• Title/Summary/Keyword: Dental approaches

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Orthodontic and orthopedic treatment for a growing patient with Tessier number 0 cleft

  • Baek, Seung-Hak;Park, Yoon-Hee;Chung, Jee Hyeok;Kim, Sukwha;Choi, Jin-Young
    • The korean journal of orthodontics
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    • v.48 no.2
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    • pp.113-124
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    • 2018
  • The purpose of this case report was to introduce the concept of orthodontic and orthopedic treatment for a growing patient with Tessier number 0 cleft. A 5-year-old boy patient with Tessier number 0 cleft presented congenitally missing maxillary central incisors (MXCI), a bony defect at the premaxilla, a constricted maxillary arch, an anterior openbite, and maxillary hypoplasia. His treatment was divided into three stages: management of the bony defect at the premaxilla and the congenitally missing MXCIs using a fan-type expansion plate, iliac bone grafting, and eruption guidance of the maxillary lateral incisors into the graft area for substitution of MXCIs; management of the maxillary hypoplasia using sequential facemask therapy with conventional and skeletal anchorage; and management of the remaining occlusal problems using fixed orthodontic treatment. The total treatment duration was 15 years and 10 months. Class I canine and Class II molar relationships and normal overbite and overjet were achieved at the end of treatment. Although the long-term use of facemask therapy resulted in significant protraction of the retrusive maxilla, the patient exhibited Class III profile because of continued mandibular growth. However, the treatment result was well maintained after 2 years of retention. The findings from this case suggest that interdisciplinary and customized approaches are mandatory for successful management of maxillary hypoplasia, bony defect, and dental problems in Tessier number 0 cleft. Moreover, considering the potential of orthognathic surgery or distraction osteogenesis, meticulous monitoring of mandibular growth until growth completion is important.

Sex and Age Determination of the Kaya s Ancient Human Skeletal Remains via Dental Approaches (가야시대 인골의 치아에 의한 성별 및 연령추정)

  • Mee-Eun Kim;Myung-Yun Ko;Bong-Soo Park
    • Journal of Oral Medicine and Pain
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    • v.21 no.2
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    • pp.225-242
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    • 1996
  • The author studied to determine the sex and age of 8 ancient human skeletal remains, which had excavated from ancient tombs located in Yeanri, Kimhae. Some kinds of personal identification methods their skulls and teeth were used for this study and the results were obtained as follows : 1. Sex determination was possible in ancient teeth from 4th to 5th century, using detection of X-Y homologous amelogenin gene by polymerase chain reaction. 2. DNA analysis proved that the materials examined were all male, but which always did not coincide with the results from other methods for sex determination including comparison of sexual differentiation of cranium and teeth and use of discriminant functions in the dental measurement. 3. There was little difference of the estimated ages between the methods by regression of pulp cavity and attrition in teeth. The ages from these two methods always did not coincide with ones from evaluation closure of cranial and palatal sutures. 4. Sex and age of the materials were determined as follows ; $\cdot$ Y9 was estimated to be male in early sixties. $\cdot$ Yl2 was estimated to be male in late twenties to early thirties. $\cdot$ Y37 was estimated to be male in early forties. $\cdot$ Y70 was estimated to be male in early sixties. $\cdot$ Y87 was estimated to be male in late forties. $\cdot$ Y109 was estimated to be male in early forties. $\cdot$ Yl29 was estimated to be male in late thirties to early forties. $\cdot$ Yl42 was estimated to be male in late fifties to early sixties.

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The experimental study of oral care for early radiation therapy in the head and neck cancer patients (두경부 악성종양 환자에서 조기 방사선치료를 위한 구강관리법에 대한 실험적 연구)

  • Moon, Won-Kyu;Cha, In-Ho;Kim, Hyung-Jun;Jung, Young-Soo;Lee, Chun-Ui;Lee, Jong-Young;Ryu, Mi-Heon;Yoo, Jae-Ha
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.37 no.3
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    • pp.169-175
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    • 2011
  • Background: Teeth requiring extraction before radiotherapy in head & neck cancer patients should be removed as long as possible before the initiation of radiation therapy. Conventionally, a minimum 2-week waiting primary healing period is recommended. Although the above 2-week period is ideal, it was not uncommon for the radiotherapist and cancer patient to feel an urgent need to process with radiotherapy despite the need for dental care. Therefore, alternative approaches for early radiotherapy, including conservative endodontic treatment and a 1-week waiting primary healing period after dental extraction at the time of radiotherapy, were considered and applied based on the experimental study Materials and Methods: Eighteen dogs were processed for histopathologic wound healing. The effect of the primary endodontic treatment and extraction before early radiotherapy was examined. Results: No specific complication, such as, post-extraction wound infection, radiation osteitis and osteoradionecrosis, were encountered despite the early radiotherapy. Conclusion: Based on the experimental study, a minimum 1-week waiting primary healing period for oral care before radiotherapy is suitable for the early radiotherapy in head and neck cancer patients.

COMPARATIVE STUDY OF FRACTURE STRENGTH DEFENDING ON THE THICKNESS OF SOME ALL CERAMIC CORES (수종의 전부도재관 코어의 두께에 따른 파절강도의 비교 연구)

  • Kim Doo-Yong;Lee Young-Soo;Park Won-Hee
    • The Journal of Korean Academy of Prosthodontics
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    • v.42 no.1
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    • pp.49-57
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    • 2004
  • Statement of problem : The increased awareness of esthetics in dentistry has brought the esthetic consideration in prosthetic restorations . Dental ceramics offer better esthetics for use of prosthetic restorations. Unfortunately, dental ceramic materials are not always the most suitable candidate materials since their inherently brittle nature. In recent years, basic research in ceramic science has led to the recognition or several approaches to strengthen and to enhance esthetics of ceramics. Several all ceramic systems use ceramic core and porcelain build up structures . Ceramic cores influence to strength of all ceramic crowns . So the strength of ceramic cores is important to all ceramic crowns. Purpose : The purpose of this study is to estimate the flexural strength of ceramic cores in some all ceramic systems. Material and method : A biaxial flexure test was conducted on three groups(Cergo, Empress 2, In-Ceram). Each group consisted of 30 discs of nearly identical dimension with a 0.5mm, 1.0mm, 1.5mm thickness and 12mm in diameter. The fracture load was recorded by Instron. Analysis of valiance(ANOVA) and Tukey's tests were performed using SAS statistical software. Results : 1.5mm thickness of specimens were significantly stronger than 0.5mm and 1.0mm thickness of specimens in Cergo and In-Ceram. But each sepecimen group of Empress 2 was no significantly strength by thickness. In order of In-Ceram, Empress 2 and Cergo has significantly stronger strength in the same thickness. Conclusion : In-Ceram is the strongest ceramic material in 3 materials. All the materials can be used according to the required characters.

Cosmetic Grinding Revisited (Cosmetic Grinding의 재조명)

  • Lee, Dong-Hwan;Chung, Wounho
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.24 no.2
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    • pp.134-142
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    • 2015
  • Esthetic dentistry has been developed through the diverse material and technique. Approach and interest in esthetic of anteriors was driven by needs and wants of patients. Alpha and omega of esthetics is determined by patients, as Charles Pincus who is the pioneer of esthetic dentistry described in his article 1967. To meet with wants and needs of patients, dentists suggest possible various treatment options. Cosmetic grinding quoted by Pincus is one of the conservative approaches and provide effective esthetic improvement with minimal invasive concepts. In a high technology era, cosmetic grinding needs to be revisited. Review of some clinical cases shows the value and limitation of it.

Retromandibular Approach for the Open Reduction of Fractured Mnadibular Condyle (하악과두 골절의 관혈적 정복술을 위한 하악 후방 접근법)

  • Kim, Hak-Kyun;Kim, Su-Gwan;Kang, Dong-Wan;Oh, Sang-Ho
    • Journal of Dental Rehabilitation and Applied Science
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    • v.22 no.4
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    • pp.283-288
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    • 2006
  • There are several manners for surgical approaches to the mandibular condyle. With the retromandiular approach, the condyle and fracture are exposed directly and allow for good inspection and reduction. The retromandibular scar is very well camouflaged and practically invisible. The aim of this study was to evaluate clinical results of retromandibular approach for the reduction and fixation of fractured mandibular condyles. We described postoperative complications such as temporary facial nerve weakness involving the marginal mandibular branch, mouth opening limitation and malocclusion in 13 patients with mandubular condylar fractures; 11 subcondylar fractures and 2 condylar neck fractures. The follow-up period was longer than 6 months in all patients. The retromandibular approach was successful in all subcondylar fracture cases. 2 patients with condylar neck fracture had mouth opening limitation and temporary marginal nerve palsy longer than 3 months. But there were no cases of permanent nerve injury and malocclusion. Our findings indicate that retromandibular approach is an easy and safe technique for subcondylar fracture but not for condylar neck fracture.

Synthesis of Thin Film Type Cu/ZnO Nanostructure Catalysts for Development of Methanol Micro Reforming System (마이크로 개질기 개발을 위한 박막형 Cu/ZnO 나노구조 촉매 합성)

  • Yeo, Chan Hyuk;Kim, Yeon Su;Im, Yeon Ho
    • Transactions of the Korean hydrogen and new energy society
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    • v.24 no.3
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    • pp.193-199
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    • 2013
  • In this work, thin film type Cu/ZnO nanostructure catalysts were fabricated by several synthetic routes in order to maximize the performance of the micro reforming system. For this work, various Cu/ZnO nanostructure catalysts could be synthesized by means of four approaches which are chemical vapor method, wet solution method and their hybrid method. The reforming performance of these as-synthetic catalysts was evaluated as compared to the conventional catalysts. Among the as-synthetic nanostructures, sphere type catalysts with specific surface of $18.6m^2/g$ showed the best performance of hydrogen production rate of 30ml/min at the feed rate of 0.2ml/min. This work will give the first insight on thin film type Cu/ZnO nanostructure catalyst for micro reforming system for hydrogen production of portable electronic systems.

THE MANAGEMENT OF A COMPLEX IMPLANT CASE USING CAD-CAM TECHNOLOGY: A CLINICAL REPORT

  • Park, Eun-Jin
    • The Journal of Korean Academy of Prosthodontics
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    • v.46 no.6
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    • pp.634-638
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    • 2008
  • PURPOSE: The application of computer-aided technology to implant dentistry has created new opportunities for treatment planning, surgery and prosthodontic treatment, but the correct selection and combination of available methods may be challenging in times. Hence, the purpose of this case report is to present a combination of several computer-aided tools as approaches to manage complicated implant case. MATERIAL AND METHODS: A 47 year-old female patient with severe dental anxiety, high expectations, financial restrictions and poor compliance presented for a fixed rehabilitation. A CT scan with a radiographic template obtained with software (SimPlant, Materialize, Leuven, Belgium) was used for treatment planning. The surgical plan was created and converted into a stereolithographic model of the maxilla with bone-supported surgical templates (SurgiGuide, Materialise, Leuven, Belgium), that allowed for the precise placement of 7 implants in a severely resorbed edentulous maxilla. After successful osseointegration, an accurate scan model served as the basis for the fabrication of a one-piece milled titanium framework using the Procera (Nobel Biocare, Gothenburg, Sweden) technology. The final rehabilitation of the edentulous maxilla was rendered in the form of a screw-retained maxillary metal-reinforced resin-based complete prosthesis. RESULTS: Despite challenging circumstances, 7 implants could be placed without bone augmentation in a severely resorbed maxilla using the SimPlant software for pre-implant analysis and the SurgiGuide-system as the surgical template. The patient was successfully restored with a fixed full arch restoration, utilizing the Procera system for the fabrication of a milled titanium framework.

A Study of the Relations between Characteristics of the Elderly with Disabilities and Extra Health Care Costs Caused by Disability (장애노인의 특성과 장애로 인한 추가소요 의료비 지출간의 관련성 연구)

  • Lee, Jong-Hwa;Jung, Hyun-Sik;Hwang, Hong-Gu;Kim, Sung-Woo
    • The Korean Journal of Health Service Management
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    • v.8 no.4
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    • pp.209-220
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    • 2014
  • This study found a relationship between the characteristics of the elderly with disabilities and extra health care monthly costs caused by disability and suggests methods for effectively managing health care spending of the elderly with disabilities. This study used data from the 2011 Survey on the Disabled conducted by the Ministry of Health and Welfare and the Korea Institute for Health and Social Affairs. The results of the analysis indicate that the relations between the socio-demographic characteristics of the elderly with disabilities and extra health care monthly costs caused by disability of the elderly are influenced by factors such as gender, age, members of the household, average monthly income and type of health insurance. Elderly people with disabilities spend too much for their medical care. To solve this problem, the government needs to find a variety of policy approaches to improve administrative procedure, establish a medical delivery system and enhance health care services.

Involvement of Heme Oxygenase-1 in Orexin-A-induced Angiogenesis in Vascular Endothelial Cells

  • Kim, Mi-Kyoung;Park, Hyun-Joo;Kim, Su-Ryun;Choi, Yoon Kyung;Bae, Soo-Kyung;Bae, Moon-Kyoung
    • The Korean Journal of Physiology and Pharmacology
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    • v.19 no.4
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    • pp.327-334
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    • 2015
  • The cytoprotective enzyme heme oxygenase-1 (HO-1) influences endothelial cell survival, proliferation, inflammatory response, and angiogenesis in response to various angiogenic stimuli. In this study, we investigate the involvement of HO-1 in the angiogenic activity of orexin-A. We showed that orexin-A stimulates expression and activity of HO-1 in human umbilical vein endothelial cells (HUVECs). Furthermore, we showed that inhibition of HO-1 by tin (Sn) protoporphryin-IX (SnPP) reduced orexin- A-induced angiogenesis in vivo and ex vivo. Orexin-A-stimulated endothelial tube formation and chemotactic activity were also blocked in SnPP-treated vascular endothelial cells. Orexin-A treatment increased the expression of nuclear factor erythroid-derived 2 related factor 2 (Nrf2), and antioxidant response element (ARE) luciferase activity, leading to induction of HO-1. Collectively, these findings indicate that HO-1 plays a role as an important mediator of orexin-A-induced angiogenesis, and provide new possibilities for therapeutic approaches in pathophysiological conditions associated with angiogenesis.