• Title/Summary/Keyword: 치과질환

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The Effect of an Interocclusal Appliance on Head and Neck Posture (교합장치물이 두경부 자세에 미치는 영향)

  • Eun-Ha Kim;Keum-Back Shin;Ik-Jun Lim
    • Journal of Oral Medicine and Pain
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    • v.19 no.2
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    • pp.81-97
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    • 1994
  • 두개하악장애는 환자의 신체적 소인, 관련조직의 구조적 변화, 정신적 스트레스 등의 복합적 요인에 의 발생하는 다인성 질환으로 최근 대두되는 원인중의 하나가 신체, 특히 두경부의 자세이상이다. 비정상적인 두경부자세는 하악의 위치변화를 수반하여 종종 두개하악장애를 야기시키게 되나 이를 설명할 수 있는 과학적 증거는 아직 부족한 실정이다. 저자는 두경부 자세가 교합장치물에 의해 변화되는지를 저작근의 근전도학적 측면에서 규명하고자 21세에서 26세의 치과대학생으로 치아상실 및 교합간섭이 없고 두 개하악장애의 증후 및 경부운동제한을 가지지 않은 정상인 20명을 대상으로 각도계를 사용하여 시상면상에서 인위적으로 유도한 세 가지의 두경부자세변화 (0$^{\circ}$, 30$^{\circ}$ 굴절, 45$^{\circ}$ 신전)에 따른 교합안정장치의 장착(1시 간) 전후 및 안정위와 근접촉위(초기치아접촉위)에서의 두경부 근육(측두근, 교근, 악이복근)의 근전도를 Bioelectric Microprocessor EM2ⓡ를 사용하여 측정한 후 통계학적으로 비교, 분석, 평가하여 다음과 같은 결과를 얻었다. 1. 교합안정장치 장착전 하악 안정위 및 근접촉위에서 두부의 30$^{\circ}$굴절은 악이복근의 근활성도를, 45$^{\circ}$신전은 교근 및 악이복근의 근활성도를 증가시켰다.(p<0.05) 2. 교합안정장치 장착후 하악 안정위에서 두부의 30$^{\circ}$굴절은 악이복근의 근활성도를, 45$^{\circ}$신전은 교근 및 악이복근의 근활성도를 증가시켰으며, 하악 근접촉위에서 두부의 45$^{\circ}$신전은 악이복근의 근활성도를 증가시켰다(p<0.05). 3. 교합안정장치 장착 전후 및 두부의 30$^{\circ}$굴절, 45$^{\circ}$신전에 따른 측두군 및 교근의 하악 근접촉위에서의 근활성도가 안정위에서의 근활성도에 비해 유의한 증가를 나타냈다(p<0.05).

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RESTORATION OF THE UPPER CENTRAL INCISOR FOR PATIENTS WITH CEREBRAL PALSY : A REPORT OF 3 CASES (뇌성마비 환자의 전치부 수복)

  • Yoon, Hae-Jeong;Jung, Bok-Yeong;Kim, Seung-Hye;Song, Je-Seon;Lee, Jae-Ho
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.6 no.1
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    • pp.19-22
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    • 2010
  • Cerebral palsy is an umbrella term encompassing a group of non-progressive non-contagious motor conditions that cause physical disability in human development. Motor disorder of cerebral palsy is often accompanied by disturbances of sensation, perception, cognition, communication, behavior and seizure disorder. Disharmony of motor function leads to frequent falling down. Moreover patients have high prevalence of class II malocclusion. Compared to normal patients, the patients with cerebral palsy tends to have high prevalence of recurrent trauma and bruxism which make restoration of the anterior tooth more difficult. This case report is consisted of three cases of cerebral palsy patients who have challenging problems with restoration of anterior teeth.

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A Study of Ameloblastoma in Children and Adolescents (아동 및 청소년에 발생한 법랑모세포종)

  • Cho Bang-Hae
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.28 no.2
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    • pp.355-362
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    • 1998
  • A retrospective study of 15 cases of ameloblastoma in children and adolescents was performed. During the period of evaluation, 46 patients with ameloblastoma were seen, of which 15(32.6%) cases were in the patients aged 18 years or younger with the mean age of 14.5 years. There was more prevalence in male (1.5: 1). All the cases occured in the mandible, the molar and ramus area was the most frequent location(66.7%), and the most frequent sign was swelling of the face or jaw. Radiographically, 11(73.3%) cases manifested unilocular leion. Cortical expansion and root resorption were presented in 14(93.3%) and 11 (73.3%) cases respectively. Pexiform and plexiform unicystic types were common in the ameloblastoma occured in young patients.

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A study of the high resolution Ultrasound Diagnostic system for Dermatology (피부학(Dermatology)을 위한 고해상도 초음파 진단 장치에 관한 연구)

  • Lew, Jeom-Soo;Lim, Chun-Sung;Kim, Young-Kil
    • Journal of the Korean Institute of Telematics and Electronics S
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    • v.35S no.6
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    • pp.66-71
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    • 1998
  • High spatial resolution ultrasonic imaging is necessary in several fields of investigation, in order to permit greater precision of clinical diagnosis in the dermatology, ophthalmology etc. We present a B-mode scan system using sector scanning probe of 20MHz center frequency. This developed system allow the high resolution image of 250${\mu}m$ in lateral and 80${\mu}m$ in axial, which of display the size of a $5mm {\times} 5mm$ image with 20 frames/sec. We have shown the images of various structural elements of the human skin and of the nail. We have compared the skin images obtained for each of the different age and we have shown in a general with the age, the atrophy of the skin thickness and the appearance of the abnormal hypoechogene band under epidermis (named SENEB : Sub Epidermal Non Echogene Band).

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DENTAL TREATMENT OF A PATIENT WITH HADDAD SYNDROME UNDER GENERAL ANESTHESIA: CASE REPORT (Haddad syndrome 환아의 전신마취 하 치아우식 치료: 증례보고)

  • Suh, Heewon;Song, Ji-Soo;Shin, Teo Jeon;Hyun, Hong-Keun;Kim, Young-Jae;Kim, Jung-Wook;Lee, Sang-Hoon;Jang, Ki-Taeg
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.13 no.1
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    • pp.47-51
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    • 2017
  • Haddad syndrome, the association of Congenital Central Hypoventilation Syndrome (CCHS) and Hirschsprung's disease (HD), is a disease caused by mutation of PHOX2B gene. This disease, which occurs very rarely worldwide, is characterized by adequate ventilation during wakefulness and hypoventilation during sleep due to decreased ventilatory sensitivity. In this case report, we report a case of dental treatment under general anesthesia in a child with Haddad syndrome. A 3-year-old child with Haddad syndrome visited Seoul National University Dental Hospital for dental treatment. Dental treatment was planned under general anesthesia because of his medical condition. Treatment was successfully done without any postoperative complications. This case suggests that general anesthesia may be advantageous for dental treatment due to the risk of respiratory depression in a child with Haddad syndrome.

Sex Determination used Sex Determining Region Y Gene on the Y-chromosome of Human Teeth (사람 치아 Y염색체상의 sex determining region Y(SRY)유전자를 이용한 성별감정)

  • Kim, Sei-Youn;Ahn, Jong-Mo;Ryu, Geun-Chun;Yoon, Chang-Lyuk
    • Journal of Oral Medicine and Pain
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    • v.24 no.3
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    • pp.325-333
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    • 1999
  • 최근 중합효소연쇄반응을 이용한 분자생물학적 유전자분석기술의 발달로 성염색체상의 유전좌위 증폭을 통한 성별감정이 활발히 이루어지고 있다. 그중 사람 Y염색체상에 존재하는 남성 고환의 형성을 유도하는 sex-determining region Y(SRY) gene이 규명되어 유전질환의 조기 발견이나 예방 및 태아의 성별판정 등에 응용되고 있다. 그러나, 치아는 외부 환경에 대한 저항성이 가장 높은 장기로 성별감정 등 법의치과학적 개인식별에 널리 이용되고 있음에도 불구하고, SRY 유전자를 이용하여 치아에서의 성별감정에 대한 연구는 시도된 바 없다. 따라서, 본 연구에서는 사람 치아에서 중합효소연쇄반응법을 이용한 SRY 유전자를 검출하여 성별판정에 용용하고자 하였다. 남녀 각각 20개 치아의 치수와 상아질에서 DNA를 추출하여 중합효소연쇄반응 을 시행하고 SRY 유전자를 검색한 결과, 남성에서는 치수 13개중 8개, 상아질 7개중 4개에서 SRY 유전자가 검출되었고, 여생에서는 검출되지 않았다. 이러한 결과는 중합효소연쇄반응법을 이용하여 사람 치아에서 SRY 유전자를 검색할 때, 남성판별에 유용하고 치아를 이용한 성별감정시 기존의 성별감정에 이용되고 있는 다른 유전자와 함께 SRY 유전자를 검색함으로써 성별감정의 신뢰도를 높힐 수 있을 것으로 사료된다.

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A study of the relationship between oral health behaviors, use of dental clinics and periodontitis (구강건강행태 및 치과의료서비스 이용과 치주질환과의 관련성)

  • Choi, Hye-Jung;Lee, Myung-Sun
    • The Journal of Korean Society for School & Community Health Education
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    • v.14 no.3
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    • pp.89-99
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    • 2013
  • Objectives: This study was designed to examine the effects of oral health behaviors and use of dental clinics on periodontal diseases in women, the purpose of this study is to provide basic information to develop program for dental health promotion in young women. Methods: We conducted a survey targeting 486 women that agreed with the survey and were going to dental clinic from October 1, 2013 to October 18, 2013. We surveyed them by self-administered questionnaire and analyzed it by SPSS Win 19.0 program. Results: 1. For differences in periodontitis according to general characteristics, if th age is high, ratio of periodontitis is high. Married woman is higher than single one in ratio of periodontitis. Also the more number of birth, the higher ratio of periodontitis is.(p<.05) 2. For differences of periodontitis by dental care behavior, ratio of periodontitis of non-smokers is significantly low. For one that brush one's teeth broadside, the ratio of periodontitis is high.(p<.05) 3. For differences of periodontitis by use of dental clinic service, ratio of periodontitis of one that have more times visit to a dental clinic, more annual average cost for dental care, and regular dental check-ups is relatively low.(p<.05). 4. For determinant factors influencing on periodontitis, ratio of periodontitis of one that is old, have more stress, have a low level of education, and have preventive dental care is high. Ratio of periodontitis of one that have less toothbrushing and brush one's teeth after having lunch or a snack and before sleeping is significantly low. Conclusions: From this study, dental health behavior as the factor influencing on periodontitis of young women is statistically meaningful. Because this dental health behavior has a lot of potential to be improved by government and local community efforts such as education and social support, we think that systematic and various educational program development is needed to strengthen self dental care ability effectively with policy support.

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Sialography and Salivary Scan Study of Salivary Diseases (타액선 질환의 조영촬영법과 방사성동위원소 스캔법을 이용한 임상적 연구)

  • Park Yun-Kyoung;Lee Sang-Rae;Hwang Eui-Hwan
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.29 no.1
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    • pp.175-189
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    • 1999
  • The purpose of this study was to established the characteristic radiographic features in salivary gland diseases by means of sialography and scintigraphy. Sialograms and scintigrams with diseases of salivary gland were examined. In this group were 5 salivary stones, 14 sialadenitis, 17 Sjogren's syndromes and 8 benign tumors. The obtained results were as follows; 1. In the configuration of the shape of main duct, those revealed that modified curvilinear and curvilinear types were predominant in Sjogren's syndromes but reverse sigmoid and angular types were in sialolithiasis and sialadenitis combined with sialodochitis. 2. In the configuration of the course of main duct, those revealed that smooth types were predominant in sialadenitis and irregular types were predominant in Sjogren's syndromes and benign tumors and irregular types were seen in all salivary stones and sialadenitis combined with sialodochitis, 3. In the type of intraglandular pattern, those revealed that destructive changes of salivary duct system and parenchyma were severe in sialadenitis and salivary stones and predominantly severe in Sjogren's syndromes. 4. The function of salivary gland was decreased severely in Sjogren's syndrome. and also decrease in salivary stone and sialadenitis. In benign tumor, the uptake of radioisotope was not seen in lesion and the function of salivary gland decreased in its remaining normal parenchyma.

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Isolation and Culture of Dental Pulp Stem Cells from a Supernumerary Tooth (과잉치로부터 줄기세포의 분리 배양)

  • An, So-youn
    • Journal of Dental Rehabilitation and Applied Science
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    • v.25 no.2
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    • pp.191-200
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    • 2009
  • Dental Pulp Stem Cells are superior to other types of adult stem cell. Because of teeth are easy to access and are extracted throughout life. A supernumerary tooth is an important clinical problem found in various populations of the world. The incidence of supernumerary teeth varies depending on the literature source. Pediatric dentists are routinely extracted them. However, no studies have been reported regarding Dental Pulp stem cells in a supernumerary tooth, and we failed to note that a valuable source of human stem cell. Herein, we tried to show that a supernumerary tooth contains cells that display the characteristic features of stem cells.

Usefulness of SOX9 and SRY Gene on Sex Determination in Human Teeth (사람치아에서 성별감정시 SOX9 과 SRY 유전자의 유용성)

  • Ko, Nam-Ju;Ahn, Jong-Mo;Yoon, Chang-Lyuk
    • Journal of Oral Medicine and Pain
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    • v.26 no.1
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    • pp.87-93
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    • 2001
  • SOX9과 SRY 유전자는 척추동물에서 남성고환의 형성을 유도하는 요소로 알려졌다. SOX9 유전자는 SRY related HMG box gene중 하나로 유전질환의 XY성전환 및 성을 결정하는 데에 관여하며 성결정시기에 그 양에 따른 성전환 발생등 연구가 진행되고 있다. 그러나 이 유전자가 성별판정에 유용할 지는 확실치 않다. 반면 SRY 유전자는 포유동물에서의 배형성시기 고환형성을 결정하는 Y염색체 유전자로 남성에만 존재하고 여성에는 존재 않는다. 현재까지 이을 이용하여 법의학적 검체에서 남성판별에 유용하게 사용되고 있다. 본 실험에서는 X, Y와 같은 성염색체가 아닌 상동염색체상에 있으면서 SRY 유전자와 더불어 남성고환을 결정하는 또다른 요소로서의 기능을 가진 SOX9 유전자를 치아에서 검출하여 법의학적 성별판정에 유용할 수 있는지 알아보고자 본 연구를 수행하였다. 남녀각각 5개의 치아에서 치수와 상아질을 분리한 후 DNA를 추출하여 SOX9과 SRY 유전자의 특이적인 시발체를 제작하고 중합효소연쇄반응을 시행하여 증폭하고 전기영동을 시행하였다. 그 결과 SOX9 유전자는 남녀모두에서 유전자가 검출되었고, SOX9 유전자산물과 SRY 유전자를 혼합하여 사용시 남자에서만 유전자가 검출되었다. 이는 법의치과학적 성별판정에 있어 SOX9 유전자는 사람의 치아에서는 남녀 모두 존재하며 남녀 구별을 위한 성별판정에는 이용할 수 없으며 SRY 유전자와 함께 적용시 남성 특이적 SRY 유전자 검사중 발생할 수 있는 가성 음성 반응여부를 확인하는 데 유용할 것으로 사료된다.

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