• Title/Summary/Keyword: Dental Pain

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Magnetic resonance imaging signal intensity of temporomandibular joint disk and posterior attachment in patients with internal derangement (측두하악관절 내장 환자의 관절원판과 관절원판 후조직의 자기공명영상 신호강도)

  • Jeong Yeon-Hwa;Cho Bong-Hae
    • Imaging Science in Dentistry
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    • v.31 no.2
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    • pp.93-99
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    • 2001
  • Purpose: To analyze the possible association between magnetic resonance imaging signal intensity of temporomandibular joint disk and posterior attachment, and the type and extent of disk displacement, disk configuration, effusion and clinical signs in patients with internal derangement. Materials and Methods: Magnetic resonance images of the 132 temporomandibular joints of 66 patients with temporomandibular joint displacement were analyzed. The clinical findings were obtained by retrospective review of the patients' records. The type and extent of disk displacement, disk configuration and effusion were evaluated on the proton density MR images. The signal intensity from the anterior band, posterior band and posterior attachment were measured on MR images. The associations between the type and extent of disk displacement, disk configuration, effusion and clinical signs and the MR signal intensity of disk and posterior attachment were statistically analyzed by student's t-test. Results: Of 132 joints, 87 (65.9%) showed anterior disk displacement with reduction (ADR) and 45 (34.1%) showed anterior disk displacement without reduction (ADnR). The signals from posterior attachments were lower in joints with ADnR than those of ADR (p<0.05). The results showed statistically significant (p<0.05) association between the type and extent of disk displacement and disk configuration, and decreased signal intensity of posterior attachment. There were no statistical associations between pain, noise and limited mouth opening, and signal intensity of disk and posterior attachment. Conclusions: The average signal from posterior attachment was lower in joints with ADnR than that of ADR. The type and extent of disk displacement and disk configuration appeared to be correlated with the signal intensity from posterior attachment.

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Maxillary Resorption under Complete Dentures Opposing Mandibular Implant Supported Fixed Prosthesis: A Literature Review and Case Report (하악 임플란트 고정성 보철에 대합되는 상악 총의치 하방의 골흡수에 대한 고찰 및 증례보고)

  • Kim, Bo-Kuk;Kim, Yu-Lee
    • Journal of Dental Rehabilitation and Applied Science
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    • v.29 no.4
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    • pp.426-433
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    • 2013
  • When restoring edentulous patients with lower complete denture, the smaller supportive and retentive area of mandible can lead to poor support and stability, denture dislodgement and pain resulting discomfort. In this situation, implant prosthesis can improve esthetics, stability and occlusal force. Whereas, patients with a upper complete denture can adjust more easier because of palate. Therefore, it is suggested to rehabilitate fully edentulous patients with lower implant-supported, upper complete denture as one of the treatment options. So, we are going to report the case and literature review about how the lower implant prosthesis opposing to upper complete denture affects the bone resorption of maxillary residual ridge.

[ $GARR{\grave{e}}'s$ ] OSTEOMYELITIS IN CHILDREN (어린이의 악골에 발생한 $Garr{\grave{e}}'s$ osteomyelitis)

  • Kim, Shin;Jeong, Tae-Sung;Kim, Hong-Ryoul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.25 no.3
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    • pp.533-538
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    • 1998
  • [ $Garr{\grave{e}}'s$ ] osteomyelitis is a chronic form of osteomyelitis in which periosteum is thickened with peripheral reactive bone formation. Carl $Garr{\grave{e}}$ first reported localized periosteal thickening as a response to mild stimuli. In dental literatures, Pell et al. first reported $Garr{\grave{e}}'s$ osteomyelitis in jaws. This disease frequent occurs in youngsters and usually in mandible. It usually results in hard swelling over the jaws with little or no pain. Palpation reveals a localized bony swelling lesion. In radiographic findings, it usually reveals laminated periosteal thickening on lesion. The treatment of $Garr{\grave{e}}'s$ osteomyelitis usually consists of elimination of the sources of infection, i.e., either extraction of an infected teeth or root canal therapy. Two children were admitted with the chief complaint of intraoral swelling on lower deciduous molar areas which was diagnosed as $Garr{\grave{e}}'s$ osteomyelitis. The root canal therapy and antibiotic therapy were performed and prognosis was checked. From these case studies, some results were obtained as follows : With the aid of root canal therapy and antibiotic administration, the size of periapical lesions was reduced, the mandible with bony swelling recovered its normal shapes radiographically, and the permanent tooth germs resumed sound development.

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Hair Growth-promoting Effect of Resina Pini and Its Main Constituent, Abietic Acid, in Mouse Model of Alopecia (탈모마우스모델에서의 송지추출물 및 그 성분인 아비에트산의 모발성장효과)

  • Park, Gunhyuk;Kim, Yong-ung
    • Journal of the Society of Cosmetic Scientists of Korea
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    • v.42 no.3
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    • pp.203-209
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    • 2016
  • Recently, increased attention has been directed toward medicinal extracts and their active ingredients as potential new drug candidates for androgenic alopecia. Resina Pini (RP), a resinous exudation obtained from Pinus sp. (Pinaceae), has been used as a traditional medicine for the treatment of infection, pain related to dental caries, and periodontal disease. Previously, we suggested that RP and its main constituent, abietic acid (abieta-7,13-dien-18-oic acid; AA), may play important roles against androgenic alopecia as $5{\alpha}$-reductase inhibitors. However, to date, there is no evidence that AA has hair growth-promoting effects in vivo. In this study, we found that 10 ~ 300 mg/kg RP and 3 ~ 30 mg/kg AA significantly promoted hair growth in a C3H/HeN mouse model of alopecia. To our knowledge, this is the first report of the hair growth-promoting effects of RP and AA in vivo. From these results, RP and its main constituent AA can promote hair growth in mouse by inhibiting $5{\alpha}$-reductase activity and may be effective alternative therapies for androgenic alopecia.

Effect of supportive periodontal treatment in the oral lichen planus patients (구강편평태선 환자에서 보조적 치주치료의 효과)

  • Kwon, Eun-Young;Choi, Jeomil;Lee, Ju-Youn
    • Journal of Dental Rehabilitation and Applied Science
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    • v.31 no.2
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    • pp.134-142
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    • 2015
  • Lichen planus is an immune-mediated mucocutaneous disease, affects more frequently middle-aged Caucasian women and makes signs and symptoms in the oral mucosa. Cutaneous lichen planus lesions cause itching but they are self-limiting, oral lichen planus lesions are usually chronic, recalcitrant to treatment and potentially premalignant in some cases. Although, oral lichen planus is non-plaque related disease, they possess particular problems because plaque control is complicated by pain and bleeding and might cause plaque-related disease. The resulting condition comprises accumulations of plaque, which again can influence the progress of oral lichen planus with burning sensation, spontaneous gingival bleeding. Thus, it should be noted that both medication and supportive periodontal treatment are essential for the remission of the lesions. This case report introduces topical corticosteroid therapy and supportive periodontal treatment including intensive oral hygiene procedures to obtain an improvement of subjective symptoms and objective changes and to prevent relapse the lesions.

A Study in Terms of the Impact of Oral Health Care·Management item on the Self-Perceived Oral Condition of the Elderly (구강보건진료·관리 항목이 노인의 자가인식구강상태에 미치는 영향력 연구)

  • Kim, Eun-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.1
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    • pp.109-115
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    • 2013
  • This study targeted 501 the elderly ages 65 or over in three places including the Senior Welfare Center and the college for seniors located in Daegu City and Gyeongsangbuk-do. The study results on the preference for oral health care management items across different ages showed that the age group of 65~69 fluoride application; the age group of 65~74 scaling and education of brushing; the age group of 70~74 denture cleaning and maintenance; the age group of 75 denture production. In the relationship between the self-perceived oral condition and the items of oral health care management, respondents who currently have a poor oral condition or have greater chewing trouble, or have higher dry mouth, preference the manufacturing of dentures in most cases. Respondents who have a lower number of teeth or wear dentures preference dentures cleansing and management in most cases. Respondents who have shaking teeth or have frequent tooth pain preference tooth extraction. Since the preference for oral health care management items may differ by their age or oral condition, oral health management customized to each individual should be applied.

Relationship between Flexibility Exercise and Health-Related Quality of Life and Oral Health: Using the National Health and Nutrition Examination Survey 2012 Years (유연성 운동과 건강관련 삶의 질 및 구강건강과의 관련성: 국민건강영양조사 2012년도 자료를 활용하여)

  • Kim, Yu-Rin
    • Journal of Convergence for Information Technology
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    • v.11 no.12
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    • pp.265-274
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    • 2021
  • The purpose of this study is to provide basic data for confirming the convergence relationship between flexibility exercise on quality of life, oral condition, and oral health-related behavior. Data from the 2012 KNHNES were used, and complex sample linear regression analysis and logistic regression analysis were performed to confirm the effects of flexibility exercise on quality of life and oral health. As a result, those who controlled for demographic characteristics and did not exercise flexibility had .027 times worse exercise ability among the subcategories of quality of life, and .152 times higher number of carious permanent teeth. Among the symptoms of temporomandibular joint disorder, pain symptoms were 1.633 times higher in those who exercised flexibility (p<.05). Therefore, it is considered that flexibility exercise has value in that it has suggested a relationship not only with general health but also with oral health.

A Clinical Aspect Analysis of the Cervical Necrotizing Fasciitis (경부에 발생한 괴사성 근막염에 대한 임상적 양상 분석)

  • Yang, Jeong Hwan;Choi, Hyo Geun;Lee, Ju Han;Park, Bumjung
    • Journal of Clinical Otolaryngology Head and Neck Surgery
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    • v.29 no.2
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    • pp.223-228
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    • 2018
  • Background and Objectives : Necortizing fasciitis in the cervical region is a very rare disease with high mortality and morbidity rates. The purpose of this study was to analyze the clinical characteristics, treatment results, complication and prognosis of necrotizing fasciitis patients. Materials and Methods : We retrospectively reviewed the inpatient charts treated for cervical necrotizing fasciitis at our Otorhinolaryngology clinic. We diagnosed necrotizing fasciitis by the clinical findings such as swelling, redness and pain of infected area and necrosis of subcutaneous fat layer and fascia observed during surgery. Twenty such patients were identified and treated from January 2011 to December 2016. Results : 20 adults consisting of 14 male and 6 females with cervical necrotizing fasciitis were diagnosed and treated. The most commonly known associated preceding illness were dental abscess and tonsillitis. The most pathogen was Streptococcus species (12/20), followed by Klebsiella pneumonia (6/20), Staphylococcus species (2/20). The mean duration of hospitalization was 32.2 days (range,14-86). The mean Modified Laboroatory Risk Indicator for Necrotizing Fasciitis (M-LRINEC) score is 7.4 and more than 4 points was eighteen. All patients received parenteral antibiotics and surgical drainage after admission. Conclusions : The reason for the high survival rate in the study was the early diagnosis, as well as the early surgical procedure and antibiotics. After the operation, frequent betadine irrigation could improve the patient's condition and recover without severe complication.

Convergent Relations between Health Factors and Eating Behaviors and Oral Symptoms in Middle school students (중학생의 건강요인·식습관과 구강증상과의 융합적 관련성)

  • Kang, Hyun-Joo
    • Journal of the Korea Convergence Society
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    • v.9 no.12
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    • pp.89-98
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    • 2018
  • The purpose of this study was to analyze the effects of middle school students' health factors and eating behaviors on their oral symptoms using the data from 30,885 students in the 13th Korea Youth Risk Behavior Web-Based Survey in 2017. The logistic regression for the effects of the health factors and eating behaviors on the oral symptoms were analyzed using a logistic regression method. The results showed that the groups of higher levels of achievement, and stress, lower daily frequency of tooth-brushing, and no intake of processing meat led to significantly higher levels for toothache and gingival pain recognition. Also, the higher halitosis recognizers had significantly higher levels of stress and the lower daily frequency of tooth-brushing. In conclusion, adolescents' health factors and eating behaviors affected their oral symptoms. This study is expected to help development of a oral health education program that can prevent these oral symptoms.

Acute cardiovascular complications in patients with diabetes and hypertension: management consideration for minor oral surgery

  • Jadhav, Ajinath Nanasaheb;Tarte, Pooja Raosaheb
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.45 no.4
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    • pp.207-214
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    • 2019
  • Objectives: Medically compromised patients often fear required dental surgical procedures that can increase the risk of medical emergency when combined with reduced tolerance for stress. A stress reduction protocol (SRP) helps doctors minimize treatment-related stress and improves patient management with minimum complications. Diabetes and co-morbid hypertension carry 4-fold risk of aggravation of cardiovascular emergencies and 7.2-fold risk of mortality. Diabetic neuropathy can result in difficult diagnosis of myocardial infarction and reduces chances of surviving a myocardial infarction compared with a non-diabetic person. The aim of the study was to assess the feasibility of a protocol for management of patients having both diabetes and hypertension who required minor oral surgery to minimize the rate of cardiovascular emergencies. Materials and Methods: A prospective study was conducted in 140 patients having both diabetes and hypertension who required minor oral surgical procedures. A systematic approachable protocol was designed for management of such patients. Results: Among 140 patients, 6 patients (4.3%) had cardiovascular complications, while 3 patients (1 with syncope and 2 with hypertension) did not require any intervention other than observation. Two patients were managed with aspirin and nitroglycerin, and 1 patient had possible myocardial infarction (overall incidence 0.7%) with chest pain, S-T segment elevation on electrocardiogram, and troponin level of 0.60 ng/mL. Conclusion: The proposed protocol helps to improve management of patients having both diabetes and hypertension. We recommend that patients with uncontrolled diabetes and uncontrolled hypertension and/or patients having history of cardiovascular complication should be treated in a medical facility with a readily available cardiology unit. This facilitates prompt response to emergency and instant implementation of treatment, helping to reduce morbidity and mortality.