• Title/Summary/Keyword: Jaws

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A STUDY ON THE HYDROGEN ION CONCENTRATION OF PUS IN THE SUPPURATIVE ORAL DISEASES (화농성구강질환에 있어서 농즙의 수소이온 농도에 관한 연구)

  • Ha, Woong-Chul
    • The Journal of the Korean dental association
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    • v.9 no.12
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    • pp.841-845
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    • 1971
  • Author has made the studies on the pH of pus in the 53 suppurative disesed patients who had admitted to department of ora surgery, Infirmary of Schoo of Dentistry, Seoul National University. The results were obtained as follows; 1. The average pH of pus in the patients with suppurative oral diseases was 6.46 and the pH of pus was ranging 5.0 to 7.2. 2. The pH value of pus was not significant between the males(pH: 6.58) and females (pH: 6.40). 3. The pH vaule of pus in patients treated by antibiotics trend to slightly alkaline than that of untreated patients. 4.The pH vaule of pus in the pericoronitis, periodontal abscess and other localized oral infections were slightly alkaline than buccal abscess and osteomyelitis, and acute suppurative diseases of jaws was more acid than chronic diseases. In general, it was seemed the early stages of inflammation was alkaline, and the later stages was acid.

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Conventional loading, is the concept still useful? (임상가를 위한 특집 3 - Conventional loading, 여전히 임상적으로 유용한가?)

  • Yeo, In-Sung
    • The Journal of the Korean dental association
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    • v.51 no.4
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    • pp.204-209
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    • 2013
  • Implant-supported restorations were connected to commercially pure titanium endosteal implants 3 months in mandible and 6 months in maxilla after the implants were inserted into patient jaws. Modifications of titanium implant surfaces have reduced the waiting time for osseointegration, resulting in the development of the early loading concept, which is defined at present as a restoration in contact with the opposing dentition and placed at least 1 week after implant placement, but no later than 2 months afterward. Nowadays, immediate loading protocols have also been introduced, using the implants that are designed to enhance initial stability. Immediate loading eliminates the edentulous period of a patient. Although dentists widely accept these concepts of early and immediate loading, they agree the conventional loading concept is still necessary, which describes loading protocols later than 2 months after implant insertion. The timing of loading is determined mainly by the factors of a patient. This paper considers for what dental clinicians should be careful in implant-supported restoration procedures, considering the implant late failure.

Design of a combined cartilage graft crusher, morselizer and holder for use in rhinoplasty

  • Rojdmark, Jonas;Cheema, Mubashir
    • Archives of Plastic Surgery
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    • v.46 no.3
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    • pp.282-284
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    • 2019
  • A combined cartilage holder and crusher is described that allows the surgeon to hold, crush, morselize, and suture a single piece or stack of cartilage graft without letting it slip. The customized slit-shaped jaws allow adequate room for the suture needle, while the serrated surfaces hold the cartilage firmly. The use of this instrument is advocated primarily in rhinoplasty for manipulating and suturing a small cartilage graft or a stack of grafts. The use of this instrument may be extended to aesthetic or reconstructive cases where cartilage grafts need to be sutured or shaped, as in eyelid, ear, and nipple reconstruction.

Several issues regarding the diagnostic imaging of medication-related osteonecrosis of the jaw

  • Kim, Jo-Eun;Yoo, Sumin;Choi, Soon-Chul
    • Imaging Science in Dentistry
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    • v.50 no.4
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    • pp.273-279
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    • 2020
  • This review presents an overview of some diagnostic imaging-related issues regarding medication-related osteonecrosis of the jaws(MRONJ), including imaging signs that can predict MRONJ in patients taking antiresorptive drugs, the early imaging features of MRONJ, the relationship between the presence or absence of bone exposure and imaging features, and differences in imaging features by stage, between advanced MRONJ and conventional osteomyelitis, between oncologic and osteoporotic patients with MRONJ, and depending on the type of medication, method of administration, and duration of medication. The early diagnosis of MRONJ can be made by the presence of subtle imaging changes such as thickening of the lamina dura or cortical bone, not by the presence of bone exposure. Most of the imaging features are relatively non-specific, and each patient's clinical findings and history should be referenced. Oral and maxillofacial radiologists and dentists should closely monitor plain radiographs of patients taking antiresorptive/antiangiogenic drugs.

Evaluation of Bone Change by Digital Subtraction Radiography after Implantation of Tooth Ash-plaster Mixture (치아회분과 석고혼합제제 매식후 Digital Subtraction Radiography에 의한 골량 변화의 평가)

  • Kim Jae-Duk;Kim Kwang-Won;Cho Yaung-Gon;Kim Dong-Kie;Choi Eui-Hwan
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.29 no.2
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    • pp.423-433
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    • 1999
  • Purpose : To assess the methods for the clinical evaluation of the longitudinal bone changes after implantation of tooth ash-plaster mixture into the defect area of human jaws. Materials and methods : Tooth ash-plaster mixtures were implanted into the defects of 8 human jaws. 48 intraoral radiograms taken with copper step wedge as reference at soon, 1st, 2nd, 4th, and 6th week after implantation of mixture were used. X-ray taking was standardized by using Rinn XCP device customized directly to the individual dentition with resin bite block. The images inputted by Quick scanner were digitized and analyzed by NIH image program. Cu­equivalent values were measured at the implanted sites from the periodic digital images. Analysis was performed by the bidirectional subtraction with color enhancement and the surface plot of resliced contiguous image. The obtained results by the two methods were compared with Cu­equivalent value changes. Results : The average determination coefficient of Cu-equivalent equations was 0.9988 and the coefficient of variation of measured Cu values ranged from 0.08~0.10. The coefficient of variation of Cu-equivalent values measured at the areas of the mixture and the bone by the conversion equation ranged from 0.06 ~0.09. The analyzed results by the bidirectional subtraction with color enhancement were coincident with the changes of Cu-equivalent values. The surface plot of the resliced contiguous image showed the three dimensional view of the longitudinal bone changes on one image and also coincident with Cu-equivalent value changes after implantation. Conclusion : The bidirectional subtraction with color enhancement and the surface plot of the resliced contiguous image was very effective and reasonable to analyze clinically and qualitatively the longitudinal bone change. These methods are expected to be applicable to the non-destructive test in other fields.

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A Study on Comparison of Pronunciation Accuracy of Soprano Singers

  • Song, Uk-Jin;Park, Hyungwoo;Bae, Myung-Jin
    • International journal of advanced smart convergence
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    • v.6 no.2
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    • pp.59-64
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    • 2017
  • There are three sorts of voices of female vocalists: soprano, mezzo-soprano, and contralto according to the transliteration. Among them, the soprano has the highest vocal range. Since the voice is generated through the human vocal tract based on the voice generation model, it is greatly influenced by the vocal tract. The structure of vocal organs differs from person to person, and the formants characteristic of vocalization differ accordingly. The formant characteristic refers to a characteristic in which a specific frequency band appears distinctly due to resonance occurring in each vocal tract in the vocal process. Formant characteristics include personality that occurs in the throat, jaw, lips, and teeth, as well as phonological properties of phonemes. The first formant is the throat, the second formant is the jaw, the third formant and the fourth formant are caused by the resonance phenomenon in the lips and the teeth. Among them, pronunciation is influenced not only by phonological information but also by jaws, lips and teeth. When the mouth is small or the jaw is stiff when pronouncing, pronunciation becomes unclear. Therefore, the higher the accuracy of the pronunciation characteristics, the more clearly the formant characteristics appear in the grammar spectrum. However, many soprano singers can not open their mouths because their jaws, lips, teeth, and facial muscles are rigid to maintain high tones when singing, which makes the pronunciation unclear and thus the formant characteristics become unclear. In this paper, in order to confirm the accuracy of the pronunciation characteristics of soprano singers, the experimental group was selected as the soprano singers A, B, C, D, E of Korea and analyzed the grammar spectrum and conducted the MOS test for pronunciation recognition. As a result, soprano singer B showed a clear recognition from F1 to F5 and MOS test result showed the highest recognition rate with 4.6 points. Soprano singers A, C, and D appear from F1 to F3, but it was difficult to find formants above 2kHz. Finally, the soprano singer E had difficulty in finding the formant as a whole, and MOS test showed the lowest recognition rate at 2.1 points. Therefore, we confirmed that the soprano singer B, which exhibits the most distinct formant characteristics in the grammar spectrum, has the best pronunciation accuracy.

Recurrent ossifying and cemento-ossifying fibroma of the jaws;report of 2 cases (재발된 골섬유종과 백악질골섬유종)

  • Ryu, Sun-Youl;Oh, Hee-Kyun;Kim, Geon-Jung;Yun, Young-Su;Choi, Hong-Ran
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.11 no.1
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    • pp.297-308
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    • 1989
  • These are two case reports of recurrent ossifying and cemento-ossifying fibroma in a year or 5 months following conservative treatment. Ossifying fibroma or cemento-ossifying is a relatively uncommon benign fibro-osseous tumor of the jaws, and is generally believed to originate from periodontal ligaments. In recent, it is not demanded more differentiation of ossifying, cementifying and cemento-ossifying fibroma due to the thought that these lesions represent a spectrum of the same disease process rather than separate entities. The tumor commonly presents as an asymptomatic mass lesion and is usually well-circumscribed clinically so that conservative surgical excision has been the treatment of choice, but on occasion extended surgical procedures may become necessary, especially for those tumors which demonstrate rapid expansions and are poorly encapsulated (either initially or when recurrent) and when tumor growth is progressed aggressively or recurrent. En-bloc resection of mandible with iliac bone and inferior alveolar nerve graft was performed in case 1, recurrent cemento-ossifying fibroma of 32-year old male patient, and extended surgical enucleation of mass including normal marginal bone was done in case 2, recurrent ossifying fibroma of 72-year old female patient. By follow-up check of the patients, we obtained good result without any sings of recurrence.

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Analysis of dose from surface to near the buildup region in the therapeutic X-ray beam (표피로 부터 buildup 영역까지 흡수되는 암치료용 방사선의 선량분석)

  • Vahc, Young-Woo
    • Progress in Medical Physics
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    • v.6 no.2
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    • pp.41-50
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    • 1995
  • The absorbed dose and contaminant electron distribution of therapeutic X-ray beam (15MV photon) was studied with a half blocked beams of 30$\times$30$\textrm{cm}^2$ and field size ranging from 5$\times$5 to 30$\times$30$\textrm{cm}^2$. For a 15MV photon beam energy, the value of the depth of dose maximum, d$_{max}$, gradually decrease with increasing field size from 5$\times$5 to 30$\times$30$\textrm{cm}^2$ due to mainly by contaminant electrons which are produced in the flattening filter and scattered by collimator jaws, tray holder〔Lucite〕, blocking block and air. The results suggest that separate dosimetry data should be kept for blocked and unblocked field. The inherence of the contaminant electrons to the open field depth of maximum dose can lead to mistaken results if attenuation measurements are made at that depth. A nurmerous contaminant electrons mainly were distributed as shape of corn in the central photon beam and their path length in the water were shorter than 30mm because of the electrons energy having around 6MeV. These results clearly appears that the substraction of scattered electrons (electrons and positrons) from the total depth dose curve not only lowers the absolute dose in the bulidup region and surface dose, it also causes a shift of d$_{max}$ to a deeper depth. In the terapeutic high energy photon beam, the absorbed dose near the buildup region is the combined result of incident contaminant electrons and phantom generated electronsrons.

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TREATMENT OF DENTOFACIAL DEFORMITY PATIENT WITH CEREBRAL PALSY (뇌성 마비를 동반한 악안면 기형 환자의 치험례)

  • Kim, Ki-Ho;Park, Sung-Yeon;Yi, Choong-Kook
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.2 no.1
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    • pp.39-44
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    • 2006
  • Cerebral palsy(CP) is one of the most common motor disease, due to brain injury during fetal and neonatal development which results in neuromotor paralysis and associated neuromuscular symptoms. Features of CP include motor disability due to the lack of muscle control, often accompanied by sensory disorders, mental retardation, speech disorders, hearing loss, epilepsy, behavior disorders, etc. There are increasing chances of treatment of dental patients with cerebral palsy, as the occurrence of CP is increasing with the decrease in infant mortality and an increase in immature birth and premature birth and also, there is a trend to pursue of higher quality of life. Reports on the relationship between CP and maxillofacial deformity are uncommon, but it is well known that the unbalance and discontrol of the facial muscles, lip, tongue and the jaws leads to malocclusion and temporomandibular joint disorders, and statistics show that class 2 relationship of the jaws and open bite is frequently reported. However, it is difficult to perform maxillofacial deformity treatment, which consists of orthodontic treatment, maxillofacial surgery and muscle adaptation training, due to difficulties in communication and problems of muscle adaptation caused by difficulties in motor control which leads to a high recurrence rate. This case report is to trearment of maxillofacial deformity in CP patient. A 26 year old female patient came to the department with the chief complaint of prognathism of the mandible and facial asymmetry. According to the past medical history, she was diagnosed as cerebral palsy 1 week after birth, classified as GMFC, classII accompanied with left side torticollis. The patient's intelligence was moderate, and there were no serious problems in communication. For two years time, the patient underwent lingual frenectomy, pre-operation orthodontic treatment and then bimaxillary orthognathic surgery to treat mandibular prognathism and facial asymmetry followed by rehabilitatory exercise of facial muscle. After 6 months of follow up, there was a good result. This is to report to the typical signs and symptoms of DFD in CP patient and the limitation of the usual method of the treatment of DFD in CP patient with literature review.

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The success rate of Mg-incorporated oxidized implants in partially edentulous patients: a prospective clinical study (부분 무치악 환자에서 마그네슘 이온주입 임플란트의 성공률에 대한 전향적 임상연구)

  • Choi, Su-Jung;Yoo, Jung-Ho;Lee, Ku-Bok;Kim, Jin-Wook
    • The Journal of Korean Academy of Prosthodontics
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    • v.50 no.3
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    • pp.176-183
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    • 2012
  • Purpose: This study examined the clinical success rate of Mg titanate implants (M Implant system, Shinhung, Korea), which employ a Mg coating method, by evaluating the marginal bone loss and implant stability using radiographs and Osstell$^{(R)}$, over a 1 year. Materials and methods: The locations of the implants placement were divided into 4 areas; the maxillary and mandibular premolars and molars. In the maxilla, 8 and 9 implants were inserted in the premolar and molar areas, respectively. In the mandible, 11 and 51 implants were inserted in the premolar and molar areas. Marginal bone loss and ISQ of all implants (79) were measured after insertion, mounting the prosthetic appliance, and 1, 3, 6, and 12 months after loading. The marginal bone loss was measured from the radiograph using XCP bite, which was customized, and the implant stability measured using Osstell$^{(R)}$. Fisher's exact test (${\alpha}$=.05) was used to compare the success rates of each region. Results: The mean marginal bone loss for the upper and lower jaws were 1.537 mm and 1.172 mm. The mobility showed a non-significant reduction or increase according with time. The success rates were accounted for 94.12% and 98.39% in the upper and lower jaws; the premolars and molars were accounted for 100% and 96.67%. The two cases of early failure resulted from failure of primary stability during implant insertion. The late failures were not observed for 1 year after adding a loading to the implants. Conclusion: The Mg titanate implant showed good primary stability and good clinical results in both healing and function.