• 제목/요약/키워드: Soft Tissues

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연조직 공간을 허용하는 맞춤형 보철 수복을 통한 임플란트 주위 합병증의 개선 증례 (Improvement of peri-implant complications through customized prosthesis restoration allowing soft tissue space: a case report)

  • 송지은;장우형;박찬;윤귀덕;임현필;박상원
    • 구강회복응용과학지
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    • 제39권4호
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    • pp.260-266
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    • 2023
  • 'Implant Supracrestal Complex (ISC)'의 개념은 임플란트 보철물의 디자인 형태가 단기 임상 결과와 임플란트 주변 경·연조직의 장기 예후에 미치는 영향을 확인하는 방법으로 도입되었다. 임플란트-지대주 디자인과 접합부(junction) 및 위치와 같은 임플란트-보철물-지대주 복합 디자인 형태는 임플란트 주변 조직의 장기적인 유지에 중요한 영향을 미칠 수 있다. 본 증례에서는 임플란트 보철물 수복 후 만성적인 연조직 염증이 발생한 환자에게 오목한 맞춤형 지대주와 출현각이 30도를 이루는 보철물을 수복하였다. 새로운 보철물은 충분한 경·연조직 공간을 확보하고 적절한 연조직 폐쇄를 이룸에 따라 합병증이 개선되고 임플란트의 장기적인 안정성을 유지하는 것을 확인하였다.

구내 하악골 상행지 수직골 절단술 후 하악골 우각부의 수평적 길이 변화 (CHANGES OF TRANSVERSE MANDIBULAR WIDTH AFTER INTRAORAL VERTICAL RAMUS OSTEOTOMY)

  • 박성연;정영수;최영달;박형식
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제32권5호
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    • pp.447-452
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    • 2006
  • Purpose: In order to clarify the correlation of mandibular setback using bilateral intraoral vertical ramus osteotomy (BIVRO) and post-surgical transverse mandibular width (TMW), this study examined the pre- and postsurgical changes in hard and soft tissues of TMW and the relationship of TMW and the amount of mandibular setback. Patients and Methods: One-hundred seven patients who had undergone BIVRO were evaluated radiographically and clinically. A comparison study of the changes in hard and soft tissue after surgery in all 107 patients was performed with preoperative, 1 month, 3 month, 6 month and 1 year postoperative posteroanterio cephalograms and clinical photographs by tracing. And this changes were evaluated in parts to amounts of mandibular setback. Results: Statistically significant increases of TMW in hard and soft tissue from preoperative to postoperative 1 month were seen. TMW in hard tissue from 1 month to 1 year postopertive were gradually decreased. TMW in soft tissue was not changed uniformly but almost equal to pre-operative width. And there was no significant correlation between TMW and amount of mandibular setback. Conclusions: The results show that mandibular setback using BIVRO did not significantly influence increasing of TMW in soft tissue.

유리단 국소의치의 기능 인상에 의한 연조직의 수직적 변위량에 관한 연구 (STUDY ON VERTICAL DISPLACEMENT OF SOFT TISSUE UNDER DISTAL EXTENSION PARTIAL DENTURE BASE BY FUNCTIONAL IMPRESSION)

  • 이광희;장익태
    • 대한치과보철학회지
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    • 제21권1호
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    • pp.59-66
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    • 1983
  • Distal extension partial dentures are supported by both the relatively rigid teeth and the resilient mucosa. So impression techniques of residual alveolar ridge in case of distal extension partial denture have particular importance in order to broad distribution of the masticatory force. McLean recognized the need for recording the tissues supporting distal extension partial denture base in functional form to equalize the resilient and non-resilient support, and this was called functional impression. Many investigators proposed various techniques of the functional impression for a distal extension partial denture, but only a little studies were performed about displacement of soft tissue under distal extension partial denture base. The purpose of this study is to investigate the amount of vertical displacement of the soft tissue under distal extension partial denture base by different functional impression techniques. Impression techniques used were Z.O.P. Impression, Selective Tissue Placement Impression, Functional Relining Impression. Measurement of the vertical displacement of soft tissue were made with Depth Gauge and Measuring Platform. A Anatomic Impression was used as a control. The results were tested statistically using 3 way ANOVA and Scheffe test. The followings were the results obtained from this study. 1. The greatest amount of soft tissue displacement was observed in the center of the retromolar pad. 2. No significant differences were found between the crest of alveolar ridge and the buccal shelf area. 3. The greatest soft tissue displacement was observed in Functional Relining Impression using Iowa wax, and the least displacement was observed in Selective Tissue Placement Impression using murcaptan rubber base. 4. No significant differences were found between finger pressure and biting pressure in Z.O.P. Impression, but greater displacement was observed by biting pressure than finger pressure in Functional Reling Impression.

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Midfacial soft tissue changes after maxillary expansion using micro-implant-supported maxillary skeletal expanders in young adults: A retrospective study

  • Nguyen, Hieu;Shin, Jeong Won;Giap, Hai-Van;Kim, Ki Beom;Chae, Hwa Sung;Kim, Young Ho;Choi, Hae Won
    • 대한치과교정학회지
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    • 제51권3호
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    • pp.145-156
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    • 2021
  • Objective: The aim of this retrospective study was to assess the midfacial soft tissue changes following maxillary expansion using micro-implant-supported maxillary skeletal expanders (MSEs) in young adults by cone-beam computerized tomography (CBCT) and to evaluate the correlations between hard and soft tissue changes after MSE usage. Methods: Twenty patients (mean age, 22.4 years; range, 17.6-27.1) with maxillary transverse deficiency treated with MSEs were selected. Mean expansion amount was 6.5 mm. CBCT images taken before and after expansion were superimposed to measure the changes in soft and hard tissue landmarks. Statistical analyses were performed using paired t-test and Pearson's correlation analysis on the basis of the normality of data. Results: Average lateral movement of the cheek points was 1.35 mm (right) and 1.08 mm (left), and that of the alar curvature points was 1.03 mm (right) and 1.02 mm (left). Average forward displacement of the cheek points was 0.59 mm (right) and 0.44 mm (left), and that of the alar curvature points was 0.61 mm (right) and 0.77 mm (left) (p < 0.05). Anterior nasal spine (ANS), posterior nasal spine (PNS), and alveolar bone width showed significant increments (p < 0.05). Changes in the cheek and alar curvature points on both sides significantly correlated with hard tissue changes (p < 0.05). Conclusions: Maxillary expansion using MSEs resulted in significant lateral and forward movements of the soft tissues of cheek and alar curvature points on both sides in young adults and correlated with the maxillary suture opening at the ANS and PNS.

'MEMIARTHROPLASTY VS. TOTAL SMOULDER ARTHROPLASTY'

  • Bigliani Louis U.
    • 대한견주관절학회:학술대회논문집
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    • 대한견주관절학회 2002년도 아시아견관절학술대회
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    • pp.7-7
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    • 2002
  • Historically, the decision to perform a hemiarthroplasty (HHR) versus a total shoulder arthroplasty (TSA) is based on the status of the glenoid and the status of the soft tissues (rotator cuff). In disease processes where the glenoid articular cartilage is relatively well preserved such as avascular necrosis and complex proximal humerus fractures, most orthopaedists recommend performing a HHR while preserving the native glenoid articular surface. At the other end of the spectrum, if the glenoid has excessive bone loss or is unreconstructible, a HHR is the preferred procedure. In patients who have deficient so(t-tissues (rotator cuff) such as rotator cuff tear arthropathy and, occasionally, rheumatoid arthritis, a HHR is the procedure of choice. The indications for HHR in osteoarthritis remain somewhat controversial. There is mounting evidence that performing a HHR for osteoarthritis is inferior to TSA. Recent developments, or 'third generation techniques and materials', in shoulder arthroplasty are expected to improve the longevity of TSA, particularly the glenoid component. In addition, newer designs of reverse-ball prostheses are entering the market with promising early results in patients with deficient rotator cuff mechanisms.

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Simulation and Measurement of Thermal Ablation in a Tissue-Mimicking Phantom and Ex-Vivo Porcine Liver by Using High Intensity Focused Ultrasound

  • Lee, Kang Il
    • Journal of the Korean Physical Society
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    • 제73권9호
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    • pp.1289-1294
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    • 2018
  • The present study aims to investigate experimentally and theoretically thermal ablation in soft tissues by using high intensity focused ultrasound (HIFU) to assess tissue damage during HIFU thermotherapy. The HIFU field was calculated by solving the axisymmetric Khokhlov-Zabolotskaya-Kuznetsov equation from the frequency-domain perspective. The temperature field was calculated by solving Pennes' bioheat transfer equation, and the thermal dose required to create a thermal lesion was calculated by using the thermal dose formula based on the thermal dose of a 240-min exposure at $43^{\circ}C$. In order to validate the simulation results, we performed thermal ablation experiments in a tissue-mimicking phantom and ex-vivo porcine liver for two different HIFU source conditions by using a 1.1-MHz, single-element, spherically focused HIFU transducer. The small difference between the measured and the predicted lesion sizes suggests that the implementation of the numerical model used here should be modified to iteratively allow for temperature-dependent changes in the physical properties of tissues.

An unusual presentation of peripheral ameloblastoma in the maxilla

  • Rosa Maria Acevedo Ocana;Jorge Cortes-Breton Brinkmann;Carolina Valle Rodriguez;Norberto Quispe Lopez;María Isabel Sanchez Jorge
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제50권3호
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    • pp.161-165
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    • 2024
  • Peripheral ameloblastoma (PA) is believed to be the rarest variant of ameloblastoma and only has been described in isolated case reports. PA is usually confined to the soft tissues surrounding the supporting tissues of the teeth. Although it manifests nonaggressive behavior and can be treated with complete removal by local surgical excision, long term follow up is mandatory to prevent future recurrence and possible malignant transformation.

양식 넙치(Paralichthys olivaceus)에서 발생한 랩도바이러스성 질병의 병리조직학적 특징 (Histopathology of a rhabdoviral disease of farmed flounder Paralichthys olivaceus)

  • 이남실;강형길;최희정;전세규;박남규;허민도
    • 한국어병학회지
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    • 제15권1호
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    • pp.1-7
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    • 2002
  • On April of 2000 and February of 2001, a disease characterized by darkening, ascites and enlargement of the spleen occurred in flounder, Paralichthys olivaceus, farmed near northern and eastern coasts of Korea. Various degree of necrosis including liquefactive-type was observed mainly in hemopoietic tissue of spleen and kindney. Certain tissue such as branchial soft tissue including epithelium showed a similar necrotic findings. But some tissues such as intentine had several necrotic clusters of wandering cells, being possibly leukocytes. Necrotic evidences of blood cells were evident in various tissues including hemopoietic tissues. Necrobiotic bodies were frequently encountered in blood smear preparations. Bullet type-virious were detected in the spleenic cells. Each virion was about 500 nm in diameter and 170nm in length. From these results, this disease was thought to be a rhabdoviral disease.

Insulin-Like Growth Factors-1 Receptor (IGF-1R) Expression and the Phosphorylation of Endogenous Substrates Lead to Maturation of the Pacific oyster, Crassostrea gigas

  • Park, Su-Jin;Choi, Youn Hee
    • 한국발생생물학회지:발생과생식
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    • 제25권1호
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    • pp.67-72
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    • 2021
  • This study investigated the IGF-1 signal in specific tissues using Pacific oysters artificially matured via water temperature elevation. Pacific oysters were subjected to water temperature elevation from March to June, and 20 were randomly sampled each month. The condition index (CI) and tissue weight rate (TWR) were examined by measuring shell length, shell height, shell width, and soft tissue weight. The IGF-1 signal in tissues (adductor muscle, digestive glands, gills, labial palps, mantle edges, and gonads) was analyzed by sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) and Western blotting. From April to June, the TWR of females and males increased from 19.1±2.9 to 21.0±3.6 and 18.2±2.0 to 19.2±2.5, respectively, while the CI remained the same. The IGF-1 signal in each tissue differed. IGF-1 was expressed in the adductor muscle, while tyrosine was expressed in all tissues. The phosphor (p)-ERK and p-AKT activities were high in the adductor muscle, mantle edge, and gonads. IGF-1 signaling affected the growth and maturity of the Pacific oysters examined.

만성 하악골 골수염에서 발생한 편평상피세포암종 (SQUAMOUS CELL CARCINOMA ARISING FROM CHRONIC OSTEOMYELITIS OF THE MANDIBLE)

  • 박영욱;박정민;장재현;김지혁;권광준;이석근
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제30권5호
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    • pp.465-472
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    • 2008
  • We experienced a rare case of oral squamous cell carcinoma arisen from gingival tissues overlying prolonged chronic osteomyelitis of the mandible. A 66 years old man complained of unhealed extraction sockets of left mandibular second premolar and first molar, and showed extensive leukoplakia in the gingival tissues of the same area. The inflammation of the socket granuloma became severe and extended into adjacent mandibular proper, resulted in diffuse suppurative chronic osteomyelitis of mandibular body, exhibiting irregular osteolytic changes of mandibular trabecular patterns in mottled radiolucent appearance. The leukoplakia was initially diagnosed under microscope, and the involved gingival tissues were radically removed. Thereafter, the gingival soft tissue inflammation involving the mandibular osteomyelitis was hardly healed for two years. During the period of repeated surgical treatments for the inflamed lesion, nine biopsies were taken sequentially. Until the eighth biopsy, there consistently showed the suppurative osteomyelitis with ingrowing gingival tissues into the bony inflammatory lesion. The gingival epithelium showed the features of leukoplakia but no evidence of malignant changes. However, the ninth biopsy, taken about 2 years after initial diagnosis, showed the early carcinomatous changes of the gingival epithelium. The neoplastic epithelial cells were relatively well differentiated with many keratin pearls, and infiltrated only into underlying connective tissues. So, we presumed that the present case of squamous cell carcinoma was caused by the persistent inflammatory condition of the mandibular osteomyelitis, and also suggest that the leukoplakia should be carefully removed in the beginning to prevent the neoplatic promotion of the chronic inflammation.