• Title/Summary/Keyword: Oral procedure

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A STUDY ON CHANGE OF SKELETAL PATTERN IN ORTHOGNATHIC SURGERY PATIENT (악교정술(顎矯正術)을 받은 악안면(顎顔面) 기형환자(寄形患者)의 SKELETAL PATTERN의 변화(變化)에 관(關)한 연구(硏究))

  • Cho, Byoung-Ouck;Lee, Young-Chan;Koh, Back-Jin;Cho, Woon-Pyo
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.12 no.3
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    • pp.1-7
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    • 1990
  • In the treatment of dentofacial deformities, analysis of skeletal pattern, with evaluation of plaster dental cast, is essential procedure. This study was based on 20 patients with dentofacial deformity who were admitted to the department of oral and maxillofacial surgery Kngnam sacred heart Hospital during the period of Jan 1988 through Aug 1989. We studied serial cephalometric radiogarphs of patients (pre-op, postop immediately, postop 6 moth). The obtained results indicates the good resistance of rigid fixation against relapse in orthognathic surgery.

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Gold-wire artifacts on diagnostic radiographs: A case report

  • Keestra, Johan Anton Jochum;Jacobs, Reinhilde;Quirynen, Marc
    • Imaging Science in Dentistry
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    • v.44 no.1
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    • pp.81-84
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    • 2014
  • This report described a case in which diagnostic radiographs showed irregular dense radiopaque strings and curved lines in the head and neck area. These artifacts could lead to misinterpretation since they may obscure anatomical structures and/or mask critical structures/pathologies. A more detailed history of the patient indicated that these strings originated from a facelift procedure in which a gold-wire technique was used. Considering that such intervention may cause a radiodiagnostic burden, it should be included in the anamnesis prior to radiography.

RECONSTRUCTION OF FRONTAL BONE DEPRESSION WITH NONPOROUS HYDROXYAPATITE : REPORT OF A CASE (Nonporous Hydroxyapatite를 이용한 전두골 함몰개선의 치험례)

  • Yang, In-Seok;Kim, Young-Kyun;Lee, Chul-Woo;Yoo, Si-Bong;Park, Cheung-Yeoul
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.14 no.3
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    • pp.195-200
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    • 1992
  • This is a case report of correction of traumatic right frontal bone depression. Traditionally, autogenous and homogenous corticocancellous bone have been inlaid or onlaid. This patient who had frontal bone depression of right forehead was operated with an extracranial augmentation procedure using Hydroxyapatite materials. The postoperative course was unremarkble and the patient was satisfied with a good facial contour. Now We will report the results.

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Partial Necrosis of the Mandibular Proximal Segment Following Transoral Vertical Ramus Osteotomy

  • Kim, Somi;Kim, Sang Yoon;Kim, Gi-Jung;Jung, Hwi-Dong;Jung, Young-Soo
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.36 no.3
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    • pp.131-134
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    • 2014
  • Transoral vertical ramus osteotomy (TOVRO) procedure can result in a variety of complications. Complications commonly reported include extensive bleeding due to major blood vessel injury, unpredictable fracture, postoperative infection, neurosensory deficit related Inferior alveolar nerve, insufficient osteosynthesis, and temporomandibular joint problem. The authors describe a case of partial necrosis of the mandibular proximal segment following TOVRO, a rarely reported complication. A 37-year-old otherwise healthy woman underwent Lefort l osteotomy and TOVRO to correct mandibular prognathism. Postoperatively, she developed pain and swelling in the right submandibular region and was found to have a partial necrosis of proximal segment.

A review of rare complications of maxillary sinus floor augmentation

  • On, Sung Woon;Cho, Seoung-Won;Yang, Byoung-Eun
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.45 no.6
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    • pp.351-356
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    • 2019
  • Maxillary sinus floor augmentation (MSFA) is an essential procedure for implant installation in the posterior maxillary area with vertical alveolar bone deficiency. For the past several decades, MSFA has been refined in terms of surgical methods along with technical progress, accumulation of clinical studies, and development of graft materials and surgical instruments. Although some complications in MSFA are inevitable in clinical situations, management of those complications in MSFA has been well established thanks to many clinicians and researchers. Nevertheless, some rare complications may arise and can result in fatal results. Therefore, clinicians should be well aware of such rare situations and complications associated with MSFA. In this review, the authors present several rare complications regarding MSFA, along with corresponding management strategies through a thorough review of the literature.

Spontaneous bone regeneration in resected non-continuous mandible due to medication-related osteonecrosis of the jaw

  • Esen, Alparslan;Gurses, Gokhan;Akkulah, Sebne
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.47 no.6
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    • pp.465-470
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    • 2021
  • Few cases of spontaneous bone regeneration after extensive resection of the jaw bone have been reported, but it is more common in young adults or children. In this case, we report spontaneous bone healing in a 73-year-old female patient. On radiological examination, necrotic regions were seen in the right mandible. She was diagnosed with medication-related osteonecrosis of the jaw due to previous bisphosphonate use. After segmental resection, stabilization achieved using a reconstruction plate. The periosteum was preserved during the procedure. Twelve months later, panoramic radiography was taken and bone formation was seen both horizontally and vertically around the plate. If the periosteum is preserved and stabilization is achieved after resection in benign lesions, the bone may regenerate spontaneously regardless of age. Therefore, instead of simultaneous autogenous bone application, such patients may be followed to determine whether spontaneous bone healing will occur. This should improve patient comfort and reduce surgical cost.

Surgical removal of third molars in a young adult: review of indications and surgical techniques

  • Sukkarn Themkumkwun;Supasan Sawatdeenarunat;Pattamawan Manosuthi
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.49 no.4
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    • pp.184-191
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    • 2023
  • Germectomy is a surgical method most typically performed in young adults. The indications for treatment are controversial. The purpose of this review was to determine the correct indications for germectomy and to discuss the advantages and disadvantages of the procedure. We reviewed the surgical techniques (anesthetic methods, patient preparation, and flap designs) and complications. Germectomy for orthodontic purposes is a common indication for surgical removal of tooth germ among young patients. Several studies have supported removal at an earlier age to produce fewer surgical complications. Several surgical techniques have been described in the literature.

HISTOLOGICAL CHANGES IN THE ELONGATED BONE AFFECTED BY OSTEODISTRACTION OF THE MANDIBLE IN THE DOG (성견 하악골 절단 후 기계적 골 견인에 의해 형성된 골 신장부에 대한 시기별 조직학적 변화)

  • Baek, Sun-Ho;Ahn, Byoung-Keun;Park, Young-Ju;Park, Hee-Geon;Park, Jun-Woo;Rhee, Gun-Joo;Lee, Yong-Chan;Cho, Byoung-Ouck
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.27 no.5
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    • pp.404-416
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    • 2001
  • Purpose : Traditionally, the treatement of choice has been a bone grafting procedure to increase the length of bone in case of actual length discrepancy. But, bone grafting procedure has many disadvantages, for example, graft resorption, donor site morbidity, and so on. So, many trials have been performed to avert the use of autogenous bone graft via introducing new materials or methods. And, one of those trials has been realized by the development of a technique inducing bone lengthening by osteotomy (or corticotomy) and slow gradual distraction of the osteotomized segments. This new technique of bone lengthening dates back to the early 20th century. But, the majority of information concerning the biology of new bone formation during bone lengthening and technical details of the procedure were produced by extensive clinical and experimental studies performed by Ilizarov, a Russian surgeon. According to Ilizarov, with adequate blood supply, preservation of periosteum, rigid fixation of the osteotomized segments, and proper rate and rhythm of distraction, intramembranous bone rapidly develops within the distraction gap in the limb lengthening procedure. In the limb lengthening, many orthopedic surgeons try to observe the biologic and clinical principles recommended by Ilizarov. In the oral and maxillofacial region, however, not a few studies must be performed to apply this surgical technique in the clinical cases. Besides, the mechanism of bone formation in the distraction gap is not clear, yet. The purpose of this experiment was to scrutinize serially the histological changes in the elongated bone affected by osteodistraction of the mandibular body in an adult canine model. In addition, it was performed to confirm the presence of specific region(s) which was important in the bone formation in the gap through the observation of the expression pattern of osteocalcin and osteonectin with the immunohistochemical examination. Materials and Methods : The experimental and control specimens were obtained from seven adult male mongrel dogs weighing over 20kg. The distractors were custom-made linear extraoral devices and bicortical fixation screws were 2.3mm in diameter, 50mm in total length, 15mm in screw length. The distractors were devised to produce a linear gap of 0.75mm between two bony segments every $360^{\circ}$ turn of the rotation rod of the device. The mandibular body of the right side of each animal was corticotomized perpendicular to the occlusal plane and then two bony segments were separated completely by careful manipulation of the segments with bone forceps. The left side of each animal was left intact. This side was served as control. At sixth day after osteotomy and fixation of the segments were performed, distraction of the segments was commenced with a rate of 1.1mm/day and a rhythm of two/day for ensuing 7 days. The animals were euthanized at the 16th. 29th, and 44th day after the osteotomy. The bony specimens were decalcified, embedded in paraffin, sectioned $5{\mu}m$ thick and stained with H&E. The prepared specimens were examined under the light microscope. And, immunohistochemical examinations using anti-osteocalcin antibody (OC1, Biodesign, USA) and anti-osteonectin antibody (Haematologic Technologies Inc., Essex, VT) to locate the expressions of osteocalcin and osteonectin, respectively, were performed. Results : 1. New bone was observed already at the 16th. day after osteotomy. This suggests that new bone formation in osteodistraction was commenced at an early stage of the regenerative process. But, radiologically and microscopically, bony union was not completed in the distraction gap at the 44th. day after osteotomy. Therefore, rigid fixation must be maintained between the bony fragments till the complete bony union is confirmed clinically rather than one month or so after the completion of distraction.

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REIMPLANTATION OF FREEZE-TREATED AUTOGENOUS BONE AFTER MANDIBULECTOMY;REPORT OF THREE CASES (하악골 절제술후 재이식된 동결자가골 재이식;치험 3례)

  • Kim, Sik;Kim, Su-Gwan;Kim, Woon-Kyu;Kim, Soo-Min;Ryu, Chong-Hoy;Lee, Jun-Gil;Cho, Gyeong-An;Kim, Soo-Heung;Chung, Tae-Young;Yeo, Hwan-Ho
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.23 no.2
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    • pp.185-190
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    • 2001
  • We described three cases of immediate reimplantation of a frozen-thawed autogenous mandible composed of a mixture of iliac bone, marrow, and particulate hydroxyapatite in tumors of the mandible. Acceptable outcomes were obtained in three patients who underwent immediate autogenous mandibular graft reconstruction. The conditions leading to successful outcome of the procedure are also discussed. Reimplantation of frozen autogenous lesioned mandible was performed in three patients with mandibular tumors. Two reimplanted grafts survived without complications following surgery. One case had postoperative infection that resolved with appropriate antibiotic treatment. There were no recurrences of the primary lesions. Satisfactory facial contour after surgery was achieved. These results are most promising, and we believe that, with further refinement, this technique will offer a new and acceptable modality for facial reconstruction in patients with cancer.

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Study on the Reliability of Electromygraphic Examine according to the Measurement Timing in a Day (근전도 측정시 검사시간에 따른 신뢰도 연구)

  • Woo-Cheon Kee;Byung-Guk Kim;Sook-Hee Choi
    • Journal of Oral Medicine and Pain
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    • v.14 no.1
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    • pp.19-24
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    • 1989
  • The purpose of this study was to investigate the reliability of electromyographic examination in a day and detect the objective measurement timing of electromyography. 18 normal students who were in dental collage of C national university were selected for this study. They had no symptoms on temporomandibular joint area, no restorations and missing tooth on dentition. Their molar relationship was normal or class I of Angle's classification. Electromyography had been taken every one hour from 9:00 A.M. to 5:00 P.M. in the state of clenching and rest by using Bioelectric processor EM2 interfaced with mandibular kinesiograph K-6 diagnostic system. We compared and analyzed the variances of electromyography values of each subjects. The obtained results were as follows : There were no significant differences on variability of electromyography values in each state clenching and rest. In the aspect of this circumstances, the use of electromyography could be a good objective procedure to diagnose the temporomandibular disorders and to detect the effect to the treatment of temporomandibular disorders at any time in a day from 9:00 A.M. to 5:00 P.M.

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