• Title/Summary/Keyword: Conservative approach

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Conservative surgical approach to aggressive benign odontogenic neoplasm: a report of three cases

  • Kumar, Vijay
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.41 no.1
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    • pp.37-42
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    • 2015
  • Aggressive benign odontogenic neoplasms have substantial potential to grow to an enormous size with resulting bone deformities, and they often invade adjacent tissues and spread beyond their normal clinical and radiographic margins; as such, they have a high rate of recurrence. Historically, management (conservative versus aggressive) on the basis of clinical, radiographic and/or histopathologic characteristics has been controversial. However, recent advances in the understanding of the biological features of these lesions may provide greater evidence of the benefits of conservative management. Three patients with different complaints and final histopathologic diagnoses were enrolled in the study. All three cases were treated by a single operator with similar conservative surgical procedures. During follow-up, the patients had uneventful secondary healing and bone regeneration, less packing time than previously reported, no clinical or radiographic evidence of recurrence and no apparent deformity. The aggressive behavior of these lesions requires long clinical and radiographic follow-up. Conservative surgical management may be an option to reduce recurrence and morbidity and increase the probability of uneventful secondary healing and bone regeneration.

Conservative and esthetic approach in crown fracture of maxillay anterior tooth: tooth fragment reattachment (상악 전치부 치관 파절의 보존적이고 심미적인 접근법: 파절편 재부착)

  • Jung, Kyoung-Hwa;Kwon, Eun-Young;Kim, So-Yeun;Jeon, Hye-Mi;Son, Sung-Ae;Park, Jeong-Kil
    • Journal of Dental Rehabilitation and Applied Science
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    • v.35 no.2
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    • pp.105-112
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    • 2019
  • Crown fractures are the most frequent traumatic injuries to permanent teeth and mainly involve the maxillary incisors due to their exposed position in the dental arch. One option for managing crown fractures, when the tooth fragment is present and in good condition, is reattachment of the fragment to its original position. This paper reports on three crown fracture cases in which successful esthetic and functional results were achieved by reattachment of the tooth fragment.

Asymmetry in mesial root number and morphology in mandibular second molars: a case report

  • Nayak, Gurudutt;Shetty, Shashit;Shekhar, Rhitu
    • Restorative Dentistry and Endodontics
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    • v.39 no.1
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    • pp.45-50
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    • 2014
  • Ambiguity in the root morphology of the mandibular second molars is quite common. The most common root canal configuration is 2 roots and 3 canals, nonetheless other possibilities may still exist. The presence of accessory roots is an interesting example of anatomic root variation. While the presence of radix entomolaris or radix paramolaris is regarded as a typical clinical finding of a three-rooted mandibular second permanent molar, the occurrence of an additional mesial root is rather uncommon and represents a possibility of deviation from the regular norms. This case report describes successful endodontic management of a three-rooted mandibular second molar presenting with an unusual accessory mesial root, which was identified with the aid of multiangled radiographs and cone-beam computed tomography imaging. This article also discusses the prevalence, etiology, morphological variations, clinical approach to diagnosis, and significance of supernumerary roots in contemporary clinical dentistry.

Efficacy of reciprocating and rotary retreatment nickel-titanium file systems for removing filling materials with a complementary cleaning method in oval canals

  • Said Dhaimy;Hyeon-Cheol Kim;Lamyae Bedida;Imane Benkiran
    • Restorative Dentistry and Endodontics
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    • v.46 no.1
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    • pp.13.1-13.9
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    • 2021
  • Objectives: This study aimed to evaluate and compare the efficacy of the S1 reciprocating system and the D-Race retreatment rotary system for filling material removal and the apical extrusion of debris. Materials and Methods: Sixty-four freshly extracted maxillary canines were shaped with size 10 and size 15 K-files, instrumented using ProTaper Gold under irrigation with 2.5% sodium hypochlorite (NaOCl), obturated according to the principle of thermo-mechanical condensation with gutta-percha and zinc oxide eugenol sealer, and allowed to set for 3 weeks at 37℃. Subsequently, the teeth were divided into a control group (n = 4), the D-Race rotary instrument group (n = 30), and the S1 reciprocating instrument group (n = 30). After classical retreatment, the canals were subjected to a complementary approach with the XP-Endo Shaper. Desocclusol was used as a solvent, and irrigation with 2.5% NaOCl was performed. Each group was divided into subgroups according to the timing of radiographic readings. The images were imported into a software program to measure the remaining filling material, the apical extrusion, and the root canal space. The data were statistically analyzed using the Z-test and JASP graphics software. Results: No significant differences were found between the D-Race and S1 groups for primary retreatment; however, using a complementary cleaning method increased the removal of remnant filling (p < 0.05). Conclusions: Classical removal of canal filling material may not be sufficient for root canal disinfection, although a complementary finishing approach improved the results. Nevertheless, all systems left some debris and caused apical extrusion.

Facial Nerve Decompression via Middle Fossa Approach : Report of Three Cases (말초성 안면마비에서 중두개와 접근법에 의한 안면신경 감압술 : 3례 보고)

  • Cho, Joon;Park, Sung-Ho;Kim, Jae-Young
    • Journal of Korean Neurosurgical Society
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    • v.30 no.4
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    • pp.479-485
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    • 2001
  • Objective : Several conservative treatments have been tried in peripheral facial nerve paralysis, because 80% of patients recover spontaneously. Surgical decompression may be helpful to the residual, medically intractable patients. We present here our experiences of facial nerve decompression via middle fossa approach, which seems to be one of good surgical therapeutic options for medically refractory peripheral facial nerve paralysis. Method : Three cases of medically intractable peripheral type facial paralysis were microscopically operated via middle cranial fossa approach to decompress the labyrinthine segment of the facial nerve and geniculate ganglion by searching landmarks of middle meningeal artery, greater superficial petrosal nerve and facial hiatus. Results : After operation, two cases of Bell's palsy improved substantially and one case of post-traumatic facial paralysis improved partially. Conclusion : This report is presented to describe the surgical facial nerve decompression via middle fossa for early control of peripheral type facial paralysis. Surgical decompression of edematous peripherally paralysed facial nerve could be preferred to conservative treatment in some patients although more surgical experience should be required.

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A numerical approach for assessing internal pressure capacity at liner failure in the expanded free-field of the prestressed concrete containment vessel

  • Woo-Min Cho;Seong-Kug Ha;SaeHanSol Kang;Yoon-Suk Chang
    • Nuclear Engineering and Technology
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    • v.55 no.10
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    • pp.3677-3691
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    • 2023
  • Since containment building is the major shielding structure to ensure safety of nuclear power plant, the structural behavior and ultimate pressure capacity of containments must be studied in depth. This paper addresses ambiguous issue of determining free-field position for liner failure by suggesting an expanded free-field region and comparing internal pressure capacities obtained by test data, conservative assumption and suggested free-field region. For this purpose, a practical approach to determine the free-field position for the evaluation of liner tearing is carried out. The maximum principal strain histories versus internal pressure capacities among different free-field positions at various azimuths and elevations are compared with those at the equipment hatch as a conservative assumption. The comparison shows that there are considerable differences in the internal pressure capacity at liner failure within the expanded free-field region compared to the vicinity of the equipment hatch. Additionally, this study proposes an approximate correlation with conservative factors by considering the expanded free-field ranges and material characteristics to determine realistic failure criteria for liner. The applicability of the proposed correlation is demonstrated by comparing the internal pressure capacities of full-scale containment buildings following liner failure criteria according to RG 1.216 and an approximate correlation.

Conservative treatment of corpus callosum hemorrhage due to a falling coconut in Indonesia: a case report

  • Hanan Anwar Rusidi;Ferry Wijanarko
    • Journal of Trauma and Injury
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    • v.37 no.1
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    • pp.79-82
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    • 2024
  • The potential for traumatic brain injury resulting from falling coconuts is frequently overlooked. These incidents can cause focal lesions in the form of brain hemorrhage. Corpus callosum hemorrhage due to blunt trauma from a falling object is rare and typically associated with poor prognosis. The purpose of this report is to detail a case of corpus callosum hemorrhage caused by a coconut fall and to discuss the conservative management approach employed. We report the case of a 54-year-old woman who was admitted to the hospital with symptoms of unconsciousness, headache, and expressive aphasia after being struck by a falling coconut. Notably, hemorrhage was detected within the body of the corpus callosum, as revealed by imaging findings. The patient received intensive monitoring and treatment in the intensive care unit, including oxygen therapy, saline infusion, an osmotic diuretic, analgesics, and medication to prevent stress ulcers. The patient demonstrated marked clinical improvement while undergoing conservative treatment. Despite the typically unfavorable prognosis of these rare injuries, our patient exhibited meaningful clinical improvement with conservative treatment. Timely diagnosis and appropriate interventions were crucial in managing the patient's condition. This report emphasizes the importance of considering traumatic brain injury caused by falling coconuts and highlights the need for further research and awareness in this area.

Stability of Time-delayed Linear Systems using an Improved Integral Inequality (개선된 적분부등식을 이용한 시간지연 선형 시스템의 안정성)

  • Kim, Jin-Hoon
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.66 no.5
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    • pp.806-811
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    • 2017
  • This paper considers the delay-dependent stability of linear systems with a time-varying delay in the frame work of Lyapunov-Krasovskii functional(LKF) approach. In this approach, an integral inequality is essential to estimate the upper bound of time-derivative of LKF, and a less conservative one is needed to get a less conservative stability result. In this paper, based on free weighting matrices, an improved integral inequality encompassing well-known results is proposed and then a stability result in the form of linear matrix inequality is derived based on an augmented LKF. Finally, two well-known numerical examples are given to demonstrate the usefulness of the proposed result.