• Title/Summary/Keyword: 구개

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Two Cases of the Calculi which Are Rare in the E.N.T. Field (이비인후과 영역에 희귀한 결석증 2례)

  • 이석용;양오규;이영효;심상열;김재선
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1981.05a
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    • pp.11.2-11
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    • 1981
  • Compared with other medical parts, there are relatively rare cases of the calculi in the Otolaryngologic field. The authors have recently experienced cases of the tonsillolith and huge rhinolith. They were removed successfully under the local anesthesia. Small quantities of calcareous or gritty particles are often found in the center of the caseous plugs filling the crypts of the tonsil in chronic follicular tonsillitis. The patients usually give a history of repeated tonsillitis in the earlier years. The patient may be aware of a constant sensation as of a foreign body in the throat. The breath is often fetid. The tonsillar calculi was found to be the accumulated keratohyalin masses in the crypts. The rhinoliths are rare in nasal cavity. They usualy have a foreign body nucleus of bacteria, blood, pus cells, mucus, crusts, or some foreign material from outside the body. They are largely composed of calcium and magnesium salts, principally carbonate with traces of sodium chloride. The condition is commonly found in adults and in female. They are usualy unilateral and are located, in the majority of instances, in the lower portion of the nasal cavity. The first well documented cases of rhinolithiasis, however, were reported by Bartholin in 1654. Since then over 400 cases have been reported.

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A Clinical Study on Salivary Gland Tumors (타액선 종양의 임상적 고찰)

  • Chang, Kyoung-Hoon;Chang, Yu-Chol;Jung, Hwan-Woo;Yang, Hoon-Shik;Kim, Hoon;Kim, Chun-Gil
    • Korean Journal of Bronchoesophagology
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    • v.3 no.2
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    • pp.277-286
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    • 1997
  • We have reviewed a 9-year experience with 47 patients treated for salivary tumors which arose In the parotid gland (23 patients; 48.9%), submandibular gland (15 Patients, 31.9%), minor salivary gland (8 patients; 17.0%), and sublingual gland (1 patient; 2.1%). The age of patients ranged from 12 to 71 with a mean of 42.9 years. The male to female ratio showed a female preponderance, 19:28 (1:1.5). An asymptomatic mass (91.5%) was most common presentation. With fine-needle aspiration, the predictive value of a neoplasm was 88.9%. Histopathologically, the most common salivary gland tumors was Pleomorphic adenoma(57.4%). The pleomorphic adenoma was most common in benign tumor group, and the mucoepidermoid carcinoma was most common in malignant tumor group. Of the salivary gland tumors, the incidence of cervical metastasis was 22.2%. Major postoperative complications were facial nerve paralysis and wound infection.

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A Convergence Study on Changes in the Muscle Activity around the Neck of the Operator according to the Patient's Head Angle at the Direct Visual Inspection of the Maxillary Right-side Molar Palatal Surface (상악 우측 대구치 구개면의 직접 시진 시 환자 머리 각도에 따른 술자의 목 주변 근육활성도 변화의 융합적 연구)

  • Lee, Sook-Jeong
    • Journal of the Korea Convergence Society
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    • v.9 no.11
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    • pp.209-216
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    • 2018
  • This study aimed to investigate the association of the muscle activity around the neck of the operator(dental hygienists') according to the change in the patient's neck angle during a direct visual inspection on the maxillary right-side molar palatal surface. The operators were $4^{th}$ year dental hygiene students, who are future dentalhy gienists, having accurate understanding on and awareness of the location of the operation site, hand fixation, and how to use the tools. Data on the change in the muscle activity around the neck were collected by using surface electromyography and neck goniometer. SPSS statistics 20 was used for statistical analyses including Shapiro-wilk test and one-way ANOVA. As a result, the activities of the operator upper trapezius, cervical erector spinae, and levator scapulae muscles significantly decreased when the patient's head was angled compared to when it was not. For the angle of the operator head, the head bend significantly decreased when the patient's head was angled than when it was not. Based on the study results, it is expected that angling the patient's head when treating his or her teeth will decrease the excessive muscle activity around the neck of the operator, and will reduce muscle fatigue. Therefore, angling the head of the patient while treating his or her teeth is recommended. This suggests that muscle pain caused by repetitive actions in the wrong posture can be reduced.

Taxonomic Review of the Genus Saurida (Aulopiformes: Synodontidae) from Korea (한국산 매퉁이속(홍메치목, 매퉁이과) 어류의 분류학적 재검토)

  • Yeo, Minyu;Kim, JinKoo
    • Korean Journal of Ichthyology
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    • v.30 no.4
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    • pp.205-216
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    • 2018
  • Taxonomic review of the genus Saurida, belonging to the family Synodontidae, was conducted based on three species (S. macrolepis, S. microlepis and S. wanieso) collected from Korea between 1994 and 2017, and one species (S. elongata) loaned from Japan. S. wanieso can be readily distinguished from S. tumbil by following characteristics: outer palatine teeth (2 rows in S. wanieso vs. 3~4 rows in S. tumbil) and pectoral fin length (reaching to pelvic - dorsal line in S. wanieso vs. not reaching to pelvic - dorsal line in S. tumbil). In counts, the four Saurida spp. are well distinguished: number of lateral line scales (48~50 in S. macrolepis vs. 54~58 in S. wanieso vs. 61~62 in S. elongata vs. 63~70 in S. microlepis), vertebrae (47~49 in S. macrolepis vs. 51~53 in S. wanieso vs. 57~59 in S. elongata vs. 62~64 in S. microlepis). The present study suggests S. undosquamis and S. tumbil must be absent in Korean waters, and also S. elongata may be rare or absent in Korean waters. Here we use the Korean name, "tum-bil-mae-tung-i" for S. wanieso, following Yamada et al. (1995) who treated Korean S. tumbil as S. wanieso.

Implant-assisted overdenture using milled bar and ADD-TOC in edentulous maxilla: A case report (상악 무치악 환자에서 Milled Bar와 ADD-TOC을 이용한 임플란트 피개의치 수복 증례)

  • Jo, Yong-Bum;Jeong, Chang-Mo;Huh, Jung-Bo;Yun, Mi-Jung;Lee, So-Hyoun;Kim, Min-Jung
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.2
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    • pp.160-167
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    • 2022
  • One of the treatment options for edentulous state patients with residual ridge resorption is implant overdenture using milled bar and attachment. It not only provides improved retention and stability but can also reduce the coverage of palatal surface. In addition, when a small number of implants are used, milled bar has the effect of being splinted between implant fixtures, which makes it mechanically advantageous under functions such as mastication. The patient in this case was a maxillary edentulous state patient with a considerable amount of residual alveolar bone resorption after removing the existing failed implants. Three implants were planted on both sides and an implant overdenture was fabricated using milled bar and ADD-TOC attachment.

A comparative study of impression methods using stock tray and intraoral scanner in a completely edentulous patient with an atypical arch shape: a case report (비정형적인 악궁을 가진 완전 무치악 환자에서 기성 트레이와 구강 스캐너를 이용한 인상 채득 방법의 비교 연구: 증례 보고)

  • Jae-Hoon Park;Ji-Hyun Kim;Jae-Min Seo;Jung-Jin Lee;Yeon-Hee Park
    • The Journal of Korean Academy of Prosthodontics
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    • v.61 no.4
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    • pp.344-355
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    • 2023
  • In complete denture fabrication, accurate preliminary impressions are crucial for obtaining an accurate final impression. However, it can be challenging in cases of atypical arch shapes. This case report compares diagnostic casts made with a stock tray and an intraoral scanner (IOS) in a patient with an atypical arch shape. A 58-year-old edentulous male patient with long, narrow, atypical arches was referred to the Oral and Maxillofacial Surgery department for complete denture fabrication. Compared to the diagnostic cast obtained using IOS with adequately captured anatomical parameters, the primary model obtained using a stock tray showed prominent overextended flanges on the labial and buccal sides of the maxillary arch and less prominent overextended flanges in the mandibular arch with pressure spots in the posterior palatal seal area. The custom tray fabricated from such a model required additional adjustment resulting in increased chair time during the final impression procedure.

Expression of UNC-50 DNA in periodontal tissue of rats after application of intermittent orthodontic force (간헐적 교정력 적용 후 백서 치주인대에서 UNC-50 유전자의 발현)

  • Park, Mi-Kyoung;Lim, Sung-Hoon;Kim, Kwang-Won;Park, Joo-Cheol
    • The korean journal of orthodontics
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    • v.36 no.4
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    • pp.242-250
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    • 2006
  • Objective: Periodontal ligament fibroblasts have an ectomesenchymal origin and are thought to play a crucial role for not only homeostasis of periodontal tissues but also bone remodeling, wound healing and regeneration of tissues. Recently, it has been reported that UNC-50 is not expressed in gingival fibroblasts but in PDL fibroblasts. The purpose of this study was to examine the expression of UNC-50 and osteocalcin in the periodontium after application of intermittent force. Methods: Twelve rats had 40 grams of mesially-directed force applied at the upper molar for 1 hour/day. Four rats were sacrificed at 1, 3 and 5 days. Immunohistochemical localization of UNC-50 and osteocalcin antibody was carried out. The results showed apposition of new cellular cementum and a slight increase in periodontal space at the tension side. Results: Strong UNC-50 expression was observed in the differentiating cementoblasts close to PDL fibroblasts in the tension side whereas it was barely expressed at the compression side. Expression was strong at day 3, and decreased at day 5. Osteocalcin immunoreactivity expression was strong in differentiating cementoblasts at the tension side. Conclusion: It can be suggested that UNC-50 is related to the differentiation of cementoblasts, and may be responsible for the molecular event in PDL cells under mechanical stress.

The Expression of Type I Collagen in Periodontal Tissue during the Experimental Movement of Rat Incisors (백서의 실험적 치아 이동시 교원질 발현에 관한 면역조직화학적 연구)

  • Kim, Sang-Cheol;Jeon, In-Seop
    • The korean journal of orthodontics
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    • v.26 no.4
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    • pp.455-467
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    • 1996
  • This study was designed to evaluate the expression of type I collagen in periodontal tissue during the experimental movement of rat incisors. Twenty-one Sprague-Dawley rats were divided into a control group(3 rats), and experimental groups(18 rats) where a force(75g) from helical springs across the maxillary incisors was applied. Experimental groups were sacrificed at 12 hours, 1, 4, 7, 14 and 28 days after force application, respectively. And tissue slides of control and experimental groups were studied histologically and immunohistochemically by LSAB(Labelled streptavidine Biotin) immunohistochemical staining for type I collagen. The results were as follows: 1. Until 28-day after force application, periodontal fibers were strectched on the tension side, and compressed in pressure side, and the arrangement of periodontal fibers was not recovered by that time. 2. The degree of type I collagen expression in control group was rare in the oral epithelium, predentin, pulp and periodontal ligament, but was mildly positive in osteoblasts, acellular cementum, cementoblasts, intermaxillary suture. 3. At acellular cementum of experimental group, the expression of type I collagen was moderate in 1-day and severe in 7-day, which was maintained until 28-day. 4. Type I collagen was observed in the newly formed fibrous connective tissue and osteoblasts at intermaxillary suture, moderately in 1-day, and severely in 14-day. 5. The tension side of periodontal ligament showed a more positive expression of type I collagen than the pressure side in 4-day. The degree was highest in 7-day and was not differentiated between sides in 14-day. 6. In the side wall of bone matrix on which osteoblasts were attached, type I collagen was expressed severely, especially in 7-day. From the above findings, we could suggest that bone remodeling in tooth movement be intimately related to the cell differentiation and the resulting formation of type I collagen.

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An effect of immediate orthodontic force on palatal endosseous appliance$(C-Palatal\;Plate^{TM})$ in beagle Dog (성견 구개부 골내고정원 장치에 가해진 즉시 교정력이 주위조직에 미치는 영향)

  • Kim, Su-Jung;Lee, Young-Jun;Chug, Kyu-Rhim
    • The korean journal of orthodontics
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    • v.33 no.2 s.97
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    • pp.91-102
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    • 2003
  • This study was performed to investigate the effect of immediate orthodontic force on soft md hard tissues surrounding C-Palatal $Plate^{TM}$ in beagle Dog. Immediately after this appliance was implanted on the midpalate of 4 adult beagle Dogs, 400gm continuous orthodontic force was applied. Experimental animals were euthanized at 8weeks, 18weeks, and 22weeks (including post-removal healing time of 4weeks), and a control animal was euthanized at 8weeks after implantation without orthodontic force application. The appliance and the surrounding tissue were studied radiographically, macroscopically, and histologically. The results were as follows: 1. The lateral radiographs taken after euthanasia showed very slight displacement of the vortical plate in the experimental animals, compared with the control animal. Mobility test of all animals confirmed primary stability without any increase of mobility during experimental period. 2. No pathologic changes were found in the healing condition of covering soft tissue and bone-screw interface in experimental animals as well as a control animal. 3. Osseointegration was achieved in the bone-screw interface in 8weeks after implantation and the amount of osseointegration increased in 18weeks. There was little difference of osseointegration between the compression side and the tension side. 4. In the marginal bone area, slight bone apposition and resorption were found regardless of compression and tension side, while there was no change in the control animal. 5. Both 8week-animal and 18week-animal showed the new bone apposition along the surface of screws which were perforated into the nasal cavity, while the control animal showed no change. 6. After 4weeks of plate removal, the covering epithelium was repaired intactly, while the connective tissue showed loose and irregular rearrangement and the connective tissue capsule remained. The C-Palatal $Plate^{TM}$ manifested sufficient anchorage capacity in the context of histological study as well as clinical outcomes, when immediate orthodontic force was applied after implantation.

A Study on Horizontal Reference Planes in Lateral Cephalogram in Korean Children (한국 아동의 측모두부 수평 기준선에 관한 연구)

  • Kim, Kyung-Ho;Choy, Kwang-Chul;Lee, Ji-Yeon
    • The korean journal of orthodontics
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    • v.29 no.2 s.73
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    • pp.251-265
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    • 1999
  • Various types of horizontal reference planes are used for diagnosis, treatment planning and evaluation of treatment results. But these reference Planes lack accuracy and repro-ducibility, and are mainly for Caucasian. Unlike the adult patients who have completed growth, the horizontal reference planes for growing children may change continuously during growth. Therefore this must be considered in selecting the horizontal reference plane. The purpose of this study was to Investigate the angle formed by the Sella-Nasion(SN) plane and Frankfort-Horizontal(FH) plane and evaluate the angle formed by FH plane and other horizontal reference planes in relation to different skeletal maturity and malocclusion types. 540 subjects with no orthodontic treatment history were chosen, and hand -wrist X-rays and lateral cephalometric X-rays were taken. According to SMA(Skeletal Maturity Assessment) of hand-wrist X-rays, the subjects were classified into 3 skeletal maturity groups : SMI 1-4 for group A, SMI 5-7 for group B and SMI 8-11 for group C. A second classification was made according to cephalometric analysis of lateral cephalograms. The subjects were classified into 3 malocclusion groups : Skeletal Class I, II and III malocclusion group. 10 measurements were evaluated. The results were as follows. 1. The angle formed by the SN plane and FH plane showed no difference among skeletal maturity groups, malocclusion groups, and between .sexes. 2. The angles formed by the SN plane and FH plane were $8.27^{\circ}{\pm}2.31^{\circ}$ for males and $8.59^{\circ}{\pm}2.24^{\circ}$ for females. The average value for females and males was $8.42^{\circ}{\pm}2.28^{\circ}$. 3. The angle formed by the FH plane and palatal plane was almost constant showing no difference among skeletal maturity groups, malocclusion groups, and between sexes($1.09^{\circ}{\pm}3.21^{\circ}$).

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