• Title/Summary/Keyword: Dental Erosion

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Diagnostic Imaging of Pigmented Villonodular Synovitis of the Temporomandibular Joint. (측두하악관절에 발생한 색소성 융모결절성 활막염(Pigmented Villonodular Synovitis)의 영상진단)

  • Song Man-Yong;Lee Kyung-Hee;Lee Sang-Chul;Lee Sam-Sun;Choi Soon-Chul;Park Tae-Won;You Dong-Soo
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.28 no.2
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    • pp.505-519
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    • 1998
  • The occurrence of PVNS in the TMJ is very rare. We report a case of PVNS which was misdiagnosed as a parotid tumor at first. CT and conventional radiograph revealed a well defined mass demonstrating higher attenuation than adjacent soft tissue. Erosion and expansion of the cortical plate of the mandibular condyle and sclerotic change beneath the margin of the lesion were also shown. MRI demonstrated well defined mass of very low signal intensity on both Tl and T2-weighted images due to ferromagnetic effect of the high concentrated hemosiderin and clearly delineated the extent of the lesion. Histopathologic findings and characteristic appearance of the various imaging methods were described and the usefulness of these images for diagnosis and pretreatment evaluation of PVNS were also discussed.

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PARK2 Induces Osteoclastogenesis through Activation of the NF-κB Pathway

  • Hong, Seo Jin;Jung, Suhan;Jang, Ji Sun;Mo, Shenzheng;Kwon, Jun-Oh;Kim, Min Kyung;Kim, Hong-Hee
    • Molecules and Cells
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    • v.45 no.10
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    • pp.749-760
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    • 2022
  • Osteoclast generation from monocyte/macrophage lineage precursor cells needs to be tightly regulated to maintain bone homeostasis and is frequently over-activated in inflammatory conditions. PARK2, a protein associated with Parkinson's disease, plays an important role in mitophagy via its ubiquitin ligase function. In this study, we investigated whether PARK2 is involved in osteoclastogenesis. PARK2 expression was found to be increased during the receptor activator of nuclear factor-κB ligand (RANKL)-induced osteoclast differentiation. PARK2 gene silencing with siRNA significantly reduced osteoclastogenesis induced by RANKL, LPS (lipopolysaccharide), TNFα (tumor necrosis factor α), and IL-1β (interleukin-1β). On the other hand, overexpression of PARK2 promoted osteoclastogenesis. This regulation of osteoclastogenesis by PARK2 was mediated by IKK (inhibitory κB kinase) and NF-κB activation while MAPK (mitogen-activated protein kinases) activation was not involved. Additionally, administration of PARK2 siRNA significantly reduced osteoclastogenesis and bone loss in an in vivo model of inflammatory bone erosion. Taken together, this study establishes a novel role for PARK2 as a positive regulator in osteoclast differentiation and inflammatory bone destruction.

CORROSION PHENOMENA OF MAGNETIC ATTACHMENT USED IN ORAL ENVIRONMENT (구강 환경에서 사용된 자성 Dyna 어태치먼트의 부식현상)

  • Kwak Jong-Ha;Chung Chae-Heon;Choe Han-Cheol
    • The Journal of Korean Academy of Prosthodontics
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    • v.40 no.5
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    • pp.470-483
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    • 2002
  • The purpose of this study was to investigate further the mechanics of failure of magnets used for denture retention. Dyna magnets were retrived from denture that had failed after 34 months of clinical use. The magnets were observed and sectioned in order to analyse with high resolution scanning electron microscope. From this study, corrosion behaviors of used magnetic attachment were analysed. The results were as follows ; 1. In Nd-Fe-B based magnetic materials, the erosion-corrosion was started at ununiformed part of stainless steel cover. 2. Corrosion was initiated at weared stainless steel surface and then magnetic materials were spalled by corrosive solution. 3. Spatting was occurred in Nd-Fe-B magnet materials due to corrosion products and then corrosion rate was increased drastically. 4. Corrosion started from ununiformed stainless steel surface as well as welded zone. In conclusion, the failure of magnets may occur by either breakdown of the welding or breakdown of the encapsulating material. So, it is considered that the corrosion problem of dental magnetic materials could be solved to some extent with surface treatment of dental magnetic materials.

Full mouth rehabilitation of an asthma patient with severe tooth wear and occlusion disharmony (심한 마모 및 교합 부조화를 가진 천식 환자의 전악 수복 증례)

  • Jo, Yu-Jin
    • Journal of Korean society of Dental Hygiene
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    • v.22 no.4
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    • pp.225-230
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    • 2022
  • Objectives: Patients with excessive tooth wear should first be diagnosed for the etiology of the tooth wear. Causes of tooth wear include bruxism, clenching, and taking medications for systemic diseases. After identifying the cause of tooth attrition, the final prosthesis should be restored with an appropriate vertical dimension. Methods: A 79-year-old man with worn out teeth desired a whole dental treatment. He was on medications for high blood pressure and asthma. The treatment proceeded with a consultation with a medical doctor. The medications for asthma evoked multiple teeth wear and a loss of the vertical dimension. After recovery of 3 mm of vertical dimension, 2 months of evaluation was followed by an interim prosthesis. Results: The increased vertical dimension caused no problem in function and esthetics, and the final restoration was performed with a full monolithic zirconia crown. Group function, adequate anterior guidance, and the occlusal plane were determined. Conclusions: After the final restoration, the patient was both esthetically and functionally satisfied, and a night guard splint was delivered to prevent prosthesis fracture. The patient was informed about the potential tooth wear associated with asthma drugs and educated to visit the clinic regularly.

A STUDY ON THE ENAMEL EROSION CAUSED BY ACIDIC BEVERAGE AND REHARDENING BY INTRAORAL EXPOSURE (산성 음료수에 의한 법랑질 침식과 구강내 재경화에 관한 연구)

  • Kim, Jung-Wook
    • Journal of the korean academy of Pediatric Dentistry
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    • v.25 no.2
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    • pp.312-322
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    • 1998
  • There are many concerns about the erosive effect of acidic beverage. In this study, the erosive effect of bovine enamel caused by $Pepsi-Cola^{(R)}$(pH 2.41) and rehardening effect by intraoral exposure were determined by microhardness test and SEM. The bovine enamel specimen was imbedded in 100ml $Pepsi-Cola^{(R)}$ during 5 minutes and exposed to the intraoral environment with removable resin plate. The microhardness test was performed after 1 hr, 24 hrs, and 48 hrs. The results obtained from this study can be summarized as follows ; 1. The microhardness value was significantly (p<0.05) reduced by cola beverage, and significantly (p<0.05) increased after 1 hr and 24 hrs respectively. 2. The difference in the microhardness between 24 hrs group and 48 hrs group was not significant (p>0.05) and microhardness value of 48 hrs group was significantly less than that of initial group (p<0.05). 3. The erosive effect of cola beverage and remineralization effect by intraoral exposure were visualized by the SEM photo. But, the enamel surfaces did not return to their original state.

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Effect of acidic solutions on the microhardness of dentin and set OrthoMTA and their cytotoxicity on murine macrophage

  • Oh, Soram;Perinpanayagam, Hiran;Lee, Yoon;Kum, Jae-Won;Yoo, Yeon-Jee;Lim, Sang-Min;Chang, Seok Woo;Shon, Won-Jun;Lee, Woocheol;Baek, Seung-Ho;Kum, Kee-Yeon
    • Restorative Dentistry and Endodontics
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    • v.41 no.1
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    • pp.12-21
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    • 2016
  • Objectives: To evaluate the effects of three acids on the microhardness of set mineral trioxide aggregate (MTA) and root dentin, and cytotoxicity on murine macrophage. Materials and Methods: OrthoMTA (BioMTA) was mixed and packed into the human root dentin blocks of 1.5 mm diameter and 5 mm height. Four groups, each of ten roots, were exposed to 10% citric acid (CA), 5% glycolic acid (GA), 17% ethylenediaminetetraacetic acid (EDTA), and saline for five minutes after setting of the OrthoMTA. Vickers surface microhardness of set MTA and dentin was measured before and after exposure to solutions, and compared between groups using one-way ANOVA with Tukey test. The microhardness value of each group was analyzed using student t test. Acid-treated OrthoMTA and dentin was examined by scanning electron microscope (SEM). Cell viability of tested solutions was assessed using WST-8 assay and murine macrophage. Results: Three test solutions reduced microhardness of dentin. 17% EDTA demonstrated severe dentinal erosion, significantly reduced the dentinal microhardness compared to 10% CA (p = 0.034) or 5% GA (p = 0.006). 10% CA or 5% GA significantly reduced the surface microhardness of set MTA compared to 17% EDTA and saline (p < 0.001). Acid-treated OrthoMTA demonstrated microporous structure with destruction of globular crystal. EDTA exhibited significantly more cellular toxicity than the other acidic solutions at diluted concentrations (0.2, 0.5, 1.0%). Conclusions: Tested acidic solutions reduced microhardness of root dentin. Five minute's application of 10% CA and 5% GA significantly reduced the microhardness of set OrthoMTA with lower cellular cytotoxicity compared to 17% EDTA.

Dental erosive effects of fluoride-containing tea beverages with low pH (불소를 함유한 pH가 낮은 액상차의 치아 부식 위험도 평가)

  • Seon, Su-Yun;Yun, In-Gyeong;Kim, Ji-Eun;Jeong, Seong-Soog;Choi, Choong-Ho
    • Journal of Korean Academy of Oral Health
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    • v.42 no.4
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    • pp.118-123
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    • 2018
  • Objective: This study aimed to investigate the effects of fluoride-containing acidic tea beverages on bovine teeth surfaces. Methods: The pH values and fluoride concentrations of 11 kinds of mineral water and 23 kinds of tea were measured. The fluoride-containing Seopyenje black tea beverages with pH 3.48 were chosen for the experimental group. Distilled water that did not contain fluoride and had the same pH value as that of the Seopyenje black teas served as the positive control. The Jeju Samdasoo mineral waters with neural pH (pH 7.52) and no fluoride were chosen as the negative control. Bovine teeth in each group were submerged for 10 minutes. Thereafter, surface microhardness of each bovine teeth was measured and the results were analyzed. Results: The pH value range was 6.94-8.09 ($mean=7.37{\pm}0.08$) for the 11 kinds of mineral water and 3.48-6.74 ($5.62{\pm}0.05$) for the 23 tea beverages. Titratable acidity of the Seopyenje black tea beverages was higher than that of the distilled water mixed with citric acid, and the pH was 5.5 and 7.0, respectively. The fluoride content of the 11 kinds of mineral water was 0-1.09 ppm ($mean=0.44{\pm}0.02ppm$) that of the 23 tea beverages was and 0-0.74 ppm ($0.64{\pm}0.06ppm$). In terms of enamel microhardness reduction of the bovine teeth, the tea beverages had the largest effects. There was no significant difference in microhardness reduction between the tea beverages and distilled water mixed with citric acid (P>0.05). Conversely, a significant difference was found between the kinds of mineral water and tea beverages, and also between mineral water and distilled water mixed with citric acid (P<0.05). Conclusions: Acidic tea beverages appeared to erode the surfaces of bovine teeth. The amount of fluoride in the tea beverages was not enough to inhibit erosion. Therefore, frequent intakes of acidic tea beverage are likely to increase erosion on the surfaces of bovine teeth, by affecting the enamel microhardness of teeth.

Are Vitamin Beverages Good for Dental Health?

  • Kang, A-Reum;Park, Su-Hee;Woo, Jung-Woong;Hong, Da-Jung;Kim, Kyu-Ri;Sung, Chi-Yeong;Woo, Ji-Yeon;Jeong, Ju-Hui;Jung, Eun-Ha
    • Journal of dental hygiene science
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    • v.20 no.1
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    • pp.9-15
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    • 2020
  • Background: Although the consumption of vitamin beverages has increased because of the recent interest in health and beauty, guidelines addressing appropriate consumption habits are lacking. Thus, the aim of this study was to investigate the erosive potential of several vitamin beverages and to propose guidelines for the appropriate intake of these drinks. Methods: Five vitamin beverages were selected after a pre-investigation of the current beverage market. Coca-Cola and mineral water were selected as the control beverages. The pH of the beverages was measured with a calibrated pH meter, and the titratable acidity (TA) was determined by using 1 M sodium hydroxide to reach pH 5.5 (TA5.5) and 7.0 (TA7.0). The screening method suggested by the International Organization for Standardization was used to measure pH variation (ΔpH) by using an under-saturated hydroxyapatite solution to determine the difference between the initial and final pH of the screening solution. All measurements were performed in triplicate. Results: All vitamin beverages tested in this study exhibited a low pH (2.53~2.99), similar to Coca-Cola, which is known to be a highly acidic beverage. The highest TA5.5 and TA7.0 values of the vitamin beverages were 7.03 ml and 8.81 ml, respectively. The largest change in pH determined by using the screening solution was found in Bacchus D (ΔpH 1.44±0.05). The mean ΔpH of the vitamin beverages was 1.12±0.29, which was higher than that of Coca-Cola (positive control, ΔpH 0.58±0.05). Conclusion: Vitamin beverages exhibited an erosive potential capable of damaging enamel surfaces. Therefore, the frequency of vitamin beverage intake should be limited, and individuals consuming these drinks should try to restore normal oral pH as quickly as possible.

How to design in situ studies: an evaluation of experimental protocols

  • Sung, Young-Hye;Kim, Hae-Young;Son, Ho-Hyun;Chang, Juhea
    • Restorative Dentistry and Endodontics
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    • v.39 no.3
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    • pp.164-171
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    • 2014
  • Objectives: Designing in situ models for caries research is a demanding procedure, as both clinical and laboratory parameters need to be incorporated in a single study. This study aimed to construct an informative guideline for planning in situ models relevant to preexisting caries studies. Materials and Methods: An electronic literature search of the PubMed database was performed. A total 191 of full articles written in English were included and data were extracted from materials and methods. Multiple variables were analyzed in relation to the publication types, participant characteristics, specimen and appliance factors, and other conditions. Frequencies and percentages were displayed to summarize the data and the Pearson's chi-square test was used to assess a statistical significance (p < 0.05). Results: There were many parameters commonly included in the majority of in situ models such as inclusion criteria, sample sizes, sample allocation methods, tooth types, intraoral appliance types, sterilization methods, study periods, outcome measures, experimental interventions, etc. Interrelationships existed between the main research topics and some parameters (outcome measures and sample allocation methods) among the evaluated articles. Conclusions: It will be possible to establish standardized in situ protocols according to the research topics. Furthermore, data collaboration from comparable studies would be enhanced by homogeneous study designs.

Incidental findings of temporomandibular joint osteoarthritis and its variability based on age and sex

  • Alzahrani, Adel;Yadav, Sumit;Gandhi, Vaibhav;Lurie, Alan G.;Tadinada, Aditya
    • Imaging Science in Dentistry
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    • v.50 no.3
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    • pp.245-253
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    • 2020
  • Purpose: This study investigated the prevalence of temporomandibular joint osteoarthritis (TMJ-OA) using the Research Diagnostic Criteria for Temporomandibular Disorders image analysis criteria, assessed the severity of incidental osteoarthritic changes affecting the TMJ, and evaluated the correlations of sex and age with the prevalence and severity of TMJ-OA. Materials and Methods: This retrospective study assessed 145 randomly selected cone-beam computed tomography scans (261 TMJs) from the authors' institutional maxillofacial radiology archive following the application of inclusion and exclusion criteria. The criteria described by Ahmad et al. were used to determine whether each TMJ was affected by OA, and the severity of the osteoarthritic changes was scored for each joint based on the method described by Alexiou et al. The chi-square, McNemar, Bhapkar chi-square, and Stuart-Maxwell chi-square tests were applied to evaluate the significance of the relationships between variables(age and sex). Results: Sixteen TMJs (6.1%) had no OA, 74 (28.6%) were indeterminate for OA, and 171 (65.5%) had OA. Flattening and sclerosis were observed in 86.6% and 12.3% of cases, respectively, while resorption was observed in 7.3% of the joints. Only 21 (8.1%) of the examined TMJs had subchondral cysts. Erosion of the articular eminence was observed in 58 (22.1%) cases, while sclerosis and resorption were found in 68 (25.9%) and 16 (6.1%) TMJs, respectively. Conclusion: Female patients had a higher prevalence and severity of TMJ-OA than male patients. The prevalence and severity of TMJ-OA increased with age, with peaks in the fifth and seventh decades of life.