• Title/Summary/Keyword: Palatal form

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A simple technique to fabricate a surgical obturator restoring the defect in original anatomical form

  • Shambharkar, Vaibhao I.;Puri, Santosh B.;Patil, Pravinkumar G.
    • The Journal of Advanced Prosthodontics
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    • v.3 no.2
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    • pp.106-109
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    • 2011
  • Oral cancer treatment involves the surgical removal of all or part of the maxilla, leaving the patient with a defect that compromises the integrity and function of the oral cavity. The postoperative restoration of esthetics, deglutition, and speech shortens recovery time in the hospital and expedites the patient's return to the community as a functioning member. The surgical obturator is the proven treatment option in such situations. This article describes a simple technique to fabricate a surgical obturator that restores patient's original dentition and facial and palatal tissue form. The obturator fabricated with this technique utilizes the vacuum formed index of patient's original tissue form and duplicated partly in heat and partly in auto polymerizing acrylic resin. Duplication of the original tissue form helps patient to minimize the immense physiological trauma immediately after the surgical resection. The obturator fabricated with this technique supports soft tissues after surgery and minimizes scar contracture and disfigurement, and thus may have a positive effect on the patients' psychology.

Effectiveness of pre-injection use of cryoanesthesia as compared to topical anesthetic gel in reducing pain perception during palatal injections: a randomized controlled trial

  • Siddhartha Rai;Mehul Rajesh Jaisani;Ashok Dongol;Pradeep Acharya;Anjani Kumar Yadav
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.24 no.2
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    • pp.91-99
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    • 2024
  • Background: Palatal injections are often painful. We aimed to compare topical ice and 20% benzocaine gel for pre-injection anesthesia before greater palatine nerve block (GPNB) injections. Methods: A randomized split-mouth clinical trial was conducted among patients aged 15-60-years needing bilateral GPNB injections. A total of 120 palatal sites from 60 patients were randomly allocated to Group A (topical ice) or Group B (20% benzocaine gel). Pain was evaluated using sound, eye, motor (SEM), and the visual analog scale (VAS) in both groups. Inferential analysis was performed using the Mann-Whitney U test. Results: The mean age of the participants was 20.5 ± 3.9 years. The median VAS score for group A was 11 (Q1 - Q3: 5.25 - 21.75), which was slightly higher than the 10 (Q1 - Q3: 4.0 - 26.75) reported in group B. However, the difference was not statistically significant (P = 0.955). The median SEM score for group A and group B was 3.5 (Q1 - Q3: 3.0 - 4.0) and 4.0 (Q1 - Q3: 3.0 - 4.0), respectively, which was statistically insignificant (P = 0.869). Conclusion: Using ice as a form of topical anesthetic for achieving pre-injection anesthesia before GPNB was as effective as 20% benzocaine gel.

[ $45^{\circ}$ ] OBLIQUE CEPHALOMETRIC ANALYSIS OF MESIODISTAL AXIAL INCLINATION IN NORMAL OCCLUSION (정상교합자의 치축경사도에 관한 $45^{\circ}$ 측모두부방사선 계측학적 연구)

  • Kim, Kyung-Ho;Park, Young-Chel
    • The korean journal of orthodontics
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    • v.18 no.1 s.25
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    • pp.65-78
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    • 1988
  • The development of good arch form, the orientation of the dentition with relation to the craniofacial skeleton and the establishment of correct relationship of axial inclination of upper and lower teeth are required in normal occlusion, but different teeth present different degrees of axial inclination. The purpose of this study was to investigate the axial inclination of upper and lower teeth by analyzing $45^{\circ}$ oblique and $90^{\circ}$ cephalometric roentgenograms of 35 Korean males and 34 females with normal occlusion. The obtained results were as follows: 1. Mean and standard deviation of mesiodistal axial inclination of upper and lower teeth related to palatal plane and occlusal plane were obtained. 2. Mesiodistal axial inclination of upper first premolar was nearly perpendicular to palatal plane, and the axis of lower first premolar was nearly perpendicular to occlusal plane. 3. There was no difference in the mesiodistal axial inclination of anteriorly positioned teeth between the three groups: third molar eruption into good alignment (Group 1), third molar impaction or partial eruption (Group 2), third molar agenesis (Group 3). 4. There were low correlationships only between the axial inclination of central incisor and the mesiodistal axial inclination of canine and first premolar, but no correlationships between central incisor and posterior teeth behind first premolar.

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Effects of TGF-$\beta$3 on Epithelial-mesenchymal transformation and Epidermal growth factor receptor expression in palatogenesis of chicken embryo (계태아 발생시 TGF-$\beta$3가 구개판 내측돌기상피의 상피간엽변환 및 상피성장인자수용체 발현에 미치는 영향)

  • Yang Byoung-Eun;Lee Jong-Ho
    • Korean Journal of Cleft Lip And Palate
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    • v.4 no.1
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    • pp.13-26
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    • 2001
  • Cleft lip and/or palate is the congenital orofacial malformation most commonly occurred in humans, The disease is multifactorial and is probably caused by genetic and/or environmental factors, So, there are many problems in research concerning etiology and in treatment of the disease, Even the most practiced and sophisticated methods of surgical repair are necessarily followed by scar contraction and fibrosis, which result in skeletal defects, dental abnormalities, cosmetic disfigurement, and speech impairment, As a result, Fetal surgery can be considered but practiced rarely when the deformity is not fatal to life, And treatment of cleft palate is performed in the form of medicine projection into uterus in animal experiments, Many studies show that growth factor and its receptor emerge from the developing palate; and the epidermal growth factor receptors have a important role in craniofacial development and in palatal fusion, The palatal morphogenesis of the avine is different from the mammal's; it takes the form of physiologic cleft palate, Recently, cleft palate fusion experiment was performed when the avine were in the period of palate formation through the exogenous TGF-β3 addition, and it showed that the exogenous TGF-β3 makes fusion of divided palate through certain process when cleft palate is occurred in palatal formation, In this study, I had the conformation of the fusion of cleft palate through the addition of TGF-β in case of chicken embryo, and observed the effect of TGF-β in EGF receptor distribution, And the following is the results of this study, 1. In case of the TGF-βl and β3 addition group, there was the decrease of EGFR(Epidermal Growth Factor Receptor) immunoreactivity in mesenchymal cells beneath the medial edge epithelium and also in epithelial mesenchymal interface which is between medial edge epithelium and nasal septum in 72 hours, 2, The immunoreactivity of the control group resembles that of normal chicken embryo palate in development, 3. In the view through fluorescence confocal microscopy, there was confluence in TGF-β3 addition group, This shows that the confluence induced by exogenous TGF-β3 is related to EGFR expression in palate of chicken embryo, which is a physiologic cleft palate model.

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A Study on the Accuracy of the record base of the Complete Denture to the Master Cast according to Kinds of Resin and Polymerization Method

  • Choi, Hyo-Jin;Lim, Ju-Hwan;Cho, In-Ho
    • The Journal of Korean Academy of Prosthodontics
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    • v.38 no.3
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    • pp.310-320
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    • 2000
  • Statement of the problem. The record base in fabricating procedures of the complete denture, as a temporary form for reproducing denture base, is used to record upper and lower jaw relation and to align artificial teeth and try-in it in the mouth. The accuracy of jaw relation record is affected by the accuracy, stiffness and stability of the record base. So, the accuracy of record base is the most important requirements of jaw relation records. Purpose of study. The purpose of this study was to evaluate the gap that occurred over the palatal area of a maxillary record base fabricated with autopolymerizing resin and light-curing resin. Methods/material. The maxillary record bases were fabricated out of autopolymerizing resin that is used the most frequently in clinics and light-curing resin that attracts special attention for its several merits. The light-curing resin was made by two kinds of polymerization methods, which are one step curing method and multiple step curing method. All record bases were cut in certain positions of the master cast 1 hour and 1 day later after fabrication and the accuracy of the master cast was measured and analyzed with a microscope. Results. A pattern of gap formation between the record base and the maxillary cast was observed in all specimens. According to kinds of resins, autopolymerizing resin was significantly more accurate than light-curing resin. There was no statistical difference according to time lapse, and in all three groups, the maximum discrepancy occurred at the posterior border in the mid-palatal region. Conclusion. The autopolymerizing resin is better than light-curing resin, and multiple step curing method is more accurate than one step curing method when using light-curing resin.

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A Case of 3rd Premolar in the Right Lower Jaw (희유한 하악 제 3 소구치 일례)

  • Lee, Sang-Chull;Im, Tack-Jai;Cho, Young-Pill
    • The Journal of the Korean dental association
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    • v.11 no.8
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    • pp.531-540
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    • 1973
  • 1) The authors has observed in a boy of 21 years old a supernumerary 3rd premolar tooth the crown of which emerged from the fight lingual side close to the both premolar, mandible. 2) They may have a conical form or be otherwise rudimentary or vestigial, but they do not present ancestal characters. 3) According to the reports of formaers and our experiences about it, the large number of the eruption area was in lingual or palatal side. 4) A third premolar in man could only be accounted for as atavisms by a reversion covering so long a period of time.

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A Phonetic Study of Spanish Consonants - On the Process of Koreans' Spanish Consonants Acquisition- (서반아어 자음에 대한 음성학적 연구 -한국인의 서반아어 자음습득 과정을 중심으로-)

  • Park Ji Yeong
    • Proceedings of the KSPS conference
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    • 1996.10a
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    • pp.409-414
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    • 1996
  • The aim of this paper is to research on the actual condition of Koreans' Spanish consonants pronunciation with an emphasis on describing the phonetic different of Korean speakers and Spanish speakers. 40 Spanish words were chosen for the speech sampling, and 10 Spanish majoring Korean students from Seoul or Kyunggi Province and 3 Spanish speakers form Castile, Spain participated in the interview. The most noticeable phonetic differences of Korean speakers' pronunciation comparing with Spanish speakers are abstracted as follows: 1) The voiced stops are pronounced voiceless or weak voiced. 2) The voiced stops are slightly aspirated. 3) The length of voiceless consonants is quite longer than the length of proceeding vowel. 4) Fricatives and affricates are somewhat fronter, and weaker in the degree of friction. 5) There is a strong tendency to geminate dental lateral /l/ such as 'pelo' and to vocalize palatal lateral /$\rightthreetimes$/ such as 'calle' 6) Unlike in Spanish speech flap $\mid$r$\mid$ and trill [r] are pronounced similarly in Korean speech.

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A SURVEY OF PARTIAL EDENTULISM AND REMOVABLE PARTIAL DENTURE DESIGNS FOR PATIENTS IN KOREA (한국인의 부분 치아 결손 증례와 국소의치 설계에 관한 연구)

  • Lee Si-Hyuk;Chang Ik-Tae;Kim Kwang-Nam
    • The Journal of Korean Academy of Prosthodontics
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    • v.32 no.2
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    • pp.235-248
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    • 1994
  • There were many studies that distribute the partial edentulous states and examine the removable partial denture designs in the planning of removable partial denture treatment. This study was performed in the point of removable partial denture prescription to evaluate partial edentulism and its removable partial denture designs. The data was collected from the dental laboratory of each three dental colleges in Seoul and from two dental laboratories only for removable partial dentures as a prescription form. A total of 1411 cases with prescription form collected from dental laboratories were distributed for this study, then 788 cases were selected for this study. The case selection was done according to the contents of prescription form. The selected cases were divided into maxillary arch and mandibular and classified in terms of types of major connector and direct retainer, unbroken anterior teeth, Kennedy classification, the number of remaining teeth, and distribution of age and sex. The analyzed results were as follows : 1. The Kennedy classification I showed highest frequency both in maxilla and mandible. 2. The arch distribution of removable partial denture was 50.08% for maxilla and 49.92% for mandible. 3. The highest frequency in the distribution of direct retainer was the RPA clasp design. 4. The frequency of unbroken anterior 6 was 73.36% for maxilla and 82.30% for mandible. 5. The design of broad palatal strap and lingual bar revealed the highest prevalence in the major connector construction. 6. The mean number of remaining teeth per arch was 8.25 for maxilla and 8.37 for mandible. 7. The mean age of the patients supplied with removable partial denture was 52.25 years for men, 51.68 years for women, 52.11 years for maxilla, and 51.76 years for mandible and women showed more prevalence.

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Resective osseous surgery for multiple bony exostoses of the periodontal patient: A case report (다발성 외골증을 가진 치주염 환자의 삭제형 골수술에 대한 증례 보고)

  • Lee, In-Kyeong;Lim, Hyun-Chang;Lee, Jung-Seok;Choi, Seong-Ho;Chai, Jung-Kiu;Jung, Ui-Won
    • The Journal of the Korean dental association
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    • v.52 no.12
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    • pp.762-770
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    • 2014
  • Bony exostosis, one of the osseous deformities, could act as a contributing factor of periodontal disease since it makes proper tooth brushing difficult and causes traumatic ulcer. The purpose of this case report is to show improvement of periodontal health by removal of bony exostoses and creation of physiologic osseous form. A 58 year-old female patient with recurrent ulcer and pain on bony exostoses located on left maxillary palatal area and both mandibular buccal areas was treated. Exostoses were removed and physiologically positive osseous form was created following vertical grooving, radicular blending, flattening interproximal bone and gradualizing marginal bone. The patient showed no further recurring traumatic ulcer and bone exposure. Moreover, periodontal pocket was eliminated and food impaction was decreased. In conclusion, periodontal health could be achieved through removal of multiple bony exostoses and development of ideal osseous form.

A study on the perception of Korean phonation types by Aymara subjects (아이마라어 화자들의 한국어 발성유형 인지 연구)

  • Park, Hansang
    • Phonetics and Speech Sciences
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    • v.8 no.4
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    • pp.49-61
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    • 2016
  • The present study investigates the perception of Korean phonation types by native speakers of Aymara. Perception tests were conducted on two sets of Korean speech materials to determine correspondence between Korean and Aymara 3-way contrasts and to find out which of the consonantal and vocalic part of the syllable is more influential in the perception of Korean phonation types. A set of manipulated stimuli, as well as a set of 12 spontaneous words, were prepared for the tests. The first syllable of the 12 Korean bisyllabic words of 3 series of phonation types(Lenis, Aspirated, and Fortis) in 4 places of articulation were split into consonantal and vocalic parts. And then the two parts were combined to form 9 tokens of CV sequences respectively for each place of articulation. Native speakers of Aymara were forced to match Korean stimuli with one of the 15 Aymara words which represent 3 series of consonant types(plain, aspirated, and ejective) in 5 places of articulation(bilabial, alveolar, palatal, velar, and uvular). Results showed that the consonantal part is more influential than the vocalic part to the Aymara subjects' perception of Korean phonation types when the consonantal part is Aspirated in its phonation type, but the vocalic part is more influential than the consonantal part when the consonantal part is Lenis or Fortis in its phonation type. Response analysis showed that Aymara subjects tend to match Korean stops to Aymara ones in such a way that Lenis corresponds to aspirated, Aspirated to aspirated, and Fortis to plain.