• Journal of Acupuncture Research
• /
• 제38권1호
• /
• pp.79-84
• /
• 2021

The degenerative spinal cord disease cervical spondylotic myelopathy (CSM), and cervical myelopathy caused by trauma, can result in debilitating symptoms affecting quality of life. This study used acupotomy and other Korean medicine treatments (acupuncture, herbal medicine, and physical therapy) to improve the symptoms of CSM and cervical myelopathy. The visual analog scale, the modified Japanese Orthopaedic Association scale (mJOA scale), the Nurick grading system, and the American Spinal Injury Association impairment scale were used as the evaluation criteria to determine the effectiveness of treatment. The functional status of both patients improved from mild to moderate, with improved gait, local sensation, and level of pain. The degree of spinal cord injury remained the same. The findings of this study suggest that combined Korean medicine treatments including acupotomy may be helpful in the treatment of CSM and cervical myelopathy.

• Maxillofacial Plastic and Reconstructive Surgery
• /
• 제33권5호
• /
• pp.435-439
• /
• 2011

Ameloblastoma is an aggressive benign odontogenic epithelial tumour that may arise from the enamel organ, remnants of dental lamina, or the lining of an odontogenic cyst. It is usually categorized into solid or multicystic, unicystic, and peripheral types. Treatment ofameloblastomas include conservative methods such as marsupialisation, enucleation, and curettage; and radical treatments such as marginal or segmental resection. Radical treatments have resulted in lower recurrence rates; however, may also encounter esthetic, functional, and reconstructive problems. Unicystic ameloblastoma has been considered less aggressive and a lower recurrence tendency. Thus, many authors have recommended conservative treatment in cases of unicystic ameloblastoma. An 11 year-old boy presented with displaced second and third molars by luminal unicystic ameloblastoma in the mandible. Cyst enucleation, curettage, and third molar extraction were done. No signs of recurrence or esthetic problems such as facial asymmetry were seen radiologically and clinically, up to 8 years 2 months postoperatively.

• Journal of Korean Neurosurgical Society
• /
• 제54권3호
• /
• pp.183-188
• /
• 2013

Objective : The aim of this study is to assess outcomes during first one year for patients with severe motor weakness caused by lumbar disc herniation that underwent surgical or nonsurgical treatment. Methods : The 46 patients with motor weakness because of lumbar disc herniation who were treated at neurosurgical department and rehabilitation in our hospital from 2006 to 2010, retrospectively. Each group had 26 surgical treatments and 20 conservative treatments. We followed up 1, 3, 6 months and 12 month and monitored a Visual Analogue rating Scale (VAS) of back and leg pain, Oswestry Disability Index (ODI) and degree of motor weakness. We analyzed the differences between surgical and nonsurgical groups using Mann-Whitney U test and repeat measure ANOVA in each follow-up periods. Results : In the recovery of motor weakness, surgical treatment uncovered a rapid functional recovery in the early periods (p=0.003) and no difference between groups at the end of follow-up period was found (p>0.05). In VAS of back and leg, the interaction between time and group was not found (p>0.05) and there was no difference between groups (p>0.05). In ODI, the interaction between time and group was not found (p>0.05) and there was no difference between groups (p>0.05). Conclusion : Surgical treatment for motor weakness caused by herniated intervertebral disc resulted in a rapid recovery in the short-term period, especially 1 month. We think early and proper surgical treatment in a case of motor weakness from disc herniation could be a good way for providing a chance for rapid alleviation.

• 대한장애인치과학회지
• /
• 제11권1호
• /
• pp.1-4
• /
• 2015

본 증례는 뇌성마비가 있는 혼합치열기의 청소년에서 치간이개를 개선하는 다양한 방법을 모색해보았다. 그 중 복합레진을 이용한 보존적 치료는 이동에 어려움이 있는 뇌성마비 환아에서 최소한의 내원 횟수, 짧은 술식 시간, 경제적이며, 가역적이고 단순한 치료법이다. 이를 통해 높은 심미적 만족도와 발음 및 교합력 개선을 통해 본 환아의 삶을 질을 높일 수 있을 것으로 기대한다.

• Journal of Acupuncture Research
• /
• 제40권3호
• /
• pp.238-244
• /
• 2023

Background: Occipital neuralgia (ON) is an established risk factor for headaches in the posterior cervical region. Several conservative treatments by nerve decompression and pain relief are available for ON, but these treatments have limitations. Acupuncture treatment, which is known to demonstrate analgesic effects, involves various stimulation methods, and several studies have reported their clinical benefit. No recent systematic review (SR) has compared each acupuncture type for ON treatment. Thus, this SR aims to investigate the clinical effectiveness of each acupuncture type for treating ON. Methods: We will identify relevant studies using electronic databases, including EMBASE, MEDLINE, Cochrane Library, China National Knowledge Infrastructure (CNKI), Korean Studies Information Service System (KISS), Korean Medical Database, KoreaMed, and National Digital Science Library (NDSL) from the inception until August 2023. The primary outcome will include the numerical change of pain symptoms (visual analog scale and numerical rating scale) and effective rate. Safety and secondary outcomes will include adverse events and quality of life. We will compare the conservative treatment with the acupuncture treatment using network meta-analysis. The Cochrane Collaboration "risk of bias" tools will be used to assess the quality of included trials. The Grades of Recommendation, Assessment, Development, and Evaluation will be used to examine the evidence level. Conclusion: This study will provide clinical evidence of several acupuncture types for ON and help clinicians decide on the best.

• 척추신경추나의학회지
• /
• 제4권2호
• /
• pp.99-107
• /
• 2009

Objectives : This study was performed to evaluate the effects of oriental medical treatments and Chuna treatment on patients with pain and limited range of motion(LOM) about shoulder subsequent to scapular fracture. Methods : Two patients suffered from pain and LOM about shoulder after scapular fracture, one is scapular body fracture with multiple rib fractures, the other is only intraglenoid fracture were treated with Chuna therapy, acupuncture, herbal medicine, physical therapy and measured by VNRS(Verbal numerical rating scale) and ROM (Range of motion). Results : After oriental medical treatments and Chuna treatment, we found out a recovery from two patients suffered from pain and LOM about shoulder subsequent to scapular fracture. Conclusions : Through this study, we suggest that oriental medical treatments and Chuna treatment were effective to cure patients with pain and LOM subsequent to scapular fracture.

• Restorative Dentistry and Endodontics
• /
• 제48권3호
• /
• pp.31.1-31.11
• /
• 2023

Objectives: This retrospective cohort study examined the incidence of interappointment emergencies during multiple-visit molar root canal treatments conducted by undergraduate students. Treatments performed without the use of intracanal medicament were compared to treatments that incorporated calcium hydroxide as an intracanal medicament. Materials and Methods: Interappointment emergencies, defined as instances of pain or swelling that required the patient to make an unscheduled follow-up visit, were recorded for up to 2 months after the intervention. To avoid the influence of obturation on the observed incidence of emergency visits, only unscheduled visits occurring between the start and end of the root canal treatment were included. Results: Of the 719 patients included in this study, 77 (10.7%) were recorded as experiencing interappointment emergencies. Of these emergencies, 62% occurred within 2 weeks following the most recent intervention. In the group of patients who did not receive intracanal medicament, the incidence of interappointment emergencies was 11.9% (46 of 385 patients). In comparison, this rate was 9.3% (31 of 334 patients) among those who received calcium hydroxide as an intracanal medicament (odds ratio, 1.33; 95% confidence interval, 0.82-2.15; p = 0.249). Conclusions: Interappointment emergencies may arise at any point during root canal treatment, but they most commonly occur within the first 2 weeks following intervention. The omission of intracanal medicament in multiple-visit molar root canal treatments, performed by undergraduate students, did not significantly increase the incidence of these emergencies.

• Restorative Dentistry and Endodontics
• /
• 제18권1호
• /
• pp.38-53
• /
• 1993

The purpose of this study was to observe the resin infiltration pattern into dentin by various dentin bonding agents. Freshley extracted 36 sound human molars were used in this study. They were stored at $4^{\circ}C$ physiologic saline solution before experiment. All the teeth were cross-sectioned to expose dentin below about 3.0mm at the cusp tip and above 2.0mm at the cemento-enamel junction with Crystal Cutter (MC411 D, Maruto Co., Japan), and were made into specimens for this study (Fig. 1). The specimen experimental groups were divided into 9 groups by dentin surface treatment as following procedures: Group I: Treated with Gluma Cleanser followed by Gluma Primer and Sealer Group 2. Treated with Gluma Cleanser followed by Scotch bond 2 Adhesive Group 3: Treated with Gluma Cleanser followed by Tenure Solution A, Band Visar Seal Group 4: Treated with Scotchprep followed by Scotch bond 2 Adhesive Group 5: Treated with Scotchprep followed by Gluma Primer and Sealer Group 6: Treated with Scotch prep followed by Tenure Solution A, Band Visar Seal Group 7: Treated with Tenure Conditioner followed by Tenure Solution A, Band Visar Seal Group 8: Treated with Tenure Conditioner followed by Scotchbond 2 Adhesive Group 9: Treated with Tenure Conditioner followed by Gluma Primer and Sealer 27 specimens of 36 specimens were divided into 9 groups (Group 1-9), and were used for observation of resin tags. Remaining 9 specimens were divided into 3 groups (Group 1,4 and 7), and were used for observation of fractured dentin surfaces. Specimens to observe the resin tag were demineralized with 20% HCl for 14 hours, specimens to observe the fractured dentin surfaces were demineralized with 10% HCl for 3 minutes. All the specimens were gold-coated with Eiko ion coater (Eiko-engineering Co.), and observed under Scanning electron microscope (Hitachi S-2300) at 20 KV. The following results were obtained: 1. In group 1 treated with Gluma Cleanser, Gluma Primer, and Sealer, most resin tags were more than $100{\mu}m$. 2. In group 4 treated with Scotch prep and Scotchbond 2 Adhesive, most resin tags were about $10{\mu}m$. 3. In group 7 treated with Tenure conditioner, Tenure Solution A, B, and Visar Seal, most resin tags were about $10{\mu}m$ but occasionally resin tags were more than $100{\mu}m$. 4. In groups 2,3,5,6,8 and 9, the lengths of resin tags were inconsistent and the amount of resin tags were reduced.

• 대한치과의사협회지
• /
• 제48권7호
• /
• pp.531-537
• /
• 2010

Intentional replantation is useful for failed cases of conventional dental treatment - including root canal treatment - to restore the tooth in question. Based on a recent study, it is relatively very successful; prognosis is good for a long period. On the other hand, a tooth that becomes an indication of intentional replantation is often severely weakened throughout several treatments. Moreover, with multi-rooted teeth, extracting without root fracture is difficult. Safe extraction that is free of coronal or root fracture is important, but little information is known as to a concrete, safe way of extraction. There are a few considerations for safe extraction. First, a tooth with orthodontic extrusion force is easier for extraction due to its increased mobility; it increases the amount of the periodontal ligament, which is essential for re-attachment. As a safe way of extraction, the use of physics forceps has been introduced recently; it minimizes damage to the gingiva and alveolar hone. This paper reports the good result of using atraumatic safe extraction via both orthodontic extrusion and physics forceps$^{(R)}$.

• Maxillofacial Plastic and Reconstructive Surgery
• /
• 제33권5호
• /
• pp.454-458
• /
• 2011

Cemento-Osseous dysplasia is a benign condition of the jaw known to orginate from the periodontal ligament or medullary bone. Its treatment can be categorized according to clinical symptom. If there is no pain or other discomfort, a regular recall examination and having patients maintain proper oral hygeine are the best management. However, if clinical symptoms do exist, proper treatments such as resectioning of the mandible or mandibulectomy are needed. This clinical report describes a rare symptomatic case of cemento-osseous dysplasia which was treated with a conservative surgical method. Using this method, we obtained satisfactory results without additional grafts.