• Journal of Periodontal and Implant Science
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• 제42권3호
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• pp.105-109
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• 2012

Purpose: Soft tissue recessions frequently cause esthetic disharmony and dissatisfaction. Compared with soft tissue coverage around a tooth, the coverage of an implant site is obviously unpredictable. Particularly in the cases of thin mucosa, a significant greater amount of recession takes place compared to thick mucosa. To overcome this problem, this case report demonstrates a two-step mucosal dehiscence coverage technique for an endosseous implant. Methods: A 33-year-old female visited us with the chief complaint of dissatisfaction with the esthetics of an exposed implant in the maxillary left cental incisor region. A partial-thickness pouch was constructed around the dehiscence. A subepithelial connective tissue graft was positioned in the apical site of the implant and covered by a mucosal flap with normal tension. At 12 months after surgery, the recipient site was partially covered by keratinized mucosa. However, the buccal interdental papilla between implant on maxillary left central incisor region and adjacent lateral incisor was concave in shape. To resolve the mucosal recession after the first graft, a second graft was performed with the same technique. Results: An esthetically satisfactory result was achieved and the marginal soft tissue level was stable 9 months after the second graft. Conclusions: The second graft was able to resolve the mucosal recession after first graft. This two-step approach has the potential to improve the certainty of esthetic results.

• 한국발생생물학회지:발생과생식
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• 제17권3호
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• pp.215-220
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• 2013

Recently, the RNA/DNA-binding protein FUS, Fused in sarcoma, was shown to play a role in growth, differentiation, and morphogenesis in vertebrates. Because little is known about Fus, we investigated its expression pattern in murine tooth development. In situ hybridization of mouse mandibles at specific developmental stages was performed with a DIG-labeled RNA probe. During early tooth development, Fus was detected in the dental epithelium and dental mesenchyme at 11 days postcoitum (dpc) and 12 dpc. From 14 dpc, Fus was strongly expressed in the dental papilla and the cervical loop of the dental epithelium. At postnatal day 4 (PN4), Fus expression was observed in the odontoblasts, ameloblasts, the proliferation zone of the pulp, and the cervical loop. At PN14, the expression pattern of Fus was found to be maintained in the odontoblasts and the proliferation zone of the pulp. Furthermore, Fus expression was especially strong in the Hertwig's epithelial root sheath (HERS). Therefore, this study suggests that Fus may play a role in the HERS during root development.

• Imaging Science in Dentistry
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• 제32권4호
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• pp.231-234
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• 2002

The odontogenic myxoma is an infiltrative benign tumor of bone that occurs almost exclusively in the jaw bones and comprises 3% to 6% of odontogenic tumors. This neoplasm is thought to arise from the primitive mesenchymal structures of a developing tooth, including the dental follicle, dental papilla, or periodontal ligament. Radiographically the odontogenic myxoma may produce several patterns: unicystic, multilocular, pericoronal, and radiolucent-radiopaque, making the differential diagnosis difficult. In this report, two cases of the odontogenic myxoma in the jaw bones are presented. The first case involved only the mandible, while the second case involved the maxilla. Both cases presented extensive multilocular radiolucencies characteristic of odontogenic myxoma.

• 대한치과보철학회지
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• 제53권4호
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• pp.330-336
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• 2015

목적: 본 연구의 목적은 치간 유두의 소실로 인해 치아 사이에 언더컷이 존재하는 경우 이것이 인상체의 정확도에 영향을 미치는지 알아보고자 하는 것이다. 재료 및 방법: 2종류의 부가중합형 실리콘 인상재($Extrude^{(R)}$ Wash, $Imprint^{TM}$ II Quick Step Light Body)와 한 종류의 알지네이트 인상재(Cavex Impressional)로 상악 주모형의 인상을 채득하여 얻은 실험모형상의 두 점 사이의 거리를 측정하여 주모형과 비교하여 모형의 변형 정도를 측정하였다. 세 종류의 인상재에서 얻은 실험 모형들을 치간 유두가 존재하는 군과 존재하지 않는 군으로 나눠 총 6개의 군을 평가하였으며, 각 군당 6개의 모형을 측정하였다. 삼차원 광학 스캐너로 실험모형을 스캔한 후, 하나의 모형당 6개의 두 점 사이의 거리를 삼차원 디지털 계측 소프트웨어 상에서 측정하였다. 측정 거리의 변화 정도를 백분율로 계산하여 모형의 변형률을 구하였으며, 이것을 이원분산분석을 이용하여 유의수준 .05에서 분석하였다. 결과: 측정거리 6개 중 3개에서 인상재에 따라 통계적으로 유의한 차이를 보였다. 반면, 치간 유두의 존재 여부에 따른 차이는 알지네이트 인상재에서 하나의 측정 거리에서만 유의한 차이를 보였을 뿐(P=.047), 다른 측정거리들과 인상재에서는 통계적으로 유의성 있는 차이를 나타내지 않았다. 결론: 치간 유두의 소실로 인한 언더컷의 존재가 부가중합형 실리콘 인상재와 알지네이트 인상재의 체적 정확도에 미치는 영향은 크지 않았다.

• International Journal of Oral Biology
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• 제49권2호
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• pp.48-52
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• 2024

This study explores the histological features and Bmp4 expression patterns in the replaced tooth germ of Xenopus laevis. Tooth germ formation starts from the dental placode through epithelial-mesenchymal interactions, involving various signaling pathways such as Fgf, Shh, Bmp, and Wnt. In mice, Bmp4 expression in the dental placode inhibits Pax9 expression in the dental mesenchyme. Although absent in the presumptive dental lamina of birds and toothless mammals, Bmp4 remains conserved in reptiles and fish owing to gene duplication. However, its expression in amphibian tooth germs is poorly understood. Three-month-old X. laevis were employed in this study. Initially, samples underwent paraffin embedding and were sectioned into 5 or 12 ㎛ ribbons for H&E staining and in situ hybridization, respectively. Results revealed teeth appearing in two maxillary rows: the labial side, with prefunctional and functional teeth, and the lingual side, with replaced tooth germs behind functional teeth. Enameloid was observed between the inner dental epithelium and dental mesenchyme at the cap or early bell stages, whereas enamel and dentin formed during the late bell or mineralization stages from the replaced tooth germ. Bmp4 expression was evident in the inner dental epithelium (ameloblasts), dental papilla (odontoblasts), stellate reticulum, and Hertwig's epithelial root sheath. Overall, these findings highlight the conservation of Bmp4 expression in X. laevis tooth development.

• Journal of Periodontal and Implant Science
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• 제51권1호
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• pp.30-39
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• 2021

Purpose: The present study was undertaken to examine whether periodontal probe visibility (PV) accurately reflects gingival thickness (GT) and to identify factors affecting PV using cluster and multivariate analyses. Methods: The clinical characteristics of the maxillary central incisors (n=90 subjects) were examined. Clinical photographs, sex, PV, probing depth, gingival width, papilla height, GT as measured with an ultrasonic device, and the ratio of crown width to crown length were recorded. Multivariate analysis, using multinomial baseline-category logistic regression, was used to identify factors predictive of PV. Cluster analysis was used to identify gingival biotypes. Results: In the multivariate analysis, sex was the only significant predictor of PV (odds ratio, 6.48). Two clusters of subjects were created based on morphometric parameters. The mean GT among cluster A subjects was significantly lower than that among cluster B subjects (P=0.015). No significant difference was found between cluster A and B subjects in terms of PV score (P=0.583). Conclusions: Periodontal PV was not associated with GT as measured directly using an ultrasonic device. Sex was a highly significant predictor of periodontal PV. GT was found to be correlated with morphological characteristics of the periodontium.

• 구강회복응용과학지
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• 제31권1호
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• pp.50-59
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• 2015

임플란트를 이용하여 심미 영역인 상악 전치부를 심미적, 기능적으로 수복하고 유지 관리하는 것은 어려운 일이다. 임플란트 주위염으로 인하여 치조골의 흡수, 치간유두의 수축 등과 같은 임플란트 주위 조직 문제와 금속 지대주의 노출로 인한 심미적 문제가 발생할 수 있기 때문이다. 본 증례에서는 기성지대주의 단점을 보완 가능한 맞춤형 지대주를 전통적인 제작 방식인 주조 방식으로 Co-Cr 합금을 이용하여 제작하고, 시멘트 유지형 보철물을 제작한 증례에 대해 보고하고자 한다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제35권6호
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• pp.486-489
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• 2009

Odontogenic Myxoma of the jaws is a rare benign tumor derived from embryonic mesenchymal elements of dental anlage. It appears to originate from the dental papilla, follicle or periodontal ligament. Odontogenic Myxoma of the maxilla is less frequent but behaves more aggressively than that of the mandible, because it spreads through the maxillary sinus. Radiographically, the tumors present as unilocular or multilocular radiolucent lesions with well-defined borders with fine, bony trabeculae. On gross examination, the tumor appears as a smooth, glistening, gelatinous, lobulated mass. On microscopic examination, these neoplasms exhibit loose arrangement of stellate-shaped cells. The intercellular substance is a mucinous and homogeneous matrix. We report a case of odontogenic myxoma of the maxilla observed in our clinic with good prognosis after partial maxillectomy.

• 대한심미치과학회지
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• 제24권1호
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• pp.49-67
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• 2015

임플란트가 치과 진료의 중요한 수단이 된 후 오랜 기간이 지나면서 자연치를 거의 완전한 형태로 재현할 수 있는 방법에 대한 많은 선학들의 연구와 임상이 진행되어왔다. 과거 임플란트는 교합면의 저작에 중점을 두었다면 최근의 임플란트는 보다 편하고 기능적이며 심미적인 수복을 요하게 되었다. 이런 요구를 충족하기 위해서는 보철적으로 교합면의 형태뿐만 아니라 축면의 형태 및 치간공극에 대한 배려, 치은 하방의 형태도 중요한 요소가 되었다. 수술적으로는 수술 시기 및 절개에 대한 세심한 고려, 골과 연조직에 대한 적절한 형성을 위해 많은 진보가 이루어졌다. 치과의사가 이러한 부분에 대한 정확한 지식과 최종 완성품에 대한 열정이 있을 때 보다 좋은 결과물을 얻을 수 있을 것이다.

• 대한소아치과학회지
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• 제23권4호
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• pp.775-787
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• 1996

The purpose of this study was to investigate the postnatal development of pulpal innervation with the tooth development and eruption process in developing rat mandibular molars (postnatal 1, 5, 10, 15, 20, 25, 35day-old and adult rats). Immunohistochemical method was carried out for the detection of nerve fibers, using the antibody against calcitonin gene-related peptide(CGRP). The results were as follows: The feature of CGRP-IR nerve fibers were shown in a bead-like appearance. The time of nerve entering into the dental papilla of tooth follicle began at the occured advanced dentinogenesis. The development of Raschkow plexus began at the formative stage of the roots and was accelerated at the stage of the crown emerged into the oral cavity. The number of nerve fibers entering the odontoblastic layer increased with the tooth eruption and mastication. The development of innervation was shown to be related with the stage of the development of individual teeth rather than the chronological age of the rat.