• Title/Summary/Keyword: Dental surgery

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Importance of 3-dimensional imaging in the early diagnosis of chondroblastic osteosarcoma

  • Laura Althea Cuschieri;Rebecca Schembri-Higgans;Nicholas Bezzina;Alexandra Betts;Arthur Rodriguez Gonzalez Cortes
    • Imaging Science in Dentistry
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    • v.53 no.3
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    • pp.247-256
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    • 2023
  • The aim of this report is to present a case of chondroblastic osteosarcoma located in the right maxillary premolar region of a 17-year-old female patient. The initial clinical presentation and 2-dimensional (2D) radiographic methods proved inadequate for a definitive diagnosis. However, a cone-beam computed tomography scan revealed a hyperdense, heterogeneous lesion in the right maxillary premolar region, exhibiting a characteristic "sun-ray" appearance. To assess soft tissue involvement, a medical computed tomography scan was subsequently conducted. A positron emission tomography scan detected no metastasis or indications of secondary tumors. T1- and T2-weighted magnetic resonance imaging showed signal heterogeneity within the lesion, including areas of low signal intensity at the periphery. Histological examination conducted after an incisional biopsy confirmed the diagnosis of highgrade chondroblastic osteosarcoma. The patient was then referred to an oncology department for chemotherapy before surgery. In conclusion, these findings suggest that early diagnosis using 3-dimensional imaging can detect chondroblastic osteosarcoma in its early stages, such as before metastasis occurs, thereby improving the patient's prognosis.

Full Arch Restoration through Orthognathic Surgery after Implantation on the Patients with Mandibular Prognathism and Loss of Posterior Teeth: A Case Report

  • Hwang, Kyoung-Sub;Lee, Jin-Ju;Jeon, Young-Chan;Shin, Sang-Hun;Song, Jae-Min;Lee, So-Hyoun;Huh, Jung-Bo
    • Journal of Korean Dental Science
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    • v.10 no.1
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    • pp.35-44
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    • 2017
  • In case of loss of many teeth due to dental caries or periodontal disease, improvement of masticatory function and aesthetics can be obtained through implant treatment. However, if the patient does not have a normal intercondylar relationship, it is difficult to achieve an ideal occlusal relationship with only prosthetic treatment. In particular, oral reconstruction with orthodontic treatment or orthognathic surgery is necessary for patients with mandibular prognathism. However, if the posterior occlusion collapses due to severe caries or periodontal disease, orthognathic surgery may be difficult. The occlusal vertical stop is very important for the stability of the mandibular position during occlusal reconstruction through orthognathic surgery. The patient in this case had posterior occlusion collapsed due to the caries of a large number of posterior teeth, and showed mandibular prognathism and long face. We planned a full arch restoration with orthognathic surgery and extracted the hopeless teeth. To secure the vertical stop required for orthognathic surgery, the implant was placed before surgery. After the orthognathic surgery and the final prosthesis application, the results were satisfactory for the improvement of the aesthetics and the restoration of the masticatory function.

AN CLINICAL ANALYSIS ON THE DENTAL EMERGENCY PATIENTS VISITING THE EMERGENCY ROOM OF DENTAL HOSPITAL OF WON-KWANG UNIVERSITY (단독 치과 병원 치과응급실 내원 환자의 임상적 분석)

  • Keum, Ki-Chun;Paeng, Jun-Young;Choi, Bo-Young;Choi, Jung-Gu;Oh, Se-Ri;Lee, Jun;Choi, Moon-Ki;Kwon, Kyung-Hwan;Oh, Seung-Hwan;Min, Seung-Ki
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.31 no.1
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    • pp.35-40
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    • 2009
  • Dental emergency varies from toothache to trauma of oromaxillofacial area. Recently, the number of emergency cases after dental treatment is increasing because surgical treatments such as implant installation rise. Dental emergency patients have been looking for emergency room of general hospital and they could be treated only when the dentist of night duty exists. Although there are many analyses on the dental emergency patients visiting general hospitals, research on the dental treatment only has not been provided enough. We anticipated different aspects between the dental emergency patients visiting independent dental hospital and general hospitals. We analyzed dental emergency patients' chief complaints and received procedures for almost 1-year period in Won-Kwang dental hospital in Dae-jeon where there had been no dental emergency settings. With this 1574 patients' result, we tried to find appropriate treatment plans regarding dental emergency patients occurring at night and holidays.

Surgery-first Approach for Facial Asymmetry with Transverse Discrepancy Using Hyrax-type Palatal Expansion Appliance

  • Youn-Kyung Choi;Sung-Hun Kim;Yong-Il Kim
    • Journal of Korean Dental Science
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    • v.16 no.1
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    • pp.87-98
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    • 2023
  • This report presents a case of successful treatment of skeletal Class III malocclusion with transverse discrepancy in adult by surgery-first approach. Traditionally dental decompensation is necessary prior to surgery in 2-jaw surgery to correct transverse and rotational discrepancy. However, the hyrax-type palatal expansion appliance was used to improve maxillary expansion accuracy and postoperative stability in this surgery-first approach (segmental Le Fort I osteotomy and mandibular setback surgery). It was established to be an effective means of precisely predicting postoperative occlusion and achieving stable retention after surgery of skeletal Class III malocclusion with maxillary transverse discrepancy.

Retrospective Study on the Flow and Characteristics of Dental Emergency Patients in Chosun University Hospital

  • Lee, Sung-Suk;Kim, Su-Gwan;Oh, Ji-Su;Moon, Seong-Yong;You, Jae-Seek;Yu, Kyoung-Hwan;Jo, Ji-Ho;Park, Jin-Sung;Yang, Wang-Sik;Seo, Dong-Kook
    • Journal of Korean Dental Science
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    • v.8 no.1
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    • pp.10-15
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    • 2015
  • Purpose: The aim of the present study is to assess the importance of proper treatment timing for dental emergency patients by characterizing current patient care in the emergency room. Materials and Methods: A retrospective chart review of 3,211 patients who visited the Chosun University Hospital's dental emergency department (Gwangju, Korea) was conducted from January 1, 2011 to May 31, 2014. Information regarding age, gender, onset date, main causes, and diagnoses were collected and analyzed. The main causes were divided into six categories: assault, household/play, sports, traffic, work, and others. Result: Emergency visits were more common for men (69%), and the ratio of males to females was 2.2:1 On average, the major cause was household/play (49.8%), followed by others (18.9%), traffic (16.6%), assault (9.1%), sports (2.9%), and work (2.6%). The most frequent diagnosis on average was dental trauma with 82.4%, followed by infection (10.7%), others (4.7%), and bleeding (2.2%). Conclusion: The main reasons for visits to the dental emergency department are dental trauma, dental infection, bleeding, and others. The most frequent reason for dental emergency patients to visit the emergency department was dental trauma (82.4%).

Airway management in pediatric tongue flap division for oronasal fistula closure: A case report

  • So, Eunsun;Yun, Hye Joo;Karm, Myong-Hwan;Kim, Hyun Jeong;Seo, Kwang-Suk;Ha, Hyunbin
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.18 no.5
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    • pp.309-313
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    • 2018
  • Oronasal fistulae (ONF) could remain after surgery in some patients with cleft palate. ONF ultimately requires intraoral surgery, which may lead to perioperative airway obstruction. Tongue flap surgery is a technique used to repair ONF. During the second surgery for performing tongue flap division, the flap transplanted from the tongue dorsum to the palate of the patient acts as an obstacle to airway management, which poses a great challenge for anesthesiologists. In particular, anesthesiologists may face difficulty in airway evaluation and patient cooperation during general anesthesia for tongue flap division surgery in pediatric patients. The authors report a case of airway management using a flexible fiberoptic bronchoscope during general anesthesia for tongue flap division surgery in a 6-year-old child.

Application of radiographic images in diagnosis and treatment of deep neck infections with necrotizing fasciitis: a case report

  • Kim, Young-Joo;Kim, Ju-Dong;Ryu, Hye-In;Cho, Yeon-Hee;Kong, Jun-Ha;Ohe, Joo-Young;Kwon, Yong-Dae;Choi, Byung-Joon;Kim, Gyu-Tae
    • Imaging Science in Dentistry
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    • v.41 no.4
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    • pp.189-193
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    • 2011
  • The advent and wide use of antibiotics have decreased the incidence of deep neck infection. When a deep neck infection does occur, however, it can be the cause of significant morbidity and death, resulting in airway obstruction, mediastinitis, pericarditis, epidural abscesses, and major vessel erosion. In our clinic, a patient with diffuse chronic osteomyelitis of mandible and fascial space abscess and necrotic fasciitis due to odontogenic infection at the time of first visit came. We successfully treated the patient by early diagnosis using contrast-enhanced CT and follow up dressing through the appropriate use of radiographic images.