• 제목/요약/키워드: Oral and Maxillofacial

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악관절에 발생한 착색성 융모결절성 활막염 2례 보고 (PIGMENTED VILLONODULAR SYNOVITIS ON TMJ)

  • 이종호;안상철;이은진;서병무;최진영;정필훈;김명진
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제28권5호
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    • pp.353-357
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    • 2002
  • Pigmented villonodular synovitis(PVNS) usually presents as a benign proliferative monoarticular arthritis that affects the knee in 80% of cases, followed in frequency by the hip, ankle, and calcaneocuboid joint. PVNS rarely affects temporomandibular joint area. Patients typically complain of pain, locking, and recurrent swelling. Tumor progression limits the range of movement of the joint and causes it to become stiff and firm. Sometimes a palpable mass can be appreciated. Aggressive form of PVNS invades into adjacent bones and soft tissues, is confused with other types of neoplasia. Here we report 2 cases of the PVNS on a temporomadibular

체육전공대학생의 구강보호장치 인식도 및 구강악안면 외상 대처방법에 관한 교육요구도에 영향을 미치는 요인 (Influencing factors on mouthguard awareness and educational needs for coping methods of oral and maxillofacial injuries in physical education department students)

  • 천혜원
    • 한국치위생학회지
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    • 제16권2호
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    • pp.249-259
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    • 2016
  • Objectives: The purpose of the study was to investigate the mouthguard awareness and educational needs for coping methods of oral and maxillofacial trauma in physical education department students. Methods: A self-reported questionnaire was completed by 250 male students in gyeonggido and Jeonbuk province from June, to August, 2015. survey was conducted from June to August, 2015. The students were those who played taekwondo, football, and kendo. Except incomplete answers, 229 data were analyzed. The questionnaire consisted of general characteristics of the students, awareness and use of mouthguards, and educational needs for coping methods for oral and maxillofacial injuries. The Cronbach alpha of mouthguard awareness was 0.838, and that of educational needs for coping methods for oral and maxillofacial injuries was 0.843 in the study. Results: Those who wore mouthguards tended to have higher score of awareness and the demand of coping methods for oral and maxillofacial injuries was higher than those who did not. Those who had higher awareness of mouthguards and oral health maintained their good oral health. Conclusions: The mouthguard is very important to protect from the oral and maxillofacial injuries in sports play, it is important to emphasize the mouthguard wearing in the physical education department students.

하악치은에 발생한 평활근육종의 치험례 (LEIOMYOSARCOMA OF THE MANDIBULAR GINGIVA: A CASE REPORT)

  • 조은영;하종운;김은철;정윤심
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제27권4호
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    • pp.362-366
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    • 2001
  • Leiomyosarcoma(LMS) is a malignant tumor from smooth muscle origin that arises most commonly in the gastrointestinal tract and uterus, but rarely in the oral and maxillofacial area which lacks smooth muscles. 63 cases of oral LMS have been reported, especially LMS that occurred in the mandibular gingiva is only 2 cases. Major symptom of oral LMS is painful or painless swelling. Besides it, oral LMS has no specific characteristics. So it is difficult to diagnose the case as LMS of the oral cavity. Certain cases report that LMS of the oral cavity was misdiagnosed as periodontitis and the patients were treated with unnecessary procedures. Conventional treatment of LMS is the radical surgical excision. LMS that is infiltrative and very malignant has poor prognosis despite of well-circumscribed boundary. LMS of the oral cavity is often recurred, has high rate of distant metastasis and 5-year-survival rate is as low as 23%. This article reports LMS of the mandibular gingiva that treated with surgical intervention, had local recurrence and metastasis to the lymph node after 16-month's follow-up examination.

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하악골에 전이된 위암에 대한 증례 보고 (METASTATIC CANCER OF THE MANDIBLE: A CASE REPORT)

  • 서고은;정지아;송준호;정태영;이수운;박상준
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제32권1호
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    • pp.86-88
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    • 2010
  • Oral metastatic tumors are uncommon and account for about 1% of malignant oral neoplasm. The metastatic lesions are common in breast, lung, kidney and thyroid cancer. About 20% of oral mucosal metastasis is founded before detection of primary lesions. Usually, the metastatic lesions of the oral cavity are involved in the jaw bone, especially mandible more than the oral soft tissues. We report a case diagnosed as the stomach cancer with mandible metastatic lesion looking like TMJ abscess.

혀에 발생한 이소성 구강 위장관 낭종: 증례보고 (Heterotopic Gastrointestinal Cyst of the Tongue: Case Report)

  • 김소미;길태준;함태훈;김현실;이충국;차인호
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제33권1호
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    • pp.73-76
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    • 2011
  • Gastrointestinal cyst found within the oral cavity has been reported as a rare occurrence with less than 40 cases. The tongue is the preferred site with almost 60% of cysts occurring within oral cavity. The cyst usually shows an asymptomatic swelling in the floor of the mouth, about 30% of affected individuals have symptoms related to difficulties with feeding, swallowing and respiration. The histopathologic features of the cyst vary with respect to the type of epithelium lining; gastric, squamous, intestinal and respiratory epithelium. The pathogenesis is not known, but it may be related to entrapment of undifferentiated endoderm within oral cavity during early fetal development. In this article, we report a case of a gastrointestinal cyst of the tongue in a 16-month-old girl.

하악골 결손환자에서 수평적 골 신장술과 임프란트 보철수복 : 증례보고 (RECONSTRUCTION USING MANDIBULAR HORIZONTAL DISTRACTION OSTEOGENESIS AND IMPLANT PROSTHESIS IN MANDIBULAR DEFICIENCY : A CASE REPORT)

  • 신민영;안준현;한정환;신성수;박양호;박영주;박준우;이건주
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제29권6호
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    • pp.444-449
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    • 2003
  • Distraction osteogenesis is a biologic process in which new bone is formed between bone fragments being separated by a tractional force. This technique has the advantage of initiating new bone growth without bone transplantation and promoting the growth of soft tissue. Mandibular distraction osteogenesis has shown to be effective to treat congenital or acquired mandibular hypoplasias. On the basis of positive results with implant-supported prostheses, the use of implants in the distracted site can significantly help stabilize the prosthesis. We obtained good result in the patient with mandibular deficiency due to trauma, who have been reconstructed with distraction osteogenesis and implant. We report our experiences with literature view.

비스포스포네이트 관련 악골괴사에 대한 후향적 연구 (Retrospective study on the bisphosphonate-related osteonecrosis of jaw)

  • 한윤식;이인우;이호;서진원;김성민;명훈;황순정;최진영;이종호;정필훈;김명진;서병무
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제37권6호
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    • pp.470-476
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    • 2011
  • Introduction: The incidence of bisphosphonate-related osteonecrosis of the jaw (BRONJ) has increased gradually in patients who have undergone surgical treatment for osteomyelitis. In this study, a retrospective analysis of BRONJ patients was carried out using the data of osteomyelitis patients treated surgically. Materials and Methods: Osteomyelitis patients, who underwent curettage, sequestrectomy, saucerization or decortications, and partial mandibulectomy at Seoul National University Dental Hospital from 2004 to 2010 were enrolled in this study. The patients were classified and categorized into two groups based on the surgical records and progress notes. One group comprised of patients with osteomyelitis and osteoporosis, and the other group included patients with osteomyelitis only. The epidemiological data of the BRONJ patients was analyzed to identify any trend in the incidence of BRONJ in osteomyelitis patients. Results: Among 200 patients who underwent surgical intervention for osteomyelitis, 64 (32.0%) were identified as having osteoporosis as the underlying disease. In these 64 patients, more than 81.3% had been prescribed bisphosphonates. Females were far more affected by BRONJ than males. The incidence of BRONJ also increased with age. The posterior part of the mandible was affected more frequently by BRONJ. Conclusion: Although the availability of potent antibiotics and increased oral hygiene care can reduce the overall incidence of osteomyelitis, BRONJ can increase the total incidence. To prevent BRONJ, it is recommended that an oral examination be performed before prescribing bisphosphonates. Moreover, the patients should be educated about the potential risks of dental procedures that might be causal factors for BRONJ. Furthermore, patient swho take bisphosphonates for the treatment of osteoporosis should undergo periodic follow up oral examinations to prevent BRONJ.

매우 얇은 치조골에서 치조능 분할 확장술을 통한 임플란트 치료 (Ridge split for implant placement in very thin alveolar ridge)

  • 김신근;이희성;박종욱;남종훈;복성철;박기남;최동주
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제37권3호
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    • pp.229-233
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    • 2011
  • For implant treatment there must be sufficient bone to house the implant body. At least 5mm wide residual bone is needed and usually a 6mm width is preferred by clinicians. However, surgeons sometimes find patients with a narrow ridge, which makes it difficult to place an implant. Therefore, many clinicians perform bone graft or a ridge splitting technique to overcome these poor conditions. The time and cost can be reduced using the ridge splitting technique with immediate implant placement. Recently, many studies reported reliable consequences of ridge splitting technique. This paper reports a successful of implant placement with a ridge splitting technique in a very thin alveolar ridge.

Evaluation of condylar positions in patients with temporomandibular disorders: A cone-beam computed tomographic study

  • Imanimoghaddam, Mahrokh;Madani, Azam Sadat;Mahdavi, Pirooze;Bagherpour, Ali;Darijani, Mansoreh;Ebrahimnejad, Hamed
    • Imaging Science in Dentistry
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    • 제46권2호
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    • pp.127-131
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    • 2016
  • Purpose: This study was performed to compare the condylar position in patients with temporomandibular joint disorders (TMDs) and a normal group by using cone-beam computed tomography (CBCT). Materials and Methods: In the TMD group, 25 patients (5 men and 20 women) were randomly selected among the ones suffering from TMD according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). The control group consisted of 25 patients (8 men and 17 women) with normal temporomandibular joints (TMJs) who were referred to the radiology department in order to undergo CBCT scanning for implant treatment in the posterior maxilla. Linear measurements from the superior, anterior, and posterior joint spaces between the condyle and glenoid fossa were made through defined landmarks in the sagittal view. The inclination of articular eminence was also determined. Results: The mean anterior joint space was 2.3 mm in the normal group and 2.8 mm in the TMD group, respectively. The results showed that there was a significant correlation between the superior and posterior joint spaces in both the normal and TMD groups, but it was only in the TMD group that the correlation coefficient among the dimensions of anterior and superior spaces was significant. There was a significant correlation between the inclination of articular eminence and the size of the superior and posterior spaces in the normal group. Conclusion: The average dimension of the anterior joint space was different between the two groups. CBCT could be considered a useful diagnostic imaging modality for TMD patients.