• Title/Summary/Keyword: 구강 점막

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A Study of the Exfoliative Cytology of the Human Oral Mucosa of Cigarette Smoking (끽연이 구강점막에 미치는 영향에 관한 박리세포학적 연구)

  • 최광식;김종열
    • Journal of Oral Medicine and Pain
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    • v.6 no.1
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    • pp.111-118
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    • 1981
  • The purpose of this study was observing the keratinization of human oral mucosa on smoking & non-smoking persons. The results are as follows : 1. In the oral mucosa of the smoker, it reaveald the increase of keratinization than the non-smoker. 2. The keratinization of the oral mucosa revealed the increase in proportion to the duration of smoking. 3. The keratinization of the oral mucosa increase in proportion to the amounts of smoking. 4. Between the male and the female in smoking, it didn't show the sensible difference in the keratinization of the oral mucosa. 5. Between smoking and non-smoking, there was not a sensible difference in the change of nucleus and cytoplasm of the oral mucosa.

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Salivary Components Adsorbing to Oral Mucosal Epithelial Cells (구강점막 상피세포에 부착하는 타액 성분)

  • Kho, Hong-Seop
    • Journal of Oral Medicine and Pain
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    • v.24 no.3
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    • pp.261-267
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    • 1999
  • The present investigation was carried out to identify salivary components of mucosal pellicle and to explore the difference of mucosal pellicle components according to the location of oral mucosa. By using antisera and immunoblotting, high-(MG1) and low-(MG2) molecular-mass salivary mucins, amylase, IgA, proline-rich proteins(PRPs) were detected in mucosal pellicle in vivo. In addition, the data indicated that mucins, IgA and proline-rich proteins could be cleaved into lower-molecular-mass products, whereas the IgA, proline-rich proteins could also be cross-linked into higher-molecular-mass complexes. Mucosal pellicles from buccal, labial and palatal mucosa showed similar pattern in immunoblotting experiments using anti-MG2 and anti-PRPs antisera. The data from this study suggest that during mucosal pellicle formation multiple components of saliva adsorb to oral mucosal epithelial cell surfaces, and selected components can be proteolytically cleaved into smaller fragments and/or cross-linked into higher-molecular products.

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A Review of Etiopathogenesis of Burning Mouth Syndrome (구강작열감증후군의 병인론과 병태생리에 대한 고찰)

  • Lim, Hyun-Dae;Kang, Jin-Kyu;Lee, You-Mee
    • Journal of Oral Medicine and Pain
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    • v.35 no.1
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    • pp.41-47
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    • 2010
  • Burning mouth syndrome(BMS) is a chronic oral pain and a symptom complex disorder usually unaccomplished by mucosal lesion or other clinical and laboratory signs of organic disease. BMS is characterized by a spontaneous burning sensation that mainly affects middle-aged and postmenopausal women. The etiology of BMS is poorly understood even though evidence for a possible neuropathic pathogenesis. BMS cause from various local or systemic factor, including nutritional deficiencies, hormonal change, local infection, dental procedure, dry mouth, medication and systemic disease including diabetes mellitus. Many studies suggest peripheral alteration in sensory of trigeminal nerve system. BMS patients with supertaster indicates pathologies of central and peripheral nerve system induced by an alteration in the taste system at the level of chorda tympani and glossopharyngeal nerve. The author discuss our current understanding of etiology and pathogenesis of BMS that refered chronic oral pain.

DISTRIBUTION OF NITRIC OXIDE SYNTHASE ISOFORMS IN PERIORAL EXOCRINE GLANDS IN RATS (흰쥐 구강주위 외분비선에서 산화질소 합성동위효소의 분포)

  • Jeong, Jong-Cheol;Kim, Sun-Hun;Ryu, Sun-Youl
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.26 no.3
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    • pp.284-292
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    • 2000
  • 내인성 산화질소는 산화질소 합성효소에 의하여 합성되며 여러 분비선에서 다양한 기능을 하리라 추측되고 있다. 구강주위 외분비선은 형태적으로 유사하나 분비물의 성분과 분비량은 서로 달라 이들 조직에서 산화질소 동위효소의 분포와 기능을 추론함은 흥미 있는 일이다. 또한 구강주위 외분비선과 분비선의 지배신경의 산화질소동위효소의 분포에 관한 보고는 희박하다. 본 연구는 흰쥐구강 주위 외분비조직, 즉 3대 타액선, 혀의 소타액선, 누선 그리고 구강점막의 피지선과 지배신경 및 신경절에서 eNOS와 nNOS의 분포를 면역조직화학 방법에 의하여 관찰하여 다음의 결과를 얻었다. nNOS는 악하선신경절, 대타액선의 분비도관 주위의 신경절후신경섬유, 혀의 소타액선 주위의 신경절후섬유, 누선에서 강한 양성반응을 보였다. nNOS는 대타액선과 근상피세포에서 중등도의 양성반응을 보였고 이중 이하선에서 반응이 가장 약하였으며, 피지선의 분비관에서 약한 반응을 보였다. 그러나 상교감신경절과 삼차신경절, 소타액선의 분비관 및 대,소 타액선의 선포에서는 반응이 매우 미약하거나 관찰되지 않았다. eNOS는 혈관의 내피세포와 대타액선의 분비관, 누선의 분비관 및 선포에서 강한 양성 반응을 보였고, 근상피세포에서 중등도의 반응을, 피지선에서 약한 반응을 보였다. 모든 신경절과 신경섬유에서 eNOS의 반응은 음성이었고 타액선의 일부 선포에서는 미약한 면역반응을 보였다. 이상의 결과 eNOS에 의해 합성된 NO는 악안면영역의 외분비선에서 혈류량의 조절과 분비도관의 기능 조절에 관여하고, nNOS에 의한 NO는 외분비선의 자율신경계에서 신경전달물질로의 기능과 분비도관에서의 분비기능 조절에 관여함을 시사하였다.

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Complete genome sequence of Eikenella corrodens KCOM 3110 isolated from human subgingival dental plaque of periodontitis lesion (사람 치주염 병소의 치은연하치면세균막에서 분리된 Eikenella corrodens KCOM 3110의 유전체 염기서열 완전 해독)

  • Lim, Yun Kyong;Park, Soon-Nang;Shin, Ja Young;Roh, Hanseong;Ji, Suk;Kook, Joong-Ki
    • Korean Journal of Microbiology
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    • v.55 no.2
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    • pp.154-156
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    • 2019
  • Eikenella corrodens is Gram-negative, facultatively anaerobic, and rod-shaped bacterium. It is a part of the normal human mucosal flora that can cause several systemic diseases such as endocarditis, liver abscess, and intracranial bacterial infection. E. corrodens KCOM 3110 (= JS217) was isolated from human subgingival dental plaque of periodontitis lesion. Here, we present the complete genome sequence of E. corrodens KCOM 3110.

Ultrastructural Observations of Some Oral Mucosal Lesions II. Oral Leukoplakia (수종 구강점막질환에 관한 전자현미경적 연구 II. 구강백반증)

  • 정성창
    • Journal of Oral Medicine and Pain
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    • v.8 no.1
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    • pp.33-41
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    • 1983
  • The authors observed the ultrastructure of oral leukoplakia simplex of gingiva, buccal mucosa, tongue and alveolar ridge. For the purpose of clearly defining the lesions under investigation in this study, leukoplakias were cinsidered to be any white patches on the oral mucous membranes that could not be removed by rubbing and could not be classified clinically or microscopically as another diagnosable disease. The tissue to be examined were embedded in paraffin for light microscopic study. The tissue to be examined under the electronomicroscope were fixed in 2.5% glutaraldehyde in 0.1M cacodylate buffer and 1% osmic acid in 0.1M cacodylate buffer, dehydrated with guaded alchol, and treated with propylene oxide, and embedded in Epon.Ultrathin sections were obtained by LKB III ultrotome, stained with uranyl acetate/lead citrate, and examined with Corinth 500EM. The results were as follows : 1. Epithelium of leukoplakia consisted of stratum basale, stratum spinosum, stratum granulosum and stratum corneum. 2. There was hyperorthokerotosis or hyperparakeratosis. 3. Granular cells contained a lot number of membrane coating granule showing lamellar structure, clearing ot codensation, and a lot of keratohyaline granule varied in size. 4. An increased concentration of tonofilaments and an increased number of desmosomes were found in the stratum spinosum. 5. Basal lamina generally showed its continuity, but in some locatoins, its interreption and multiplication appeared.

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A Clinicopathological Review of Verruca Vulgaris Occurring in the Oral Cavity (구강에 발생한 심상성 사마귀의 임상병리학적 특징)

  • Shin, Wui-Jung;Cho, Young-Ah;Kang, Kyung-Rim;Yoon, Hye-Jung;Hong, Seong-Doo;Lee, Jae-Il;Hong, Sam-Pyo
    • Journal of dental hygiene science
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    • v.13 no.3
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    • pp.354-357
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    • 2013
  • Verruca vulgaris is one of the most frequent lesions of the skin. Evidences support that this lesion has strong association with low-risk human papillomavirus. Unlike skin lesion, oral verrucae vulgaris are not easily encountered and often misdiagnosed as squamous papilloma. Herein, we reported eight cases of oral verruca vulgaris and analyzed their clinicopathological features.

Risk Factors for Medical Device-related Oral Mucosa Pressure Ulcer Development of Intubated Patients in Adult Intensive Care Unit (성인 중환자실에서 인공기도를 가진 환자의 의료기기 관련 구강점막욕창 발생의 위험요인)

  • Kang, Min Kyeong;Kim, Myoung Soo
    • Journal of Korean Biological Nursing Science
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    • v.22 no.4
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    • pp.271-278
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    • 2020
  • Purpose: This study was performed to identify the risk factors for oral mucosa pressure ulcer development in intubated patients in adult intensive care unit. Methods: Comparative descriptive study design using prospective observational design and medical record review was used. The inclusion criteria of case was that a) patients of 18 years in their age, b) patients with endotracheal tube. Data of 34 patients were analysed. Descriptive statistics, chi-square test, Fisher's exact test, Mann-whitney test, Spearman's rho correlation coefficients, and multiple logistic regression analysis were used. Resampling methods such as bootstrap was used in this study because of small number of patients. Results: Oral mucosa pressure ulcer developed in 44.1% of the intubated patients. The risk factors of oral mucosa pressure ulcer were steroid use, biteblock use and serum albumin level. Compared to the non-user of steroid, user of steroid had 32.59 times (95% CI: 1.47-722.44) higher risk of developing oral mucosa pressure ulcer. The user of biteblock had 18.78 times (95% CI: 1.00-354.40) and albumin level had 0.03 times (95% CI: 0.00-0.80) higher risk of oral mucosa pressure ulcer incidence. Conclusion: Based on the results of this study, tailored pressure relief strategies considering sex and therapeutic condition should be provided to decrease oral mucosa pressure ulcer.

HEMANGIOPERICYTOMA ON BUCCAL MUCOSA (협점막에 발생된 혈관외피세포종)

  • Sung, Dae-Kyung;Jeong, Jong-Cheol;Kim, Ho-Sung;Seo, Ji-Hun;Kim, Seong-Beom;Choi, Jae-Uk;Lee, Gye-Hyeok;Ryu, Geun-Shin
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.26 no.3
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    • pp.301-304
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    • 2000
  • Hemangiopericytoma is uncommon vascular neoplasm that arises from pericytes arround the capillary walls. It was first described as a distinct vascular neoplasm by Stout and Murray in 1942 The anatomic distribution is widespread throughout the body, with approximately one third occur in the head and neck. No sex predilection has been found. Although middle age appears to be the most prevalent time of onset, this neoplasm has been found in all age groups. The differentiation between benign and malignant hemangiopericytoma can be difficult. Although the majority of these tumors are benign, there are malignant variants that can metastasize. Metastasis of seemingly benign tumors may appear year of decade later, so long term close follow-up is needed. The treatment of choice is complete surgical excision of the tumor. Despite their vascular origin, these tumors are relatively radioresistant. Radiation therapy is reserved for inoperable metastases or treatment of postoperative surgical fields. Here we present a case of hemangiopericytoma occuring on the Lt. buccal mucosa.

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FABRICATION OF TISSUE ENGINEERED MYO-MUCOSAL FLAP BY GRAFTING THE COMPLEX OF AUTOLOGOUS ORAL KERATINOCYTES AND PLATELET RICH PLASMA(PRP) IN A RAT MODEL (백서에서 자가 구강점막세포와 혈소판 농축 혈장의 이식에 의한 점막 근 피판의 조직공학적 제작)

  • Lee, Bu-Kyu;Hwang, Jin-Hyuk
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.33 no.4
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    • pp.322-330
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    • 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.