• Title/Summary/Keyword: Incomplete treatment

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TREATIMENT OF ANKYLOGLOSSIA USING Z-PLASTY TECHNIQUE: A CASE REPORT (설유착증 환자에서의 Z-Plasty를 이용한 치료증례)

  • Lee, Ji-Young;Kim, Dae-Eop;Lee, Kwang-Hee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.23 no.3
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    • pp.697-705
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    • 1996
  • Ankyloglossia, or tongue-tie, is a congenital condition which occurs as a result of fusion between the tongue and the floor of the mouth. Ankyloglossia often results in malocclusion with an anterior "open bite" deformity, early prognathism, swallowing problem, speech disorder, and periodontal problem. Generally lingual frenectomy is used for treatment of ankyloglossia, but incomplete operation and simple frenectomy may produce a scar contracture resulting in a more deformed ankyloglossia than was present initially. The Z-plasty is used for the correction of scar contractures and the replacement of missing tissue and this procedure is ideally suited for the treatment of an ankylosed frenum. Most authors advise postponement of any decision for surgical correction of tongue-tie until the age of 4 years, unless the child is having much difficulty with sucking or swallowing. We treated 4 patients with ankyloglossia using Z-plasty technique. As a result, we found out that it was effective for correction of movement limitation of tongue, prevention of relapse. Further, periodic check ups are needed for evaluation of relapse, improvement of speech, and other functions of the tongue.

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Malignant Fibrous Histiocytoma of the Maxilla: A Case Report (상악골에 발생한 악성 섬유성 조직구종 1례)

  • Song, Seung Yong;Kim, Yong Oock;Park, Beyoung Yoon;Tark, Kwan Chul
    • Archives of Plastic Surgery
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    • v.34 no.3
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    • pp.388-391
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    • 2007
  • Purpose: Malignant fibrous histiocytoma (MFH) is mainly a soft tissue sarcoma containing fibroblast-like cells and histiocytic cells. MFH in bone accounts for 5% of all malignant bone tumors. MFH of the maxilla is extremely rare and difficult to diagnose due to its scarcity. Treatment mainstay is a complete surgical excision. Radiation therapy is also available when surgery alone is incomplete. Prognosis is not clear but can be devastating. Authors report one case of MFH developed in the maxilla. Methods: A 24-year-old man firstly diagnosed as fibrous dysplasia based on CT findings. Considering facial contour, partial excision was done. But pathology report confirmed malignant fibrous histiocytoma and secondary wide excision was done including zygoma and grossly all affected area. After surgery, radiation therapy was continued. Results: There are no evidence of tumor recurrence after clinical and radiological treatment. Conclusion: MFH of maxilla is very rare and this can leads to misdiagnosis in many clinicians. Surgeon should differentiate this disease from fibrous dysplasia and pathology and MRI are accurate methods for diagnosis of MFH.

A Study on Improvement of Postwalk Locomotion in Child with Severe Mental Retardation : Single Subject (중도 정신지체아동의 보행 후 이동동작 개선에 관한 연구 - 단일 사례 연구 -)

  • Song Ju-Young;Lee Hyo-Jeong;Kim Jin-Sang;Choi Jin-Ho
    • The Journal of Korean Physical Therapy
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    • v.12 no.1
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    • pp.119-127
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    • 2000
  • In this case report we demonstrated the improvemen of gait pattern and the facilitation of postwalk locomotion on the child who has severe mental retardation with Incomplete gait pattern. Treatments included to stimulate vestibular using balance board and vestibular stimulator, to train weight hearing and shifting, to facilitate visual perception motor coordination, and to train walk ann postwalk locomotion in environment similar to actual daily life. It was performed 130 sessions for 10 months. With this treatment, she could accomplished dynamic stability so that she didn't fall at walk after $1\~2$ months of treatment, and could have done climbing up and down without hand support after 10 months. In gross motor function measure(GMFM), total motor function was improved to $89.98\%$ from $73.53\%$.

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WHIP SPRING FOR THE TREATMENT OF LOCALIZED TOOTH MALPOSITION IN MIXED DENTITION (혼합치열기의 국소적 치열부정을 위한 Whip Spring)

  • Kim, Min-Hee;Kim, Shin;Jeong, Tae-Sung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.24 no.4
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    • pp.758-762
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    • 1997
  • There are various types of localized tooth malpositions in the mixed dentition, such as abnormal tooth axis, anterior crossbite of some incisors, impaction, midline diastema, ectopic eruption, and so forth. We, Pediatric Dentists, have usually used removable appliances for these instances. But, removable orthodontic appliances, as is known, have marked limitations in some situations, for example, severe rotation, intrusion and extrusion, root torque, closure of large diastema, traction of impacted tooth, etc. In such cases, Whip spring, combined with fixed or removable appliance, can increase utilities of removable orthodontic appliances. The authors have applied whip springs to some cases showing localized positional and arrangement problems, and have witnessed the results as follows; 1. The refined and elaborate control of direction and magnitude of force by the operator, and accurate compliance of the patients were requisite for the treatment with it. 2. It showed special effectiveness for de rotation of incisors. Although it yields some benefit for root movement, the special consideration for incomplete roots in this age bracket was required. 3. In the localized malalignment cases in mixed dentition, uncurable with traditional removable appliances but practically unrealistic with fixed appliance therapy, the whip spring was thought to be a good alternative.

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Endodontic approach in a replanted tooth with an immature root apex and chronic apical periodontitis: a case report

  • Mori, Graziela Garrido;Andrade, Bruna Souza;Araujo, Marina Bardelli
    • Restorative Dentistry and Endodontics
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    • v.45 no.3
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    • pp.29.1-29.9
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    • 2020
  • This study describes the clinical steps taken in the treatment of a patient who had an avulsed right upper central incisor that presented with incomplete root development and chronic apical periodontitis. A 7-year-old boy was referred from a private dentist to a dental office specializing in endodontics. The tooth had remained in a dry environment for 20 minutes, and tooth replantation was performed at an emergency appointment. After clinical and radiographic examinations, root canal decontamination was performed, followed by several changes in intracanal calcium hydroxide medication. Blood clot formation was attempted, but bleeding within the root canal was insufficient; therefore, we opted for an intracanal medication change to stimulate mineralized tissue formation in the apical region. Root obturation was performed 45 days after the last change of intracanal medication, and clinical, radiographic, and tomographic follow-up examinations were performed at 3, 6, 18, and 40 months after the endodontic intervention. The increase in thickness and length of the root structure and the absence of root resorption were verified through follow-up examinations. Therefore, it was concluded that the procedures used were successful for tooth replantation.

A case of neck lipoblastoma in a pediatric patient (경부에 발생한 지방모세포종 1예)

  • Kim, Jae Hyung;Choi, ln Hak;Kim, Young-Chan;Baek, Seung-Kuk
    • Korean Journal of Head & Neck Oncology
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    • v.35 no.1
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    • pp.25-27
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    • 2019
  • Lipoblastoma is a rare benign tumor with 80-90% occurring in children less than 3 years of age and 40% occurring in children less than 1 year of age. The most common site of incidence is limb, and then trunk. Neck is the rare site of incidence. The main symptom that the patient complains about is a rapidly growing neck mass without pain. When the size of mass increases, it can cause dyspnea, Horner's syndrome. Lipoblastoma is usually diagnosed as a lipoma in the fine needle aspiration. Since it is not differentiated from lipoma, liposarcoma, and hibernating adenoma in CT and MRI, the definitive diagnosis is histologic diagnosis through surgical resection. The treatment is complete surgical resection. And recurrence rate is 9-25% due to incomplete resection. Authors report this case with a review of literatures since we experienced a case of lipoblastoma diagnosed histopathologically after surgical treatment of neck mass.

YouTube as a source of information about pulpotomy and pulp capping: a cross sectional reliability analysis

  • Konstantinos Kodonas;Anastasia Fardi
    • Restorative Dentistry and Endodontics
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    • v.46 no.3
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    • pp.40.1-40.12
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    • 2021
  • Objectives: The purpose of this study was to critically evaluate the quality, reliability and educational content of the information of vital pulp treatment videos available on YouTube. Materials and Methods: The keywords "pulpotomy" and "pulp capping" were searched on YouTube on 5th July 2020, until 60 English language videos of each search term with a duration shorter than 15 minutes were acquired. Video characteristics were recorded and Video Power Index (VPI) was calculated. Reliability and educational quality of videos were evaluated using the Modified DISCERN score, the Journal of American Medical Association (JAMA) benchmark criteria and Global Quality Scores (GQS). Videos were categorized by uploading source. Results: Regarding pulpotomy, 31.7% of the videos were uploaded by specialists and 68.3% were directed by non-specialists. In the case of pulp capping, the corresponding percentages were 45% and 55%, respectively. Videos uploaded by specialists had significantly higher modified DISCERN, JAMA and GQS scores compared to those uploaded by non-specialists. Endodontists tended to have the highest reliability and VPI scores. Conclusions: YouTube videos on vital pulp treatment contain low educational quality or incomplete information. Low popularity of dental pulp capping and pulpotomy videos may be attributed to the specialized nature of these procedures. As YouTube represents an important source for patient information about different health topics, reliable informative videos should be uploaded by specialized dental professionals.

Surgical Treatment of Achalasia : A report of 13 cases (Achalasia 의 수술요법 -13례 보고-)

  • Jo, Dae-Yun;Yang, Gi-Min;Rho, Joon-Rhyang
    • Journal of Chest Surgery
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    • v.13 no.4
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    • pp.470-474
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    • 1980
  • Achalasia is a neurogenic esophageal disorder, characterized by incomplete relaxation of the gastroesophageal sphincter in response to deglutition and absence of peristalsis from the body of the esophaugs. Because there is no known method by which esophageal peristalsis can be restored, therapy is directed toward the relief of dital esophageal obstruction. During the period of June 1965 to September 1980, 13 cases of achalasia were operated at the Department of Thoracic SUrgery, Seoul Natonal University Hospital. 1. Among 13 cases, 5 were male and 8 were female. 2. Esophagomyotomy was performed in 12 cases, and 1 case was treated with transverse suture of lower esophagus after longitudinal incision. 3. There was no operative mortality, but 2 cases subsequently underwent esophagogastrostomy after esophagomyotomy. 4. One of 13 cases was combined with mongolism.

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ACCESSORY ROOT IN DECIDUOUS TEETH -case report- (유치의 부가치근)

  • Park, Kye-Ryun;Choi, Hyung-Jun;Sohn, Heung-Kyu;Lee, Jong-Gap
    • Journal of the korean academy of Pediatric Dentistry
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    • v.24 no.1
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    • pp.173-178
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    • 1997
  • As one of the developmental disturbances in shape of teeth, an accessory root may involve any teeth, but has very rare frequency in the deciduous teeth. Because it is possible to diagnose the accessory root only by use of the radiographs, it is important to detect this root early by carefully examining the radiographs. The accessory root produces several problems such as abnormal exfoliation of deciduous teeth, eruption abnormality of successive permanent teeth, infection due to residual root during tooth extraction, and incomplete pulp treatment, and therefore it is necessary to have a continuous follow check-up to prevent these problems.

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A Modified Grey-Based k-NN Approach for Treatment of Missing Value

  • Chun, Young-M.;Lee, Joon-W.;Chung, Sung-S.
    • Journal of the Korean Data and Information Science Society
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    • v.17 no.2
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    • pp.421-436
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    • 2006
  • Huang proposed a grey-based nearest neighbor approach to predict accurately missing attribute value in 2004. Our study proposes which way to decide the number of nearest neighbors using not only the deng's grey relational grade but also the wen's grey relational grade. Besides, our study uses not an arithmetic(unweighted) mean but a weighted one. Also, GRG is used by a weighted value when we impute missing values. There are four different methods - DU, DW, WU, WW. The performance of WW(Wen's GRG & weighted mean) method is the best of any other methods. It had been proven by Huang that his method was much better than mean imputation method and multiple imputation method. The performance of our study is far superior to that of Huang.

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