• Title/Summary/Keyword: dental Caries

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Prosthetic treatment for patient with upper lip cancer and severe periodontitis: Maxillary complete denture with denture adhesive and mandibular double crown-retained removable partial denture (구순암 환자에서의 의치접착제를 이용한 상악 총의치와 심한 치주 상태에서의 하악 이중관의치를 이용한 수복 증례)

  • Choi, Hyun-Suk;Lee, Cheong-Hee;Cho, Jin-Hyun
    • The Journal of Korean Academy of Prosthodontics
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    • v.53 no.1
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    • pp.74-80
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    • 2015
  • When oral cancer is occured, one may experience problems such as lip defect, necrosis of periodontal tissue and cervical caries caused by radiotherapy. According to ADI (Association of dental implantology), recent radiotherapy on jaw bone could be a relative contraindication of implant treatment. Due to this controversy, in most cases, treatment is done with removable dentures rather than implants. Especially, lip defect caused by an oral cancer operation have a serious repercussion on the retention of the denture. In this case report, patient with upper lip cancer had undergone resection primarily and secondary radiotherapy was done periodically. As a result, upper teeth of patient were extracted gradually and lower teeth showed very poor periodontal status. Therefore, Polident$^{(R)}$ denture adhesive cream (GlaxoSmithKline, London, England) was applied on maxillary complete denture to overcome reduced retention due to the lip defect and double crown RPD with friction pin was applied on the mandible successfully for two years.

Effects of Oral Health Education Considering Integrated Factors: Focused on Children in some Community Child Centers (융합적 요소를 고려한 구강보건교육의 효과: 일부 지역아동센터 아동들을 중심으로)

  • Park, Il-Soon
    • Journal of Digital Convergence
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    • v.13 no.10
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    • pp.359-366
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    • 2015
  • The purpose of this study is to investigate the oral health education effect considering the integrated factors of oral health and education for children in some community child center. The subjects in this study were 124 selected children, on whom a survey conducted from May 12 to August 13, 2014. The data were analyzed using SPSS 19.0. The finding of the study were as follows: First, change of rolling method and change toothbrushing in the gum and the tongue by after oral health education(p<0.05). Second, change of dietary control behavior and attitude(p<0.05). Third, change of method of preventing a dental caries behavior and attitude(p<0.05). Fourth, as for the level of oral health awareness and change of attitude were more aware than before oral health education(p<0.05). Given the findings of the study, the continuous oral health education and development of programs intending for children in some community child center seems necessary.

Antimicrobial Effects of Ursolic Acid against Mutans Streptococci Isolated from Koreans

  • Kim, Min-Jung;Kim, Chun-Sung;Park, Jae-Yoon;Lim, Yun-Kyong;Park, Soon-Nang;Ahn, Sug-Joon;Jin, Dong-Chun;Kim, Tae-Hyung;Kook, Joong-Ki
    • International Journal of Oral Biology
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    • v.36 no.1
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    • pp.7-11
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    • 2011
  • Ursolic acid is a triterpenoid compound present in many plants. This study examined the antimicrobial activity of ursolic acid against mutans streptococci (MS) isolated from the Korean population. The antimicrobial activity was evaluated by the minimum inhibitory concentration (MIC) and time kill curves of MS. The cytotoxicity of ursolic acid against KB cells was tested using an MTT assay. The $MIC_{90}$ values of ursolic acid for Streptococcus mutans and Streptococcus sobrinus isolated from the Korean population were $2 {\mu}g$/ml and $4 {\mu}g$/ml, respectively. Ursolic acid had a bactericidal effect on S. mutans ATCC $25175^T$ and S. sobrinus ATCC $33478^T$ at > $2 \;{\times}\; MIC (4 {\mu}g$/ml) and $4 \;{\times}\; MIC (8 {\mu}g$/ml), respectively. Ursolic acid had no cytotoxic effect on KB cells at concentrations at which it exerted antimicrobial effects. The results suggest that ursolic acid can be used in the development of oral hygiene products for the prevention of dental caries.

A Retrospective Study of Critical Success Factors in Regenerative Endodontic Treatment (재생근관치료의 성공에 영향을 미치는 결정 요인에 대한 후향적 연구)

  • Jeong, Hwakyong;Lee, Nanyoung;Lee, Sangho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.44 no.1
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    • pp.47-55
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    • 2017
  • This study evaluated critical factors influencing the success of regenerative endodontic treatment for necrotic immature permanent teeth. The study enrolled patients who had regenerative endodontic treatment in a necrotic immature permanent tooth through 1-year follow-up. Possible explanatory variables related to the success rates for 46 teeth were age, gender, dental stage at the initial appointment, etiology, treatment information, and clinical and radiographic outcomes. The dental stage at the time of regenerative endodontic treatment did not influence the success rate. The success rate was significantly related to the etiology of the necrotic immature tooth. The success rate according to etiology decreased in the following order: dens evaginatus, caries, and trauma. There was also a significant difference according to the type of antimicrobial. The success rate was influenced by appropriate disinfection of the root canal system, provision of a scaffold, and coronal sealing. Above all, careful case selection is necessary for treating a necrotic immature permanent tooth, especially in cases of trauma.

Socioeconomic Inequalities in the Oral Health of People Aged 15-40 Years in Kurdistan, Iran in 2015: A Cross-sectional Study

  • Moradi, Ghobad;Moinafshar, Ardavan;Adabi, Hemen;Sharafi, Mona;Mostafavi, Farideh;Bolbanabad, Amjad Mohamadi
    • Journal of Preventive Medicine and Public Health
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    • v.50 no.5
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    • pp.303-310
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    • 2017
  • Objectives: The aim of this study was to evaluate socioeconomic inequalities in the prevalence of dental caries among an urban population. Methods: This study was conducted among 2000 people 15-40 years of age living in Kurdistan, Iran in 2015. Using a questionnaire, data were collected by 4 trained dental students. The dependent variable was the decayed, missing, and filled teeth (DMF) index. Using principal component analysis, the socioeconomic status (SES) of families was determined based on their household assets. Inequality was measured using the concentration index; in addition, the Oaxaca analytical method was used to determine the contribution of various determinants to the observed inequality. Results: The concentration index for poor scores on the DMF index was -0.32 (95% confidence interval [CI], -0.40 to -0.36); thus, poor DMF indices had a greater concentration in groups with a low SES (p<0.001). Decomposition analysis showed that the mean prevalence of a poor DMF index was 43.7% (95% CI, 40.4 to 46.9%) in the least privileged group and 14.4% (95% CI, 9.5 to 9.2%) in the most privileged group. It was found that 85.8% of the gap observed between these groups was due to differences in sex, parents' education, and the district of residence. A poor DMF index was less prevalent among people with higher SES than among those with lower SES (odds ratio, 0.31; 95% CI, 0.19 to 0.52). Conclusions: An alarming degree of SES inequality in oral health status was found in the studied community. Hence, it is suggested that inequalities in oral health status be reduced via adopting appropriate policies such as the delivery of oral health services to poorer groups and covering such services in insurance programs.

Relationship between National Exam Stress and Subjective Oral Symptom in Allied Health Students (보건계열 대학생의 국가시험 스트레스와 주관적 구강이상증상)

  • Lee, Min-Young;Kim, Myung-Eun
    • The Journal of the Korea Contents Association
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    • v.20 no.5
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    • pp.351-358
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    • 2020
  • The aim of this study was to confirm for relationship between national exam stress and oral health status on allied health students. For this, 829 of allied health students were surveyed in four college and university located in Chungbuk and Kyungbuk. Survey tool were constituted general characteristic(4 items), national exam stress(16 items) and oral health status(34 items). The result of study, national exam stress of female were higher than male and that of department of dental hygiene, nursing, emergency medical service students were higher than other students(p<0.05). Subjective oral symptom were higher on high stress group than other groups(p<0.05). Relationship between stress and subjective oral symptom were related each other(p<0.01). Therefore it is necessary to education for manage oral symptom affected national exam stress.

DENTAL MANAGEMENT OF CHILDREN WITH CORNELIA DE LANGE SYNDROME (Cornelia de Lange Syndrome 환아의 치과 치료)

  • Baik, Byeong-Ju;Kim, Jae-Gon;Yang, Yeon-Mi;Park, Jong-Ha;Kim, Sung-Hee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.31 no.1
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    • pp.120-125
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    • 2004
  • Cornelia de Lange syndrome is a disorder of unknown etiology resulting in an syndrome characterized by specific dysmorphic features. Therefore this syndrome is diagnosed only by clinical features and other examinations for diagnostic aim are not effective. There are general growth retardation, mental retardation, hypertrichosis, confluent eye brows, low hair line, broad nasal bridge, anteverted nose tip, malformed limbs, webbing of toes, heart defect, gastroesophageal reflux disease, ear and ocular problems. Features associated oral structures are micrognathia, delayed eruption of teeth, cleft lip, cleft plate, thin upper lip and downturned angles of mouth. These are cases about two children who visited Department of Pediatric Dentistry of Chonbuk National University because of dental caries with Cornelia do Lange syndrome.

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SERIAL OSTEORADIONECROSIS ON BOTH SIDES OF MANDIBLE: A CASE REPORT (양측성으로 하악골에 순차적으로 발생한 방사선골괴사증: 증례보고)

  • Kim, Hae-Lin;Yoon, Kyu-Ho;Park, Kwan-Soo;Cheong, Jeong-Kwon;Bae, Jung-Ho;Kwon, Jun;Park, Gun-Chan;Shin, Jae-Myung;Baik, Jee-Seon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.32 no.3
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    • pp.265-269
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    • 2010
  • Radiation therapy for malignancy of head and neck leads to secondary effects, such as mucositis, xerostomia, dental caries and osteoradionecrosis. Osteoradionecrosis is a delayed complication which causes chronic pain, infection and constant deformity after necrosis. It occurs spontaneously or after primary oncologic surgery, dental extraction or by trauma of prosthesis. To reduce the incidence of osteoradionecrosis, appropriate antibiotic usage, atraumic procedure, tension-free primary suture and hyperbaric oxygen therapy are essential. This case is about a 74 years old woman who was treated for osteoradionecrosis after extraction of right lower molar at year 2006. She had received radiation therapy for angiosarcoma on tongue at year 2004. At year 2008 the patient came to our hospital for extraction of the opposite premolar but despite careful treatment, osteoradionecrosis occurred again. She was successfully treated by surgical procedure so we report this case.

DENTAL CHARACTERISTICS OF A PATIENT WITH MCCUNE-ALBRIGHT SYNDROME (McCune-Albright syndrome 환자의 치과적 특성)

  • Lim, Jae-Young;Song, Je-Seon;Lee, KoEun;Lee, Jae-Ho
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.14 no.1
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    • pp.41-44
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    • 2018
  • McCune-Albright syndrome (MAS) is a rare disease characterized by fibrous dysplasia (FD), Cafe-au-lait spots, and endocrine disorder. A 4-year-old girl with MAS visited the clinic with a chief complaint of facial asymmetry and bruxism without any pain. Facial asymmetry and many dental problems such as midline deviation, "ground glass appearance" on the entire jaw, thinned cortical bone, loss of lamina dura and ectopic germs were found. Because of severely displaced tooth germs and FD affected jaw, there is a high possibility of malocclusion during mixed/permanent dentition. It is necessary to observe the eruption pattern periodically. If there are clinical symptoms like an abnormal eruption pattern, facial asymmetry or high caries susceptibility, appropriate interventions of dentist are required.

EFFECTS OF HEAT-KILLED AND SONIC EXTRACTS OF MICROORGANISM ON CULTURED CELLS (세균액 및 세균단백질 추출물이 배양 세포에 미치는 영향)

  • Yu, Young-Dae;Im, Mi-Kyung
    • Restorative Dentistry and Endodontics
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    • v.25 no.4
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    • pp.606-618
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    • 2000
  • Dental pulp infection is most commonly caused by extensive dental caries, and some bacterial species invade root canals; bacterial components and products are thought to be associated with the pathogenesis of periapical periodontitis. A principle driving force behind pulpal disease response appears to lie in the host immune system's to bacteria and their products. We examined the production of interleukin $1{\beta}$ (IL-$1{\beta}$) and tumor necrosis factor ${\alpha}$(TNF-${\alpha}$) from human peripheral mononuclear cells, lymphocytes and monocytes stimulated by heat-killed Acitnobacillus actinomycetemcomitans (ATCC 29523), Porphyromonas gingivalis (ATCC 33277) and Prevotella intermedia (ATCC 25611), and also by their sonicated bacterial extracts (SBE), respectively. The effects of three strains of heat-killed bacteria and their SBEs on the morphology of cultured blood cell lines HL-60 (KCLB 10240) and J774A.1 (KCLB 40067) were observed under the inverted microscope. Ultrastructural changes of J774A.1 exposed to heat-killed P. intermedia and its SBE were investigated using transmission electron microscopy. Production of IL-$1{\beta}$ was reduced in human peripheral mononuclear cells after stimulation by sonic bacterial extracts of A. actinomycetemcomitans, P. gingivalis, and P. intermedia. Heat-killed and sonic extract of P. gingivalis inhibited the production of TNF-${\alpha}$ in peripheral mononuclear cells. Production of TNF-${\alpha}$ was inhibited in peripheral monocytes after stimulation by sonic extracts of A. actinomycetemcomitans, P. gingivalis, and P. intermedia. HL-60 and J 774A.1 cells showed granular degeneration after treatment with heat-killed and sonic extracts of A. actinomycetemcomitans, P. gingivalis, and P. intermedia Chromatin margination and shrinkage were observed in 774A.1 treated with heat-killed P. intermedia. Cell wall structure and organelles were destroyed and vacuoles were formed in cytoplasm in J774A.1 treated with P. intermedia sonic extract. These results suggest that A actinomycetemcomitans, P gingivalis and P intermedia may have an important role in the formation and progression of pulpal diseases via both modulation of production of IL-$1{\beta}$ and TNF-${\alpha}$ from blood mononuclear cells and cytopathic effects.

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