• 제목/요약/키워드: Dental procedure

검색결과 925건 처리시간 0.021초

탈구된 치아의 부적절한 재식으로 인한 조기접촉의 치험례 (CASE REPORT OF PREMATURE CONTACT BY UNPROPER REDUCTION OF AVULSED TOOTH)

  • 라지영;김대업;양영숙;이광희
    • 대한소아치과학회지
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    • 제32권1호
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    • pp.1-6
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    • 2005
  • 외상에 의한 영구치의 손상은 유치열에서 영구치열로 이환되는 $8{\sim}10$세 경에 가장 빈발하며, 치아의 파절, 전위 함입, 정출, 탈구 등일 나타난다. 이중 치아가 치조와에서 이탈되는 손상을 받았을 경우에는 일반적으로 원래의 치조와내에 이탈된 치아를 재위치 시키고 고정하여 치유를 도모한다. 본 증례는 원광대학교 치과병원에 내원한 2명의 환아로 외상을 받은 후 각각 다른 기관에서 응급처치를 받았으나, 적절히 정복되지 못하여 본원에 내원 시 조기접촉을 보이고 있었다. 이에 고정된 치아를 다시 탈구시켜 원래의 치조와내에 재식하고 고정하였다. 적절하지 못한 재식은 지속적인 교합접촉을 일으킬 수 있으며, 이로 인한 치유의 지연 및 저작곤란, 부정교합 등을 야기할 수 있다. 외상 환자를 가장 먼저 접하게 되는 응급실이나 의원에서는 외상치의 처치에 대하여 숙지하고 있어야 하며 적절한 의뢰가 이루어져야 한다.

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가시광선 중합형 복합수지용 광증감제의 분해율 비교 (Photopodegradation efficiency of visible light cured dental resin composites with novel photosensitizers)

  • 선금주
    • 대한치과기공학회지
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    • 제33권4호
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    • pp.291-297
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    • 2011
  • Purpose: The purpose of this study was to know the availability of three photosensitizers, CQ, PD, DA, as a photosensitizer of dental resin composite. We want to know abortion band around visible light region for the using potential possibility as a photosensitizer for visible light cured dental composite resin. And I studied to know the relative photodecomposition ratio of three photosensitizers with or without photoinitiator, DAEM. Methods: The photodecomposition of three photosensitizers were studied by UV absorption spectroscopy in ethanol and determined by same instrument with irradiation time for relative photodecomposition. In order to study the effect of amine on photodecomposition was added the DAEM in the photosensitizer solution and the relative rate was measured by the same procedure with aove mentioned. Results: The all of three photosensitizers are absorbed around visible light region. The relative rate of decrease in absorbance incereased in the order: CQ < BD < PD. The effect of DAEM on the photodecomposition of the photosensitizers was appeared different results without DAEM. The photodecomposition rate of PD and DA decreased somewhat with the addition of amine, while that of CQ increased. The rtealtive photodecomposition rate increased in the oprder: BD ${\leq}$ CQ < PD with the addition of amine, but the differnce was not significant. Conclusion: PD and DA like CQ gives to the possibility of use as a photosensitizer for visible light cured dental composite resin by absorption around visible light region and photodecomposition in the maximum absorption wavelength. And it is showed that PD and DA are not effective decomposed with amine initiator, DAEM but CQ decomposed with DAEM effectively. This result may be due to a different mechanism operating for the decomposition of photosensitizers in the presence of amine.

Effects of Chlorpromazine·HCl on the Structural Parameters of Bovine Brain Membranes

  • Jang, Hye-Ock;Jeong, Dong-Keun;Ahn, Shin-Ho;Yoon, Chang-Dae;Jeong, Soo-Cheol;Jin, Seong-Deok;Yun, Il
    • BMB Reports
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    • 제37권5호
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    • pp.603-611
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    • 2004
  • Fluorescence probes located in different membrane regions were used to evaluate the effects of chlorpromazine HCl on structural parameters (transbilayer lateral mobility, annular lipid fluidity, protein distribution, and lipid bilayer thickness) of synaptosomal plasma membrane vesicles (SPMVs) isolated from bovine cerebral cortex. The experimental procedure was based on the selective quenching of 1,3-di(1-pyrenyl)propane (Py-3-Py) by trinitrophenyl groups, radiationless energy transfer from the tryptophan of membrane proteins to Py-3-Py, and energy transfer from Py-3-Py monomers to 1-anilinonaphthalene-8-sulfonic acid (ANS). In this study, chlorpromazine HCl decreased the lateral mobility of Py-3-Py in a concentration dependent-manner, showed a greater ordering effect on the inner monolayer than on the outer monolayer, decreased annular lipid fluidity in a dose dependent-manner, and contracted the membrane lipid bilayer. Furthermore, the drug was found to have a clustering effect on membrane proteins.

치과 캐드캠 ISO평가 기준에 준한 지대치 경석고 모형 및 인상체 스캐닝의 반복측정안정성 비교 평가 (Comparative evaluation of repeatability of scanning abutment tooth stone model and impression : Applied assessment of CAD/CAM ISO standard in dentistry)

  • 전진훈;황성식;김총명;김동연;김지환;김웅철
    • 대한치과기공학회지
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    • 제39권1호
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    • pp.1-7
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    • 2017
  • Purpose: The purpose of this in vitro study compared to evaluation of repeatability of scanning abutment tooth stone model and impression applied CAD/CAM ISO standard in dentistry. Methods: To evaluate repeatability of scanning abutment tooth stone model, were repeatedly scanned to obtain 11 data via 3D stereolithography (STL) files. 10 data (STL files) were compared with the first 3D data (STL file), and the error sizes were measured by using 3D superimposing software(n=10). Also, the repeatability of scanning abutment tooth impression was evaluated with the same procedure. Independent t test was performed to evaluate the repeatability of scanning abutment tooth stone model versus impression through root mean square(RMS) and standard deviation(SD)(${\alpha}=0.05$). Results: $RMS{\pm}SD$ with regard to repeatability were $14.7{\pm}2.5{\mu}m$, $17.1{\pm}4.0{\mu}m$, respectively, with scanning abutment tooth stone model and impression(p=0.129). Conclusion: This study results showed a little different repeatability of scanning abutment tooth stone model and impression applied CAD/CAM ISO standard in dentistry, will suggest futures good studies and clinical advantages.

Reconstruction of the orbital wall using superior orbital rim osteotomy in a patient with a superior orbital wall fracture

  • Heo, Jae Jin;Chong, Ji-Hun;Han, Jeong Joon;Jung, Seunggon;Kook, Min-Suk;Oh, Hee-Kyun;Park, Hong-Ju
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제40권
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    • pp.42.1-42.5
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    • 2018
  • Background: Fractures of the orbital wall are mainly caused by traffic accidents, assaults, and falls and generally occur in men aged between 20 and 40 years. Complications that may occur after an orbital fracture include diplopia and decreased visual acuity due to changes in orbital volume, ocular depression due to changes in orbital floor height, and exophthalmos. If surgery is delayed too long, tissue adhesion will occur, making it difficult to improve ophthalmologic symptoms. Thus, early diagnosis and treatment are important. Fractures of the superior orbital wall are often accompanied by skull fractures. Most of these patients are unable to perform an early ocular evaluation due to neurosurgery and treatment. These patients are more likely to show tissue adhesion, making it difficult to properly dissect the tissue for wall reconstruction during surgery. Case presentation: This report details a case of superior orbital wall reconstruction using superior orbital rim osteotomy in a patient with a superior orbital wall fracture involving severe tissue adhesion. Three months after reconstruction, there were no significant complications. Conclusion: In a patient with a superior orbital wall fracture, our procedure is helpful in securing the visual field and in delamination of the surrounding tissue.

경희대학교 치과병원을 내원한 장애인 환자의 구강건강상태에 관한 연구 (ORAL HEALTH STATUS OF PATIENTS WITH SPECIAL HEALTH CARE NEEDS IN KYUNG HEE UNIVERSITY DENTAL HOSPITAL)

  • 김지현;남옥형;김미선;김광철;최성철;이효설
    • 대한장애인치과학회지
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    • 제11권2호
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    • pp.53-57
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    • 2015
  • Most special health care needs (SHCN) people suffer from oral health problems due to high incidence and severity of oral disease. The aim of the present study was to investigate the characteristics of dental treatment provided in this patient population. The study population comprised 485 SHCN patients who visited Kyung Hee University Dental Hospital from 2006 to 2014. Based on the medical record, the date were evaluated according to age, gender, type of disorder, reason for visit, type of behavior management, and type of dental treatment. The most common age group was 7-12 year olds (26%). The chief compliant was dental caries (39%), as followed by oral exam (12%) and trauma (12%). Approximately half of SHCN patients (45.9%) was treated under behavior management. Restorative treatment was the most common procedure with the average of 2.9 teeth treated per patient. The results of the present study may be valuable for establishing the data of SHCN patients for primary dental care.

하악 전치부에서 발생한 치주-근관 복합 병소의 근관치료 후 조직 유도 재생술을 이용한 치료: 증례보고 (Guided tissue regeneration therapy after root canal therapy for long standing periodontal-endodontic combined lesion in the mandibular anterior area: case report)

  • 권은영;정경화;김소연;전혜미;최윤경;주지영
    • 구강회복응용과학지
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    • 제35권1호
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    • pp.46-54
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    • 2019
  • 치수 질환 그리고 치주 질환이 복합적으로 발생하여 치근단 조직과 변연부 치주 조직이 개통되는 것을 치주-근관 복합병소라 일컫는다. 치주-근관 복합 병소의 치료를 위해서는 근관치료 및 치주 재생 처치 둘 다를 필요로 하며, 이는 치근단 및 변연부 조직 모두의 치유를 위함이다. 본 연구에서는 치주-근관 복합 병소를 나타내는 하악 전치부 치아에서 근관치료 이후 조직유도 재생술을 시행하였으며, 각각의 증례에서 심한 치조골 흡수를 보이는 치아들은 3년이 넘는 경과 관찰기간 동안 발치되지 않고 유지될 수 있었다. 따라서 하악 전치부에서 발생한 치주-근관 복합 병소의 근관치료 후 조직유도 재생술을 이용한 치료는 임상적으로 이점이 있는 것으로 고려된다.

A comparative evaluation of peppermint oil and lignocaine spray as topical anesthetic agents prior to local anesthesia in children: a randomized clinical trial

  • Harika Petluru;SVSG Nirmala;Sivakumar Nuvvula
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제24권2호
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    • pp.119-128
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    • 2024
  • Background: In pediatric dentistry, fear and anxiety are common among children. Local anesthetics (LA) are widely used to control pain and reduce discomfort in children during dental treatment. Topical anesthetics play a vital role in reducing pain and the unpleasant sensation of a needle puncture in children. Peppermint oil has been extensively used for various diseases. However, its anesthetic properties remain unknown. Peppermint oil, used in mouthwashes, toothpastes, and other topical preparations has analgesic, anesthetic, and antiseptic properties. This study aimed to compare and evaluate pain perception following the topical application of peppermint oil versus lignocaine spray before an intraoral injection in children, aged 8-13 years. Method: Fifty-two children, aged between 8-13 years, who required local anesthesia for dental treatment were divided into two groups of 26 each by simple random sampling (Group 1: 0.2% peppermint oil and Group 2: lignocaine spray). In both groups, physiological measurements (e.g., heart rate) were recorded using pulse oximetry before, during, and after the procedure. Objective pain measurement (Sound Eye Motor (SEM) scale) during administration and subjective measuremeant (Wong-Baker Faces Pain Rating Scale (WBFPRS)) after LA administration were recorded. This was followed by the required treatment of the child. Physiological parameters were compared between the two groups using an independent t-test for intergroup assessment and a paired t-test and repeated-measures ANOVA for intragroup comparisons. The Mann-Whitney U test was used to analyze the pain scores. Results: Intragroup mean heart rates, before, during, and after treatment were statistically significantly different (P < 0.05). However, the intergroup mean pulse rates did not differ significantly between the two groups. The mean WBFPS score in the lignocaine spray group was 4.133 ± 2.06 was statistically different from that of the peppermint oil group (0.933 ± 1.03; P < 0.001*). The mean SEM score was significantly lower in the peppermint oil group than that in the lignocaine spray group (P = 0.006). No negative effects were observed in this study. Conclusion: 0.2% peppermint oil was effective in reducing pain perception.

Accuracy of five implant impression technique: effect of splinting materials and methods

  • Lee, Sang-Jik;Cho, Sung-Bum
    • The Journal of Advanced Prosthodontics
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    • 제3권4호
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    • pp.177-185
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    • 2011
  • PURPOSE. The aim of this study was to evaluate the effect of dimensional stability of splinting material on the accuracy of master casts. MATERIALS AND METHODS. A stainless steel metal model with 6 implants embedded was used as a master model. Implant level impressions were made after square impression copings were splinted using 5 different techniques as follows. (1) Splinted with autopolymerizing resin and sectioned, reconnected to compensate polymerization shrinkage before the impression procedure. (2) Splinted with autopolymerizing resin just before impression procedure. (3) Primary impression made with impression plaster and secondary impression were made over with polyether impression material. (4) Splinted with impression plaster. (5) Splinted with VPS bite registration material. From master model, 5 impressions and 5 experimental casts, total 25 casts were made for each of 5 splinting methods. The distortion values of each splinting methods were measured using coordinate measuring machine, capable of recordings in the x-, y-, z- axes. A one-way analysis of variance (ANOVA) at a confidence level of 95% was used to evaluate the data and Tukey's studentized range test was used to determine significant differences between the groups. RESULTS. Group 1 showed best accuracy followed by Group 3 & 4. Group 2 and 5 showed relatively larger distortion value than other groups. No significant difference was found between group 3, 4, 5 in x-axis, group 2, 3, 4 in y-axis and group 1, 3, 4, 5 in z-axis (P<.0001). CONCLUSION. Both Splinting impression copings with autopolymerizing resin following compensation of polymerization shrinkage and splinting method with impression plaster can enhance the accuracy of master cast and impression plaster can be used simple and effective splinting material for implant impression procedure.

성견에서 차단막/골이식재 복합체를 이용한 임플란트 주위 골유도재생 효과: 임상적, 방사선학적, 조직학적 평가 (Local ridge augmentation using a composite of bone substitute and collagen membrane at peri-implant dehiscence defects: a clinical, radiographic and histological analyses.)

  • 송영우;윤소라;차재국;이중석;최성호;정의원
    • 대한치과의사협회지
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    • 제55권10호
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    • pp.676-687
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    • 2017
  • Objectives : The aim of this study was to evaluate the effects of a composite of bone substitute and collagen barrier membrane (bone patch) for local ridge augmentation at peri-implant dehiscence defects on the clinical efficacy and positional stability in dogs. Materials and methods : Implant placement and ridge augmentation procedure were performed at surgically created peri-implant dehiscence defects in canine mandible (n=6). Four treatment modalities were randomly applied: i) bone patch group, ii) Guided bone regeneration (GBR) without pin fixation group (bone graft and collagen membrane), iii) GBR with pin fixation group, and iv) negative control group. After 12 weeks, clinical, micro-CT and histological analyses were performed. Results : Histologic analysis showed that bone patch group had similar results to GBR group and GBR with fixation group in terms of new bone formation. Micro-CT analysis revealed similar results to histologic analysis in terms of total volume maintenance. Operating time was shorter in bone patch group compared to GBR group and GBR with fixation groups. Conclusions : GBR using bone patch could simplify the ridge augmentation procedure with reduced operating time and equivalent biological performance compared to the conventional procedure.

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