To find out the suppressive effect of natural extract Curcuma xanthorrhiza on $IL-1{\beta}$ and MMP-2 derived from periodontal ligament cells through in vitro study and to confirm its effect on plaque and gingivitis through clinical study, Curcuma xanthorrhiza containing toothpaste was used and following results were produced. 1. In vitro study, type IV collagenase MMP-2 production was inhibited dose-dependently in the group treated with Curcuma xanthorrhiza compared to the control group. 2. In vitro study, the production of $IL-l{\beta}$ which is one of the inflammatory mediators associated with periodontitis was inhibited dose-dependently in the group treated with Curcuma xanthorrhiza. 3. On the third week, the plaque index of the groups treated with or without Curcuma xanthorrhiza containing toothpastes were both increased significantly compared to the baseline(p<0.05). 4. On the third week, the gingival index of the group treated with Curcuma xanthorrhiza containing toothpaste was not significantly different from baseline. However, the group treated without Curcuma xanthorrhiza containing toothpaste showed a significant increase of gingival index at shielded area(p<0.05). 5. The gingival index of the group without Curcuma xanthorrhiza containing toothpaste showed a significant increase in the sites without tooth brushing when compared to sites with tooth brushing(p<0.05). However. there was no significant difference for the group with Curcuma xanthorrhiza containing toothpaste in sites either with or without tooth brushing. 6. The Bleeding on probing for the group without Curcuma xanthorrhiza containing toothpaste showed no significant difference even when tooth brushing was done. However, for the group with Curcuma xanthorrhiza containing toothpaste, bleeding on probing was significantly reduced compared to baseline when tooth brushing was done(p<0.05).
The aim of present study is to evaluate the influence of adjacent tooth to the microbiology of clinically healthy implant. Control group included patients who had clinically healthy implant and tooth with healthy $periodontium(PD{\leq}3mm)$, test group was composed of patients who had clinically healthy implant and tooth with periodontal pocket(PD>3mm). The criteria of clinically health implant are no pain or discomfort, the restorative suprastructure provide satisfactory fit and function, and the tissue around the fixtures were firm and probing with standard periodontal probe with a rounded tip 0.5mm in diameter resulted in penetration of no more than 5mm when using a force of 0.5N at any location. 38 patients, partially edentulous subjects with endosseous root-form implants were selected. All subjects were medically healthy and had not taken systemic antibiotics and professional plaque control 3 months before sampling. Number of control group is 25(mean age $52{\pm}13$, 26 teeth, 34 implants) and test group is 13(mean age $60{\pm}13$, 13 teeth, 17 implants). All teeth and implants of each patient were examined probing depth(PD), bleeding on probing(BOP), and plaque index(PI), and samples of subgingival plaque were obtained at each site with sterile curet or fine paper points, then the plaque transferred to PBS. Obtained samples were examined for the presence of P. gingivalis, T. forsythensis, and T. denticola by the polymerase chain reaction(PCR). The relationship among clinical parameters and the colonizations by the 3 bacterial species from natural teeth and implants region were analyzed by student t-test. The results of this study were as follows: 1. PD was different in teeth between 2 groups(p<0.05), but the other parameters were not. 2. Statistically significant difference was not found in clinical parameters of implants between 2 groups. 3. All bacterial prevalences of teeth were higher in test group than in control group, and prevalence of T. forsythensis had statistically significant difference between 2 groups(p<0.05). 4. Prevalences of P. gingivalis and T. forsythensis are higher in test group than control group, and that of T. denticola is higher in control group than in test group. But there were no statistically significant differences between 2 groups. In conclusion, there is no statistically significant difference in prevalence of implant microbiology between 2 groups. But if the number of samples increased, it will be possible to find out statistical significance in prevalence of P. gingivalis. It seems that pocket of adjacent tooth influences prevalence of P. gingivalis. These results mean that improvement of the periodontal condition before implantation is very important.
Journal of the Korean Academy of Esthetic Dentistry
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v.7
no.1
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pp.64-70
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1998
Recently as the interest on Esthetic Dental Prosthesis is arising, the domains of Esthetic Dentistry is being widely investigated. Esthetic Dental Prosthesis is influenced greatly by the shape, color, tooth arrangement of the teeth and the facial features(including the lips). So the degree to which these characters harmonize will be the professional esthetical standard while the satisfaction of the patient will be another esthetical measure. The reason for this is that each and every one of us has a different standard of what is considered beautiful. Of course it doesn't mean that every standard is correct. Then what does Esthetical Prosthesis mean and what should the standard be? This must be defined as a prosthesis that satisfies the basic requirements - margin, contour, occlusion, and at the same time it should restore the shape, color, and tooth arrangement which the client(patient) would love to have. As Esthetic Prosthesis contains its subjective meaning a great deal, it shouldn't be simply distinguished between the beauty of the teeth itself or ugliness. Also in some case, it needs surgical treatment to make it harmonious in the whole aspect so that one may keep the feeling of satisfaction and security. Then what is the shape, color, tooth arrangement that each individual wants? There is an indefinite variety. For example, considering arrangement both regular and irregular is considered beautiful by each different individual. Regular arrangement may be the standard of beauty for some, while irregular arrangement may be thought of as natural looking and beautiful. That is why there must be enough communication with the patient and an agreement be made at the clinic before a diagnostic plan and actual surgery. The treatment plan as mentioned above must be sent to the dental laboratory. In this research, by using case studies, I am going to the importance and appropriateness of the data and information for the dental technician's esthetic prosthesis.
Kim, Hee-Jung;Kim, Jin-A;Min, Jeong-Bum;Oh, Sang-Ho
Journal of Dental Rehabilitation and Applied Science
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v.23
no.1
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pp.11-19
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2007
There are have been reports that the distribution of electromyographical(EMG) activity is determined in a predictable manner by both the location and number of occlusal contacts. However, these reports placed an emphasis on whole dentition. Inclined plane contacts in the frontal plane are classified as A-, B- or C-types. Objectives: The aim of this study was to evaluate the relation between occlusal tooth contact patterns and EMG activity of masseter muscle during maximum voluntary clenching. Methods: Fifteen healthy human subjects(Mean age; 25.3 years) volunteered to participate in this study. Acrylic resin overlays were fabricated for upper 2nd premolars and 1st molars bilaterally, and offered 3 types(A-, B- and AB- type contact). EMG activity of the masseter muscles was recorded bilaterally during maximum voluntary clenching. Statistical analysis was performed using the one-way ANOVA. Results: The group with a A-type contact showed a statistically lower EMG activity of masseter muscle than that of natural group(p<0.05) and that of B- and AB- type groups(p<0.01) on both upper 2nd premolars and upper 1st molars. Conclusions: These results suggest that occlusal tooth contact patterns have an influence on EMG activity of masseter muscle during maximum voluntary clenching.
STATEMENT OF PROBLEM: Interpoximal papilla could be re-established without immeidate support with a provisional resotration following an immdiate implant placement. PURPOSE: Successful esthetic outcomes were reported utilizing immediate provisionalization following immediate implant placements. The aim of this study was to evaluate the soft tissue esthetics around immediately placed single tooth implant restorations with or without immediate provisional restorations. METHODS: A total of ten patients, who had a hopeless maxillary anterior tooth, were enrolled in this study. Screw retained provisional restorations were delivered to the randomly chosen 5 patients (immediate provisionalization group) on the day of immediate implant placement and maintained for about 5 months. For the remaining five patients (non-immediate provisionalization group), healing abutments were delivered on the day of surgery, replaced with screw retained provisional restorations approximately 3 months afterwards, and the provisional restorations were maintained for about 3 months. Digital photographs were taken at the delivery of final restorations in order to assess following variables; mesial papilla, distal papilla, soft tissue level, soft tissue contour and facial soft tissue prominence. The variables were compared to those of the contralateral natural tooth and scored by prosthodontists, periodontists, orthodontists and dental students. RESULTS: The immediate provisionalization group marked significantly higher scores on the following variables; soft tissue level and facial soft tissue prominence. In evaluating each variable, there were no notable differences in opinion between four dentist groups. CONCLUSION: Immediate provisionalization can be a treatment option to achieve superior soft tissue esthetics around immediately placed single implant restorations rather than non-immediate provisionalization approaches.
As widely known major cause of tooth discoloration is red blood cell in dentinal tubules after tooth trauma and extirpation. Hemoglobin in the red cells easily conbine with hydrogen sulfide and change natural tooth color into dark brown. To confirm and compare the effect of bleaching agents test material was made as fellows: No. 40 paper points were soaked in blood and put into the oven for 24 hours to dry. Dried paper points were again soaked in diluted yolk by distilled water for a minute and kept the points for a week to get fully sulfide. Hydrogen peroxide (25%), Sodium hypochlorite (2%), Sodium hyposulfate (2%), Sodium perborate and mixture of Hydrogen peroxide (25%) and Sodium perborate were employed as bleaching agents. About 0.2ml of each medicaments were put into the small test tubes and blood soaked paper points were gently placed vertically with the apex downward and kept 24 hours in the oven ($37^{\circ}C$). Every 24 hours the medicaments were renewed at 24 and 48 hours. Following are the results of the study: 1. Significant bleaching effect was found on the case of hydrogen peroxide (25%) after 24 hours. The area above 2mm from apex also fully bleached after 48 hours. 2. A mixture of hydrogen peroxide and sodium perborate treated case showed moderate effect at 24 hours and significant effect at 48 hours. High portion of the point (above 2mm) was bleached satisfactory at 72 hours. 3. The effect of sodium perborate at 48 hours showed moderate and significant at 72 hours. 4. Sodium hypochlorite and sodium hyposulfate were weak agent in bleaching. At 72 hours case revealed moderate effect and influenced on high portion of the point very weak effect.
Periodontal disease accompany the inflammation around periodontal tissue and generally periodontal destruction is followed, This destruction often makes the molar teeth have furcation defect. And to treat molar furcation involvement, resective surgery such as root resection and ostectomy and regenerative procedure such as guided tissue regeneration were introduced. Also implant can be considered as one of the good treatment methods, Among these treatment alternatives, root resection can be considered as a good procedure in the point of saving one's natural teeth or amount of cost. Therefore the purpose of this article is to evaluate root-resected teeth which were done at least 2 years ago. 70 root-resected teeth in 58 patient who visited Kyungpook National University Hospital were included in this study. They were evaluated by two clinical method. One is subjective evaluation and another is objective evaluation. To evaluate subjective outcome, 58 patients answered to the questionnaire if they experienced tooth extraction, bleeding, swelling, pain, mobility and chewing problem. To evaluate objective outcome, 28 teeth was evaluated according to Langer's criteria. The subjective result showed 82% of success rate and 18% of failure rate. 13 of 70 teeth showed discomfort and were considered as failure, which include chewing problem (39%) and pain (23%). The objective outcome showed that 4 failure (14% failure rate) which were 2 cases of bone loss by periodontal problem, one endodontic problem and one untreatable caries. By these limited results, some of clinical consideration in root resective procedure can be suggested. Periodontal support and less occlusal loading on resected tooth should be evaluated before the procedure, moreover, good oral hygiene is essential. When these factors are considered carefully, the root resection may produce predictive outcomes in the treatment of furcational involvement.
Park, Won-Young;Kim, Min Soo;Kim, Min-Seok;Oh, Min-Hee;Lee, Su-Young;Kim, Sun-Hun;Cho, Jin-Hyoung
The korean journal of orthodontics
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v.49
no.5
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pp.299-309
/
2019
Objective: This study aimed to investigate the effect of pre-applied orthodontic force on the regeneration of periodontal ligament (PDL) tissues and the underlying mechanisms in tooth replantation. Methods: Orthodontic force (50 cN) was applied to the left maxillary first molars of 7-week-old male Sprague-Dawley rats (n = 32); the right maxillary first molars were left untreated to serve as the control group. After 7 days, the first molars on both sides were fully luxated and were immediately replanted in their original sockets. To verify the effects of the pre-applied orthodontic force, we assessed gene expression by using microarray analysis and real-time reverse transcription polymerase chain reaction (RT-PCR), cell proliferation by using proliferating cell nuclear antigen (PCNA) immunofluorescence staining, and morphological changes by using histological analysis. Results: Application of orthodontic force for 7 days led to the proliferation of PDL tissues, as verified on microarray analysis and PCNA staining. Histological analysis after replantation revealed less root resorption, a better arrangement of PDL fibers, and earlier regeneration of periodontal tissues in the experimental group than in the control group. For the key genes involved in periodontal tissue remodeling, including CXCL2, CCL4, CCL7, MMP3, PCNA, OPG, and RUNX2, quantitative RT-PCR confirmed that messenger RNA levels were higher at 1 or 2 weeks in the experimental group. Conclusions: These results suggest that the application of orthodontic force prior to tooth replantation enhanced the proliferation and activities of PDL cells and may lead to higher success rates with fewer complications.
Journal of the Korean Society of Manufacturing Technology Engineers
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v.21
no.4
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pp.525-531
/
2012
This study aims at the structural analysis of vibration and fatigue according to the configuration of engine mount. Maximum equivalent stress or deformation is shown at bracket or case respectively. As harmonic vibration analysis, the maximum displacement amplitude is happened at 4,000Hz. Among the cases of nonuniform fatigue loads, 'SAE bracket history' with the severest change of load becomes most unstable but 'Sample history' or 'Saw tooth' becomes most stable. In case of 'Sample history' or 'Saw tooth' with the average stress of 4,200MPa or 0MPa and the amplitude stress of -3,000MPa or 7MPa, the possibility of maximum damage becomes 70%. This stress state can be shown with 7 times more than the damage possibility of 'SAE bracket history' or 'SAE transmission'. The structural result of this study can be effectively utilized with the design on engine mount by investigating prevention and durability against its damage.
Continuous taxonomic study on shrimps collected from Korean waters revealed that an alpheid shrimp, Alpheus albatrossae occurs in Korean waters. This species belongs to the macrocheles group of the genus Alpheus. This species is distinguished from other known species of the genus Alpheus in Korea by having orbital teeth and palm of large chela with three heavy longitudinal ridges and grooves terminating distally in (1) a heavy tooth above dactylar articulation, (2) the adhesive plaque, and (3) a heavy tooth below dactylar articulation. Korean Alpheidae fauna now consists of 21 species of seven genera.
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