• Title/Summary/Keyword: Osteitis

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A QUANTITATIVE STUDY OF BONE REPAIR AFTER ENDODONTIC THRAPY ON DIGITAL SUBTRACTION RADIOGRAPHY (Digital Subtraction Radiography를 이용한 근관치료 후 골회복의 정량적평가에 관한 연구)

  • Kim Jae-Duk
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.27 no.2
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    • pp.15-25
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    • 1997
  • This study was performed to prepare the quantitative method of judging the sensitive prognosis of chronic apical periodontitis as early as possible. The subjects were 25 cases with periapical radiolucencies of which were treated with endodontic treatment. Serial radiographs were taken by standardized method longitudinally. The density slice function of digital radiographic system were employed for quantitative and longitudinal assessment of the radiolucent area and the condensing osteitis simultaneously. Obtained results were as follows: 1. The amount of bone repair after endodontic treatment could be detected quantitatively by the density slice function of digital radiographic system. 2. Within the 6-week period after root canal filling, the prognosis could be evaluated by assessment both radiolucent area and condensing osteitis on digital radiographic system. 3. The pattern of bone repair showed peripheral type in most cases from the 6th week after root canal filling. 4. In longitudinal change, bone repair showed two patterns; the succeeding reduction of radiolucent area showing the increase of condensing osteitis in size till 6th week and following by static state or reduction tendency and the reduction following the initial increase of both areas. 5. Cases with pulpitis by trauma showed initial increase of condensing osteitis at 2nd week, marked reduction of radiolucent area and condensing osteitis at 6th week, and approximately normal bone state at 8th week after root canal filling.

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A Case Report of a Patient who was suspected Osteitis Pubis treated with Korean Medicine (한방치료로 호전된 치골염이 의심되는 보행장애 환자 치험 1례)

  • Lee, Hye-in;Na, Ga-young;Kim, Eun-ji;Kim, Cheon-jung;Yang, Tae-jun;Jeong, Sang-jun;Wei, Tung-shuen;Choi, Chang-won
    • Herbal Formula Science
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    • v.24 no.4
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    • pp.377-383
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    • 2016
  • Objectives : The purpose of this case is to investigate the effect of Korean Medicine on a patient who was suspected osteitis pubis. Methods : The patient was treated with herbal medicine, acupuncture, cupping therapy and physical therapy. We evaluated the results of the treatment by Hughes Scale and Visual Analogue Scale(VAS). Results : After treatment, the patient's symptoms were improved. Conclusions : These results show us that Korean medicine has effect on a patient who was suspected osteitis pubis.

A RADIOGRAPHIC STUDY ON THE ARTIFICIALLY INDUCED LESIONS INVOLVING LAMINA DURA (실험적 치조백선 병소부에 관한 방사선학적 연구)

  • Kim Young-Jin;Kim Jae-Duk
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.21 no.1
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    • pp.83-89
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    • 1991
  • This study was performed to simulate various sizes of periapical lesions and condensing osteitis in bone and to clarify that condensing osteitis would give a greater radiographic contrast because of the more radiopacity immediately adjacent to the lesion and what the lamina dura on radiogram is in bone. For this study, two dry and wet human adult mandible and a cadaver were used. Each mandible was sectioned longitudinally to split lingual and buccal cortical plates to gain better access to the apex of tooth. Lesions were gradually enlarged and bordered with tooth ash that burned out at 950℃ for the reproduction of condensing osteitis in sequence. The serial radiograms were taken under the constantly maintained condition and compared with the actual lesions.

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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.

A Case of Successful Treatment of Refractory Synovitis Acne Pustulosis Hyperostosis Osteitis (SAPHO) Syndrome with Adalimumab

  • Yoo, Jin Taek;Kim, Young Hwan;Jung, Soon Myung;Kwon, Sang Chang;Ryu, Seung Min;Ha, Jun Ouk;Lee, Joung Wook
    • Journal of Yeungnam Medical Science
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    • v.30 no.1
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    • pp.55-57
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    • 2013
  • Synovitis acne pustulosis hyperostosis osteitis (SAPHO) syndrome is a rare disease that involves the skin, bones and joints. It is thought to be caused by infection with low-toxicity bacteria and to be the result of reactive infectious osteitis. However, this hypothesis has not yet been clearly established. New SAPHO syndrome treatment methods are needed because the disease does not respond to treatment in many cases. In this paper, a case is reported of SAPHO syndrome with pain in the acromioclavicular joint and with squamous and pustular macules on the palms and soles. First, the patient was treated with aceclofenac, prednisolon and sulfasalazine for two weeks. However, the symptoms were not relieved, so methotrexate and pamidronate were added to the treatment. Since no improvement was seen after four weeks of treatment, adalimumab was prescribed. The skin lesions were relieved two weeks later, and the bone pain and arthralgia, four weeks later. No recurrence or adverse effects were observed at the 22-week follow-up.

A Case of Wooden Foreign Body Misinterpreted as Facial Abscess and Osteitis (안면부 농양 및 골염으로 오인된 나무 이물 1례)

  • Kim Eun-Seo;Kim Young-Chul;Kim Sok-Chon;Hong Seok-Chan
    • Korean Journal of Head & Neck Oncology
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    • v.16 no.2
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    • pp.235-237
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    • 2000
  • It is difficult to find the penetrating foreign bodies in the head and neck area only with history taking and physical examinations. One of the most important things is to detect the precise location of foreign bodies or possibly remained materials. The detection of wooden foreign bodies is important because they can cause phlegmon formation and because wood is often contaminated by Clostridium tetani bacteria. CT has proved to be an expedient method for detecting foreign bodies of various materials in soft tissues, but the wooden foreign body is often misinterpreted as a gas bubble in soft tissue. We have experienced a case of wooden foreign body which has penetrated through nasal dorsum and remained for 4 months. It had been initially misinterpreted as longstanding inflammatory lesion and osteitis of maxilla and nasal bone.

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Angiogenesis and the prevention of alveolar osteitis: a review study

  • Saghiri, Mohammad Ali;Asatourian, Armen;Sheibani, Nader
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.44 no.3
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    • pp.93-102
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    • 2018
  • Angiogenesis is one of the essential processes that occur during wound healing. It is responsible for providing immunity as well as the regenerative cells, nutrition, and oxygen needed for the healing of the alveolar socket following tooth extraction. The inappropriate removal of formed blood clots causes the undesirable phenomenon of alveolar osteitis (AO) or dry socket. In this review, we aimed to investigate whether enhanced angiogenesis contributes to a more effective prevention of AO. The potential pro- or anti-angiogenic activity of different materials used for the treatment of AO were evaluated. An electronic search was performed in the PubMed, MEDLINE, and EMBASE databases via OVID from January 2000 to September 2016 using the keywords mentioned in the PubMed and MeSH (Medical Subject Headings) terms regarding the role of angiogenesis in the prevention of AO. Our initial search identified 408 articles using the keywords indicated above, with 38 of them meeting the inclusion criteria set for this review. Due to the undeniable role of angiogenesis in the socket healing process, it is beneficial if strategies for preventing AO are directed toward more proangiogenic materials and modalities.

SAPHO Syndrome - A Case Report - (SAPHO 증후군 - 증례보고 -)

  • Seo, Mu-Sam;Park, Hyung-Taek;Park, Jong-Hoon
    • The Journal of the Korean bone and joint tumor society
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    • v.9 no.2
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    • pp.206-211
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    • 2003
  • Palmoplantar pustulosis may be associated with peculiar bone and joint conditions. Initially restricted to the anterior chest wall, these conditions were later found to involve peripheral bones and joints. The same aseptic pseudoinfectious bone and joint lesions were also found associated with severe acne. In 1987, Kahn et al suggested this acronym to describe a number of reports of peculiar bone, joint, and skin lesions published over the last 25 years. SAPHO sydrome stands for synovitis, acne, pustulosis, hyperostosis, and osteitis syndrome. We report one case of SAPHO syndrome: A 27-year-old female presented left clavicular and right sacroiliac joint pain with hyperostosis and pustulosis palmaris.

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Skeletal Manifestations of Mucolipidosis II/III

  • Cho, Sung Yoon
    • Journal of mucopolysaccharidosis and rare diseases
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    • v.2 no.1
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    • pp.8-12
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    • 2016
  • Mucolipidosis (ML) is a kind of skeletal dysplasia. Characteristic X-ray findings of the bone may contribute to the early diagnosis and treatment of ML II/III. Skeletal radiographs show distinctive patterns at different ages: neonatal hyperparathyroidism, osteodystrophy (similar to chronic osteitis fibrosa cystica), and dysostosis multiplex. Patients with ML II/III show a mixture of osteodystrophic bone changes and atypical changes of dysostosis multiplex: proximal pointing of the metacarpals in the wrist, dysplastic changes in the lower third of the ilia, marked broadening of the ribs becoming oar-shaped, and beaking of the lower thoracic and lumbar vertebrae. In ML II, the osteodystrophy has clinical and radiographic features of neonatal hyperparathyroidism. In some neonatal subjects, chemical hyperparathyroidism is also demonstrated. After transient hyperparathyroidism in newborns, the progressive osteitis fibrosa cystica develops from 3-6 months of age. Patients with ML III show prominent skeletal involvement, particularly the destruction of vertebral bodies and the femoral heads. Intravenous pamidronate treatment is well tolerated, and it can produce clinical effects, with a reduction in bone pain and improvements in mobility in patients with ML III. In this review, the skeletal manifestations of ML II and III are investigated.