• Title/Summary/Keyword: Oral function

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A Case Report of Maxillary Complete Edentulous Patient with a Class III Jaw Relations (III급 악골 관계를 가진 상악 편악 무치악 환자의 수복)

  • Park, Mi-hee;Hong, Jun-won;Choi, Jee-ha;Lee, Jung-jun;Park, Ju-mi;Song, Kwang-yeob;Ahn, Seung-geun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.25 no.4
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    • pp.431-436
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    • 2009
  • In a case of class III skeletal patients with severe alveolar bone resorption, it must be a complete denture treatment plan provided stable and durable occlusion. Despite a markedly increased tooth mobility and unfavorable crown-to-root ration due to periodontal tissue breakdown, if the inflammatory process is controlled and an adequate oral hygiene performed, fixed splints will be considered. Patient's discomfort will be eliminated by achievement better clinical tooth mobility using fixed splints. So it can be a cost and time effective treatment option. In this case, it used a T-Scan System for confirmation a bilateral balanced occlusion and a occlusal force distribution reflected a patient's functional mandibular movement.

Review of recent developments for intra-oral scanners (현재 존재하는 구강 스캐너에 대한 고찰)

  • Choi, Jong-Hoon;Lim, Young-Jun;Lee, Won-Jin;Han, Jung-Suk;Lee, Seung-Pyo
    • Journal of Dental Rehabilitation and Applied Science
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    • v.31 no.2
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    • pp.112-125
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    • 2015
  • Making a model that is an accurate replica of the oral structure requires precision and efficiency. Nowadays, rapid technological advances bring digitalization in dentistry. One of the most important works in digital dentistry is three-dimensional modeling of the oral cavity and digitizing the 3D data. Among the three components of CAD/CAM, (1) data capture component (digitizers), (2) design component (CAD software), (3) manufacturing component (CAM), the basic component that has a significant impact on the other processes is the data capture component, i.e. intra-oral scanners. This literature review discusses the principles and clinical use of intra-oral scanners in dentistry based on recent publications of the past 5 years using the PubMed and Google Scholar databases.

Correlation analysis between radiation exposure and the image quality of cone-beam computed tomography in the dental clinical environment

  • Song, Chang-Ho;Yeom, Han-Gyeol;Kim, Jo-Eun;Huh, Kyung-Hoe;Yi, Won-Jin;Heo, Min-Suk;Lee, Sam-Sun
    • Imaging Science in Dentistry
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    • v.52 no.3
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    • pp.283-288
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    • 2022
  • Purpose: This study was conducted to measure the radiation exposure and image quality of various cone-beam computed tomography (CBCT) machines under common clinical conditions and to analyze the correlation between them. Materials and Methods: Seven CBCT machines used frequently in clinical practice were selected. Because each machine has various sizes of fields of view (FOVs), 1 large FOV and 1 small FOV were selected for each machine. Radiation exposure was measured using a dose-area product (DAP) meter. The quality of the CBCT images was analyzed using 8 image quality parameters obtained using a dental volume tomography phantom. For statistical analysis, regression analysis using a generalized linear model was used. Results: Polymethyl-methacrylate (PMMA) noise and modulation transfer function (MTF) 10% showed statistically significant correlations with DAP values, presenting positive and negative correlations, respectively (P<0.05). Image quality parameters other than PMMA noise and MTF 10% did not demonstrate statistically significant correlations with DAP values. Conclusion: As radiation exposure and image quality are not proportionally related in clinically used equipment, it is necessary to evaluate and monitor radiation exposure and image quality separately.

The Relationship between Oral Health-Related Factors and Grip Strength in the Elderly

  • Kim, Ki-Eun
    • Journal of dental hygiene science
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    • v.22 no.1
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    • pp.37-43
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    • 2022
  • Background: Among the health problems in old age, oral health is closely related to nutrition intake and digestion, so although it is an important factor in the well-being of the elderly along with general health, studies examining the relationship between oral health-related factors and grip strength of the elderly are insufficient. Therefore, this study intends to examine the relationship between oral health-related factors and grip strength, which are closely related to the general health of the elderly. Methods: This study used data from the 7th period of Korea National Health and Nutrition Survey (2016~2018) approved by the Research Ethics Review Committee of the Korea Centers for Disease Control and Prevention. Complex sample frequency analysis and descriptive statistics were performed, and general linear model analysis was performed to confirm the relationship between demographic characteristics, oral health -related factors and grip strength. The statistical analysis was performed using IBM SPSS Statistics for Windows, Version 23.0, and the significance test was based on type I error level of 0.05. Results: Grip strength was higher in the case of no discomfort than in the case of discomfort in relation to mastication discomfort and grip strength (B=0.927, p<0.001). In addition, the grip strength was decreased by 1.348 times when not using dental floss (p<0.001) and when not using mouth wash was 1.480 times (p<0.001). Conclusion: In this study, in the relationship between oral health-related factors and grip strength, grip strength was found to be high in the absence of mastication discomfort. and in the case of using dental floss and mouthwash the elderly showed high grip strength. Therefore, it is suggested to present a lifestyle to improve hand function and grip strength in the elderly and develop a program to increase grip strength and provide them at the same time during oral health education.

Review of Research Status on the Impact of Oral Microorganisms on Periodontal Disease and Systemic Health (구강 미생물이 치주질환 및 전신건강에 미치는 영향에 관한 연구 현황 고찰)

  • Sun-Mee Kim;Eun-Ja Kwon;Esther Choi
    • Journal of the Health Care and Life Science
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    • v.11 no.2
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    • pp.393-405
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    • 2023
  • Oral diseases have been reported to affect approximately 3.5 billion people worldwide, and in Korea, gingivitis and periodontal disease ranked first in the most frequent diseases from 2019 to 2021. Microorganisms that cause oral diseases include not only some bacteria such as Streptococcus mutans, Porphyromonas gingivalis, Fusobacterium nucleatum, Streptococcus gordonii, Leptotrichia buccalis, Prevotella, and Treponema, but also fungi Candida albicans and archaea Methanobrevibacter oralis. In the process by which oral microorganisms cause periodontal disease, bacteria such as Streptococcus mutans first proliferate to form a biofilm, and then obligate anaerobes, opportunistic bacteria, and pathogens attach, proliferate and settles down, forming plaque in the subgingival area of the host with weakened immunity. In this way, various interactions within the community are important in causing oral disease. Furthermore, substances and inflammation resulting from oral microorganisms and oral diseases are closely related to the occurrence of digestive diseases, diabetes, cardiovascular diseases, cognitive function, rheumatoid arthritis, premature birth, and cancer, and vice versa.

IMPLANT INSTALLATION AFTER GUIDED BONE REGENERATION: COMPARISON BETWEEN IMMEDIATE AND DELAYED GROUP (골유도 재생술과 임프란트 식립: 동시식립과 지연식립의 비교)

  • Kim, Young-Kyun;Yun, Pil-Young;Im, Jae-Hyung;Hwang, Jeong-Won;Lee, Hyo-Jung
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.29 no.4
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    • pp.333-339
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    • 2007
  • Adequate bone quantity is one of the important factor to obtain osseointegration after implantation. Guided bone regeneration (GBR) has widely used in implantation for reconstruction of bony defects. Since introducing this procedure, there are many studies about survival rate of implants, changing in surrounding bone volume after function. The purpose of this study was to evaluate the amount of resorption according to placement timing and survival rate after function. The subjects were patients who had been operated with GBR from Jun 2003 to Jun 2004 in Seoul National University Bundang Hospital. They were divided into simultaneous and delayed placement group. The follow up had been performed at the time of just after GBR, 1, 3, 6, 12, 24-month later and standard periapical radiographs were taken to estimate the bone level at the time. The total average of bone level change in radiographs was 1.94mm(${\pm}0.25$), and 1.92mm(${\pm}0.72$) in simultaneous installation, 2.03mm(${\pm}0.25$) in delayed installation. In this report, the survival rates were 92.2% in simulataneous group and 92.3% in delayed group. Insufficient primary stability, early contamination of wound, overloading, poor oral hygiene, and infection were thought to be associated factors in the failed cases.

Fixed Prosthetic Restoration in an Edentulous Patient with NobelGuideTM System (양악 무치악 환자에서 NobelGuideTM 시스템을 이용한 고정성 임플란트 보철수복)

  • Shin, Hyoung-Joo;Kim, Dae-Gon;Cho, Lee-Ra;Park, Chan-Jin
    • Journal of Dental Rehabilitation and Applied Science
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    • v.25 no.3
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    • pp.243-253
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    • 2009
  • This report described a technique utilizing a computer-aided design (CAD) /computer-aided machining (CAM) - guided surgical implant placement and prefabricated fixed complete denture for an immediately loaded restoration. A patient with an edentulous maxilla and mandible received 6 implants in maxilla and 6 implants in the mandible using CAD/CAM surgical templates. Prefabricated provisional maxillary and mandibular implant supported fixed prostheses were connected immediately after implant installation. Provisional prostheses were evaluated for aesthetics, function during 6 months. Definitive prostheses were fabricated.

The study of the effect of mandibular growth and function in pediatric unilateral condyle fractures (성장기의 편측 하악 과두 골절이 하악골 성장 및 기능에 미치는 영향에 대한 연구)

  • Sang, Jin-Kyu;Lee, Jae-Hoon
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.37 no.6
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    • pp.448-456
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    • 2011
  • Introduction: Condylar fractures are common in the maxillofacial region, comprising 29-40 percent of all mandibular fractures, accounting for about 20-62 percent). Previous studies reported that pediatric condylar fractures can cause disorders in facial growth and function, and the treatment methods have been controversial. Recently, conservative treatment has shown good results in skeletal growth and functional recovery but the conservative treatment of pediatric condylar fractures has shown unpredictable and undesirable results in some cases, such as facial asymmetry and temporomandibular joint disorder. This study examined the specific age groups and specific mandibular condylar fracture type in growing children treated conservatively in the past. Materials and Methods: Eighteen patients (10 men and 8 women) who received conservative treatment for unilateral condylar fractures in Dankook University Dental Hospital between 2000 to 2007 were followed up for a mean period of 7.2 years. Results: In the survey of 18 pediatric patients who received conservative treatment for condylar fractures, the incidence of temporomandibular dysfunction and growth disturbance was 45% and 35%, respectively. Conclusion: In all complications, the symptoms observed most frequently was mouth opening displacement of the mandible exceeding 2 mm. The other complications of functional and growth disturbance included facial asymmetry concentrated along specific condylar types. Complications including facial asymmetry and functional and growth disturbances showed an increasing tendency according to the specific fracture types. Functional and growth disturbances in the undisplaced condylar fracture type showed a lower incidence(P <0.05). Functional and growth disturbances differed according to the fracture type, which has poor relationship with articular fossa and condyle(P <0.05). Functional and growth disturbance in the cases of the high-level condylar fracture type showed a higher incidence(P <0.05). The functional and growth disturbances of the fracture types were similar in the fragment-contact and non-contact groups(P >0.05).

A COMPARISON OF THE MASTICATORY FUNCTION BETWEEN TWO DIFFERENT TYPES OF IMPLANT SUPPORTED PROSTHESES AND COMPLETE DENTURE FOR FULLY EDENTULOUS PATIENTS

  • Lee, Jae-Hoon;Kim, Woo-Hyun;Shin, Rie-Hye;Lee, Keun-Woo
    • The Journal of Korean Academy of Prosthodontics
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    • v.46 no.6
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    • pp.591-601
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    • 2008
  • STATEMENT OF PROBLEM: The improvement in oral function and comfort from the dental implant appears to depend on the particular type of implant support used with the denture. The number and positioning of implants have an influence on the force transfer and subsequent stress distribution around implants. Nevertheless, a quantitative comparison has not been made between the types of implant prosthesis used with different materials compared to conventional complete denture. PURPOSE: The objective of this study is to assess the masticatory performance, bite force and impact of two different type of implant supported prostheses on oral health-related quality of life compared to conventional complete denture with GOHAI, validated oral-specific health status measures, the sieving method, and the Prescale Dental System. MATERIAL AND METHODS: From the years 1999 to 2006, a total of 30 completely edentulous patients in a single arch were selected from the Yonsei University Dental Hospital, Department of Prosthodontics and Implant Clinic in Seoul, S. Korea. Patients were divided into 3 groups of 10 each. Group HR was restored with fixed-detachable hybrid prostheses with resin teeth. Group FP had fixed dentures with porcelain teeth while Group CD had a complete denture. The masticatory performance was compared between 3 groups. RESULTS: The results showed a significant improvement in oral health-related quality of life with dental implants compared to a conventional denture in GOHAI comparison. Overall, implant prostheses showed a higher masticatory performance ($S_{50}$) and maximum bite force compared with conventional dentures (P < .05) but no differences between different implant supported prostheses (P > .05). CONCLUSION: Within the limitation of this study, the numbers of implant and material of implant prostheses does not appear to impact patient satisfaction, masticatory performance or bite force.

Lack of RING Finger Domain (RFD) Mutations of the c-Cbl Gene in Oral Squamous Cell Carcinomas in Chennai, India

  • Rajendran, Senthilnathan;Muthupalani, Rajendran Shanmugam;Ramanathan, Arvind
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.2
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    • pp.1073-1075
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    • 2013
  • Background: In normal cells, activated epidermal growth factor receptor (EGFR) molecules are subjected to ubiquitination-mediated proteasome degradation pathway by c-Cbl, an ubiquitin ligase that checks uncontrolled proliferation. Hence expression of wild type c-Cbl molecule is essential to keep this degradation machinery in a functional state. Loss of expression or function of c-Cbl may consequently lead to sustained activation of EGFR and promote carcinogenesis, loss of function mutations in the c-Cbl gene already being reported in lung and hematopoietic cancers. However, the genetic status of c-Cbl in oral squamous cell carcinoma (OSCC) is not known. Hence in the present study we investigated the genomic DNA isolated from OSCC tissue biopsy samples for mutations in the RING finger domain coding region of c-Cbl gene, which has also been reported to be most frequently mutated in other cancers. Materials and Methods: Total genomic DNA isolated from thirty two post surgical OSCC tissue samples were amplified using primers flanking the exon 8 of c-Cbl gene that codes for the RING finger domain. The PCR amplicons were then resolved in a 1.2% agarose gel, purified and subjected to direct sequencing to screen for mutations. Results: The sequencing data of the thirty two OSCC samples did not identify mutations in the RING finger domain coding region of c-Cbl gene. Conclusions: To the best of our knowledge, this is the first time that the genetic status of c-Cbl gene in OSCC samples has been investigated. The present data indicates that genetic alteration of RING finger domain coding region of c-Cbl gene is relatively infrequent in OSCC samples.