• Title/Summary/Keyword: Bony changes

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EFFECT OF MAXILLARY EXPANSION APPLIANCE USING MAGNETIC ATTRACTION FORCE (자석의 견인력을 이용한 상악골 확대 장치의 효과)

  • Lee, Won You;Jang, Ji Cheul;Kim, Hyoung Don;Han, Bu Seuk
    • The korean journal of orthodontics
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    • v.21 no.3
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    • pp.603-614
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    • 1991
  • To study the possibility of attraction magnetic forces to expand maxillary arch, we used 2 big adult dogs, 2 small puppies, 1 small adult dog as experiments, and 1 small adult dog as a control. We measured the intercanine width and intermolar width and histologically observed in the suture and cervical and apex region of teeth and took occlusal X-rays to observe separation of suture line in the maxilla. The results were as follows: 1. Expansion velocities of intercanine (0.25mm/day) and intermolar widths (0.23mm/day) in puppies were faster than those (0.135mm/day, 0.09mm/day) in adults. 2. In all experiments in adults (0.135mm/day) and puppies (0.25mm/day), expansion velocity of intercanine widths were faster than those (0.09mm/day, 0.23mm/day) of intermolar width. 3. In all experiments ectatic changes were observed and cellularities of fibroblast increased in the suture line. Only in adults dogs the separations of palatal suture were observed in the occlusal X-ray view. 4. In the puppies bony deposition was particularly observed in the suture line and micro-bony fragments were often observed. 5. In the all experiments no root resorption was observed in the cervical and root area, but normal root resorption due to eruption of permanent teeth was observed in the puppies.

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Efficacy of panoramic radiography as a screening procedure in dental examination compared with clinical evaluation (구강검진에서 임상검사와 비교한 파노라마방사선사진의 유용성)

  • An, Seo-Young;An, Chang-Hyeon;Choi, Karp-Shik
    • Imaging Science in Dentistry
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    • v.37 no.2
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    • pp.83-86
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    • 2007
  • Purpose : To evaluate the efficacy of panoramic radiography by comparing the results of clinical examination with radiographic findings. Materials and Methods: We studied 190 patients (20 men and 170 women; mean age, 40 years; range, 22 to 68 years) who visited the health promotion center of Korea Medical Science Institute and were examined both clinically and by panoramic radiography. We compared results from both examinations. Treatment options by clinical examination were described as "no treatment indicated", "treatment of dental caries", "removal of calculus", "treatment of periodontal disease", "prothodontic treatment" and "extraction of the third molar". Findings taken from the panoramic radiography were: dental caries, periapical lesion, alveolar bone loss, calculus deposition, retained root, impaction of the third molar, disease of maxillary sinus, bony change of mandibular condyle, etc. Results: The prevalence of panoramic findings were: 37.9% of dental caries, 17.4% of periapical lesions, 44.7% of alveolar bone losses, 62.6% of calculi deposition, 7.9% of retained roots, 26.8% of third molar impactions, 6.3% of diseases of maxillary sinus, 2.1 % of bony changes of mandibular condlye and 35.8% of miscellaneous lesions. Abnormal conditions revealed by panoramic radiography which had not been discovered on clinical examination were: 24.2% of the patients had dental caries, 17.4% had periapical lesions, 7.4% had calculi deposition, 5.3% had retained roots, 15.3% had third molar impactions. The opposite cases were: 5.2% had dental caries, 12.6% had calculi deposition, and 9.5% had third molar impactions. Conclusion: The use of panoramic radiography as a supplement to the clinical examination might be a valuable screening technique.

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HISTOPATHOLOGIG CHANGES OF THE BONE ON DRILLING WITH DIFFERENT TEMPERATURE SALINE USING INTERNAL IRRIGATION (내부냉각(內部冷却) 골천공시(骨穿孔時) 냉각수(冷却水)의 온도(溫度)에 따른 골조직(骨組織)의 병리조직학적(病理組織學的) 변화(變化))

  • Park, Sang-Jun;Kim, Tae-Kyu
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.12 no.3
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    • pp.8-22
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    • 1990
  • This study was performed to evaluate the histopathologic changes of the rabbit tibial compact bone using internal irrigation with both cold and room - temperature saline on drilling. The medial surface of the rabbit tibia was drilled with specially designed pilot drill (2.0mm in diameter) at 300 rpm. When drilling, two different temperature salines were injected (experimental group I : $4^{\circ}C$ saline, experimental goup Ⅱ : room - temperature saline). And the control group was drilled without cooling agent. The three rabbits in each two experimental and control groups were sacrificed 1, 2, 4, and 8 weeks after. The bone tissues including the bony defects were fixed with 10% neurtal buffered formalin, decalcified with formic acid, embedded in paraplast, and sterile sectioned at 5-6${\mu}m$. And then tissue specimens were stained with H - E and observed under light microscope. The results were as follow : The experimental groups showed early bone repair than the control group at all intervals. They underwent the same course of bone repair until 4 weeks. But the experimental group I showed slightly better bone maturation than the experimental group Ⅱ at 8 weeks.

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PRELIMINARY STUDY ON HISTOLOGIC CHANGES IN THE NERVE AND SURROUNDING TISSUES AFTER INFERIOR ALVEOLAR NERVE TRANSPOSITION IN RABBITS (토끼 하치조신경 전위술 후의 신경 및 신경주변조직 변화 관찰을 위한 예비 실험)

  • Song, Hyun-Chul
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.25 no.4
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    • pp.350-355
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    • 1999
  • Purpose : The purpose of this study was 1) to find nerve damage after inferior alveolar nerve transposition and 2) to examine whether the soft tissue or bone changes around the nerve produce the compression to the nerve in the healing period. Materials and Method : Inferior alveolar nerve was exposed through the bony window and the scratch was made in the bone to be thought as the inferior alveolar canal. Suture was made after the nerve was repositioned. The nerve and surrounding tissues were examined with the light microscope and the fluorescent microscope before surgery and at 1 month, 3 months, and 5 months after surgery. Results : After surgery, the epineurium was damaged and the nerve was divided to several fascicles covered with the perineurium The newly formed fibrous connective tissue and vessels were seen around fascicles. There was new bone formation. However the nerve was not compressed by the connective tissue or the new bone. Conclusion : The results of this study suggest that neurosensory disturbances after inferior alveolar nerve transposition are resulted by the direct trauma in surgery rather than the compression to the nerve by the scar or new bone formation in the healing period.

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A Case of Pachydermoperiostosis (경피골막증: 증례보고)

  • Nam, Young O;Ko, Sung Hoon;Oh, Suk Joon
    • Archives of Plastic Surgery
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    • v.35 no.3
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    • pp.316-320
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    • 2008
  • Purpose: Pachydermoperiostosis is a rare hereditary disease characterized by finger clubbing, periosteal reaction, and pachydermia. The underlying pathogenic mechanism of this disease remains unclear. This disease is known to be associated with a variety of diseases such as cranial suture defect, bone marrow failure, hypertrophic gastropathy, Crohn's disease, and female escuchen. Methods: A 50-year-old male had digital clubbing of both hands, coarse hypertrophic skin changes of face, progressive thickening and furrowing on the scalp(cutis verticis gyrata), persistent pain in the limbs and joints. Other cutaneous features include moderate blepharoptosis, pole-like lower legs and feet. Results: We performed surgical excision for hypertrophic skin change of scalp because of frequent eczematous skin change, severe itching sensation and cosmetic problem. Diagnosis is confirmed by bony proliferative periosteal reaction, pathologic findings, and characteristic clinical findings. Conclusion: Pachydermoperiostosis is manifested by finger clubbing, and hypertrophic skin changes causing coarse facial features with thickening and periosteal bone formation. We experienced a case of pachydermoperiostosis. Brief review of related literature is given.

Radiographic study of mandibular asymmetry (하악 비대칭의 방사선학적 연구)

  • Jeong Yeon-Hwa;Cho Bong-Hae
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.28 no.1
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    • pp.193-204
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    • 1998
  • The purpose of this study was to perform the radiographic measurements and temporomandibular joint evaluation in mandibular asymmetry. For this study, thirty-two patients who have mandibular asymmetry were selected and submentovertex, panoramic and lateral corrected tomographic radiographs were taken. Horizontal and vertical analysis using various landmarks on these radiographs were performed. Also radiographic and clinical evaluation of temporomandibular joint were obtained. The results were as follows ; 1. On the submentovertex radiograph, the mean distance of Pogonion to midline was 5.0±3.8mm. 2. The mean distance of Pogonion to Gonion was 100.6±9.2mm in deviated side and 104.3±9.1mm in contra-lateral side, and there was a significant difference between the deviated and the contra-lateral side (p<0.001). 3. The distance difference of Pogonion to Gonion between the deviated and the contra-lateral side was significantly related to the degree of asymmetry (p<0.001). 4. On panoramic radiograph, the condylar height of the contra-lateral side was significantly longer than the one of the deviated side(p<0.001). 5. On lateral corrected tomogram, bony changes of temporomandibular joint were observed in 11 condyles of the deviated side and 9 condyles of the contra-lateral side. Erosion and osteophyte were the most common changes in both the deviated and the contra-lateral sides.

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Temporomandibular Joint Ankylosis Caused by Osteoarthritis: A Case Report Based on Cone Beam Computed Tomography Images

  • Jih, Myeong Kwan;Kim, Jin Soo;Park, Hyun-Jeong
    • Journal of Oral Medicine and Pain
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    • v.47 no.3
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    • pp.156-160
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    • 2022
  • Temporomandibular joint (TMJ) ankylosis is a condition in which condylar movement is restricted because of fibrous or bony union between the mandibular condyle and temporal bone. TMJ ankylosis is most often caused by trauma, followed by systemic or local infection, and secondary to unknown causes. Diagnostic imaging plays a vital role in diagnosing TMJ ankylosis and establishing a treatment plan. Computed tomography (CT) or cone beam computed tomography (CBCT) is currently the imaging technique of choice to accurately demonstrate preoperative ankylosing masses and other surgically important findings, such as the shape of the mandibular condyle and the pathological changes in the joint. The osseous changes in the mandibular condyle are easily identified in the coronal and sagittal sections of CT or CBCT images. This report describes the case of a middle-aged woman who developed TMJ ankylosis of the left TMJ while undergoing repeated treatment for TMJ disease. We report the findings observed on radiographic and CBCT images through continuous observation.

TREATMENT OF DENTIGEROUS CYST: REPORT OF A CASE (함치성양종의 치험예)

  • Kim, Kwang-Hyun;Lee, Bong-Won
    • The Journal of the Korean dental association
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    • v.15 no.1
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    • pp.27-31
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    • 1977
  • Dentigerous cysts are closed epithelium-lined sacs formed about the crowns of unerupted teeth. Most of them probably are the result of degenerative changes in the reduced enamel epithelium. The authors observed 1 3 year old girl with a swelling and buccal bony expansion of the left mandible. Roentgen examination showed a cystic area in the left side of mandible. Under general anesthesia by means of nasotracheal intubation, intraorally, the operation by enucleation consisted in surgical removal of dentigerous cyst and the left unerupted Ist molar of mandible. The cavity was partially sutured and packed with iodoform gauze. Healing was uneventful.

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What Should We Treat For Recurrent Dislocation? (재발성 탈구에서 무엇을 치료할 것인가?)

  • Tae Suk-Kee
    • Clinics in Shoulder and Elbow
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    • v.7 no.1
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    • pp.1-4
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    • 2004
  • As the multidirection and posterior instabilities of the shoulder are not only uncommon but responds well to conservative treatment, the shoulder instabilities which requires surgical treatment are traumatic anterior type in most cases, Although various surgical procedures had been used in the past, Bankart procedure is the standard surgical method as a primary procedure in traumatic anterior instability, Nevertheless there has been changes in the techniques of Bankart procedure in order to minimize decrease of external rotation and effectively address capsular laxilty, Capsular shift might be needed if there remains excessive capsular laxity of the inferior capsule after repair of the Bankart lesion, Large bony Bankart lesion should be fixed if possible and severe glenoid rim erosion requires extracapsular bone block after repair of the capsule. Although a few surgical procedures are described for the management of Hill-Sachs lesion in special circumstances, Hill-Sachs lesion does not usually need to be addressed.

Bony Spurs at the First Metatarsocuneiform Joint -A Case Report- (제 1 중족 설상골 관절의 골극 -1례 보고-)

  • Lee, Woo-Chun;Park, Hyun-Soo;Choi, Deu-Sick;Rha, Jong-Deuk
    • Journal of Korean Foot and Ankle Society
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    • v.3 no.1
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    • pp.49-52
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    • 1999
  • Slight protrusion of the dorsum of midfoot without degenerative arthritis is common and usually can be treated by avoiding pressure of the shoe. Primary or posttraumatic degenerative arthritis accompanied by severe functional disability is treated by realignment and arthrodesis of the involved joints. We report a case of osteophytic changes in the form of lipping at the base of the first metatarsal and medial cuneiform which was treated by resection of the spurs. The cause of these spurs may be the congenital coalition of the first metatarsocuneiform joint.

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