• 제목/요약/키워드: ankylosis

검색결과 183건 처리시간 0.021초

구치부 개교 (POSTERIOR OPEN BITE)

  • 손영화;장영일
    • 대한치과교정학회지
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    • 제25권5호
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    • pp.641-654
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    • 1995
  • 수직적인 문제는 심한 과개 교합에서 심한 정도의 개교에 이르기까지 다양하다. 구치와 전치의 맹출, 하악지와 하악체의 성장, 기저골과 치조골의 성장, 근육및 습관 활동의 동시적인 상호 작용이 궁극적인 수직 관계를 결정한다. '개교'라 함은 다른 치아가 최대 감합위에 있을 때, 어떤 대합치가 교합되지 않는 것이라 정의할 수 있다. 구치부 개교는 종종 치조골과 치아 맹출과 관련되어 있으며, 대부분 습관과 같은 연조직 장애나 유착등 맹출 과정중의 기계적 장애에 기인한다고 생각되어 왔으나, 때로 맹출 기전 자체의 이상에 의할 수도 있다. 몇 개의 증례 제시와 함께 구치부 개교의 원인과 치료에 대해 생각해 보고자 한다.

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소아의 하악 과두 골절에 대한 고찰 (A CLINICAL AND RADIOLOGICAL STUDY ON THE MANDIBULAR CONDYLE FRACTURE IN THE CHILDREN)

  • 오상화;김우형;손용준;고영규;이희철
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제17권4호
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    • pp.429-437
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    • 1995
  • Of all facial fractures in children, condylar fractures have the greatest propensity to produce a growth disturbance. This risk appears to be greatest when the injury is during the first 3 years of during adolescence. Yet, the ability of a child to undergo compensatory growth that decrease the effects of the injury is also the greatest. Fracture dislocation of the condyle in the preadolescent often results in excellent remodeling and function. Because of this factor and the higher risRs of avascular necrosis and ankylosis open reduction of a condylar fracture in a child is not widely recommended. This retrospective study analyzed mandibular condyle fractures in the children who admitted in dept. of Oral and Maxillofacial Surgery, Pusan paik hospital from 1984 to 1993 clinically and radiologically.

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역위 매복된 상악 중절치의 교정적 견인 치험 예 (Orthodontic treatment of an impacted maxillary central incisor with dilacerations)

  • 전윤식;임원희;김혜진
    • 대한치과교정학회지
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    • 제37권2호
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    • pp.159-163
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    • 2007
  • 심한 치근 만곡을 동반한 매복은 흔하지 않으며, 특히 상악 전치의 경우에 그러하다. 이는 외과적 노출과 교정적 견인이 임상적으로 매우 어려우며, 치근유착, 치근의 외흡수, 교정적 견인 후 치근 노출 등의 위험이 있을 수 있기 때문이다. 비록 성공적으로 치료된 증례라 하더라도 치은의 심미를 향상시키기 위하여 치주수술이 필요한 경우가 많다. 본 증례보고는 발육중인 만곡된 치근을 가진 역위 매복된 상악 중절치의 closed eruption technique를 이용한 교정 치험예를 소개하였다.

하악과두골절시 Arthrocentesis와 Lavage를 이용한 치험에 관한 연구 (TREATMENT OUTCOME OF MANDIBULAR CONDYLAR FRACTURE WITH ARTHROCENTESIS AND LAVAGE)

  • 윤옥병
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제28권4호
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    • pp.286-289
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    • 2002
  • In the treatment of mandibular condylar fractures, arthrocentesis, lavage and selective intermaxillary fixation were performed after closed reduction. In this lavage group, the physiotherapy performed for 3-6 months after injury. in control group, continuous intermaxillary fixation was done for 1-3 weeks, and physiotherapy followed in the same method of the lavage group. In the comparative study of the both groups, the following results are shown. 1. Compared to control group, the lavage group had a slightly superior result at range of motion, joint pain and occlusal deviation, from I day after arthrocentesis to 6 months after injury. 2. The significant differences between both groups were seen at range of motion and joint pain in 1 month after injury. 3. At 6 months after injury, the differences between both groups were not significant at range of motion, joint pain and occlusal deviation. From this study, in the mandibular condylar fracture, the arthrosentesis, lavage and selective intermaxillary fixation after closed reduction can improve symptoms such as joint pain and occlusal deviation, also increase range of motion. in this therapeutic way, intracapsular hemarthrosis which can cause TMJ ankylosis or dysfunction can be removed effectively. in addition, patient's discomfort such as swallowing disturbance, speech disturbance and emotional stress can be reduced signuficantly.

Camptodactyly: An unsolved area of plastic surgery

  • Singh, Veena;Haq, Ansarul;Priyadarshini, Puja;Kumar, Purshottam
    • Archives of Plastic Surgery
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    • 제45권4호
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    • pp.363-366
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    • 2018
  • Background Camptodactyly refers to permanent flexion contracture at the proximal interphalangeal joint. Most cases are limited to fifth-finger involvement. Although common, the treatment of camptodactyly is controversial. Many published studies have emphasized conservative treatment, while others have described surgical procedures. The problem with this deformity is that it presents in several forms, which means that there is no single model for effective treatment. The aim of this paper is to present the difficulties encountered with this condition and the management thereof on an individual basis. Methods This is a case series of 14 patients (nine males, five females) who underwent surgical treatment. The results were classified using the method from Mayo Clinic as excellent, good, fair, and poor. Results Fourteen patients with 15 fingers underwent surgery, and the results achieved were as follows: excellent, 0; good, 1; fair, 6; poor, 8. The treatment of camptodactyly still remains controversial, and hence proper planning individualized to each patient is needed to achieve the maximal improvement with realistic goals. Conclusions Although we performed individualised surgery, our careful follow-up was not able to identify any method as superior over another with respect to gain in extension and loss of flexion. We therefore propose that the extensor mechanism should not be disturbed during surgery to treat camptodactyly cases.

측두하악 관절 장애의 평가 (Clinical Assessment of Temporomandibular Joint Dysfunction)

  • 류재관;김종순
    • 대한물리치료과학회지
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    • 제5권4호
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    • pp.717-728
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    • 1998
  • The Temporomandibural joint(TMJ) is one of the most frequently used joint in the body as $1,500{\sim}2,000$ times per day for the activities of chewing, swallowing, talking, yawing and sneezing. The TMJ are formed by condylar process of mandible and mandible fossa of temporal bone, separated by an articular disc. This articular disc divides into two cavities as upper cavity and lower cavity. The gliding movement occurs in the upper cavity of the joint, whereas hinge movement occurs in the lower cavity. The movements that are allowed at the TMJ are opening, closing, protrusion, retraction and lateral movement. A cause of TMJ dysfunction are capsulitis, internal derangement, osteoarthritis, rheumatoid arthritis, infection and inflammation near the joint, trauma on joint, ankylosis, subluxation or dislocation of joint, injury of articular disc, myositis, muscle contracture or spasm, myofascial pain dysfunction syndrome, dyskinesia of masticatory muscles, developmental abnormality, tumor, connective tissue disease, fibrosis, malocclusion, swallowing abnormality, wrong habits such as bite nail or hair, bruxism, psycological stress and Costen syndrome etc. Assessment of TMJ dysfunction consist of interview, observation, functional examination, palpation, reflex test, joint play test, electromyography and radiologic examination and behavioral and psycological assessment etc.

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악관절에 이환된 류마티양관절염에 관한 방사선학적 연구 (ROENTGENOGRAPHIC STUDY OF THE TEMPOROMANDIBULAR JOINT IN RHEUMATOID ARTHRITIS)

  • 윤호중;유동수
    • 치과방사선
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    • 제14권1호
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    • pp.61-69
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    • 1984
  • For the study of the temporomandibular joint in rheumatoid arthritis 30 patients were selected who were diagnosed as rheumatoid arthritis through the clinical, radiographic examination and laboratory findings. Temporomandibular joint involvement was evaluated through the clinical, radiographic examination. The results were as follows; 1. TMJ was involved in 15 patients of 30 patients with rheumatoid arthritis. (50% involvement). 2. Duration of rheumatoid arthritis was more longer in patients with TMJ involvement than in patients without TMJ involvement. 3. Osseous changes in TMJ were in order of frequency erosion, flattening, osteophyte, sclerosis, deformity, and most common involved site was mandibular condyle. 4. Most common positional change of condyle was forward position in centric occlusion, and restricted movement of condyle in 1inch mouth opening. 5. TMJ involvement of rheumatoid arthritis was almost bilateral. 6. Main symptoms of TMJ were pain, stiffness, tenderness, limitation of mouth opening, crepitation 7. There was not the case of ankylosis. 8. There was statistically insignificant correlation between mandibular deviation and TMJ involvement, but some cases showed severe deviation on mouth opening.

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정신지체장애아의 Mineral trioxide aggregate를 이용한 즉일 근관 충전 (ONE VISIT CANAL FILLING BY USING MINERAL TRIOXIDE IN A MENTALLY RETARDED CHILD : A CASE REPORT)

  • 강지예;김종수;김승오
    • 대한장애인치과학회지
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    • 제7권2호
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    • pp.99-102
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    • 2011
  • A-12year-old boy visited the clinic with chief complaint of anterior maxillary trauma. He was diagnosed with first degree mental retardation and cerebral disorders. By clinical and radiographic examination, intrusion of maxillary central incisors were found. The intrusion was not severe, teeth were luxated with a slight force and the prognosis was followed. After the first year, external root resorption was seen radiographically. Due to difficult behavior management, one visit root canal filling with OrthoMTA(BioMTA, Korea) which is known to generate of cementum and periodontal ligament was planned along with general anesthesia. OrthoMTA was filled from the apex to 1-2mm below cervical area and composite resin used for crown restoration. 6 months after, further resorption, discoloration and mobility was not found. This case is currently checked yearly and further research is needed for inflammatory root resorption and ankylosis.

악기능 장치를 이용한 하악 과두 골절의 치험례:1증례에 대한 임상적, 방사선학적 분석 (Non-Surgical Treatment of Mandibular Condylar Fracture with Functional Appliance:Clinical and Radiographic Analysis of 1 Case)

  • 천상득;노재환;송재철;진병로
    • Journal of Yeungnam Medical Science
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    • 제19권2호
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    • pp.144-150
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    • 2002
  • 영남대학교 의과대학 부속병원 치과학교실에서는 악기능 장치를 이용하여 비관혈적 정복술을 시행한 하악 과두 골절 1례에서 양호한 치료 경과를 보였기에 문헌 고찰과 함께 보고하는 바이다. 추후 본 증례에 기초한 다수 증례의 연구가 필요할 것으로 사료된다.

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지연재식(遲延再植) 시(時) 치근처리(齒根處理)에 치주조직(齒周組織)의 치유(治癒)에 관(關)한 연구(硏究) (A STUDY ON THE PERIODONTAL HEALING BY VARIOUS ROOT TREATMENT IN DELAYED REPLANTATION)

  • 임성수;김종여;김종수;김용기
    • 대한소아치과학회지
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    • 제25권1호
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    • pp.1-18
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    • 1998
  • The purpose of this study was to analyze comparatively the effect of various root pretreatments prior to delayed replantation. Total 6 beagle dogs were used for the experiment and 8 teeth per each animal were treated by several prepared regimens before replantation. After 3 & 6 weeks of experimental periods, animals were sacrificed by perfusion method. The results obtained from the present study can be summarized as follows: 1. All root pretreatment regimen used in this experiment showed effectiveness in the periodontal repair of delayed replanted teeth. 2. The teeth treated by the regimen of stannous fluoride combined with tetracycline revealed more favorable tissue response and less frequent root resorption or ankylosis than other groups. 3. The long term effect of Group IV-regimen seems to be worth further study since the result at 6-weeks showed the significant progress in periodontal healing when compared to 3-week result which was not indicated in any other group

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