• Title/Summary/Keyword: Pathologic change

Search Result 199, Processing Time 0.027 seconds

Full mouth rehabilitation with vertical dimension increase in patient with severely worn out dentition (과도한 마모를 가진 환자의 수직 고경 증가를 동반한 전악수복 증례)

  • Jung, Ji-Hye
    • The Journal of the Korean dental association
    • /
    • v.54 no.6
    • /
    • pp.438-446
    • /
    • 2016
  • Severe tooth wear may cause the pathologic change of the TMJ and masticatory muscles, unesthetic facial appearance, pathogenic pulp and occlusal disharmony. Treating patients with severely worn dentition often requires full mouth rehabilitation with increasing vertical dimension. Proper diagnosis and treatment planning are important for esthetic and functional definitive restorations and the long term stability of the neuromuscular system and the TMJ. In this case, 66 year-old female presented with generalized worn dentition. Based on assessment, pathologic destruction of teeth structure on entire dentition was caused by masticatory force and diet habit without loss of vertical dimension. Subsequently, 3 mm increase of vertical dimension that based on incisor for tooth restoration and esthetic improvement was determined. After 8 weeks stabilization period with temporary fixed prostheses, definitive prostheses were fabricated. After 6 months follow up period, satisfactory outcomes were attained both functional and esthetic aspects through this procedure.

  • PDF

Sequential pathologic change of Korean Neospora caninum isolates in mice (Neospora caninum 국내 분리주의 경시적 변화)

  • Bae, Ji-seon;Kim, Jae-hoon;Lee, Jung-keun;Lee, Byung-chun;Choi, Yang-kyu;Hyun, Byung-hwa;Kim, Dae-yong
    • Korean Journal of Veterinary Research
    • /
    • v.40 no.1
    • /
    • pp.145-152
    • /
    • 2000
  • This study was performed to study the sequential clinical and pathologic changes of Korean isolate KBA-2 of Neospora caninum in SCID mice following intraperitoneal infection. Also the results of PCR and in vitro isolation was compared during the study. The infection appears to be disseminated hematogenously, when the infection was chased every 3days up to 21 days following infection. The PCR method was determined to be more effective than in vitro isolation regarding early detection of the organism follwing infection.

  • PDF

The Effects of the Argon Laser Irradiation on the Root Surface : A Scanning Electronic Microscopic Study (아르곤 레이저 조사시 치근면 변화에 관한 주사 전자 현미경적 연구)

  • Eun, Hee-Jong;Lim, Sung-Bin;Chung, Chin-Hyung
    • Journal of Periodontal and Implant Science
    • /
    • v.29 no.4
    • /
    • pp.861-872
    • /
    • 1999
  • Since pathologic changes of exposed root surface inhibit cell attachment and new attachment of connective tissue have been made, many efforts were apply to change the exposed root surface condition. Scaling and root planing can not remove the endotoxin completely and forms the smear layer which prohibits the new attachment of connective tissue. Therefore, many kinds of chemicals were used for controlling the pathologic change of the root surface. The purposes of this study was to compare and observe the changes of the exposed root surface treated by scaling and root planning, Tetracycline HCl and Argon Laser. After the scaling and root planning of ten extracted premolars, the differences & the root surface among groups were observed under SEM. Control group showed smear layer and irregular amorphous surface. The dentinal tubule was not exposed. The debris and scale like texture were also observed. Tetracycline HCl treated group showed relatively smooth surface and the collagen fiber was observed in the dentinal tubule. Argon Laser treated group showed the most effective results under the conditions of 0.8 to 1.0w irradiation for 0.5 to 1.0 sec with pulse wave. The results of this study showed that the root surface change was associated with the intensity and the duration of Argon Laser irradiation. Further investigation for the surface change with the Argon Laser irradiation is recommended for understanding of clinical effect.

  • PDF

Incidence of Chronic Pathologic Nephrotoxicity of Cyclosporine A in Pediatric Nephrotic Syndrome (소아 신증후군에서 Cyclosporine A에 의한 만성 조직학적 신독성의 발현빈도에 대한 연구)

  • Kim Ji-Hong;Jeong Hyun-Ju;Choi In-Jun;Kim Pyung-Kil
    • Childhood Kidney Diseases
    • /
    • v.3 no.2
    • /
    • pp.130-144
    • /
    • 1999
  • Purpose : Long-term use of Cyclosporine(CsA) reduce renal blood flow by afferent arteriolar vasoconstriction and lead to chronic pathologic changes of CsA nephrotoxicity - 1) interstitial nephritis(IN); tubular atrophy (TA) and/or interstitial fibrosis(IF),2) arteriolopathy(AP). The Object of this study is to estimate the incidence of chronic pathologic CsA nephrotoxicity by duration of treatment and type of renal disease, relationship between histologic and clinical nephrotoxicity, and optimal duration of CsA therapy. Methods : 102 children with steroid resistant or dependent nephrotic syndrome confirmed by renal biopsy and treated with CsA from 1986 to 1997 were enrolled in this study(58 MCNS, 10 FSGS, 10 MGN, 15 $Henoch-Sch\"{o}nlein$ purpura nephritis with nephrotic syndrome (HSPN) and 9 IgA nephropathy with nephrotic syndrome(IgAN)). CsA was administered for 1yr, 1.5yr, 2yr in 24, 12, 22 MCNS patients and 2, 2, 6 FSGS patients respectively, 1yr, 2yr in MGN and 1yr in HSPN and IgAN. Sequential biopsies were done in all 102 patients after CsA treatment for evaluation of pathologic nephrotoxicity. Results : Complete remission rate was 92.2% (100% in MCNS and MGN, 80% in FSGS, 86.6% in HSPN and 55.5% in IgAN). Incidence of relapse during 6months after CsA treatment was significantly decreased compaed with relapsing spisodes during 6months before CsA treatment in MCNS(P<0.0001) and FSGS(P<0.0001). According to pathologic changes, 71 patients(69.6%) showed no pathological change, 24 patients(23.5%) showed IN and 7 patients(6.8%) showed AP. IN was 16.6%, 33.3%, 27.2% in 1, 1.5, 2 year of CsA treatment group in MCNS. AP was 0%, 16.6%, 9% in 1, 1.5, 2 year of CsA treatment group in MCNS. 14 out of 58 MCNS(24.1%) showed IN and 4 out of 58 MCNS(6.8%) showed AP. Incidence of pathologic change was significantly lower in CsA therapy of <1yr than >1yr(P=0.03). There were no significant difference of incidence of pathologic change in original renal disease, age and sex. Conclusion : Duration of CsA treatment was significant risk factor for nephrotoxicity and optimal duration seemed to be 1 year. Pathologic change due to nephrotoxicity did not correlate with deterioration of renal function and only detectable by renal biopsy.

  • PDF

Pathologic Change and Prognosis after Combination Therapy in Advanced Neuroblastoma (소아 신경모세포종의 치료 후 조직소견의 변화와 예후와의 관계)

  • Seo, Yeon Kyong;Jung, Yu Jin;Kim, Joon Sik;Kim, Heung Sik;Park, Woo Hyun;Choi, Soon Ok;Lee, Byung Yook;Kwon, Kun Young
    • Clinical and Experimental Pediatrics
    • /
    • v.46 no.11
    • /
    • pp.1107-1111
    • /
    • 2003
  • Purpose : Neuroblastoma is a malignant neoplasm which arises from primitive sympathetic neuroblasts, and occasionally can matured from a malignant neuroblastoma into a benign ganglioneuroma. It has the highest rate of spontaneous regression of any pediatric tumor. We performed a retrospective study of pathologic features after combination therapy in advanced neuroblastoma. Prognostic effects of the individual morphologic feature and prognostic groupings according to modified Shimada classification systems were analyzed. Methods : The treatment results for six patients with neuroblastoma seen at Keimyung University from Jan. 1991 to June 2000 were analyzed. Patients were treated with a combination of chemotherapy, radiation therapy, and surgery, and classified by two major prognostic criteria based on morphological features of neuroblastoma, such as modified Shimada classification and histologic grading. Results : Three cases were classified to a good histologic group; among them, two cases survived, but one case was lost in follow-up. There were three cases classified in a poor histologic group. All of these patients expired due to sepsis and hemorrhagic pancreatitis. Conclusion : Prognostic classification due to pathologic findings had significant value in evaluating the survival rate of neuroblastoma patients.

Review on the Causes of Headache in Hyungsang Medicine (두통(頭痛)의 원인에 따른 형상의학적(形象醫學的) 고찰 -동의보감(東醫寶鑑) 두문(頭門)을 중심으로)

  • Lee, Dong-Min;Park, Seong-Ha;Lee, Yong-Tae
    • Journal of Physiology & Pathology in Korean Medicine
    • /
    • v.21 no.4
    • /
    • pp.835-841
    • /
    • 2007
  • The followings are concluded from the treatment of headache in Hyungsang medicine, focussed on 11 kinds of headaches in Donguibogam. Headache is classified into overall headache and migraine according to the affected region. The causes are divided into exogenous affection and internal injury; The former brings on headache due to Wind-Cold and headache due to Damp-Heat. The latter, reversal headache, headache due to adverse rising of phlegm, headache due to regurgitation of Gi, headache due to excessive Heat, headache due to excessive Damp, true headache, and alcoholic headache. Headache due to internal injury generally tends to show deficiency syndrome with external affection. Headache due to exogenous affections is common to those who have big head or white skin and to Bangkwang type, and woman. The primary causes are Wind-Cold and Wind-Heat. When the body is observed in the perspective of eight phases, Damp-Heat is to be produced in the front, and Dry-Damp, in the back. Headache due to Damp-Heat is susceptible to Yangmyeong meridian type whose body develops more in the front and to woman. In the perspective of the upper and the lower, Yangdu(that is, head) is related to Eumdu(that is, glans of penis). Headache is also caused by the problems of Eumdu ,such as deficiency of Essence in man, pathologic change of uterus in women, and San syndrome in lower abdomen. In the case of man, headache is frequently severe and difficult to treat because head is a root for man. Disharmony of Gi and blood between the right and the left brings out migraine and headache due to regurgitation of Gi. Migraine is usually accompanied by symptoms of exogenous affection and often afflicts Gi-type, Shin-type, Soyang meridian type, deer type, and Dam-type. Headache due to regurgitation of Gi is brought by Gi deficiency or blood deficiency so that symptoms of exogenous affection do not show. It is mainly common with old people and those who have sunken eyes induced by deficiency of stomach Gi. In the perspective of the upper, the middle, and the lower, the pathologic change of head, chest and abdomen also bring about headache. The pathologic cause of head is Wind-Heat ,which triggers overall headache, migraine, headache due to Wind-Cold, headache due to excessive Heat, The pathogen of chest is phlegm-Fire and brings out headache due to Damp-Heat and headache due to adverse rising of phlegm. The pathologic factor in abdomen is Cold-Damp and produces headache due to adverse rising of phlegm and headache due to excessive Damp. In case of women, headache is generally caused by phlegm-Fire and retention of undigested food.

A NOVEL 3D SCAN METHOD TO QUANTIFY TEETH WEAR (3-Dimensional scan을 이용한 치아 마모량 측정 방법에 관한 연구)

  • Kim Seung-June;Choi Dae-Gyun;Kwon Kung-Rock;Lee Seok-Hyung
    • The Journal of Korean Academy of Prosthodontics
    • /
    • v.42 no.1
    • /
    • pp.1-10
    • /
    • 2004
  • Statement of problem : Tooth wear is physiological phenomenon. Ninety-seven percent of normal people have tooth wear and about 7% has pathologic teeth wear. If we know the amount of tooth surface loss caused by pathologic tooth wear, we may restore it ideally Purpose : Recently measurement of tooth wear by using 3D scan has been increasing. Therefore, we need to know how accurate 3D scan is. Past accuracy test on 3D scan was about linear change, but as we know that tooth wear is volume change. Thus, the purpose of this study is to know how accurate 3D scan is. Material and Methods : For accuracy test of 3D scanner volume values measured by 3D scanner and micro-balance were compared. For test I, preliminary, 3 ball samples and 3 circular cones were made with pattern resin. For test II, 10 teeth shape rubber samples were used. Results and Conclusion : 1. The result of the accuracy test on 3D scan with 3 ball samples and 3 circular cones made of pattern resin has no significant difference(p<0.05). 2. The result of the accuracy test on 3D scan with 10 samples of tooth shape rubber has no significant difference (p<0.05). As a result, we may concluded the analysis of quantifying tooth wear used by 3D scan is useful in the clinic.

Pathologic Fracture of Unicameral Bone Cyst (단순 골낭종에서 발생한 병적 골절)

  • Choo, Suk-Kyu;Lee, Hee-Du;Oh, Hyoung-Keun
    • The Journal of the Korean bone and joint tumor society
    • /
    • v.17 no.2
    • /
    • pp.58-64
    • /
    • 2011
  • Purpose: The purpose of this study is to observe unicameral bone cyst (UBC) outcome after the fracture has healed and if there is any identifiable prognostic factors. Materials and Methods: 13 UBC patients with pathologic fracture from 2001 to 2010 were reviewed. The mean follow up were 26 months (3-90 months). There were 11 male and 2 female patients and the mean age of the patients were 10.2 years old (6-16 years). 9 involved proximal humerusand 2 involved humerus shaft and 1 involved proximal femur and 1 involved proximal tibia. The treatment of UBC fracture was conservative cast application to heal the fracture initially, and 1 patient was treated with primary auto bone graft and open reduction with internal fixation. 5 patients were treated with steroid injection during follow up period and 2 patients with auto bone graft. We analyzed the change of UBC during pathologic fracture healing period and prognostic factor about age, the size of UBC, the involvement of physis. Results: The mean duration of the fracture healing was 8.2 months. Complete healing were occurred at 4 patients (31%). No statiscal difference was checked with age about UBC healing (p=0.42). But, more larger size about UBC and more closer to physis, the healing was difficult (p=0.05, p=0.03). Conclusion: While pathologic fracture of UBC was possibly healed, active treatment should be applied especially those cysts that involvescloser area of the physis or large size.

Performance Evaluation of Computed Tomographic Equipment (CT장치의 성능평가에 관한 연구)

  • Han Dong Kyoon;Kim Moon Chan;Yang Han Joon;Ko Shin Kwan
    • Journal of The Korean Radiological Technologist Association
    • /
    • v.27 no.2
    • /
    • pp.66-85
    • /
    • 2001
  • In medical equipments as complex as a computed tomographic equipment, routine quality control procedures are essential to the detection of small pathologic change in soft tissue as well as and the maintenance of optimal image quality. This study was condu

  • PDF

p53 Expression in a Malignant Mesothelioma Patient during Seven-Year Follow-up

  • Koo, So-My;Uh, Soo-Taek;Kim, Dong Won;Kim, Ki-Up;Kim, Yang-Ki
    • Tuberculosis and Respiratory Diseases
    • /
    • v.76 no.6
    • /
    • pp.284-288
    • /
    • 2014
  • Malignant mesothelioma (MM) is the aggressive tumor of serosal surfaces. There are crude pathogenetic results regarding the biology of MM. Coordinated upregulations of p53 gene expression are shown in malignancies. We believed that there are changes in the p53 expression with transformation from reactive hyperplasia to MM. A 65-year-old male was admitted the hospital because of left pleuritic chest pains in 2004. Chest computed tomography (CT) results showed left pleural effusions with loculation and pleural thickening. Pathologic findings revealed reactive mesothelial hyperplasia. In 2008, the patient again felt left pleuritic chest pains. Chest CT showed progressive thickening of the left pleura. Pathologic diagnosis was atypical mesothelial hyperplasia. In 2011, chest CT showed progressive thickening of his left pleura. He was diagnosed with well-differentiated papillary mesothelioma. Serial change was analyzed by immunohistochemical staining for p53 of pleural tissues. There were no remarkable changes in p53 expressions during the transformation to MM.