• 한국산학기술학회논문지
• /
• 제11권11호
• /
• pp.4354-4359
• /
• 2010

본 연구는 임플란트 시술선택에 따른 환자만족도에 영향을 미치는 요인을 연구하기위해, 2009년7월 1일부터 2009년 9월 12일까지 대구지역 치과 병. 의원에 (병원2곳, 의원5곳)내원하는 임플란트 시술환자를 대상으로 설문조사 한 145부를 SPSS12.0 프로그램으로 분석하였다. 그 결과 발치원인에 따른 임플란트 시술에 대한 만족도는 치아우식증, 치주질환의 원인으로 발치 후 임플란트 식립 시에는 보통이 많았고, 외상은 만족이 가장 많았다(P<0.05). 발치 원인 별로 발음 기능 만족은 보통이 가장 많았고(P<0.001), 이물감등의 기능적인 부분의 만족도는 치주질환이 원인인 경우 불만족이 가장 많았다(P<0.01). 병원선택 이유에 따른 병원환경 만족도는 의사명성을 보고 선택했을 때 만족이 많았고, 집근처로 가까워서 선택한 경우 불만족이 많았다(P<0.001). 임플란트 식립 개수에 따른 치과 내원 횟수 만족도는 식립 개수가 많을수록 불만족을 나타냈으며 (P<0.01), 치아 모양 및 색상 만족도 분석에서는 '1~2개'와 '6개 이상'에서 만족이 높게 나타났다(P<0.05). 따라서 환자의 임플란트 만족도를 높이기위해서는 각 개인의 구강상태, 요구도를 정확히 인지한 후 개인에 따른 시술기간, 내원횟수, 기능, 심미작인 예상만족도를 제시해 주는 것이 진료자와 환자 상호간의 신뢰도를 높이고 시술 후 만족도의 향상에 기여할 것으로 사료 된다.

• Journal of Dental Anesthesia and Pain Medicine
• /
• 제20권4호
• /
• pp.251-259
• /
• 2020

Oral and maxillofacial infection is a common complication in patients undergoing chemotherapy. The treatment of oral diseases in such patients differs from that administered to healthy patients. This paper reports a case of acute osteomyelitis of odontogenic origin following a recent chemotherapy session. The patient's condition was life-threatening because of neutropenic fever and sepsis that developed during the inpatient supportive care. However, the patient showed prompt recovery within 40 days following the use of appropriate antibiotics and routine dressing, without the requirement for surgical treatment, except tooth extraction. As seen in this case, patients undergoing chemotherapy are more susceptible to rapid progression of infections in the oral and maxillofacial areas. Therefore, accurate diagnosis through prompt clinical and radiological examination, identification of the extent of infection, and assessment of the patient's immune system are crucial for favorable outcomes. It is also necessary to eliminate the source of infection through appropriate administration of antibiotics. In particular, a broad-spectrum antibiotic with anti-pneumococcal activity is essential. Proper antibiotic administration and wound dressing are essential for infection control. Furthermore, close consultation with a hemato-oncologist is necessary for effective infection management based on the professional evaluation of patients' immune mechanisms.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• 제33권4호
• /
• pp.322-330
• /
• 2007

Backgrounds: To overcome limited amount of autogenous mucosa for the reconstruction of various mucosal defect including oral mucosal defect, tissue engineered mucosa has been recently introduced. However, introduced conventional technique of tissue engineered mucosa still have serious pitfalls such as long fabrication time, fragility of the reconstructed mucosa, and complexity of the technique. Aim of the study: To examine whether the complex of preconfluent autologous keratinocytes and autologous PRP(Platelet rich plasma) can reconstruct oral mucosa on the muscular flap with easier and faster way compared to conventional mucosal tissue engineering technique. Materials and methods: One day before the operation, oral mucosa(3mm in diameter) were taken and treated for extraction of oral keratinocytes according to the routine manner. The day of operation, oral keratinocytes were prepared in the laboratory and then moved to the operating theater. Autologous PRP was also prepared and then mixed with oral keratinocytes just before grafting on the prepared muscular flap. After keratinocyte-PRP complex was seated, then a sterilized rubber sheet was placed on the graft and the elevated skin flap was replaced and sutured. Biopsies were proceeded at 3, 5, 7, 14 and 21 days. Tissue samples were evaluated clinically, histologically, and immunohistochemically. Results: All of the oral keratinocyte-PRP complexes were successfully grafted on the recipient sites(100%). On 3 days after the operation, 1-2 continuous epithelial layer and many inflammatory cells were observed. On 5 days after the operation, increase of layers of keratinocyte was observed with less inflammatory response. Thickness of the layers was gradually increased from 7 to 21 days after the operation. Cytokeratin confirms epithelium in every specimen. Conclusions: Preconfluent graft of autogenous oral keratinocytes mixed with autogenous PRP have successfully reconstructed myo-mucosal flap. This technique could be a useful alternative for oral mucosal reconstruction in the near future.

• Maxillofacial Plastic and Reconstructive Surgery
• /
• 제27권5호
• /
• pp.431-437
• /
• 2005

Fibrin glue is composed of fibrinogen and thrombin and used in various regions for multiple use. Basic principle is that thrombin converts fibrinogen to fibrin in the presence of $Ca^{2+}$. The structure of fibrin is loose at the beginning, but after about 5 minutes a tight structure is formed under the influence of factor VIII which changes fibrin monomer into fibrin polymer. Fibrin glue is used for tissue adhesive, suture, local hemostasis, wound healing, closure of subdural space. Fibrin adhesive has been used in oral and maxillofacial surgery for hemostasis after tooth extraction in patients with coagulation disorders, skin graft fixation, reattachment of periodontal flaps, in combination with autogenous bone chips to fill the bony cavities following cyst removal, and for securing the hydroxyapatite granules for maxillary alveolar ridge augmentation. This study was designed for researching influence of fibrin glue during healing phase after making artificial bone defect.

• Maxillofacial Plastic and Reconstructive Surgery
• /
• 제37권
• /
• pp.7.1-7.7
• /
• 2015

Background: Osteoradionecrosis is a delayed complication from radiation therapy which causes chronic pain, infection and constant deformity after necrosis. Most of the osteoradionecrosis occurs spontaneously or after the primary oncologic surgery, dental extraction or by trauma of prosthesis. The treatment of osteoradionecrosis relies on both conservative measures and surgical measures. The fibular osteocutaneous free flap has become more popular choice for reconstruction of maxillofacial defects as a treatment of osteoradionecrosis. Methods: We presented our experiences from 7 patients with osteoradionecrosis who have had reconstruction surgery with fibular osteocutaneous free flap at National Cancer Center during the recent 5 years. We performed segmental mandibular resection with fibular osteocutaneous free flap for all 7 patients of advanced osteoradionecrosis who were not controlled by conservative treatment such as wound irrigation, debridement, and antibiotics. Results: A wide range of techniques were available for the reconstruction of composite defects resulted from the treatment of advanced mandibular osteoradionecrosis. Significant improvement was noted in relieving pain and treating trismus after the surgery however difficulty in swallowing and xerostomia showed less improvement. Conclusions: We concluded that fibular osteocutaneous free flap can be performed safely in patients with osteoradionecrosis and yields positive outcomes with significantly increased success rate. The fibular osteocutaneous free flap was our preferred choice for the mandibular reconstruction due to its versatility and predictability.

• 대한의생명과학회지
• /
• 제8권4호
• /
• pp.229-234
• /
• 2002

Chlorella is rich in chlorella growth factor (CGF). A review of the literature has described that CGF improves the capability of a Th1-based immunity, anticancer, antioxidant antibacterial activity, growth promotion, wound healing and so on, but has not studied the effect for the metabolism and the proliferation of human skin keratinocyte. The aim of this study was to examine the effect of metabolism and the proliferation of human skin keratinocyte in vitro. CGF was extracted with an autoclaving method which is a modified hot-water extraction method from dried chlorella and conformed by means of absorbance 0.22 at 260 nm. We have measured the extracellular acidification rate (ECAR) of the CGF by Cytosensor$^{\circledR}$ Microphysiometer and evaluated responsiveness depending upon the dosage on the HaCaT cell. The ECAR for the concentrations of 0.15, 1.5, 15, 150 $\mu\textrm{g}$/ml of CGF increased as a 103.6, 128.2, 149.0 and 423.9%, respectively compared to control (0.0 $\mu\textrm{g}$/ml, 100% ECAR). The ECAR for ErbBl tyrosine kinase inhibited by 4-anilinoquinazolines, $C_{16}$H$_{14}$BrN$_3$O$_2$.HCl on tile HaCaT cells with the amounts of 10 $\mu\textrm{g}$/ml of the CCF compared with 100 $\mu\textrm{g}$/ml of rhEGF. The conclusion of the study is that CGF might increase human epidermal keratinocyte proliferation through the interaction between the epidermal growth factor receptor and itself.

• Journal of Periodontal and Implant Science
• /
• 제40권5호
• /
• pp.220-226
• /
• 2010

Purpose: This study was performed to evaluate the periodontal wound healing effect of particulate equine bone mineral on canine alveolar bone defects. Methods: Twelve adult male beagle dogs were used as study subjects. The mandibular second and fourth premolars were extracted prior to the experimental surgery, and the extraction sites were allowed to heal for 8 weeks. After periodontal probing, two-walled defects were created at the mesial and distal sides of the mandibular third premolars bilaterally, and the defects were filled with equine particulate bone with collagen membrane or bovine particulate bone with collagen membrane, or collagen membrane alone. The defects without any treatment served as negative controls. After probing depth measurement, animals were sacrificed at 10, 16, and 24 post-surgery weeks for micro-computed tomographic and histomorphometric analysis. Results: The equine particulate bone-inserted group showed significantly decreased values of probing depth and first bone contact compared to the negative control and collagen membrane alone groups at weeks 10, 16, and 24 (P<0.05). There were no significant differences in the new cementum length, newly-formed bone area, or newly-formed bone volume between equine particulate bone- and bovine particulate bone-inserted groups, both of which showed significantly increased values compared to the negative control and collagen membrane alone groups (P<0.05). Conclusions: Equine particulate bone showed significant differences in probing depth, first bone contact, new cementum length, newly formed bone area, and bone volume fraction values when compared to the negative control and collagen membrane alone groups. There were no significant differences between equine and bovine particulate bone substitutes in these parameters; therefore, we can conclude that equine particulate bone is equivalent to bovine bone for periodontal regeneration.

• Archives of Plastic Surgery
• /
• 제38권4호
• /
• pp.523-526
• /
• 2011

Purpose: The odontogenic sinus and fistulous tracts is the most common draining sinus and fistulous tract of the head and neck region. These are often misdiagnoses by clinicions who are not familiar with cutaneous sinus, since most of patients do not have dental symptoms. Here we present two cases of odontogenic cutaneous sinus tract which have been diagnosed after excision of epidermal cyst. Methods: Two patients who presented with an odontogenic sinus tract draining to the skin at our institusion during the two years were enrolled in this study. We reviewed all the medical records of the patients and literature about odontogenic cutaneous sinus tract. Results: Odontogenic cutaneous sinus tracts of our cases were healed after treatment of periapical odontitis and extraction of the carious tooth. Conclusion: The cutaneous sinus tract of dental origin is well documented condition. But its diagnosis is not always easy unless the clinicians consider the possibility of its dental origin. An understanding of the pathogenesis of odontogenic cutaneous sinus tract will lead to early correct diagnosis and proper treatment without unnecessary surgery.

• Journal of Applied Biological Chemistry
• /
• 제61권1호
• /
• pp.101-108
• /
• 2018

본 연구에서는 국내산 상황버섯의 효소 가수분해 전처리를 통한 ${\beta}-glucan$의 최적 추출조건을 확립하고 그에 따른 활성을 알아보고자 추출 조건에 따른 생이화학적활성을 측정하였다. 효소가수분해 조건을 최적화하기 위해 실시한 반응표면분석법의 결과 0.66%(v/v)의 viscozyme 농도에서 6.08시간 반응하는 것이 최적이라 예측되었으며($R^2=0.9245$), 이에 따라 최적 추출 조건에서 추출한 시료의 ${\beta}-glucan$ 함량은 1.9594 g/100 g으로 측정되었다. 추출 수율(0.76-16.40%)은 EBE가 NEBE에 비해 약 3배 높았다. ${\beta}-glucan$ 순도(11.15-59.05%)로 가장 높았으며, ${\beta}-glucan$ 함량 또한 0.26-3.38 g/100 g으로 EB (3.38 g/100 g)가 가장 높았다. 총당 함량(0.61-1.17 mg/mL)은 NEB, EB가 NEBE, EBE보다 높았으며, EB가 가장 높았다. 구성당 분석 결과, 모든 추출물에서 glucose의 함량이 가장 높았으며, 대조구와 효소 전처리구 모두 정제하면서 그 비율이 증가하였다. 단백질 함량(0.44-11.73 mg/mL)은 NEBE, EBE가 NEB, EB보다 높았으며, EBE가 가장 높았다. FT-IR 분석 결과 $890cm^{-1}$ 부근에서 peak가 확인되었기에 ${\beta}-glycosidic$ linkage를 가지고 있는 것으로 판단하였다. MTT assay를 통해 B6F10과 SK-MEL-5 세포 독성을 측정한 결과 B6F10의 경우 대조구의 세포 생존율을 100%로 하였을 때 세포 생존율이 80% 이상으로 나타나 세포독성을 보이지 않았으나, SK-MEL-5에서는 EBE를 $100{\mu}g/mL$의 농도로 처리하였을 때 세포 생존율이 75%로 나타나 약간의 세포독성을 보였다. Wound healing assay를 통해 암세포 증식 억제활성 측정 결과, 정제한 NEB, EB가 NEBE, EBE보다 활성이 높았으며, 특히 12시간일 때 EB $30{\mu}g/mL$를 처리한 경우 B6F10과 SK-MEL-5 모두에서 가장 높은 활성을 나타내었다.

• 대한화장품학회지
• /
• 제49권4호
• /
• pp.313-321
• /
• 2023

도라지는 초롱꽃과(Campanulaceae)에 속하는 여러해살이풀로 뛰어난 많은 약리 효능을 가지고 있어 예로부터 약재로 활용하였다. 또한 anthocyanin은 식물의 꽃이나 과실 등에 포함되는 보라색 또는 파란색을 띄는 천연색소로 강력한 항산화제로 알려져 있다. 본 연구는, 도라지꽃 추출물의 피부과학적 기능성과 꽃에 포함된 청자색 계열의 anthocyanin이 천연 색소로서 화장품 소재로의 활용 가치를 확인하고자 하였다. 우선, 도라지꽃에 50% 에탄올과 80% 에탄올을 가하여 25, 60과 80 ℃,에서 4 h 환류추출하였고 각 처리군의 pH는 유사하였다. Anthocyanin 함량과 색도(E^*ab)를 바탕으로 도라지의 천연색과 가장 유사한 발색을 나타내는 50% 에탄올 60 ℃ 추출조건을 선정하였고, 농축, 동결건조하여 시료를 제조하였다. 도라지꽃 추출물의 기능성 성분인 총 폴리페놀, 총 플라보노이드와 총 anthocyanin 함량은 23 ㎍/mL, 16 ㎍/mL과 0.17 ㎍/mL였다. 도라지꽃 추출물은 lipopolysaccharide (LPS)로 자극한 RAW 264.7 세포의 NO, IL-6 등의 염증 매개물질의 생성을 억제하는 항염증 효능 뿐만 아니라 TNF-a에 의한 각질형성 세포의 손상 조건에서 상처 치유에 의한 피부 재생 효능을 보였다. 이렇듯 항염증과 재생에 효능을 보이는 천연색소인 도라지꽃 추출물의 주를 이루고 있는 색소는 anthocyanin계이다. 일반적으로 anthocyanin계 색소는 pH, 온도 등에 불안정하다고 알려져 색소안정화제 3 종 (EDTA, maltodextrin, citric acid)을 첨가하였을 때 anthocyanin 함량과 색도를 조사하였다. 5% maltodextrin 첨가된 도라지꽃 추출물에서 50 일까지 색도 값의 안정성을 확인하였고 이를 바탕으로 천연색소인 도라지꽃 추출물의 화장품 원료로서의 응용 가능성을 평가하고자 하였다.