• Title/Summary/Keyword: Oral procedure

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INTRAMUSCULAR MIDAZOLAM SEDATON IN AUTISM PATIENT FOR CARIES TREATMENT : CASE REPORT (미다졸람 근주요법을 이용한 자폐증 환자의 우식치료 : 증례보고)

  • Bae, Youngeun;Noh, Taehwan;Kim, Bomi;Jeong, Taesung
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.11 no.1
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    • pp.17-20
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    • 2015
  • Autism is a life-long neurodevelopmental disorder characterized by qualitative abnormalities in reciprocal social interactions and patterns of communication. Patients with autism are difficult to manage during dental treatment. Thus they need special consideration like physical restraint, conscious sedation or general anesthesia. A 5-year-old male dental patient with autism was reffered to dental treatment under conscious sedation using intramuscular midazolam that creats anterograde amnesia. Dental procedure using midazolm which cause anterograde amnesia can be effective treatment strategy in autism patient.

Pharmacologic management for the patient with paresthesia after implant surgery or extraction (임프란트 수술이나 발치 후 지각이상 환자에서의 약물치료)

  • Kim, Seong-Taek;Kim, Il-Young;Gang, Hee-Seok
    • Journal of Dental Rehabilitation and Applied Science
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    • v.19 no.2
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    • pp.109-113
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    • 2003
  • The inferior alveolar nerve provides unilateral innervation to the dentition, labial mucosa and skin from about commissure to the mental protuberance. Injury to this nerve resulting in sensory impairment can be a distressing problem to some patients. The causes of this problem include trauma, extraction, implant surgery and any maxillofacial surgery and generally the altered sensation is temporary. The surgical procedure has been the most common treatment for this condition but it has some complications. The antidepressants and anticonvulsants have been effective to the treatment of trigeminal dysesthesia. This case report suggests that the use of antidepressants and anticonvulsants is an alternative method to treat the paresthesia after implant surgery or extraction.

Dry Socket Etiology, Diagnosis, and Clinical Treatment Techniques

  • Mamoun, John
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.44 no.2
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    • pp.52-58
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    • 2018
  • Dry socket, also termed fibrinolytic osteitis or alveolar osteitis, is a complication of tooth exodontia. A dry socket lesion is a post-extraction socket that exhibits exposed bone that is not covered by a blood clot or healing epithelium and exists inside or around the perimeter of the socket or alveolus for days after the extraction procedure. This article describes dry socket lesions; reviews the basic clinical techniques of treating different manifestations of dry socket lesions; and shows how microscope level loupe magnification of $6{\times}$ to $8{\times}$ or greater, combined with co-axial illumination or a dental operating microscope, facilitate more precise treatment of dry socket lesions. The author examines the scientific validity of the proposed causes of dry socket lesions (such as bacteria, inflammation, fibrinolysis, or traumatic extractions) and the scientific validity of different terminologies used to describe dry socket lesions. This article also presents an alternative model of what causes dry socket lesions, based on evidence from dental literature. Although the clinical techniques for treating dry socket lesions seem empirically correct, more evidence is required to determine the causes of dry socket lesions.

CBCT analysis of three implant cases for treatment planning (임플란트 치료 전 CBCT 영상분석 세 증례)

  • Kim, Jae-Duk;Kim, Kwang-Won;Lim, Sung-Hoon
    • Imaging Science in Dentistry
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    • v.37 no.3
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    • pp.171-180
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    • 2007
  • The role of radiographic imaging in determining the size, numbers and the position of implants is very important. To perform the implant procedure, the dentist needs to evaluate the bone pathology and bone density, and to know the precise height, width, and contour of the alveolar process, as well as its relationship to the maxillary sinus and mandibular canal. The author analyzed 3 implant cases for treatment planning with the cone beam CT. All axial, panoramic, serial and buccolingual-sectioned images of 3 cases with stent including vertical marker were taken by using Mercuray (Hitachi, Japan). When the curved line drawn intentionally did not include dot image of a vertical marker on the axial image of CBCT, the image of the vertical marker was deformed on its buccolingually sectioned image. There was wide discrepancy in inclination between the alveolar bone and tooth on buccolingually sectioned image.

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The Effects of Surfactants on Griseofulvin Absorption in Rabbits (계면활성제(界面活性劑)가 Griseofulvin의 흡수(吸收)에 미치는 영향(影響)에 관한 연구(硏究))

  • Lee, Kang-Choo;Kim, Jae-Baek
    • Journal of Pharmaceutical Investigation
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    • v.12 no.2
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    • pp.45-53
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    • 1982
  • The effects of mixture of tween 20 and span 20 or span 80 on griseofulvin absorption in rabbit were studied. The plasma concentration of griseofulvin in blood samples was determined by high pressure liquid chromatographic procedure. Griseofulvin suspension with 0.05% surfactant increased mostly drug absorption and produced about two times higher plasma level of griseofulvin than that of the suspension with 1% and 0.1% surfactant. Surfactants with H.L.B. value 4.3 resulted $2.74{\mu}g/ml$ of maximum plasma levels of griseofulvin at 18 hours after its oral administration and surfactants with H.L.B. value 16.7 resulted $0.56{\mu}g/ml$ of peak plasma levels of griseofulvin at 1 hour after its oral administration.

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Tongue-lip adhesion in Pierre Robin sequence

  • Kumar, K.S. Krishna;Vylopilli, Suresh;Sivadasan, Anand;Pati, Ajit Kumar;Narayanan, Saju;Nair, Santhy Mohanachandran
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.42 no.1
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    • pp.47-50
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    • 2016
  • Patients with Pierre Robin sequence exhibit varying degrees of airway obstruction and feeding difficulty. In some patients, airway obstruction may be profound, warranting surgical intervention to maintain a patent airway. The purpose of this article is to highlight the advantages of the tongue-lip adhesion procedure for the management of airway obstruction in such patients compared to the currently available options.

RIDGE AUGMENTATION USING OF HARD TISSUE $REPLACEMENT(HTP^{TM})$;A CASE REPORT (치조제 증강을 위한 $HTR^{TM}$ 중합체 이식후 치유과정;증례보고)

  • Kim, Su-Gwan;Lim, Sung-Chul
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.22 no.1
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    • pp.83-85
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    • 2000
  • The purpose of this study is to evaluate the effect of $HTR^{TM}$ (hard tissue replacement, Bioplant Inc, U.S.A) polymer on short-term healing as a grafting material for alveolar ridge augmentation. A 48-year-old female presented insufficient bone height and width for the placement of implants. $HTR^{TM}$ polymer was used for ridge augmentation. Bone biopsy was harvested 8 months after the ridge augmentation procedure. $HTR^{TM}$ polymer displayed rapid bone regeneration and mature lamellar and trabecular bone redevelopment. Clinical and histologic observation from the treatment of the patient presented suggest that $HTR^{TM}$ polymer seems to be a appropriate material for alveolar ridge augmentation.

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Corticotomy for orthodontic tooth movement

  • Lee, Won
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.44 no.6
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    • pp.251-258
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    • 2018
  • Corticotomy was introduced as a surgical procedure to shorten orthodontic treatment time. Corticotomy removes the cortical bone that strongly resists orthodontic force in the jaw and keeps the marrow bone to maintain blood circulation and continuity of bone tissues to reduce risk of necrosis and facilitate tooth movement. In the 21st century, the concept of regional acceleratory phenomenon was introduced and the development of the skeletal anchorage system using screw and plate enabled application of orthopedic force beyond conventional orthodontic force, so corticotomy has been applied to more cases. Also, various modified methods of minimally invasive techniques have been introduced to reduce the patient's discomfort due to surgical intervention and complications after surgery. We will review the history of corticotomy, its mechanism of action, and various modified procedures and indications.

A modified presurgical alveolar molding technique for treatment of cleft in Down syndrome

  • Gonca, Merve;Ozel, Mehmet Birol
    • The korean journal of orthodontics
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    • v.51 no.6
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    • pp.428-434
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    • 2021
  • Craniofacial clefts are extremely rare deformities. Tessier's classification is a widely accepted system that is based on clinical, radiographical, and surgical observations. The Tessier No. 0 cleft most commonly affects the upper lip, nose, and palate. This case presentation aims to report the outcome of a modified presurgical alveolar molding (PAM) appliance used in the treatment of an infant with Tessier No. 0 cleft as an alternate approach to mold such defects before surgery. The modified PAM appliance consisted of reciprocal parts connected by a helix. The segments were approximated by stripping the appliance at the midline in a V-shaped manner and the force was exerted by the extraoral elastics. The procedure gave results in 8 weeks, which may be regarded as a reasonable duration. The anterior cleft gap, which was 13 mm before the treatment, was reduced to 3 mm after the treatment by using modified PAM appliance. On a 21-month follow-up period, oral reshaping was regarded successful due to stability of the improved oral mold.

Diplopia following posterior superior alveolar nerve block: a case report and review of literature

  • Alwala, Aditya Mohan;Ellapakurthi, Padminii;Mudhireddy, Sushma;Boyapati, Ramanarayana
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.22 no.1
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    • pp.71-74
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    • 2022
  • Posterior superior alveolar nerve block (PSANB) is one of the most common and safe injection techniques in the field of dentistry. As with any other procedure, it also has inherent complications, of which ophthalmic complications are relatively rare. Transient diplopia following the administration of PSANB is rare and daunting for both the patient and the clinician. We present a case of transient diplopia in a 26-year-old female patient following administration of PSANB and review its probable pathophysiology and management and prevention.