• Journal of Oral Medicine and Pain
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• 제20권2호
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• pp.477-487
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• 1995

The purpose of this study was to assess the thermographic differences of craniomandibular area between normal individual and patients with craniomandibular disorders and to compare the differences between clinical and thermographical assessment. The author had used 50 subjects as materials for this study, which was divided into 2 groups (first group included 15 healthy subjects and second group included 35 patients) with craiomandibular disorders; 17 subjects had normal disc-condyle relationship, 13 subjects had disc displacement with reduction and 5 subjects had disc displacement without reduction. Agema 870 thermovision(D.I.T.I.) was used to take thermographs with $0.1^{\circ}C$ difference of gradual temperature shift. The results were as follows : 1. Of 34 patients with craniofacial pain, 15(44%) subjects showed hyperthermia on the pain site in the thermography, 8(23.5%)exhibited hyperthermia on the site opposed to the pain site, and 11(32.4%) did not show any significant thermal change. One patient without craniofacial pain showed hyperthermia on the site opposed to the site of disc displacement without reductin. 2. Of 35 patients with craniofacial pain or disc displacement, 24(68.6%) subjects showed a significant thermal difference between symptomatic and asymptomatic sides of the face, but 11(31.4%) did not show any difference. 3. Of 17 patients with pain but with normal disc-condyle relationship, 8(47.1 subjects showed hyperthermia on the pain site, 4(23.5%) showed on the site opposed to the pain site, and 5(29.4%) did not show any significant thermal change. 4. Or 13 patients with pain and disc displacement with reduction, 6(46.2%) subjects showed hyperthermia on the pain site, 3(23.1%) showed on the site opposed to the pain site, and 4(30.8%) did not show any significant thermal change. 5. 15 healthy subjects did not show any thermal differences between the both sides of the face.

• Journal of Oral Medicine and Pain
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• 제20권2호
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• pp.307-315
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• 1995

The purpose of this study was to assess the efficacy of several thermal therapies using ice pack, moist-hot pack and ultrasound, separately and concomitantly and to obtain the background information on the vascular changes after thermophysical therapies. The author had used 15 healthy subjects were examined and the subjects were divide into 5 groups : ice pack, moist-hot pack, ultrasound, ice pack and moist-hot pack, ice pack and ultrasound. Observation were made immediate before and 0,5,10,20,30,45,60,90 minutes after treatment. Thermography was performed in an Agema 870 thermovisio with 0.1$^{\circ}C$ difference of gradual temperature shift. The results were as follows : 1. Using ice pack only, the surface temperature of the masseter region was increased lapse of time, and most remarkably 90 minutes after the treatment. 2. Using moist-hot pack only, the surface temperature of the region was remarkably increased immediately after the treatment, but decreased lapse of time. 3. Using moist-hot pack with ice pack, the surface temperature of the face was remarkably increased immediately after the treatment, and decreased lapse of time, Hyperthermia was maintained for a longer time as compared with the group of moist-hot pack only. 4. Using ultrasound only, the surface temperature of the region was increased gradually, and most remarkably 30 minutes after the treatment, but decreased in the course of time. 5. Using ultrasound combined with ice pack, the surface temperature of the region was gradually decreased until 30 minutes after the treatment, and decrease to some extend at 45 minute. And then a gradual increase observed over the remaining period of the experiment. 6. Hyperthermia were maintained for a long time in the groups using ice pack combined with moist-hot pack and ultrasound as compared with the other groups. Our data suggest that ice pack can promote the efficacy of other thermal therapies.

• Journal of Oral Medicine and Pain
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• 제17권2호
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• pp.27-35
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• 1992

The purpose of this study was to evaluate the size of the temporomandibular joint space by the increase of the occlusal force on the working side and the non-working side during unilateral biting. For the study, 22 normal adults, age from 23 to 25, who had normal or class I molar relationship and had no symptoms on TMJ area and masticatory muscles were selected. Transcranial TMJ radiograph was taken during unilateral biting with the sensor of occlusal load measuring device (MPM-3000 ; Nihon Kohden Kogyo Co. Ltd., Japan) on 1st molar teeth of right and left side given to force of 0kg, 10kg, 20kg and 30kg respectively with Accurad-200(Denar Corperation's product). The radiographs were traced on the screen, with enlaged as 5 times. The size of temporomandibular joint space at anterior, superior and posterior compartment were measured with Dumas's method (reference line between squamotympanic fissure and the lowest point of articular eminence). The following results were obtained by this study. 1. The size of anterior TMJ space showed a tendency to decrease on the working side and increase on the non-working side by the increase of the occlusal force, but had no statistical significancy (P>0.05). 2. The size of superior TMJ space showed a tendency to increase on the working side and decrease on the non-working side by the increase of the occlusal force (P<0.05). 3. The size of posterior TMJ space showed a tendency to decrease on both working and nonworking side, but had no statistical significancy (P>0.05)

• Journal of Oral Medicine and Pain
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• 제21권2호
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• pp.369-382
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• 1996

The author performed this study to investige the relationship between condylar movements recorded with Pantronicⓡ and mandibular rotational torque movements with BioEGNⓡ. For this study 56 patients with Temporomandibular disorders(TMD) and 30 dental students without any masticatory signs and symptoms were selected as patients group and control group, respectively. The items recorded with Pantronicⓡ(Denar Corp., USA) were immediate side-shift, progressive side-shift, angle of orbiting path, protrusive path and PRI. BioEGNⓡ(Bioelectric gnathography, Bioresearch Inc., USA) were used to measure the amounts of mandibular rotational torque movements in frontal and horizontal plane, and the distance of mandibular translation at incisal area. Amount of mandibular rotational torque movement depicted between the condyles was automatically analysed by angle and difference in frontal and horizontal plane. The obtained data were processed with SAS program and the conclusion of this study were as follows : 1. Mean values of items between patients group and control group in Pantronic measurements were not significantly different except in left protrusive path and in Pantronic Reproducibility Index(PRI). There were no significant difference of condylar paths by preferred chewing side and affected side between the two groups. 2. The amount of mandibular rotational torque movements were differed in frontal angle and difference on protrusion, and in frontal and in horizontal difference on left excursion between the two groups. But the amounts of translatory movements were actually same on all eccentric movements. 3. The amount of mandibular rotational torque movements with splint mere almost not changed from those without splint, with the exception of in horizontal measurements on protrusion. 4. The correlations of items between in Pantronic measurements and in BioEGN measurements wert not consistently, significant, however, generally the ISS related significantly with horizontal torque movement positively, and with frontal torque movement negatively on the contrary, the PSS showed positive correlation with frontal torque movement, and negative correlation with horizontal torque movement.

• Journal of Oral Medicine and Pain
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• 제35권2호
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• pp.111-117
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• 2010

법치의학적 개인식별 능력에 대한 중요성이 매우 빠르게 증가하고 있다. 그러나 개인식별은 한 가지의 방법으로만 수행되는 것은 아니다. 그러므로 각 방법의 장, 단점을 잘 파악하고 경제성 등을 고려하여 적용하여야 할 것이다. 2008년, 2009년 부산, 경남 지역에서 약 20구의 시체에 대하여 개인식별을 시행하였는데 그 중 몇 례를 실었다. 마지막으로 법치의학의 개인식별에서의 역할에 대하여 고찰해보고자 한다.

• 대한구순구개열학회지
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• 제4권2호
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• pp.9-18
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• 2001

구순구개열은 악안면 영역의 선천기형 중 발생빈도가 가장 높으며 출생시부터 성장완료 시기까지 일관된 치료계획에 의한 종합적 진료체계가 필수적이다. 구순구개열의 개선을 위한 구개부 및 입숭? 조기 봉합 후의 반흔조직의 형성은 치열궁 협착 뿐 아니라 상악골 열성장에 의한 중안모의 함몰을 야기하며 이러한 상악골의 열성장 경향은 연령이 증가할수록 점진적으로 증가하는 성향을 보인다. 따라서, 성장잠재력을 이용한 조기의 악정형치료는 구순구개열 환자에서 반드시 필요하며, 적절한 치료 결과를 얻어내기 위하여 환자의 전후방 골격 형태 뿐 아니라, 성장 방향에 대한 고려가 필요하다. 그러나 혼합치열기의 악정형치료는 좋은 결과를 얻었다 하더라도 높은 재발 성향 및 잔여성장에 의한 악골관계의 변화가 예상되므로 장기간의 보정이 필수적이며 성장에 대한 지속적 평가가 이루어져야 할 것이다.

• Journal of Oral Medicine and Pain
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• 제44권1호
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• pp.1-10
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• 2019

Purpose: The aim of this study was to evaluate the optimal doses of intralesional triamcinolone acetonide (TA) in the treatment of oral lichen planus (OLP). Methods: A randomized clinical trial was performed. Sixty-two lesions of OLP were received 12 mg (group A) or 20 mg (group B) of TA intralesionally weekly for 2 weeks. Subjective symptoms, lesion size, favorable conversion of clinical subtypes, and clinical response were evaluated at weeks 0, 1, 2, and 4. Results: After two consecutive injections of TA, group B showed significant reduction in burning sensation and reticular area (p<0.01). Favorable conversion and complete response were greater in group B. Mild oral candidiasis was developed in group B (10.7%). Conclusions: A 20-mg injection of TA was much more effective compared with 12-mg injection of TA in the treatment of OLP.

• Journal of Oral Medicine and Pain
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• 제48권3호
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• pp.81-86
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• 2023

Purpose: To evaluate the clinical and radiologic findings of the postoperative maxillary cysts (POMCs) and investigate the relationship between lesion size and clinical symptoms depending on the time elapsed after radical maxillary sinus surgery. Methods: A total of 29 patients who were diagnosed with POMCs at Chonnam National University Dental Hospital were selected. Clinical and radiologic findings were investigated. POMC cases were divided into two groups: those with <24 years between maxillary sinus surgery and POMC diagnosis and those with >24 years. The chi-square test was used to compare the differences between the two groups. Results: The average period from surgery to POMC detection was 24.32 years; however, the period could not be confirmed in four patients. The average patient age was 52.75 years, and 12 (41.3%) patients were in their 50s. POMC-related clinical symptoms were as follows: buccal pain and swelling, dull pain, toothache, abscess, sensory abnormality, and asymptomatic. Twenty (69.0%) cases showed unilocular radiolucency and 9 (31.0%) revealed multilocular radiolucency. Seven cases (35.0%) were misdiagnosed as odontogenic lesions, resulting in the delayed treatment of POMCs. No statistical significance was found between the two groups with respect to symptoms, expansion to the surrounding area, presence of secondary cysts, and mesiodistal length of cyst on cone-beam computed tomography (CBCT) images. However, the buccopalatal length of the cyst on CBCT images was significantly different between the two groups. Conclusions: The buccopalatal length of POMCs observed on CBCT images was related to the time elapsed since surgery. The lack of awareness of POMCs may lead to misdiagnosis as an odontogenic infection and delayed treatment. Therefore, dentists must recognize the clinical and radiologic features of POMCs to differentiate it from dental infections.

• Journal of Oral Medicine and Pain
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• 제36권2호
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• pp.91-97
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• 2011

H. pylori는 위 뿐만 아니라 구강의 치태, 타액 등에 존재하여 구강편평태선, 재발성 아프타성 구내염, 치주질환 그리고 구취와 같은 많은 구강질환과 관련되여 있다. 구강작열감증후군은 어떠한 임상적 징후를 나타내지 않는 구강 내 통증장애로 주로 혀나 구강점막에 타는 듯 한 통증을 특징적으로 나타낸다. 구강작열감증후군의 원인으로는 국소적, 전신적 및 정신적 요인 등이 제시되고 있으나, H. pylori 균의 감염과 관련된 연구는 매우 부족하다. 이에 본 연구에서는 구강 내 H. pylori 발현 상태가 구강작열감증후군과 관련성이 있는지를 알아보고자 21명의 구강작열감증후군 환자와 21명의 대조군의 협점막, 혀의 배면 그리고 타액에서 표본을 채취한 후 nested PCR을 시행 하여 다음과 같은 결과를 얻었다. 1. Nested PCR 분석을 시행한 후 표본채취 부위 중 한 개 이상에서 양성으로 나타난 경우가 구강작열감증후군환자에서 6명(29%), 대조군에서 3명(14%)이었다 (p>0.05). 2. 구강작열감증후군 환자의 협점막, 혀의 배면 그리고 타액에서 3명(14%), 2명(10%), 4명(19%)이 양성을 나타내었으며, 대 조군에서는 혀의 배면과 타액에서만 2명(10%) 과 1명(5%)이 양성을 나타내었다(P>0.05). 이상의 결과로 구강 내 H. pylori와 구강작열감증후군과는 관련성이 없음을 추론할 수 있었다.

• Journal of Oral Medicine and Pain
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• 제34권3호
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• pp.237-245
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• 2009

본 연구의 목적은 치과 치료 시 라텍스 감염방지구가 핸드피스의 오염을 방지하고 고압 멸 균 소독과 같은 전통적 소독을 대신하는 방법이 될 수 있는 지 조사하는 것이다. 구강 내 상주균 대신 사용한 균주는 E. fecaelis (ATCC 29212) 이며 구강을 대신하는 2cm 의 정방형 cavity 가 형성된 실험용 bowl 을 제작하였다. 라텍스 재질의 덮개는 $Orokeeper^{(R)}$ (Orobiotech Co., Korea)를 사용하였으며 모든 실험 핸드피스는 고압멸균소독기에서 멸균 후 사용하였다. 4가지 실험으로 이루어 졌다 : 핸드 피스의 다양한 부위에 대한 세균 오염 평가, 알코올 소독솜으로 핸드피스의 전면 및 헤드부 에 소독 후 소독시간에 따른 세균오염 평가, 핸드피스 사용 후 air-water spray 시간에 따른 핸드 피스의 전면 및 헤드부에 대한 세균오염 평가, 라텍스 덮개의 반복 사용에 따른 핸드피스의 오염도에 대한 평가 등이다. 실험결과 라텍스 감염방지구로 덮여진 부분과 비교할 때 덮여져 있지 않은 부위의 오염 도가 매우 심하였다. 그러나 핸드피스 사용 후 15초간 알코올 솜으로 닦아내거나, 15초간 기수분사를 한 후에는 소독 수준 까지 균이 감소하였다. 결론적으로 오로 키퍼 같은 라텍스 감염방지구는 15초간의 알코올 세척 또는 사용 후 15초 기수분사와 함께 사용하면 멸균 소독을 할 수 없는 어려운 상황에서 교차감염 방지를 목적으로 사용이 가능하리라 사료된다.