• 제목/요약/키워드: periodontal condition

검색결과 238건 처리시간 0.025초

Management of Gingival Oral Lichen Planus with Free Gingival Graft: 10-Year Follow-Up Case Report

  • Chang, HeeYung;Shim, YoungJoo
    • Journal of Oral Medicine and Pain
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    • 제47권3호
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    • pp.161-166
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    • 2022
  • Oral lichen planus (OLP) is a chronic oral mucosal disease affecting the buccal cheek, tongue, palate, lip, and gingival mucosa. Lesions in the gingiva make it difficult to control dental plaque due to pain. As a result, the disease is often accompanied by gingivitis or periodontitis. If OLP and dental plaque are not properly managed, the patient's periodontal condition will worsen. Thus, clinicians treating OLP should emphasize periodic visits and dental plaque control. Here, we report the management of a patient who struggled with OLP for 20 years and discuss the importance of periodic regular observations and active periodontal management.

임플란트 치은열구내 red complex의 분포 (The distribution of red complex of implant sulcus)

  • 손고운;권영혁;박준봉;허익;정종혁
    • Journal of Periodontal and Implant Science
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    • 제36권1호
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    • pp.211-221
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    • 2006
  • The aim of present study was to evaluate the influence of periodontal status of adjacent tooth and loading time to the prevalence of red complex of implant sulcus. In 97 patients, partially edentulous subjects with endosseous root-form implants were selected. All subjects were medically healthy and had not taken systemic antibiotics and professional plaque control 3 months before sampling. The number was as follows: clinically healthy implants:161, clinically unhealthy implants:22, clinically healthy adjacent teeth:73, clinically unhealthy adjacent teeth:38. All teeth and implants of each patient were examined probing depth(PD), modified sulcus bleeding index(mSBI), and modified plaque index(mPI), and samples of subgingival plaque were obtained at each site with sterile curet or fine paper points, then the plaque transferred to PBS. Obtained samples were examined for the presence of P. gingivalis, T. forsythensis, and T. denticola by the polymerase chain reaction (PCR). The relationship among clinical parameters and the colonizations by the 3 bacterial species from adjacent teeth and implants region were analyzed by student t-test (p<0.05). The results of this study were as follows: 1. mPI and mSBI of implant increased with increasing of same indices of adjacent tooth(p=0.03,0.001), but not in the PD . 2. The mPI, mBI, PD of implants was higher when red complex exist. 3. The prevalence of red complex was higher when the periodontal condition is unhealthy. 4. The prevalence of red complex of implants has no significant relation to the probing depth of adjacent tooth. 5. Prevalence of P. gingivalis, T. forsythensis of implants increased with loading time. (p=0.02,0.018) These results shows the importance of oral hygiene and supportive periodontal therapy.

만성 치주염 환자의 치은 조직에서 RANK 및 RANKL의 발현 (The Expression of RANK and RANKL in Gingival Tissue of Human Chronic Periodontitis)

  • 백영란;이재목
    • Journal of Periodontal and Implant Science
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    • 제37권4호
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    • pp.849-857
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    • 2007
  • Purpose: The purposes of this study were to compare and quantify the expressions of RANK and RANKL in the gingival tissues of non-periodontitis patient and patients with chronic periodontitis, in order to understand the contribution of these proteins to periodontal destruction. Material and methods: Gingival tissue samples were obtained during periodontal surgery or tooth extraction. According to the patient's systemic condition & clinical criteria of gingiva, each gingival sample was divided into two groups. Group 1 (n=8) is clinically healthy gingiva without bleeding and no evidence of bone resorption or periodontal pockets, obtained from non-periodontitis patients. Group 2 (n=8) is inflammed gingiva from patients with chronic periodontitis. Tissue samples were prepared and analyzed by Western blotting. The quantification of RANK and RANKL were performed using a densitometer and statistically analyzed by Student's t-Test. Results: The expression of RANK were similar in group 1 and 2. The difference between group 1 and 2 was not statistically significant. And the mean amount of RANKL was more increased in group 2 than group 1. The difference between group 1 and group 2 was statistically significant. Conclusion: The expression level RANK didn't show any significant difference between healthy tissue from non-periodontitis patients and inflamed tissue from chronic periodontitis, but the expression level of RANKL in inflammed tissue from chronic periodontitis showed significantly increased tendency compared to healthy gingiva from non-periodontitis patients. Therefore, characteristics of RANK and RANKL in progress of chronic periodontitis would be basis of further studies in diagnostic method and treatment index of the disease.

구강편평태선 환자에서 보조적 치주치료의 효과 (Effect of supportive periodontal treatment in the oral lichen planus patients)

  • 권은영;최점일;이주연
    • 구강회복응용과학지
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    • 제31권2호
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    • pp.134-142
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    • 2015
  • 편평태선은 면역 매개 점막피부 질환으로 병인은 여전히 알려져 있지 않고, 중년의 백인 여성에서 흔히 발생하고 구강점막에서 증상이나 징후가 생기기도 한다. 편평태선의 피부 병소는 가려움을 유발하나 자기 제한적이고, 구강편평태선의 구강 병소는 만성적이고 좀처럼 스스로 치유되지 못하고, 드물긴 하나 잠재적으로 전암 병소로 발전할 수 있다. 구강편평태선은 비록 비치태 연관 질환이나 통증, 출혈로 인해 적절한 치태 조절이 어렵게 되어 치태 연관 질환을 야기할 수 있고, 작열감, 자발적인 출혈 등 구강편평태선과 관련된 점막 증상이 축적된 치태에 의해 더욱 악화될 수 있다. 따라서 구강편평태선 환자에서 구강편평태선 자체의 약물적 치료뿐만 아니라 적절한 구강 위생 관리, 치석 제거 등의 치주 치료가 동반되어야 한다. 본 증례에서는 구강편평태선 환자에서 국소적인 코르티코스테로이드 치료뿐만 아니라 구강 위생 교육을 포함한 치주 치료를 통해 증상 및 징후를 개선시키고 재발 방지를 도울 수 있었다.

우리나라 성인의 전동칫솔 사용이 치석 형성 치주조직 상태에 미치는 영향: 제7기 국민건강영양조사 자료 활용 (A study on the association between electric toothbrush use on calculus formation and periodontal tissue condition in Korean adults: 7th Korea National Health and Nutrition Examination Survey)

  • 이소현;안하영;정윤숙
    • 한국치위생학회지
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    • 제24권4호
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    • pp.343-352
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    • 2024
  • Objectives: This study aimed to assess the relationship between electric toothbrush use and the presence of community periodontal index (CPI) code calculus among Korean adults. Methods: Data from the 7th Korea National Health and Nutrition Examination Survey were analyzed. Multiple logistic regression analysis with a complex sampling design was conducted, adjusting for general characteristic factors. Analyses were performed using SPSS Statistics 29.0. Results: Among the participants, the prevalence of electric toothbrush users was 5.3%. Within this group, 4.7% had periodontal disease, whereas 5.9% did not (p=0.025). Even after adjusting for general characteristics factors in model II of electric toothbrush use, the odds ratio remained statistically significant at 0.791 (95% CI: 0.631-0.992) in all cases. Conclusions: Electric toothbrush use appears to be associated with potential benefits in managing the CPI code calculus distribution; however, evidence supporting this notion remains insufficient. The study findings suggest that these results could be a basis for future studies related to oral hygiene products and the design of oral health promotion programs.

Phytotherapy in periodontics as an effective and sustainable supplemental treatment: a narrative review

  • Abeer Saad Gawish;Mohammed Sherif ElMofty;Safa Jambi;Doaa Felemban;Yassmeen SalahEldin Ragheb;Shadia Abdelhameed Elsayed
    • Journal of Periodontal and Implant Science
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    • 제54권4호
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    • pp.209-223
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    • 2024
  • Purpose: Periodontal disease is a chronic condition caused by microbial infection and mediated by the host's immune response. Phytotherapy is a therapeutic approach that utilizes a renewable resource capable of supplying less expensive medicines for the world's growing population. This review aimed to present clinical evidence on the use of complementary medicinal herbs in the treatment of periodontal diseases. Methods: Different databases were searched using the terms "herbal" and "periodontitis." All included studies were examined with a focus on herbal indications, type, and prescription length. Dentists' therapeutic and prophylactic herbal prescribing habits were also assessed. Results: Various herbs such as turmeric, neem, aloe-vera, pomegranate, catechu, tulsi, cloves, lemon grass, green tea, tea tree oil, peppermint, garlic, pineapple, oak bark, babul, bakul, sage, coriander, moringa, amla, guava, and grape seed extract have been used in the treatment of periodontitis. These herbs have been reported to exhibit a range of therapeutic effects, including anti-inflammatory, antiplaque, antihalitosis, antiresorptive, antioxidant, antibacterial, antifungal, antiviral, and antimicrobial properties. These components can be utilized in various forms such as mouth rinse, gel, oil, toothpaste, aqueous extract, mouthwash, or tooth powder. Conclusions: Several readily available herbal formulations are now available on the market and have been shown to be effective as supplemental periodontal phytotherapy. However, these should be used under the supervision of a dental professional to ensure optimal benefits and effectiveness. Therefore, it is necessary to improve the understanding of suggested herbal prescription practices among dental professionals.

치은 퇴축과 치경부 마모의 임상적 변수에 관한 연구 (The Effects of Clinical Parameters on Gingival Recession and Cervical Abrasion)

  • 김은정;정진형;임성빈
    • Journal of Periodontal and Implant Science
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    • 제31권1호
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    • pp.243-258
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    • 2001
  • Gingival recession is exposure of the root surface with apical shift in the position of gingiva. The incidence of gingival recession is 8% in children and 100% after the age of 50. Recession tends to be found in patients with healthy gingiva, but more frequentely found in patients with periodontal disease, and it often causes mucogingival defects. Buccal surface of premolar is the area not only for severe gingival recession and cervical abrasion, but also the area of numbers of buccal frenum and less keratinized gingiva. Threrfore, the goal of this study was to observe the patients with periodontitis and examine whether there are clinical relations between gingival recession and cervical abrasion of premolar and other factors related with the condition of periodontal health. Generally healthy 218 patients who had periodontitis, aged between 18 and 78, were examined for depth of periodontal poket, width of attached gingival, gingival recession, cervical abrasion, and frenum of mid-buccal surface of premolar at the Department of Periodontics in Dankook University Dental Hospital and following is the result. 1. The average gingival recession and cervical abrasion of premolar with periodontal disease was 0.76mm and 0.29mm and each has 43% and 14% of incidence. Also the width of attached gingiva of mid-buccal surface was 1.77mm. the average periodontal pocket depth is 2.0mm and 47% of frequently seen was narrow single shaped frenum, and the interdistance of the frenum was mostly over 4mm. 2. With statistical significance(P<0.05), the incidence of gingival recession increased with age and was related much more with female than male, the first premolar than the second premolar, and with narrow attached gingiva and frenum. 3. With statistical significance(p<0.05), the incidence of cervical abrasion increased with age and was related with the area of the first premolar and narrow attached gingiva, but the sexual and frenum differences were not statistically significant (p>0.05). 4. The severity of gingival recession increased with age and was more related with female than male, the first premolar than the second premolar. And the area of narrow attached gingiva and frenum showed more gingival recession and the distance of frenum was more highly related than shape, and they were statistically significant (p<0.05). 5. With statistical significance(p<0.05), the severity of cervical abrasion increase with age and was observed at the first premolar and narrow attached gingiva. But the sexual and frenum differences were not statistically significant (p>0.05).

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치은 섬유아세포에 대한 치주포대 추출물의 세포동성에 관한 연구 (CYTOTOXIC EFFECTS OF SOLUBLE EXTRACTS FROM RERIODONTAL DRESSINGS ON HUMAN GINGIVAL FIBROBLASTS)

  • 양승한;이만섭;박준봉
    • Journal of Periodontal and Implant Science
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    • 제24권3호
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    • pp.661-670
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    • 1994
  • It is well known that the application of dressings after periodontal surgery have benefits to provide the comforts to patient and to promote the healing process with action of bleeding control and temporary stabilization for the operated mobile teeth. But until recently the relationship between periodontal dressings and cells which are composed of periodontium has not been clear. The purpose of this study was to evaluate the cytotoxic effect of soluble extracts from the four different kinds of periodontal dressings, two of them were eugenol type (K.H.pack, Wondrpak) and the others were non-eugenol type (Coe-pak, Periocare), on the human gingival fibroblasts in vitro. Human gingival fibroblasts were primarily cultured from gingiva around third molar during the extraction for preventive purposes. Extracts solution were prepared with culture medium by means of imersing the consistent size of periodontal dressing made from plastic mold. Cell were inoculated into the 24 well plate with $3\;{\times}\;10^4\;cells/well$ of medium at $37\;^{\circ}C$, 100% of humidity, 5% of $CO_2$, incubator for 24 hours. After discard of the supernatant of medium, those cells were cultured with original, 1/2, 1/5, 1/10 diluted soluble extract for 24, 48 and 72 hours, and counted the number of cells using the hemocytometer at each designed time and concentration. Also, the cytotoxic effect of soluble extract was measured by Wataha's MTT assay method. In briefly, cells were inoculated and cultured into 96 well culture plate with $2\;{\times}\;10^4\;cells/well$ for 24 hours. Soluble extracts were applied to cultured cells and incubated for 48 hours at same condition. $50\;{\mu}l$ of MTT solution and DMSO were added into each well for the detection of absorbance with ELISA reader. The measured data were calculated by value of colorimetric assay for survival rate. The results were as follows ; In the case of eugenol type of dressing, original, 1/2 and 1/5 diluted extracts of K.H.pack showed very low survival rate. And original extract of Wondrpak showed strong cytotoxic effect and 1/2 diluted extract showed moderate cytotoxic effect. In the case of Non-eugenol type of dressings, only original extract of Coe-pak revealed strong cytotoxic effect and Periocare had little cytotoxic effect. It is concluded that eugenol type of dressings showed more cytotoxic effect than non-eugenol types. This study suggest that use of non-eugenol dressings after periodontal surgery is recommended.

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염증-치주 질환과 암에 관한 최근 연구 동향 (Link between Periodontal Disease and Cancer: A Recent Research Trend)

  • 이신화;최영현
    • 생명과학회지
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    • 제23권4호
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    • pp.602-608
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    • 2013
  • 만성적인 염증이 다단계 발암과정에서 다면적인 역할을 하고 있음은 이미 잘 알려진 사실이다. 치주 질환의 원인은 구강 박테리아에서 분비되는 내독소들과 염증 유발인자들의 생성 등이 관여하는 다양한 요인들을 포함하며, 이는 잘못된 구강 위생 관리가 신체의 여러 가지 전신병적 원인과 연관되어 있음을 의미한다. 비위생적인 구강 상태와 연관된 만성 염증, 흡연, 알콜 섭취의 증가 등은 암의 발병 위험 요소로 작용함은 명확한 사실이다. 최근에는 구강 위생과 치아 손실이 위장관암, 폐암 및 췌장암 뿐만 아니라 혈구암 발병 증가와 직접적인 연관성이 있음이 밝혀졌다. 또한 흡연은 악성 질환 발병의 위험 요소로서 구강 위생의 강력한 위해요인임은 명백하며, 역학적 조사결과들에 의하면 구강 박테리아에 의한 치주 질환은 만성 염증을 통하여 흡연과 알콜 연관 발암원을 활성시킴으로서 다양한 암의 발병 위험 요소를 증가시킬 수 있는 것으로 나타났다. 따라서 암 뿐만 아니라 다른 다양한 질환의 예방을 위한 적절한 구강 관리는 필수적이다. 본 논문에서는 암예방을 위한 악성질환의 위해 요소로서 염증과 치주질환 및 구강 위생과의 연관성을 논하였다.

치주인대세포의 부착과 전개에 관한 형태학적 관찰 (THE MORPHOLOGICAL OBSERVATION OF HUMAN PERIODONTAL LIGAMENT CELLS ATTACHMENT AND SPREADING ON THE SURFACE OF SLIDE GLASS)

  • 이진미;서조영;박준봉
    • Journal of Periodontal and Implant Science
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    • 제23권1호
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    • pp.97-108
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    • 1993
  • 치주조직의 초기치유과정에서 가장 중요한 역할을 하는 치주인대세포의 부착과 전개에 대한 형태학적 관찰을 위하여 교정치료 목적으로 발거된 치아로부터 치주인대조직을 채취하여 초기배양하고 동일한 양($5{\times}10^3ml$)의 치주인대 세포를, 2장의 유리가 포함된 35mm 배양접시에 접종한 후, $CO_2$ 배양기에서 배양하여 세포배양개시후 10분, 30분, 90분, 6시간, 12시간, 24시간의 시간간격에 따라서 광학위상차현미경과 주사전자현미경을 이용하여 세포부착과 전개양상을 관찰한 결과 다음과 같은 결과률 얻었다. 10분간 배양한 세포는 구형을 나타내었으며, 기질측의 세포질이 박판엽상으로 확장되어 기질에 부착개시한 양상이 보였다. 배양 30분 후 판모양의 세포돌기인 박판상돌기에서 세사상돌기롤 내어 부착하는 양상이 관찰되었고, 세포표면은 소기포와 미세융모로 덮여 있었다. 90분간 배양한 세포에서 핵은 세포의 중심부에 위치하였고 세포질이 방사선상으로 확장되어 부착된 양상을 보였으며, 미전개된 세포중심부에는 미세융모와 소기포로 덮여져 있었다. 배양 6시간 후 세포는 신장된 양상을 보였고 타원형의 핵이 관찰되었다. 세포의 양극에서 박판상돌기가 관찰되었고 다시 세사상돌기가 분지되는 양상을 보였는데 이 돌기의 말단부는 팽대되어 기질에 부착하였다. 12시간 배양한 후의 치주인대 세포는 뚜렷한극성화를 보이면서 길게 신장된 양상을 나타내었다. 배양 24시간 경과후 신장된 양상의 핵이 세포의 한쪽극에 치우쳐 있었으며, 세포외형은 길게 신장된 방추상의 형태가 관찰되었다.

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