• Title/Summary/Keyword: Healing phase

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Low back pain due to Sacro iliac joint Dysfunction (천장관절 기능이상과 요통증)

  • Lim, Sung-Soo
    • Journal of Korean Physical Therapy Science
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    • v.6 no.3
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    • pp.25-40
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    • 1999
  • The hub of weight bearing in the human body for both static and dynamic activities is the lumbopelvic region. It is a key region of extraordinary stability, since the trunk and ground forces converage in this region. The two sacroiliac joints form an integral part of this lumbopelvic unit. Considerable effort has been expended to study and quantify the normal range of movement of the sacroiliac joints Mitchell suggests that the ilium rotates in a posterior direction at heel strike and progresses in an anterior direction as the individual passes through the stance phase. The overall key appears to lie in determining the weight-bearing pattern of the sacroiliac (lumbopelvic) region from above and below that results in the familiar pain of sacroiliac dysfunction, assessing the status of the injured tissues, and intervening with the proper treatment protocols that maximize the body's healing processes. The purpose of this chapter is to provide a comprehensive overview of the sacroiliac joint's tissues and biomechanics, as well as concepts of evaluation and treatment. This overview is aimed at assisting the clinician in identifying the forces that are potentially destructive to the lumbopelvic tissues.

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Understanding of Cementum Formation by the Wnt/β-Catenin Signaling (Wnt/β-Catenin 신호조절에 의한 백악질 형성의 이해)

  • You, Young-Jae;Yang, Jin-Young
    • Journal of dental hygiene science
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    • v.16 no.6
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    • pp.401-408
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    • 2016
  • Periodontal disease is one of the major dental diseases. Currently, various methods are used for healing and successful regeneration of periodontal tissue damaged by periodontal disease. The periodontal ligament and alveolar bone have received considerable interest for use in periodontal tissue regeneration and induction. However, as the functions of the factors required for tooth attachment and key regulatory factors for periodontal tissue regeneration in the cementum have recently been identified, interest in cementum formation and regeneration has increased. Dental cementum forms in the late phase of tooth development because of the reciprocal regulatory interaction between cervical loop epithelial cells and surrounding mesenchymal cells, which is regulated by various gene signaling networks. Many attempts have been made to understand the regulatory factors and cellular and molecular mechanisms associated with new cementum formation. In this paper, we reviewed the study outcomes to date on the regulatory factors that induce cementum formation and regeneration, focusing on understanding the roles and functions of Wnt signaling in the regulation of cementum formation. In addition, we aimed to obtain information on the useful reciprocal regulatory factors that mediate cementum formation and regeneration through a series of molecular mechanisms.

Comparison of cytotoxicities and wound healing effects of diquafosol tetrasodium and hyaluronic acid on human corneal epithelial cells

  • Lee, Jong Heon;Lee, Jong Soo;Kim, Sujin;Lee, Ji Eun
    • The Korean Journal of Physiology and Pharmacology
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    • v.21 no.2
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    • pp.189-195
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    • 2017
  • This study aimed to compare the cellular toxicities of three clinically used dry eye treatments; 3% diquafosol tetrasodium and hyaluronic acid at 0.3 and 0.18%. A methyl thiazolyltetrazoiun (MTT)-based calorimetric assay was used to assess cellular proliferation and a lactate dehydrogenase (LDH) leakage assay to assess cytotoxicity, using Human corneal epithelial cells (HCECs) exposed to 3% diquafosol tetrasodium, 0.3% hyaluronic acid (HA), or 0.18% HA or 1, 6 or 24 h. Cellular morphology was evaluated by inverted phase-contrast light microscopy and electron microscopy, and wound widths were measured 24 h after confluent HCECs were scratched. Diquafosol had a significant, time-dependent, inhibitory effect on HCEC proliferation and cytotoxicity. HCECs treated with diquafosol detached more from the bottoms of dishes and damaged cells showed degenerative changes, such as, reduced numbers of microvilli, vacuole formation, and chromatin of the nuclear remnant condensed along the nuclear periphery. All significantly stimulated reepithelialization of HCECs scratched, which were less observed in diquafosol. Therefore, epithelial toxicity should be considered after long-term usage of diquafosol and in overdose cases, especially in dry eye patients with pre-existing punctated epithelial erosion.

A case report of climacteric woman improved with Soyangin Hyeongbangsabaeksan (갱년기 장애 환자를 소양인 형방사백산으로 치료한 치험 1례)

  • Lee, Sang-Yong;Cha, Jae-Deog;Kim, Eun-Yi;Kim, Kyung-Sun;Kwak, Chang-Kyu;Kim, Hyoung-Soon;Kim, Kyung-Sok
    • Journal of Sasang Constitutional Medicine
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    • v.15 no.3
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    • pp.118-123
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    • 2003
  • The climacteric is the period of passage out of the reproductive stage of life and into the nonreproductive phase. The climacteric can be accompanied by wide-ranging, uncomfortable and disruptive symptoms. Symptoms that are related to hormonal changes include abnormal bleeding, facial flushing, and urogenital discomfort. This patient was 45- year-old woman who had headache, facial flushing, thirst, fatigue, irregular menstruation, urogenital discomfort and had been diagnosed and teated climacteric. We classified this patient as Soyangin(少陽人) Yin collapsed ease(亡陰證) and prescribed Hyeongbangsabaeksan(荊防瀉白散). We experienced the good effect of Hyeongbangsabaeksan on Soyangin Mangyin-disease We report the healing process and the result of treatment in this study.

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Ankle Syndesmotic Injury (족근 관절 경비 인대 결합 손상)

  • Gwak, Heui-Chul;Kwon, Young-Wook
    • Journal of Korean Foot and Ankle Society
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    • v.15 no.4
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    • pp.187-194
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    • 2011
  • Ankle injuries may involve the distal tibiofibular syndesmosis and can be associated with a variable degree of trauma to the soft tissue and osseous structures that play an important role in ankle joint stability. Ankle syndesmotic injury may occur solely as a soft tissue injury or in association with variable ankle fractures. Ankle syndesmotic injury does not necessarily lead to ankle instability; however, the coexistence of deltoid ligament injury critically destabilizes the ankle joint. The prevalence of these injuries may be higher than previously reported. The diagnosis of syndesmotic injury as not always easy because isolated ankle sprains may be missed in the absence of a frank diastasis and syndesmotic instability may be unnoticed in the presence of bimalleolar ankle fractures. Controversies arise at almost every phase of treatment includings : type of fixation(screw size, type of implant), number of cortices required for fixation and of need for hardware removal. Regardless of controversies, the most important goal should be restore and maintain the normal tibiofibular relationship to allow for healing of the ligamentous structures of the syndesmosis.

Radioisotopic and Radiological Evaluation in Patient with Stress Fracture (피로골절 환자에서 골주사 소견과 방사선 소견의 비교)

  • Ko, Kwang-Seop;Kim, Jai-Young;Kang, Sung-Koo;Kim, So-Yon;Lee, Gwon-Jun
    • The Korean Journal of Nuclear Medicine
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    • v.21 no.1
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    • pp.39-46
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    • 1987
  • The stress fracture is a disease caused by and abnormal stress to the normal bone with constant, repeated pull. Early detection of stress fracture plays an important role in treatment and prevention of its complication. Bone scintigraphy was performed to evaluate 18 patients with stress fracture of the lower extremities from May, 1985 to April, 1987, in the Department of Internal Medicine of National Police Hospital. The results were as follows: 1) Seventeen of the 18 cases showed positive bone scans at the initial study performed from 1 week to S months after the onset of symtom. 2) Ten of the 18 patients had findings of stress fracture at the initial X-ray film. Two out of 8 negative case revealed positive findings in the follow-up studies. 3) The bone scans in the 2 cases taken 5 months after the onset of symton; the one showed only slightly increased radiouptake, the other showed no abnormal findings. In conclusion, bone scanning is a more sensitive indicator of early stress fracture than radiologic study. The healing phase is characterized by a gradual decline in radioactivity at the fracture site in concordance with subsidence of symptom.

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THE EFFECTS OF CHLORHEXIDINE ON THE ATTACHMENT AND GROWTH OF CULTURED HUMAN GINGIVAL FIBROBLASTS IN VITRO (인체 치은 섬유아세포의 성장과 부착에 관한 Chlorhexidine의 효과)

  • Lee, Ho;Lee, In-Kyu;Kim, Hyung-Seop
    • Journal of Periodontal and Implant Science
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    • v.23 no.3
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    • pp.507-516
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    • 1993
  • The Chlorhexidine(CHX) has been a widely used adjunt in periodontal therapy due to its bactericidal effect. In spite of the effects of CHX exhibits cytotoxic to human cells and delays granulation tissue formation. Therefore, understanding the effects of CHX on fibroblast attachment and cell growth will provide the rationale for its use during healing phase of periodontal surgery. This study was undertaken to examine the effects of standardized CHX-pretreated dentin slices and direct CHX exposure on human gingival fibroblasts. The results were as follow : 1. In experiment 1, there was a significant reduction in the number of fibroblast attachment in 0.12, 1%-pretreated groups relative to the control, 0.05%-pretreated groups(P<0.05). 2. In experiment 1, the control, 0.05%-pretreated groups showed considerable attachment and typical fibroblastic morphology, but 0.12, 1%-pretreated groups showed irregular, round-up (unattached) fibroblastic morphology. 3. In experiment 2, it appeared that all experimental groups exhibits significant inhibition of cell growth when compared with the control group.

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CLINICAL APPLICATION OF TRANSITIONAL IMPLANTS (Transitional implant를 이용한 임시수복과 최종 수복)

  • Kim, Yu-Lee;Min, Seung-Ki
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.27 no.6
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    • pp.575-580
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    • 2005
  • Transitional implants were developed to support provisional restorations and to allow for load-free osseointegration of conventional implants while a patient was provided with immediate esthetics and function and are usually placed simultaneously at the time of definitive implant placement. Transitional implants are placed in a non-submerged fashion in a single-stage surgery and are designed to be immediately loaded. They generally are made of commercially pure titanium or titanium alloy and are designed as 1-piece implants composed of root and crown replacement segments. Transitional implants can be used in a wide range of indications, such as basic use as temporary implant, to support and protect the primary implants during the healing phase, single crown in the edentulous anterior region of mandibular, anchorage for orthodontic treatment, support a surgical and radiographic template, and primary implant to extremely atrophied alveolar crests of the mandible and maxilla. This article describes the clinical use of transitional implants to support the provisional complete denture and single crown in the restricted edenturous central incisor region of mandible.

FAILURE OF ODONTOGENESIS AFTER CHEMO-RADIATION THERAPY FOR RHABDOMYOSARCOMA (횡문근육종의 항암제-방사선치료 후 치아발육장애)

  • Choi Sun-Young;Hong Sung-Woo;Koh Kwang-Joon
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.28 no.1
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    • pp.285-297
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    • 1998
  • This report details a case of 8-year-old girl showing failure of odontogenesis after chemo-radiation therapy for the rhabdomyosarcoma at the age of 4. The observed results were as follows : 1. Past history revealed that she had received for a total radiation dose of 4430cGy, 29 fractions in 6 weeks and chemotherapy with vincristine, actinomycin D and cytoxan, followed as maintenance phase for 2 years. 2. The patient was symptom -free and appointed for the treatment of multiple dental caries. 3. Oral examination showed hypoplastic enamel on whole erupted permanent teeth and showed retarded eruption. 4. Conventional radiograms showed failure of root development including abrupt cessation of root formation and root agenesis, and microdontia, missing teeth, irregular enamel, dislocation of the impacted teeth. Additional finding showed good healing bone pattern on the left mandibular ramus and angle area. 5. Cephalometric analysis revealed failure of bite raising due to incomplete eruption of all the first molars and made it possible to suspect entrapped mandibular growth and then Class II tendency growth. 6. There was correlation between the time of chemo-radiation therapy and the damage of the teeth.

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The Effect of Osteotome Technique on Primary Implant Stability according to Bone Quality (임플란트 일차 안정성에 있어서 골질에 따른 osteotome 술식의 효과)

  • Baek, Seung-Jae;Lee, Jae-Kwan;Park, Chan-Jin
    • Journal of Periodontal and Implant Science
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    • v.35 no.3
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    • pp.777-788
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    • 2005
  • The primary stability of implants is an important factor to predict the osseointegration. Recently, the resonance frequency analysis has been used to measure the primary stability. It is an objective method to monitor the stability of implants during healing phase. This study is to validate the differences in the effect of the osteotome method according to the bone quality as well the thickness of cortical bone. Two hundred seventy implants of 3.75mm in diameter(Neoplant, Neobiotech, Korea) were placed in 135 bovine ribs. The bone quality is classified into 3 classes according to the number of bone marrow spaces which implants would be placed, and then classified into 9 subclasses after the ribs were trimmed. Two implants were placed in 15 specimens of each class. The conclusion were as follows: 1. In case of less dense cancellous bone, the oseotome method is more effective in primary stability rather than the drilling method(p <0.05). 2. If there was cortical bone, it is more advantagous to get stronger primary stability. 3. If cancellous bone is more dense or if cortical bone exists, there is no statistical significance between drilling and osteotome method(p <0.05).