• Title/Summary/Keyword: Conservative Treatment

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Conservative Treatment of Lymphedema (임파부종 환자의 보존적 치료법)

  • Kim, Sung-Jung;Hwang, Ji-Hye
    • Physical Therapy Korea
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    • v.6 no.1
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    • pp.62-73
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    • 1999
  • The purpose of this article was to provide basic knowledge and treatment principles of patient with lymphedema, which was usually not treated at all, or the treatment given didn't work efficiently. Lmphedema is defined as an abnormal accumulation of protein-rich fluid, edema, and chronic inflammation within an extremity. Lmphedema may be classified as either primary results from defects with aplasia, hypoplasia, and hyperplasia in the lymphatic system at birth or secondary is caused by known precipitating factors such as cancer, infection, inflammation, radiation, surgery, or trauma etc. There are essentially several conservative treatment methods which has been utilized successfully to treat lymphedema in Samsung Medical Center. We used following procedures: CPT (Complex Physical therapy) or CDP (Complex Decongesitive Physical therapy) such as skin care, MLD (Manual Lymph Drainage), compression with short-stretch bandage, exercise, elevation, elastic stocking, and pneumatic compression. Our experiences shows that conservative treatments can significantly reduce lymphedema and prevent different complications.

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Toe-in Gait, Associated Complications, and Available Conservative Treatments: A Systematic Review of Literature

  • Mohammad Taghi Karimi
    • Journal of Korean Foot and Ankle Society
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    • v.27 no.1
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    • pp.17-23
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    • 2023
  • Purpose: Toe-in gait is defined as a style of walking in which the foot turns inward. It may be caused by an increase in femoral bone anteversion, tibia torsion, and metatarsus adductus. There are some conservative treatment approaches used to correct this condition. This review aimed to determine the effects of the toe-in gait on joint loading, kinematics, and kinetic parameters while walking. Moreover, it sought to determine the efficiency of various conservative treatments used to correct the condition. Materials and Methods: A literature search was conducted in the following databases: PubMed, Institute for Scientific Information (ISI), Web of Science database, EBSCO, and Embase, using the following keywords in toe, toe-in, toeing, in-toe, pigeon toe, and conservative treatment published between 1950 and 2021. The quality of the studies was evaluated using the Down and Black tool. Results: A total of 13 papers on the impact of toe-in gait on joint contact force, kinematics, kinetic parameters, and conservative approaches to management were found. The quality of the studies varied between a score of 11 and 22. The toe-in gait influences the joint contact forces and kinematics of the joints, especially the hip and pelvis. The effects of conservative treatment on the toe-in gait appear to be controversial. Conclusion: As the toe-in gait influences the joint contact force, it may increase the incidence of degenerative joint diseases. Therefore, treatment is recommended. However, there is no strong evidence on the efficacy of conservative treatments, and there are no recommendations for the use of these treatments in subjects with toe-in gait.

Healing after horizontal root fractures: 3 cases with 2-year follow-up

  • Choi, Yoorina;Hong, Sung-Ok;Lee, Seok-Ryun;Min, Kyung-San;Park, Su-Jung
    • Restorative Dentistry and Endodontics
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    • v.39 no.2
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    • pp.126-131
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    • 2014
  • Among dental traumas, horizontal root fractures are relatively uncommon injuries. Proper initial management and periodical evaluation is essential for the successful treatment of a root-fractured tooth. If pulpal necrosis develops, endodontic treatment is indicated, exclusively for the coronal fragment. Fragment diastases exert a great influence on healing at the fracture line and on pulpal necrosis. An adequately treated root-fractured tooth has a good prognosis. This case report describes the treatment and 2-yr follow up of 3 maxillary central incisors, first with horizontal root fracture, second with horizontal root fracture and avulsion, and third with horizontal root fracture and lateral luxation. All three cases were treated with mineral trioxide aggregate (ProRoot, Dentsply). During 2 yr of follow-up evaluation, the root-fractured teeth of the present patients were well retained in the arch, showing periodontal healing, even after endodontic treatment.

A STUDY ON FLEXURAL STRENGTH OF COMPOSITE RESIN INLAY ACCORDING TO HEAT TREATMENT (열처리에 따른 복합레진 인레이의 굴곡강도에 관한 연구)

  • Kim, Yong-Seong;Min, Byung-Soon;Choi, Ho-Young;Park, Sang-Jin;Choi, Gi-Woon
    • Restorative Dentistry and Endodontics
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    • v.18 no.1
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    • pp.84-94
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    • 1993
  • The purpose of this study was to evaluate flexure strength of composite resin inlay according to heat treatment and duration in comparasion with visible light-cured resin. In this study, materials were used 1 visible light-cured resin and 3 kinds of composite resin inlays. Control group was visible light cured resin (Photo Clearfil Posterior) and experimental groups were composite resin inlays (Brilliant Dentin, Brilliant Enamel and Clearfil CR Inlay). Experimental groups were divided 3 groups: First group was Brilliant Dentin and second group was Brilliant Enamel and -third group was Clearfil CR Inlay. Used experimental groups were calculated flexural strength according to heat treatment and duration. The following results were obtained: 1. Experimental groups were higher flexural strength than control group. 2. At $100^{\circ}C$ when heat treatment carried out 7 minutes flexural strength elevated third group, second group, first group in turn and when heat treatment carried out 15 minutes flexural strength elevated third group, second group, first group in turn but no difference was showed between first and second group. 3. At $125^{\circ}C$ when heat treatment was carried out 7 minutes flexural strength elevated third group, second group, first group in turn and when heat treatment was carried out 15 minutes flexural strength elevated third group, first group, second group in turn but no difference was showed between first and second group. 4. In spite of heat treatment and duration the third group was highest flexural strength in the others groups.

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Relations between Clinical Findings and Treatment Results in Patients with Temporomandibular Disorders (측두하악장애환자의 임상양태와 치료결과와의 관계)

  • Hee-Young Oh;Kyung-Soo Han
    • Journal of Oral Medicine and Pain
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    • v.20 no.2
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    • pp.407-420
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    • 1995
  • This study was performed to evaluate and compare conservative treatment results by several parameters such as age, sex, symptom duration, type and timing of joint sound, parafunctional habits, splint type, and diagnostic classification. There have been too many articles reporting long term results of conservative treatment but articles related to comparison of treatment results by patients' self-evaluation have been rarely reported. For this study 258 patients with temporomandibular disorders(TMDs) were selected and examined by routine diagnostic procedure for TMDs. The subjects were classified into 5 TMDs subgroups ad treated with conservative treatments involving splints, physical modalities, jaw exercises, and counseling. Visual analogue scale(VAS) about pain, joint sound, and mouth opening limitation was recorded respectively during treatment period. From the VAS data and treatment duration, VAS treatment index(VAS Ti) was calculated. The obtained results were as follows : 1. Pain was the most frequent main symptom in subjects with temporomandibular disorders, and main symptom for mouth opening limitation was comparatively less than for pain or sound in disk displacement with reduction group or in degenerative joint disease group. 2. Degenerative joint disease group had the most poor treatment results and highest occlusal index of Helkim's index. 3. Good prognosis for conservative treatment was observed in acute group, under 6 months than chronic group, 6months over in symptom duration, and subjects with 40 years over in age showed the most poor prognosis. 4. Subjects treated with anterior repositioning splint had better treatment results than subjects treated with centric relation splint, but statistical significance in VAS Ti and treatment duration was not observed. 5. Treatment results according to affected side, types and point of joint sound did not show consistent statistical results. 6. The result for conservative treatment was observed poor in subjects with bruxism and clenching. 7. In studying coincidence between preferred chewing and affected side, frequency of preferred chewing side, in unilateral affection, was higher in ipsilateral than in contralateral side.

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Conservative treatment modalities for patients with temporomandibular joint(TMJ) disorders (임상가를 위한 특집 1 - 턱관절장애의 보존적 치료)

  • Kim, Cheul
    • The Journal of the Korean dental association
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    • v.51 no.2
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    • pp.74-83
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    • 2013
  • In the management of temporomandibular joint(TMJ) disorders, dental practioner should conduct the reversible, conservative, and inexpensive treatment modalities prior to the irreversible and invasive treatment. That is to say, behavioral, pharmacologic, and physical therapy should be conducted firstly, and then the occlusal appliance therapy could be considered. If patients do not react to these conservative treatments, we have to consider surgical treatments. If the accurate diagnosis is confirmed by intimate history taking, clinical and imaging examinations, we can rehabilitate the normal TMJ function and relieve the clinical symptoms with only conservative treatments in most TMJ disorder cases.

Autogenous tooth transplantation for replacing a lost tooth: case reports

  • Kang, Ji-Youn;Chang, Hoon-Sang;Hwang, Yun-Chan;Hwang, In-Nam;Oh, Won-Mann;Lee, Bin-Na
    • Restorative Dentistry and Endodontics
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    • v.38 no.1
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    • pp.48-51
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    • 2013
  • The autogenous tooth transplantation is an alternative treatment replacing a missing tooth when a suitable donor tooth is available. It is also a successful treatment option to save significant amount of time and cost comparing implants or conventional prosthetics. These cases, which required single tooth extraction due to deep caries and severe periodontal disease, could have good results by transplanting non-functional but sound donor tooth to the extraction site.