• Title/Summary/Keyword: 치근병

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THE RELATIONSHIP OF RADIOGRAPHIC LESION SIZE AND CHARACTERISTICS TO DIAGNOSIS OF PERIAPICAL CYSTS AND GRANULOMAS (방사선학적 치근단병소의 크기와 특징에 대한 치근단낭종 및 육아종의 상관관계연구)

  • Choi, Ho-Sik;Lee, Woo-Cheol;Shon, Won-Jun;Kum, Kee-Yeon;Bae, Kwang-Shik;Baek, Seung-Ho
    • Restorative Dentistry and Endodontics
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    • v.35 no.1
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    • pp.24-29
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    • 2010
  • The purpose of this study was to find out the relationship of radiographic lesion size, gender, age of patients and radiographic character to the diagnosis of periapical cyst and granuloma. The data was collected from 187 periapical lesions of 167 patients who undergone apical surgery at Department of Conservative Dentistry, Seoul National University Dental Hospital from 2003 to 2005. The lesion were surgically removed and send for biopsy to the Oral Pathology Laboratory. From the initial radiograph, lesion size was calculated using $PiViewSTAR^{(R)}$ (INFINITT, Korea) program. The obtained data were statistically evaluated using SPSS (p<0.05). The result were as followings: 1. From 187 biopsy samples, the incidence of periapical cyst was 28.34% and granuloma was 65.24%. 2. There was a significant correlation between periapical cyst and the size of radiographic lesion (p<0.01). 3. There were no significant correlations between age, gender, location of lesion and the final diagnosis (p>0.05). 4. There was a significant correlation between the non-demarcation of the lesion and the incidence of periapical granuloma (p<0.01).

재근관치료를 통한 치근단 병소의 치유

  • 전정훈;황호길
    • Proceedings of the KACD Conference
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    • 2002.05a
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    • pp.340-341
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    • 2002
  • 근관치료 후 성패는 근관치료 직후의 방사선 사진에서 보이는 근관충전의 양상으로 판단 될 수 없다. 근관치료의 성공을 위해서는 근관치료 직후의 방사선 소견과 주기적인 환자의 관찰을 통한 방사선 소견을 비교 평가하여 치근단 병소의 소실과 더불어 불편한 임상증상이 소실되었을 때 비로소 근관치료의 성공이라고 볼 수 있다.

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HYPOPHOSPHATEMIC RICKETS : CASE REPORT (저인산혈증성 구루병 환아의 증례 보고)

  • Park, Yoon-Hee;Choi, Byung-Jai;Lee, Jong-Gap
    • Journal of the korean academy of Pediatric Dentistry
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    • v.27 no.1
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    • pp.108-112
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    • 2000
  • Hypophosphatemic rickets is lack of reponse to physiologic doses of vitamin D, different from the vitamin D-dependent rickets. It is inherited in an X-linked dominant fashion. The prime features of this disorder are lowered serum phosphate levels, elevated serum alkaline phosphatase and normal serum calcium levels. The dental manifestation often include apical radiolucencies, abscess and fistulas of clinically sound teeth. Dental radiographs show ricketic bone trabeculations, abscent or abnormal lamina dura and abnormal cementum. This case which was diagnosed to hypophosphatemic rickets, showed multiple spontaneous periapical abscess and gingival fistula enlarged pulp chambers, extension of the pulp horns into the cusp tips and delayed eruption.

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The significance of diagnosis and treatment planning in periapical lesion overfilled with calcium hydroxide paste (수산화칼슘제재의 과충전이 발생한 치근단 병소 증례에서 진단과 치료 계획의 중요성)

  • Jung, Kyoung-Hwa;Kwon, Eun-Young;Choi, Youn-Kyung;Kim, So-Yeun;Jeon, Hye-Mi;Park, Jeong-Kil
    • Journal of Dental Rehabilitation and Applied Science
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    • v.37 no.2
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    • pp.95-100
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    • 2021
  • Calcium hydroxide has been widely used for root canal dressing material in endodontic treatment. This report describes that when the accurate diagnosis and proper nonsurgical endodontic retreatment is applied to periapical lesion with accidentally extruded calcium hydroxide paste, the lesion can be successfully treated. Overfilled calcium hydroxide can affect the healing process, so the overextension of calcium hydroxide agent should be avoided.

THE INDUCTION OF BONE REGENERATION AT FURCATION LESIONS WITH PULPECTOMY AND FURCATION CURETTAGE IN PRIMARY MOLARS (유구치 치근분지부 병소의 치수절제술과 소파술에 의한 골재생)

  • Lee, Seung-Hyun;Woo, Youn-Sun;Kim, Jae-Moon;Jeong, Tae-Sung;Kim, Shin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.32 no.4
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    • pp.628-633
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    • 2005
  • Deep caries in primary molars without early intervention frequently induce a pulpal disease and consequent furcation lesion with fistulous openings Up to now, majority of the textbooks on pediatric dentistry and literatures have described that extraction of the inflicted teeth is indicated for these cases and in reality these teeth have usually been extracted in the dental clinics. However when we recognize the excellent capacity of bone regeneration in children and the presence of numerous accessory canals at furcation areas, the removal of infection source in pulp by pulpectomy and inflammatory granulation tissues at furcation areas by furcal curettage might open the possibility of rapid healing at the furcation regions. In this report, 10 cases of primary molars in 3 to 6-year-old children with fistulous openings and furcation lesions in moderate size of 2 to 4mm in depth radiolucency at furcation lesion have been chosen. After pulpectomy and furcal curettage, evident bone regeneration was detected radiographically in all cases. Through the cases, we came to realize that all the cases previously described are not the indications of extraction and this approach could make many cases with pulp and furca combined lesions survive and remain healthy in the children's dental arches. However, in order for this approach to acquire objective appropriateness, it is thought that more scrupulous evaluation is desirable on the various factors regarding the indication such as the extent of furcation lesions, absorption status of teeth, amount of covering bone on succeeding teeth and so on.

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MANAGEMENT OF DENS EVAGINATUS IN PREMOLAR (소구치에 발생한 치외치의 치험례)

  • Ra, Eun-Sun;Kim, Jong-Soo;Kwon, Soon-Won
    • Journal of the korean academy of Pediatric Dentistry
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    • v.30 no.1
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    • pp.110-115
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    • 2003
  • Dens evaginatus is an anomalous tooth development arising during morphodifferentiation. It is most often reported in premolar, and familial occurrence has been reported. The primary dental complication of dens evaginatus is fracture or wear of the tubercle which leads to pulp exposure, pulpal necrosis and periapical infection. Pathosis of the pulp can occur before complete root formation with cessation of root development. A rational and conservative approach to the management of dens evaginatus in vital teeth includes early diagnosis and treatment to prevent fracture or attrition of the tubercle. This treatment would include careful sequential grinding, pulp capping, preventive resin restoration. When presented with a case of dens evaginatus in a nonvital tooth with incomplete root development, the treatment of choice has been extraction, apexification. We report two cases of dens evaginatus that appear in two sisters. In the elder, a periapical lesion on radiographs is shown, and it is treated by calcium hydroxide apexification. The other sister is early recognized of dens evaginatus, it is treated using glass ionomer cement reinforcing with sequential grinding.

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Preliminary Test of Google Vertex Artificial Intelligence in Root Dental X-ray Imaging Diagnosis (구글 버텍스 AI을 이용한 치과 X선 영상진단 유용성 평가)

  • Hyun-Ja Jeong
    • Journal of the Korean Society of Radiology
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    • v.18 no.3
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    • pp.267-273
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    • 2024
  • Using a cloud-based vertex AI platform that can develop an artificial intelligence learning model without coding, this study easily developed an artificial intelligence learning model by the non-professional general public and confirmed its clinical applicability. Nine dental diseases and 2,999 root disease X-ray images released on the Kaggle site were used for the learning data, and learning, verification, and test data images were randomly classified. Image classification and multi-label learning were performed through hyper-parameter tuning work using a learning pipeline in vertex AI's basic learning model workflow. As a result of performing AutoML(Automated Machine Learning), AUC(Area Under Curve) was found to be 0.967, precision was 95.6%, and reproduction rate was 95.2%. It was confirmed that the learned artificial intelligence model was sufficient for clinical diagnosis.