• Title/Summary/Keyword: lower jaw

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Effects of Bisphosphonates on the Proliferation and the AlkalinePhosphatase Activity of Human Bone Marrow Derived Mesenchymal Stem Cells (Bisphosphonate가 인간 골수유래 간엽줄기세포의 증식과 알칼리성 인산분해효소 활성에 미치는 영향)

  • Jung, Jun-Ho;Lee, Baek-Soo;Kwon, Yong-Dae;Ohe, Joo-Young;Kim, Young-Ran
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.33 no.1
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    • pp.10-18
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    • 2011
  • Purpose: The purpose of this study is to find out the effects of bisphosphonates (BPs) on the proliferation and the alkaline phosphatase (ALP) activity of human bone marrow derived mesenchymal stem cells (hMSCs), and thus state its correlation with bisphosphonate related osteonecrosis of the jaw (BRONJ). Methods: hMSCs was obtained by collecting and culturing cancellous bone fragments from a patient undergoing iliac bone graft. Alendronate (Aln) and Pamidronate (Pam), Ibandronate (Ibn) were added to the culture media in the concentration from $10^{-3}$ M to $10^{-11}$ M and cell toxicity, viability were measured. For ALP activity evaluation, Aln and Pam were added to the culture media in the concentration from $5{\times}10^{-7}$ M to $1{\times}10^{-8}$ M and were cultured for 1 week, 2 weeks and 3 weeks. ALP activity data were standardized using protein assay. Control groups were prepared for each examination. Results: Aln, Pam and Ibn all failed to increase the proliferation of hMSCs. With 1 week, 2 weeks of $5{\times}10^{-8}$M of Aln treatment, the ALP activity increased. Pam treatment increased the ALP activity with 2 weeks of $5{\times}10^{-8}$ M and$1{\times}10^{-8}$M. Also Ibn treatment increased the ALP activity with 2 weeks of $5{\times}10^{-8}$ M and $1{\times}10^{-8}$ M. Conclusion: It is considered that BPs are not capable of improving the proliferation of hMSCs. Also, after a transient increase in the ALP activity with the lower concentration of BPs, the activity decreased again. Therefore, in patients on long-term medication of BPs, the proliferation and osteoblast differentiation of hMSCs are restrained, and thus delayed wound healing and increase in BRONJ complications may occur.

A Study on the Symptom of Temporomandibular disorder(TMD) and the Relationship with the Psychological Character using Symptom Check List-90-Revision(SCL-90-R) (간이정신진단검사(SCL-90-R)를 이용한 측두하악장애 증상과 심리특성과의 관계 연구)

  • Lee, Tae-Yong;Kim, Jung Suk;Lee, Hye-Eun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.1
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    • pp.371-379
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    • 2015
  • This study examined the symptoms of temporomandibular disorder and the relationship with the psychological character using Symptom Check List-90-Revision (SCL-90-R). The self-administered questionnaire survey was implemented from March 1, 2014 to June 30, 2014 targeting 294 University Students in Daejeon and Gangwon area aged 20-31 years old (Men 140 persons, Women 54 persons). The data showed that the teeth grinding and the unilateral chewing out of corrupt practices in the mouth in relation to the use of the lower jaw showed a significant correlation (p<0.01) with the depth of symptoms of temporomandibular disorder, as the result of the simple psychodiagnosis inspection (SCL-90-R), and a significant correlation (p<0.05) with the depth of symptoms of temporomandibular disorder in the item excluding phobic anxiety (PHOB). The somatization (SOM) criteria out of individual psychological characteristic appeared to have the significant plus (+) effect on the depth of symptoms of temporomandibular disorder as a result of implementing multiple regression analysis by controlling the individual characteristic variables to check the influence of the psychological character of the study object on the symptom of temporomandibular disorder.

An Evaluation of treatment effects of modified teuscher appliance in class II division 1 mallocclusion (Modified Teuscher Appliance의 치료효과에 관한 연구)

  • Ahn, Sug-Joon;Kim, Choong-Bae;Nahm, Dong-Seok
    • The korean journal of orthodontics
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    • v.31 no.4 s.87
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    • pp.403-414
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    • 2001
  • The purpose of this study was to evaluate treatment effects of the modified Teuscher appliance (MTA) in early Class II division 1 malocclusion. For this purpose, treatment effects of the bionator were compared with those of the MTA. The twenty subjects who were treated excellently with bionator and MTA were selected in each group. In pre- and post-treatment lateral cephalograms, 50 variables were measured, and then the differences between pretreatment and posttreatment data of the bionator and the MTA were statistically evaluated by t-test. The results were as follows : 1. The linear measurements that showed large difference between the bionator group and the MTA group are U1 to FH, U1 to PP, U6 to FH, U6 to PP, Ar-Pog, ramus height, L1 to A-Pog, L1 to facial plane (p<0.05). 2. The angular measurements that showed large difference between the bionator group and the MTA group are SNB, SNA, FABA, APDI (p<0.05). 3. The measurements of the growth pattern such as facial height ratio, FMA, SN-MP angle showed no difference between two groups (p>0.05). These results suggest that the bionator influence the mandiblar growth and lower dentoalveolar structures more than the MTA, and the MTA influence upper jaw and upper dentoalveolar structures more than the bionator comparatively in early Class II division I malocclusion.

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ODONTOGENIC KERATOCYST OF A FEMALE CHILD, A CASE REPORT (치성각화성낭종 (Odontogenic Keratocyst)환자의 치험례)

  • Lee, Ji-Min;Park, Jae-Hong;Kim, Kwang-Chul;Choi, Sung-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.35 no.4
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    • pp.731-736
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    • 2008
  • Odontogenic keratocyst is classified as a developmental odontogenic cyst and is believed to arise from cell rests of the dental lamina. It accounts for 3% to 11% of all jaw cysts and they occur twice as often in the mandible as in the maxilla. Histologically, the cysts are lined by stratified, keratinizing, squamous epithelium. Daugther cysts or microcysts are often observed microscopically. The recurrence rate has been reported variously, but is known by its high recurrence rate. These lesions are more common in males than in females, occur over a wide age range and are typically diagnosed during the 2nd and 3rd decade. The diagnosis depends on the cyst’s microscopic features and is independent of its location and radiographic appearances. This cyst is a radiolucent lesion that is often multiloculated, has a smooth or scalloped border. The cyst is characteristically located in the body and ramus of the mandible, and often occurs in conjunction with an impacted tooth. This case report describes an odontogenic keratocyst on the lower right molar area of an 8-year-old girl. The cyst was removed under the general anaesthesia, and is being checked regularly for any recurrences.

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Early Osteological Development of the Larvae and Juveniles in Sebastes oblongus (Pisces: Scorpaenidae) (황점볼락(Sebastes oblongus) 자치어의 골격발달)

  • Byun, Soon-Gyu;Kang, Chung-Bae;Myoung, Jung-Goo;Cha, Ban-Seok;Han, Kyeong-Ho;Jung, Choon-Goo
    • Korean Journal of Ichthyology
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    • v.24 no.2
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    • pp.67-76
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    • 2012
  • Skeletal development in the oblong rockfish, Sebastes oblongus, was studied based on extensive larval rearing conditions from December 2007 to March 2008. Newly-hatched larvae lacked osteological elements. After 3 days of bearing, jaw bones were ossified almost simultaneously with the frontal, parietal, clavicle, opercle, preopercle and branchiostegal rays at 8.0 mm average total length (TL). Ossification of the opercular was completed by 12.3 mm and the full complement of ossified elements of cranium and pectoral girdle were completed by 16.2 mm. Ossification of the cartilaginous caudal complex began to at 9.8 mm, and completely ossified by 18.0 mm. The fusing of the first and second, and the third and fourth hypurals initially occurred by 10.8 mm, and their fusion was finally completed at 18.0 mm. Notochord flexion occurred and formed an individual centrum by 8.5 mm and 10.8 mm, respectively, and all 26 centra were ossified by 13.2 mm. The preorbital bone began to ossify on the anterior region of eye at 10.8 mm, and the $1^{st}$ suborbital bone appeared ossified on the lower of eye by 12.3 mm, and all elements were ossified at 27.5 mm. Finally, after 71 days of bearing, the juveniles became 27.5 mm, and ossification was completed at this stage.

Comparison of surgical approach and outcome for the treatment of cystic lesion on lower jaw

  • Oh, Suseok;Park, Joon-Hyung;Paeng, Jun-Young;Kim, Chang-Soo;Hong, Jongrak
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.38 no.5
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    • pp.276-283
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    • 2012
  • Objectives: Curettage and enucleation are two of the most common procedures performed in oral and maxillofacial surgery units. To access a cystic lesion, the buccal cortical plate is removed. The no reposition (NR) group underwent surgery without repositioning the buccal cortical plate. The reposition (R) group underwent surgery with a repositioning of the buccal cortical plate. This study compared the two surgical procedures in terms of bone healing and complications. Materials and Methods: Patients who underwent curettage and enucleation surgery were enrolled in this study. Panoramic radiographs of the patients in both the NR group (n=26) and R group (n=34) were taken at the baseline and at 6, 12 and 24 months after surgery. The radiolucent area was calculated to evaluate bony healing in each radiograph. The complications were analyzed through a review of the medical records. Results: The correlation between bony healing and surgical approach was not significant in the 6th, 12th, and 24th month (P<0.05). The complication rate was not associated with gender, graft material, bone graft and drain insertion (P<0.05). On the other hand, the R group had a higher complication rate (35.3%) than the NR group (0%). The difference in the mean lesion size between the NR group ($37,024{\pm}3,617$ pixel) and R group ($92,863{\pm}15,931$ pixel) was significant (independent t test, P=0.004). Conclusion: Although the reposition method is chosen when the lesion size is large, it is associated with more complications. Indeed, infection, discomfort and recurrence of the lesion were the most common complications in the R group. Furthermore, the R method does not have a strong point in terms of bone healing compared to the NR method. Therefore, the R method cannot be considered an ideal approach and should be used in limited cases.

AN ANALYSIS OF STRESS DISTRIBUTION AROUND THE IMPLANT ACCORDING TO THE BONE QUALITY AND BITE FORCE: FINITE ELEMENT METHOD (저작압이 임프란트 주위골 내 응력분포에 미치는 영향에 관한 연구)

  • Hyun Ki-Bong;Lee Sun-Hyung;Chang Ik-Tae;Yang Jae-Ho;Shin Sang-Wan
    • The Journal of Korean Academy of Prosthodontics
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    • v.39 no.4
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    • pp.391-409
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    • 2001
  • Since the early study about the osseointegration, lots of researches have been performed to increase the success rate and the stress around the implant in the jaw bone has been considered as one of the causes of failure. The purpose of this study was to examine the relationship between the implant failure and the stress by analysing the influence of different bone quality and bite force of some foods on the stress distribution around the implant, and to estimate the treatment result according to the bone quality and dietary pattern of patients. Bone quality was divided in 4 groups and models were drawn with the assumption that thread type implant(Nobel Biocare AB, Goteborg, Sweden) of 3.75mm diameter, 13mm length was installed to the bones. Various bite forces were applied to the occlusal surface of superstructure and the stress distributed around the implant were analysed with finite element analysis program. The results were as follows ; 1. The stress was changed proportionally to the bite forces of foods at all measuring points in all load cases. 2. The stress at the marginal bone was higher than that of the other measuring points in all load cases, and it was decreased at the first thread area. 3. The stress at the marginal bone was highest in type IV bone in all load cases. Especially it was twice those of other bone types at the bucco-lingual marginal bone and 50% higher at the mesio-distal marginal bone. 4. The stress at the bucco-lingual sides of the bone around the apical portions of implant showed little differences among the bone types, while type IV bone showed lower stress concentration than the other bone types in the mesio-distal sides. 5. Under the buccal oblique load ($15^{\circ}$ ), the stress at the lingual marginal bone was higher than that of buccal marginal bone, and the difference between the two points was almost same regardless of bone types.

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AMELOBLASTIC FIBROMA IN MIXED DENTITION : A REPORT OF 2 CASES (법랑모세포섬유종 환아에 관한 증례보고)

  • Kwon, Joung-Hyun;Lee, Jae-Ho;Choi, Hyung-Jun;Choi, Byung-Jai;Son, Heung-Kyu;Kim, Seong-Oh
    • Journal of the korean academy of Pediatric Dentistry
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    • v.34 no.2
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    • pp.309-314
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    • 2007
  • Ameloblastic fibroma is a rare benign tumor, accounting for only 2.5% of odontogenic tumors. It occurs during the period of tooth formation between the ages of 5 and 20 years with the average age being about 15. There is no gender predilection. In the majority of cases, the lesion arises in the mandible, presenting the swelling of jaw and the failure of tooth eruption. In this report, the main concern of the patient was the failure of eruption of lower permanent and deciduous molars. Radiographic investigation showed a radiolucency surrounding the crown of unerupted teeth. Surgical intervention and histopathologic study revealed the lesion to be ameloblastic fibroma. After the surgery, no evidence of residual tumor or recurrency was found. These patients are scheduled for the long-term continuing evaluation of the eruption of adjacent teeth and successor with radiographic study.

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TREATMENT OF IMPACTED MANDIBULAR FIRST MOLAR BY SURGICAL EXPOSURE : A CASE REPORT (매복된 하악 제1대구치의 외과적 노출술을 이용한 치험례)

  • Cho, Yun-Jung;Park, Young-Ok;Kim, Tae-Wan;Kim, Hyun-Jung;Kim, Young-Jin;Nam, Soon-Hyeun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.34 no.2
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    • pp.322-328
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    • 2007
  • The first molar is important for mastication and also it plays roles to formation of vertical occlusion and growth of jaw bone after mixed dentition. Impaction of mandibular first molar can result in a short lower facial height, formation of a follicular cyst, pericoronal inflammation, resorption of the roots of neighboring teeth and malocclusion. The options of treatment plans are as follows; observation, surgical exposure, orthodontic traction, surgical relocation and extraction. Surgical exposure could be considered as a basic treatment plan. For surgical exposure it is important to maintain patent channel between the crown and the normal eruptive path into the oral cavity, many techniques including cementation of a celluloid crown, packing with zinc oxide-eugenol surgical pack are used. In these cases, we could observe spontaneous eruption of mandibular first molar using surgical exposure with or without removal of odontoma. Also we could obtain the main patency effectively and conveniently by using surgical pack and translucent retainer.

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On the Egg Development and Larvae of Right-eye Flounder, Kareius bicoloratus (Basilewsky) (돌가자미의 난발생과 부화자어)

  • KIM Yong Uk
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.15 no.4
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    • pp.323-328
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    • 1982
  • Kareius bicoloratus (Basilewsky) is one of the commonly found right-eye flounders and widely distributed in the coastal waters of Korea and Japan. On December 11,1980, the ailthors carried out an experiment to obtain a large number of fertilized eggs from wild adult fish caught by a trawler. The fish were obtained from Maisaka fish market, Shizuoka Prefecture, Japan. The egg is pelagic, spherical in shape and measuring 1.014-1.04 mm in diameter. The yolk as well as the egg capsule is colorless and transparent, and contain no oil globules. The hatching took place in 73 hr 45 min after fertilization at the water temperature $8.0-9.5^{\circ}C$. Newly hatched larvae are 3.09-3.146 mm in total length, with the anus situated in the middle of the body. The marginal fin does not have Pigment cells and myotome number is 17+20=37. Within one day after hatching, the larvae attained 3.77 mm in total length, and there appeared three or four melanophore on yolk sac. When the larvae attained 3.96 mm in total length, melanophores began to appear on the eye ball. Two days after hatching, the larvae attained 4.05 mm in total length, most of yolk material was absorbed, and the caudal fin began to grow at the terminal part of the notochord. When the larvae attained 4.21 mm in total length, mouth and eyes began to move. After 3 days, the larvae attained 4.342-4.394 mm in total length, alimentary canal differentiated, melanophores appeared on the lower jaw and posterior part of the fin membrane. When the larvae attaind 4.576 mm in total length, marginal line of dorsal fin membrane became concave.

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