• Title/Summary/Keyword: Oral environment

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Utilization of desktop 3D printer-fabricated "Cost-Effective" 3D models in orthognathic surgery

  • Narita, Masato;Takaki, Takashi;Shibahara, Takahiko;Iwamoto, Masashi;Yakushiji, Takashi;Kamio, Takashi
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.42
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    • pp.24.1-24.7
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    • 2020
  • Background: In daily practice, three-dimensional patient-specific jawbone models (3D models) are a useful tool in surgical planning and simulation, resident training, patient education, and communication between the physicians in charge. The progressive improvements of the hardware and software have made it easy to obtain 3D models. Recently, in the field of oral and maxillofacial surgery, there are many reports on the benefits of 3D models. We introduced a desktop 3D printer in our department, and after a prolonged struggle, we successfully constructed an environment for the "in-house" fabrication of the previously outsourced 3D models that were initially outsourced. Through various efforts, it is now possible to supply inexpensive 3D models stably, and thus ensure safety and precision in surgeries. We report the cases in which inexpensive 3D models were used for orthodontic surgical simulation and discuss the surgical outcomes. Review: We explained the specific CT scanning considerations for 3D printing, 3D printing failures, and how to deal with them. We also used 3D models fabricated in our system to determine the contribution to the surgery. Based on the surgical outcomes of the two operators, we compared the operating time and the amount of bleeding for 25 patients who underwent surgery using a 3D model in preoperative simulations and 20 patients without using a 3D model. There was a statistically significant difference in the operating time between the two groups. Conclusions: In this article, we present, with surgical examples, our in-house practice of 3D simulation at low costs, the reality of 3D model fabrication, problems to be resolved, and some future prospects.

DENTAL AND OPHTHALMOLOGICAL TREATMENT UNDER THE GENERAL ANESTHESIA OF THE PATIENT WITH MENTAL RETARDATION (정신지체 환자의 전신마취 하 치과치료 및 안과 협진)

  • Kim, Su-Youn;Lee, Keung-Ho
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.2 no.2
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    • pp.153-155
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    • 2006
  • Many patients with mental retardation need extensive dental treatment because they have much difficulty in maintaining their oral hygiene. However, because they are not cooperative and not manageable, they require physical restraints, drug induced sedation or general anesthesia. General anesthesia is useful in control of the patients who cannot be treated in other ways. Additionally, general anesthesia provides more safe environment for medically compromised patients. And medical treatment can be provided simultaneously under general anesthesia. Furthermore, almost all treatment can be provided without visiting several times. This case reports of periodontal, restorative and ophthalmological treatment of patient with mental retardation under general anesthesia.

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Histopathologic examination in the primary dental clinic (일차치과의원에서의 조직병리검사)

  • Han, Dawool;Cho, Eunae
    • The Journal of the Korean dental association
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    • v.58 no.5
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    • pp.293-303
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    • 2020
  • Biopsy is a critical method for disease diagnosis and treatment planning. It can be applied from simple inflammatory lesions to malignant tumors. But many general dental practitioners are unfamiliar with the basic knowledge and skills required for biopsy. Moreover, biopsy indications and contraindications for certain diseases may differ depending on the type of dental practice environment and the specialty of the dentist. Biopsy education can increase the choices a dentist has during disease diagnosis. Here we will discuss details on biopsy needed to the general dentist.

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A STUDY OF THE EFFECTS OF MULTIBANDED ORTHODONTIC APPLIANCES ON THE ORAL LACTOBACILLI (구강 유산균에 대한 전대환교정장치의 효과에 관한 연구)

  • Ahn, Dae Sik
    • The korean journal of orthodontics
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    • v.5 no.1
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    • pp.25-31
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    • 1975
  • A study of the effects of multibanded orthodontic appliances on the oral lactobacilli was conducted on 41 multibanded group and 41 caries free group. The following conclusions were obtained. 1. In multibanded group, the average count of lactobacilli per milli-liter of saliva showed about 219,300 in male and 254,100 in female. In caries free group, the mean count of lactobacilli per milli-liter of saliva showed about 66,700 in male and 68,500 in female, Therefore, the average of lactobacilli in multibanded group was much higher than that of the caries free group in both sexes. 2. The average of all the types of lactobacilli colonies (Disk-type, Bell-type, Y-type) in multibanded group was much more than that of caries free group. 3. Multibanded orthodontic appliances were found to sufficiently alter oral environment to significantly affect disk-types and total counts in both sexes and bell-type in female, at $1\%$ level of confidence. But changes in bell-type and y-type, in male, were considered to be significant at $5\%$ level of confidence.

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Anti-inflammatory Effect of Methanol Extract from Safflower Seeds

  • Kim, Hyun-Jin
    • International Journal of Oral Biology
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    • v.41 no.2
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    • pp.83-88
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    • 2016
  • Periodontitis is an inflammatory disease, which destroys the connective tissue and the alveolar bone. Recently, it has been suggested that the effect of natural substances could be induced into an anti-inflammatory environment. However, the effect of Safflower seed extract (SAF-M) associated with periodontitis has not been investigated yet. Therefore, the purpose of this study was to assess the anti-inflammatory effects of SAF-M. Cytotoxicity was assessed through MTS analysis using hGF and hPDL cells. Periodontitis was induced by injecting LPS into gingival tissue on the maxillary molars of rats ($45{\mu}g$ LPS/one time, 3 times a week for 3 weeks). SAF-M was administered daily at 30 mg/kg and 100 mg/kg. Alveolar bone resorption was evaluated through the micro-CT. hGF and hPDL cells showed differential cytotoxicity in response to SAF-M at 5 mg/ml and 1 mg/ml concentrations. Micro-CT showed reduction of the alveolar bone resorption in the SAF-M treatment group. These results suggested that SAF-M is a potential therapeutic agent for periodontitis.

A Systematic Approach to Producing Oral Records (체계적인 구술기록 생산을 위한 제언)

  • Sohn, Dong You;Kwon, Yong Chan
    • Journal of Korean Society of Archives and Records Management
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    • v.13 no.1
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    • pp.135-158
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    • 2013
  • While academic discussions and methodological researches on oral history are being progressed in Korea, its exploitation has already begun to increase with a variety of methods and approaches in the private sector. Oral history is a new method of research, as well as another process of production of archives. In order to make valuable and highly qualified archives of oral history with the application of the aforementioned conditions and characteristics, its recognition, environment, process, and method should be improved and developed. From this point of view, it is regarded as reasonable that oral history is recognized as a part of the strategy for documentation. Oral history should be produced based on common sense and reasonable judgment, applying empirical know-how rather than logic or principles because it holds a great number of characteristics, which include variable elements in the field of oral history. In addition, its process or documentation methods should be improved and developed, giving consideration to thorough exploitation. The promotion or revitalization of oral history is a signal that announces the advent of new archives and the new subjects of history at the same time. Endeavors to produce highly efficient archives of oral history are expected to be continued with the complex accumulation of empirical assets achieved at academic discussions and its fields.

PROMOTER METHYLATION OF THE CDH-13 GENE IN THE ORAL SQUAMOUS CELL CARCINOMA (구강 편평상피암종에서 CDH-13 유전자의 promoter methylation에 대한 연구)

  • Lee, Moon-Joo;Han, Se-Jin;Kim, Kyung-Wook
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.34 no.5
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    • pp.525-531
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    • 2008
  • CDH-13(T-cadherin), which is one of a kind among the 20 cadherins, can be found mainly in wall of aorta, neuron, spleen, blood vessel etc. It is also called H-cadherin. This structural difference can explain that CDH-13 is thought to play a key role in maintaining mutual relation between extra and intra-cellular environment rather than in cell adhesion. The main function of CDH-13 is to participate in blood vessel function. Additionally, it is known to regulate cell growth and cell contact inhibition. When cells are proliferating, cell surface perceives other cells so that substance such as CDH-13 can inhibit their growth or proliferation resulting in homeostasis without endless proliferation or invasion of connective tissue boundaries. However, tumor cell itself appears to be different from normal cells' growth, invasion or transmission. Therefore, it can be diagnosed that these characteristics are closely related to expression of CDH-13 in tumor cells. This study is to investigate expression of CDH-13 in SCC and its correlation with promoter methylation. 20 of tissue species for the study are excised and gathered from 20 patients who are diagnosed as SCC in department of OMS, dental hospital, dankook university. To find development of CDH-13 in each tissue samples, immunohistochemical staining, RT-PCR gene analysis and methylation specific PCR are processed. The results are as follows. 1.Immunohistochemical staining: In normal oral squamous epithelial tissue, strong expression of CDH-13 was found in cell plasma membrane of basal cell layer. On the other hand, in case of low-differentiated oral SCC, development of CDH-13 was hardly seen. 2.The development of CDH-13 gene: In 9 of samples, expression of CDH-13 gene could be seen and 2 of them showed low expression compared to the others. And rest of the 11 samples showed no expression of CDH-13 gene. 3.Methylation of CDH-13 gene: Among 9 samples which expressed CDH-13 gene, 7 of them showed unmethylation. In addition, among 11 samples without CDH-13 gene expression, 10 showed methylation. According to the results stated above, promoter methylation were found in 13 samples(65%) among 20 of oral SCC samples. In low-differentiated SCC, suppression of gene expression could be seen accompanying promoter methylation. These phenomenon of gene expression was proved by immunohistochemical investigation. Finally, for development of oral SCC, conclusions can be made that suppression of CDH-13 played a main role and suppression of gene expression was originated from promoter methylation. Considering this, it is expected that suppression of CDH-13 from promoter methylation to be utilized as a good diagnostic marker of oral SCC.

Usage of Affecting factors of Oral Care Products in Infants (영유아의 구강위생용품 사용 실태 및 영향 요인)

  • Choi, MinJi;Park, Ji-Young;Lim, Mi-Young;Jung, Da-Young;Ryu, Hyeon-Su;Kim, Sun-Sin;Oh, Na-Rae;Yang, Wonho
    • Journal of Environmental Health Sciences
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    • v.43 no.5
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    • pp.401-411
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    • 2017
  • Objectives: The purpose of this study was to investigate the factors affecting the use of oral hygiene products in infants. Methods: From October 2015 to December 2015, astructured questionnaire survey was conducted for infants and parents about the infants' oral hygiene product use from 0 to 4 years of age in Seoul and other metropolitan areas. Results: The use of oral tissues for infants and children was more frequent in infants, with less than four uses of oral tissues per 10 infants. The overall amount of toothpaste usage among infants was lower than those of infants whose parents are high school or college graduates. The number of oral tissues used per infant per week was less among infants who sucked less than 4 times per 10 infants. The frequency of use of infant mouthwash per week in every 10 infants was less than those who swallow mouthwash less than once. The number of mouth rinses after the use of oral tissues for infants was high in boys, and the number of infants who sucked oral tissues was less than 4 times when used 10 times. The number of mouth rinses after the use of toothpaste was less for infants with college-graduate parents. The factors affecting the number of mouth rinsings after using oral tissues for infants were gender and sucking frequency. Conclusions: In this study, the oral hygiene products for infants were found to differ and affect the usage, the frequency of use, and the number of mouth rinses according to the general characteristics of infants' and parents and the use of oral hygiene products.

A STATISTICAL SURVEY OF DENTAL TREATMENT IN DISABLED PATIENTS (장애인의 치과치료에 관한 통계적 연구)

  • Rhee, Ye-Ri;Lee, Keung-Ho;Park, Jae-Hong;Choi, Sung-Chul;Kim, Kwang-Chul
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.3 no.1
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    • pp.6-10
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    • 2007
  • Many disabled patients need extensive dental treatment because they have much difficulty in maintaining their oral hygiene. However, because they are not cooperative and not manageable, they require physical restraints, drug induced sedation or general anesthesia. General anesthesia is useful in control of the patients who cannot be treated in other ways. Additionally, general anesthesia provides more safe environment for medically compromised patients. The aim of the present study was to investigate a kind of disorder, sources of referral, preoperative oral condition, experience of dental visit, and performing general anesthesia or not of 930 disabled patients in Kyung-Hee University dental hospital for 30 years.

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Factors Affecting Dental Fear in Korean Adolescents

  • Kim, Ah-Hyeon;Ahn, Eun-Suk;An, So-Youn
    • Journal of Korean Dental Science
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    • v.10 no.1
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    • pp.22-28
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    • 2017
  • Purpose: The purpose of this study was to evaluate the dental fear experienced among Korean adolescents and to identify the relevant factors. Materials and Methods: In order to compare the level of dental fear depending on the subjects' previous experience, descriptive statistical analysis was performed. Gender- and grade-dependent evaluation was performed according to the presence of their previous dental visit and dental fear. Subjective oral health status was also investigated. In order to determine the factors affecting dental fear, logistic regression analysis was performed. Result: Among the total of 333 subjects who had experienced dental fear, females were found to experience 1.766 times greater dental fear than males (P=0.007). The worse subjective perception of their oral health was associated with increase in the experience of dental fear by 1.245-fold (P=0.047). Conclusion: The dental fear was likely to be formed during the visit to the dentist's office or through previous experience of dental treatment. Therefore in order to reduce the fear associated with dental treatment in adolescents, establishemnt of a proper environment in the dental clinic and a patient management program are necessitated.