• Journal of the korean academy of Pediatric Dentistry
• /
• v.23 no.3
• /
• pp.659-666
• /
• 1996

The treatment of complete avulsed teeth due to traumatic injuries is replantation procedure. The major complication of replantation are pulp necrosis, ankylosis, and root resorption. It is important to maintain the vitality of periodontal ligament to minimize the complications. The purpose of this case report is to consider the facts that affect the success rate and the prognosis of complete avulsed teeth after replantation. All of these cases had different conditions and transport media. The following results were observed: 1. The successive treatment of complete ayulsed teeth requires the maintainance of vitality of periodontal ligament. 2. The complication of replantation are inflammatory root resorption and ankylosis and in such case, proper endodontic treatment using calcium hydroxide medications and periodic observations are needed. 3. In case of delayed replantation, the use of fluoride and root planning procedure can help to achieve better result. 4. It is more esthetic and functional to maintain the avulsed tooth in mouth.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.44 no.1
• /
• pp.38-46
• /
• 2017

School nurses can play an important role in improving the prognosis of traumatized teeth of school children when they are informed about the immediate and proper dental first aid steps. The purpose of this study were to assess the awareness of school nurses concerning the management of traumatized teeth and to determine if a lecture on dental trauma management could improve school nurses'knowledge on this topic. School nurses in Gwangju and Jeonnam province completed a questionnaire before and after the lecture on the first-aid knowledge with particular focus on the following three categories. Questionnaires are composed of questions asking general information and about knowledge and proper attitude in case of the specific situation on dental trauma. According to previous studies, school nurses' knowledge tended to be higher compared with the teachers. Improvement of knowledge in school nurse was observed in emergency actions, in visiting time, replantation, carriage method, vaccine prescription related with luxation, and in possibility of fragment reattachment related with subluxation and fracture. In conclusion, it is recommended that periodical education are needed for improvement of school nurses'knowledge on proper management of dental trauma emergency.

• Clinics in Shoulder and Elbow
• /
• v.1 no.2
• /
• pp.205-211
• /
• 1998

The comminuted fracture and dislocation of the proximal humerus occur more frequently in older patient group and operative treatment is difficult due to poor bone quality. Based on Neer's work, hemiarthroplasty has now become widly accepted for the management of the three-part fracture and four-part fracture-dislocation of the proximal humerus in old age group. The purpose of this study is to evaluate function, pain relief, and patient satisfaction after hemiarthroplasty for proximal humerus fractures and dislocations. Authors reviewed and analyzed 14 prosthetic replacement in comminuted proximal humeral fracture and dislocation at the Department of Orthopaedic Surgery, Yonsei University Wonju College of Medicine from March, 1988 to May, 1997. The results were as follows the average age was 58.9years and the ratio of males and females was 5:9. The most common cause of injury was traffic accident(43%). According to the classification of Neer, three part fracture were three(21%), four-part fracture and four-part fracture-dislocation were eleven(79%). The prosthetic replacement was performed within two weeks in eight patient and six were performed after two weeks. The results were analysed according to Neer's criteria and five cases showed satisfactory results. We concluded that hemiarthroplasty for fracture and dislocation of the proximal humerus facilitated the restoration of humerus length and pain relief, thereby allowing earlier motion to prevent the development of painful shoulder: stiffness.

• Journal of Korean Medical classics
• /
• v.19 no.3
• /
• pp.47-64
• /
• 2006

籬위제고화가심대청대정골추나요법적인식화이해(爲提高和加深對淸代正骨推拿寮法的認識和理解), 특선어차방면의의교심차유의사문환가치적(特選於此方面意義較深且有醫史文歡價値的) ${\ulcorner}$의종금감(醫宗金鑑) 정골심법요지(正骨心法要旨)${\lrcorner}$ 중적(中的) ${\ulcorner}$외치법(外治法)${\lrcorner}$ 진행료연구(進行了硏究), 획득여하연구결과(獲得如下硏究結果). 기수법총론부분(其手法總論部分), 파요지규정료정골수법적정의급기중요성(擺要地規定了正骨手法的定義及其重要性), 후유증적예방(後遺症的預防), 안환자원기강약이수요주의적사항(按患者元氣强弱而需要注意的事項), 정골의생적기본공화심이소질등문제(正骨醫生的基本功和心理素質等問題). 기정골수법부분(其正骨手法部分), 포괄모(包括模) 접(接) 단(端) 제(提) 접(按) 나(摩) 추(推) 나등팔법(拿等八法), 각법지적응증용현대용어해석여하(各法之適應症用現代用語解釋如下): 모법용어촉진(模法用於觸診), 접법용어골절치료(接法用於骨折治療), 단법용어탈위치료(端法用於脫位治療), 제법용어견인법(提法用於牽引法), 안마법용어연조직손상화골착건적치료(按摩法用於軟組織損傷和骨錯鍵的治療), 추나법용어절적운동(推拿法用於節的運動) 부리화관절적부완전결합적치료(不利和關節的不完全結合的治療). 기기구총론부분(其器具總論部分), 개소료십종정골치료용기구(介紹了十種正骨治療用器具), 각종기구적적응증급기효능용현대용어해석여하(各種器具的適應症及其效能用現代用語解釋如下): 이렴구유보호환부적효과(裏簾具有保護患部的效果), 진정용어동통(振挺用於疼痛) 부종(浮鍾) 경결적치료(硬結的治療), 피견용어견관절탈구적고정료법(被肩用於肩關節脫臼的固定療法), 격색속어리용자아체중적견인료법(擊索屬於利用自我體重的牽引療法), 루관속어분부동계단이용자아체중진행견인적료법(壘觀屬於分不同階段利用自我體重進行牽引的療法), 통목속어포추지압축성골절적래목치료용구(通木屬於胞推之壓縮性骨折的來木治療用具), 요주구유대요추골급기근육이상적부가보호대효과(腰柱具有對腰推骨及其筋肉異常的附加保護帶效果), 죽렴용어골절적고정치료(竹簾用於骨折的固定治療), 삼리구유대골절적쌍중고정효과(杉籬具有對骨折的雙重固定效果), 포슬구유대슬관절적고정효과(抱膝具有對膝關節的固定效果).

• Korean Journal of Acupuncture
• /
• v.23 no.4
• /
• pp.111-122
• /
• 2006

Objectives : Therapeutic effect of Balance Appliance of functional crebrospinal technique (FCST for meridian and neurologic yinyang balance was observed in two refractory torticollis cases. Methods : A unidentified severe torticollis two cases with several months of duration was managed by the Balance Appliance on temporomandibular joint (TMJ), combined with acupuncture and manual medicine. Results : Assessment was made by self assessment of subjective symptoms and clinical observation. The patient reported over-90% remission and returned to ordinary daily life after $3{\sim}5$ months of therapy, which effect was reported to maintain for 6 months. Conclusions : An impressive effect was observed and further clinical and biological research on FCST is expected.

• Restorative Dentistry and Endodontics
• /
• v.35 no.6
• /
• pp.492-496
• /
• 2010

Coronal discoloration is a common sequela to traumatic injuries. In subluxation cases, although the injury is not strong enough to rupture the apical vessels, discoloration may appear by tearing thin walls or occluding small capillaries. In absence of infection pulpal regeneration can occur, and as a result discoloration may completely or partially subside. But judging pulpal status by coronal discoloration can be dangerous and it may lead to unnecessary treatment. This case presents coronal discoloration and recovery following traumatic injury of maxillary anterior teeth. In diagnosing traumatized teeth routine cold tests or electric pulp tests are known to be unreliable, but with the aid of ultrasound doppler imaging, assessing pulp vitality of traumatized teeth can be more accurate.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.35 no.4
• /
• pp.642-651
• /
• 2008

This study was carried out to give basic information of traumatic injuries of primary and permanent teeth which can be used for diagnosis and management of injured teeth. From January 2003 to July 2007, 570 children with 1394 teeth who came to pediatric dentistry and emergency center of Chonnam National University Hospital due to the traumatized teeth participated in this study. The following data were investigated. : age, sex, causes and places of trauma, position of injured teeth, types of injury, and treatment at the first visit. 1. Trauma prevailed at the age of 1, $6{\sim}8$, $17{\sim}18$ and the rate of males was more likely to be higher than the rate of females(1.9 : 1). 2. The main cause of injury is a fall-down injury for primary and mixed dentition, but is a traffic accident and fighting for permanent dentition, respectably. The place of injury for primary dentition is mainly home(45.3%), while street for mixed and permanent dentition. 3. The position of injured teeth according to the area in the mouth is mainly maxillary anterior teeth in both case of primary and permanent teeth and especially, the ratio of central incisors is high. 4. The periodontal tissue injury occurred the most frequently in the primary and the permanent teeth, but the ratio of hard tissue injury in the permanent teeth increased, compared with the primary teeth. 5. Among treatments at the first visit, observation without actual treatment comprised 75.6% in the primary teeth and 55.4% in the permanent teeth, respectably. The pulp necrosis occurred in 20.3% of the primary teeth and 26.6% of the permanent teeth in the case of the periodontal tissue injuries, respectably.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.28 no.3
• /
• pp.345-354
• /
• 2001

The purpose of this study was to make public oral health plan more effective and the improvement of the hospital management system for better clinical dental practice. Distribution and trends were examined in all patients who had been examined and diagnosed at Department of Pedodontics, Dental Hospital, Chosun University over 10 year-period from 1990 to 1999 Results were as follows, 1. The number of patients per year was increasing trend after 1996 and higher visiting rate in male(55.9%) than in female(44.1%). 2. Age distribution had shown $3\sim4$ year-old cup being the largest (23.4%) and each percentage of $5\sim6,\;7\sim8,\;0\sim2,\;9\sim10,\;11\sim12,\;13\sim14,\;above\sim15$ year-old group was 19.9%, 17.7%, 14.6%, 12.6%, 8.0%, 3.3%. 0.5%. 3. Geographic distribution showed a majority of patients in Kwang-Ju (83.0%). Group in the suburbs of Kwang-Ju(Jang-Sung group) was 5.4%. 4. Dental caries showed the highest percentage(40.5%) in chief complaints and percentage of oral exam, orthodontic problem, oral pain, trauma, supernumerary teeth, swelling was 13.9% 12.6%, 8.8%, 7.4%, 5.5%, 4.9%. 5. In all patients with traumatic problem, crown fracture showed the highest percentage(41.4%) and percentage of subluxation was 19.4%. 6. Majority(78.7%) of patients were not refered, and percentage of patients refered from local clinic was 20.5%. 7. Patients who had periodic check-up comprised 19.6%, and percentage of after 3, 6, 9, 12, 18, 24month was 36.7%, 22.2%, 13.5%, 11.3%, 5.4%, 11.0%.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.26 no.1
• /
• pp.96-102
• /
• 1999

Tooth avusion implies total displacement of teeth out of its socket. Its frequency range from 0.5 to 16% of traumatic injuries. Replantation procedure is used for the treatment of avulsed tooth. However, its major complications are pulp necrosis, inflammatory root resorption and replacement root resorption. This paper describes 10 years and 2 months old male patient whose both maxillary central incisors were avulsed due to fall-down with slightly underdeveloped root apices. Teeth were replanted 2 hours after accident. Right central incisor's pulp tissues were extirpated and filled with $Vitapex^{(R)}$(calcium hydroxide) at 3-4 weeks after replantation, but left central incisor was filled at 8-9 weeks. Right central incisor showed little inflammatory resorption in apical portion, whereas left central incisor showed severe root resorption. During 18 months' follow-up period, left central incisor showed slightly ankylosis while right central incisor did not. Based upon the above-mentioned results, the following conclusions can be drawn: 1. Inflammatory resorption could be suppressed by endodontic treatment with calcium hydroxide. 2. When apex formation is doubted in replanted tooth due to avulsion, early endodontic treatment with calcium hydroxide seems to act positively for better prognosis.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.31 no.1
• /
• pp.114-119
• /
• 2004

For the tooth traumas of children, instant and appropriate treatment is one of the important factors to determine prognosis of traumatized teeth. Especially in case of avulsed tooth, prognosis is greatly affected by instant and appropriate emergency treatment. The objective of this survey was to investigate elementary school teachers? knowledge of first aid treatment for tooth traumas of children. We asked for 520 elementary school teachers in Busan to answer questionnaires and 455(87.5%) were returned. The result of the survey supports that knowledge of tooth is little understood except general information about the treatment of tooth traumas. And it also shows that practical treatment is poor and instruction of medical treatment is not generally known Furthermore most teachers agreed that expert education for prevention and cure of tooth traumas is necessary (81.8%) and mouth protector is also necessary (71.9%) for the prevention. The result leads to the conclusion that educations on the prevention and emergency treatment of tooth traumas of elementary children who are physically active are needed.