNA was extracted using MagNA Pure 96 DNA and Viral NA low-volume kits. Real-time polymerase chain reaction (PCR) was performed using the PowerCheck^TM Periodontitis Pathogens Multiplex Real-time PCR kit. Results: Aggregatibacter actinomycetemcomitans, Prevotella intermedia, and Fusobacterium nucleatum of the orange complex were not observed in the subgingival biofilms of all study participants. For Porphyromonas. gingivalis, a significant correlation was observed between supragingival, subgingival, and total tooth surface biofilms. Compared to the supragingival and subgingival biofilmss, total tooth surface biofilm exhibited the highest bacterial count when the inswabbing method was used. Conclusions: Based on these findings, the supragingival swab method is recommended for oral bacterial research.

• 한국임상수의학회지
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• 제41권4호
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• pp.258-261
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• 2024

A 4-year-old intact female veiled chameleon was presented with anorexia and respiratory symptoms. Physical examination revealed mild lethargy, open-mouthed breathing and stomatitis, with sticky fluid coating the oral mucus membrane. Pathogens such as Pseudomonas spp., Aeromonas spp., Ranavirus spp. or Herpes spp. has previously been implicated to cause stomatitis. Cytology confirmed fungal hyphae and bacterial growth. Molecular analysis revealed Fusarium (F.) solani and Pseudomonas spp. The fungus F. solani is known to cause keratitis in humans, and has been reported to cause skin lesions or systemic infections in reptiles. Pseudomonas spp. is a common bacterium in associated with stomatitis. This is the first clinical case report of F. solani infection causing stomatitis in reptiles. Several pathogens should be considered for accurate diagnosis and treatment of stomatitis.

• Journal of Periodontal and Implant Science
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• 제42권6호
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• pp.217-223
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• 2012

Purpose: Several parameters have been described for determining the success or failure of dental implants. The surface properties of transgingival implant components have had a great impact on the long-term success of dental implants. The purpose of this study was to compare the tendency of two periodontal pathogens to adhere to and colonize zirconia abutments and titanium alloys both in hard surfaces and soft tissues. Methods: Twelve patients participated in this study. Three months after implant placement, the abutments were connected. Five weeks following the abutment connections, the abutments were removed, probing depth measurements were recorded, and gingival biopsies were performed. The abutments and gingival biopsies taken from the buccal gingiva were analyzed using real-time polymerase chain reaction to compare the DNA copy numbers of Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis, and total bacteria. The surface free energy of the abutments was calculated using the sessile water drop method before replacement. Data analyses used the Mann Whitney U-test, and P-values below 0.05 find statistical significance. Results: The present study showed no statistically significant differences between the DNA copy numbers of A. actinomycetemcomitans, P. gingivalis, and total bacteria for both the titanium and zirconia abutments and the biopsies taken from their buccal gingiva. The differences between the free surface energy of the abutments had no influence on the microbiological findings. Conclusions: Zirconia surfaces have comparable properties to titanium alloy surfaces and may be suitable and safe materials for the long-term success of dental implants.

• 미생물학회지
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• 제43권3호
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• pp.227-231
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• 2007

구강청정제에 사용되는 많은 항미생물 성분들은 치주조직의 착색 및 작열감 등의 부작용을 가지고 있다. 이러한 취약점을 해결하고, 좀 더 생체친화적인 항미생물 물질을 찾기 위하여,한국식물추출물은행에서 소장하고 있는 2,125종의 식물추출물을 검색하였다. 항미생물 능력을 확인하기 위해, 잘 알려진 치과 병원균(치주질환 3종, 충치 1종)에 대한 성장억제 효과를 측정하였다. 대표적인 치주질환 유발세균인 Porphyromonas gingivalis에 대해서 19중의 식물 추출물이 항생효과를 나타내었으며, 17종이 Prevotella intermedia에 대해, 45종이 Haemophilus actinomycetemcomitans에 대해, 그리고 85종의 추출물이 충치 유발세균인 Streptococcus mutans 에 대해 효과를 나타내었다. 이중에서 총8종의 식물추출물이 실험에 사용한4종의 미생물 중 3종 이상에 대해 항생작용을 나타내었다. 또한 Cudrania tricuspidata, Morus bombycis와 Mallotus japonicas가 실험에 사용된 4종의 치과 병원균 모두에 대해 항생작용을 나타내어 치과용 재료 혹은 양치액에 항미생물 물질로 사용될 가능성을 나타내었다.

• International Journal of Oral Biology
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• 제36권1호
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• pp.23-29
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• 2011

Porphyromonas gingivalis, one of the major periodontal pathogens, is implicated in the initiation and progression of periodontal disease. The initial stages of periodontal inflammation are accompanied by vascular hyperpermeability. In our present study, we report that the P. gingivalis lipopolysaccharide (LPS) increases the mRNA expression of interleukin-8 (IL-8), a major inducer of vascular permeability, in vascular endothelial cells. P. gingivalis LPS also stimulated the induction of IL-8 secretion in endothelial cells. The P. gingivalis LPS-induced expression of IL-8 was primarily modulated by nuclear factor-${\kappa}$B(NF-${\kappa}$B). P. gingivalis LPS significantly enhanced the vascular permeability both in vitro and in vivo, and a blockade of the IL-8 receptor decreased the P. gingivalis LPS-induced vascular permeability. Taken together, these results suggest that P. gingivalis LPS increases vascular permeability through the NF-${\kappa}$B-dependent production of IL-8 in vascular endothelial cells.

• International Journal of Oral Biology
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• 제39권2호
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• pp.87-95
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• 2014

The purpose of this study was to isolate and identify bacteria from the 4 patients with non-odontogenic infectious lesions (mucormycosis, chronic inflammation from wound infection, and two actinomycosis) and determine their antimicrobial susceptibility against eight antibiotics. Bacterial culture was performed under three culture conditions (anaerobic, $CO_2$, and aerobic incubator). The bacterial strains were identified by 16S rRNA gene (16S rDNA) sequence comparison analysis method. For investigating the antimicrobial susceptibility of the bacteria against eight antibiotics, penicillin G, amoxicillin, tetracycline, cefuroxime, erythromycin, clindamycin, vancomycin, and Augmentin$^{(R)}$ (amoxicillin + clavulanic acid), minimum inhibitory concentration (MIC) measurement was performed using broth microdilution assay. Nosocomial pathogens such as Enterococcus faecalis, Klebsiella pneumoniae, Bacillus subtilis, and Neisseria flavescens were isolated from mucormycosis. Veillonella parvula, Enterobacter hormaechei, and Acinetobacter calcoaceticus were isolated from chronic inflammatory lesion. Actinomyces massiliensis was isolated from actinomycosis in parotid gland. Capnocytophaga ochracea was isolated from actinomycosis in buccal region in anaerobic condition. There was no susceptible antibiotic to all bacteria in mucormycosis. Tetracycline was susceptible to all bacteria in chronic inflammation. C. ochracea was resistant to vancomycin and penicillin G; and other antibiotics showed susceptibility to all bacteria in actinomycosis. The results indicated that the combined treatment of two or more antibiotics is better than single antibiotic treatment in mucormycosis, and penicillin is the first recommended antibiotic to treat actinomycosis.

• 대한치과의사협회지
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• 제50권9호
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• pp.544-551
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• 2012

Dental caries is a biofilm-related oral disease, and continues to afflict the majority of the world's population. Although fluoride, delivered in various modalities, remains the mainstay for the prevention of caries, additional approaches are required to enhance its effectiveness. Natural products have been used as a major source of innovative and effective therapeutic agents throughout human history, and have shown promise as a source of components for the development of new drugs. In addition. studies using natural products to prevent or treat oral diseases such as dental caries have received a great deal of attention. A number of compounds, such as epicatechin, allicin and sanguinarine, isolated from natural products, have also been investigated for their efficacy against oral microbial pathogens. However, the use of natural products as an anti-caries agent in clinical practice was controversial because of inadequate knowledge concerning their mechanisms of action and chemical characterization. This study focuses on the current knowledge of natural products in dental caries prevention and suggests natural products are importance sources for the prevention of dental caries.

• International Journal of Oral Biology
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• 제44권4호
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• pp.160-164
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• 2019

Porphyromonas gingivalis (Pg), Aggregatibacter actinomycetemcomitans (Aa), Tannerella forsythia (Tf), Prevotella intermedia (Pi), and Fusobacterium nucleatum (Fn) are major periodontal pathogens. Lipopolysaccharides (LPSs) from periodontal bacteria play an important role in periodontal pathogenesis by stimulating host cells to produce inflammatory cytokines. In this study, highly pure LPSs from the five major periodontopathogens were prepared, and their monocyte chemoattractant protein-1 (MCP-1) and tumor necrosis factor-α (TNF-α)-inducing activities were compared in human umbilical vein endothelial cells (HUVECs) and THP-1 macrophagic cells, respectively. In HUVECs, LPSs from Aa and Fn were potent stimulators for MCP-1 induction; however, LPSs from Pg, Pi, and Tf were much weaker MCP-1 inducers. In THP-1 cells, LPSs from Pg, Aa, and Fn were relatively strong inducers of TNF-α, whereas LPSs from Pi and Tf produced little activity. The Toll-like receptor (TLR)2/TLR4 dependency of various LPSs was also determined by measuring NF-κB reporter activity in TLR2- or TLR4-expressing 293 cells. LPSs from Aa, Fn, and Tf stimulated only TLR4; however, LPSs from Pg and Pi stimulated both TLR2 and TLR4. These results suggest that LPSs from major periodontal bacteria differ considerably in their cell-stimulating activity.

• 한국융합학회논문지
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• 제10권12호
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• pp.109-115
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• 2019

본 연구는 요양시설 치매노인들의 인지기능과 구강건강상태 및 구강 내 병원성 미생물의 관계를 파악하기 위해 시도되었다. 대구소재 요양기관에 거주하는 70세 이상 치매노인이라는 특수성으로 비확률적 표본방식을 통해 30명을 대상으로 2019년 2월 한 달간 자료를 수집하였다. SPSS window ver. 21.0 프로그램을 이용하여 기술통계, ANOVA, Pearson's 상관계수로 분석하였다. 연구결과 요양판정등급이 낮을수록 고위험 병원성 세균이 많았고, 현존 치아수가 많을수록 구강 내 미생물의 수가 높게 나타났다. 하지만 인지기능과는 무의미한 차이를 보였다. 따라서, 요양시설의 치매노인 구강건강 관리를 위해서는 구강 내 환경에 따라 관리 방법을 달리하여야 하고 실제적인 건강관리를 위해서는 전문적인 관리자가 구강건강관리를 할 수 있어야 한다고 제언한다.