• Title/Summary/Keyword: 구강 점막

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Topical Application of Clonazepam to Burning Mouth Syndrome (구강 작열감 증후군에서 클로나제팜의 국소적 적용)

  • Shim, Young-Joo;Choi, Jong-Hoon;Ahn, Hyung-Joon;Kwon, Jeong-Seung
    • Journal of Oral Medicine and Pain
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    • v.34 no.4
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    • pp.429-433
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    • 2009
  • Burning mouth syndrome (BMS) is defined as burning pain in the tongue or other oral mucous membrane associated with normal sign and laboratory findings at least 4 to 6 months. There are many factors that affect this condition and the pain characters are various among the sufferers, so it is difficult to diagnose exactly and treat properly. The cause of BMS is currently unknown. The etiology is presumed to be that it is related with local, systemic and psychogenic factor. The BMS is related with local factor such as allergic reaction, oral fungal infection(candidiasis), parafunctional oral habits and systemic factors such as diabetes mellitus, hypothyroidism, nutritional deficiencies(vitamin $B_{12}$, folic acid), hyposalivation and psychogenic factor such as depression, anxiety, cancerphobia. So clinicians must be aware of these factors and can give proper treatment options to patients. The management of BMS are pharmacologic management, cognitive behavioral therapy and psychotherapy treatment. Clonazepam, gabapentin, amitriptyline, alpha-lipoic acid and capsaicin are used to manage the BMS. Among these, topical clonazepam is reported that the effect is higher than systemic medication and the complications are rare. This case report is about some cases of the effect of topical clonazepam on BMS.

The influence of stress on oral mucosal disease, dry mouth and stress symptoms in adults (성인의 스트레스가 구강 점막 질환, 구강 건조감 및 스트레스 증상에 미치는 영향)

  • Hong, Min-Hee
    • Journal of Korean society of Dental Hygiene
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    • v.13 no.4
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    • pp.589-596
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    • 2013
  • Objectives : The aim of the study is to investigate the influence of the stress of adults on their oral mucosal diseases, dry mouth and physical, mental stress symptoms. Structured equation model (SEM) was used to analyze the hypotheses of the study. Methods : The subjects were 500 adultsfrom July 1 to December 31, 2012. The data were analyzed using SPSS 18.0 (SPSS 18.0 K for window, SPSS Inc USA) and IBM SPSS Amos 18.0 (SPSS Inc, Chicago, IL, USA) set at the level of significance as 0.05. Results : The level of stress had a direct influence on oral mucosal diseases, and oral mucosal diseases affected stress symptoms directly. The level of stress had a significant impact on stress symptoms, and that exercised an indirect influence on stress symptoms through the medium of oral mucosal diseases and dry mouth. The level of stress affected dry mouth in a direct effects, and dry mouth had a direct impact on stress symptoms. Conclusions : The stress of adults had direct and indirect impacts on their oral health and systemic diseases. The oral health of adults should be promoted to let them stay healthy, and how to help them to get rid of their stress should be considered to improve their quality of life.

Detection of Helicobacter pylori in Saliva of Patient with Oral Lichen Planus (구강 편평태선 환자의 타액에서 Helicobacter pylori의 검출)

  • Ryu, Ji-Won;Kang, Seung-Woo;Yoon, Chang-Lyuk;Ahn, Jong-Mo
    • Journal of Oral Medicine and Pain
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    • v.33 no.3
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    • pp.241-246
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    • 2008
  • Lichen planus is a common, chronic inflammatory disease of the skin and mucous membrane for which no precise causes have been confirmed. But it is often connected with infections. Helicobacter pylori(H. pylori) among various bacteria has been associated with the cause of gastritis, peptic ulcer and gastric cancer. Considering the similarities of histological features between gastric ulcer and oral ulcers, it is resonable to assume that H. pylori might also be involved in the development oral mucosal ulceration. So we employed this study to investigate the possible involvement of H. pylori in the aetiology of erosive oral lichen planus. We analyzed detection rate of H. pylori in saliva of patients with erosive oral lichen planus by nested PCR. As a result, it revealed a significant difference statistically by showing positivity in 16 to 21(76.2%) saliva samples of patients group and in 11 of 44(25%) saliva samples of control group(P>0.001). We were able to suppose that H. pylori in saliva can be related to cause of erosive oral lichen planus.

Localization of Dendroaspis natriuretic peptide (DNP) in the rat salivary glands (흰쥐 타액선내에서의 DENDROASPIS NATRIURETIC PEPTIDE(DNP)의 분포)

  • Kim, Jae-Gon;Lee, Young-Soo;Baik, Byeong-Ju;Park, Byung-Keon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.28 no.3
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    • pp.447-463
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    • 2001
  • Dendroaspis natriuretic peptide (DNP), a fourth member of the natriuretic peptide isolated from the venom of the Dendroaspis angusticeps snake, has been reported to be present in human plasma and atrial myocardium and caused vasorelaxation and diuresis in experimental animals. However, it is uncertain whether they are present in peripheral organs other than the heart and its further physiological roles also remains to be clarified. To assess the possible physiological role of DNP in the salivary glands, I investigated the localization of DNP peptide in the rat salivary glands by immunohistochemistry and the binding sites for radiolabelled DNP in the rat salivary glands and oral mucosa using in vitro autoradiography. DNP immunoreactivity was widely distributed in the submandibular, sublingual and parotid glands, particularly in the ducts such as the intercalated and striated ducts, where atrial natriuretic peptide (ANP) was colocalized in consecutive sections, but not in acini. High density $^{125}I-DNP$ binding sites were localized in the epithelia of the tongue and hard palate, while low density binding sites for $^{125}I-DNP$ were also distributed in the submandibular, sublingual, and parotid glands. In the hard palate and tongue, the precise location of this binding was revealed on the basal and parabasal cells of the epithelia by emulsion microautoradiography. These results suggest that DNP may not only have a role in the salivary glands but also play a role in the regulation of growth in the oral epithelium, particularly in the hard palate and tongue.

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