Taehan Ch'ikkwa Uisa Hyophoe chi最新文献

Mediastinitis can be life-threatening complication of oral and maxillofacial surgery. Mediastinitis from odontogenic deep cervical infection is extremely rare in the era of antibiotic drugs. Such complication is subjected to the ravages of a gas-forming anaerobic infection. We have encountered such a case, with a rapid spread of the inflammatory process into the mediastinum resulting in a number of local and systemic complications. The submandibular fascial spaces served as a pathway for the propagation of an overwhelming infection along cervical planes in a posterior direction to the lateral pharyngeal spaces and then to the retropharyngeal spaces, the mediastinum. Despite massive antibiotic therapy, general supportive care and surgical drainage, the patient died.

Despite the curious role of tongue in the development of oro-facial structures the tongue remains as rather quiescent organ without bony skeleton. But it is said that neuro-muscular complex of tongue is important in the developmental and functional process. Ankyloglossia and macroglossia are occasionally implicated in the oral diseases. Many authors supposed that the ankyloglossia and macroglossia might produce various abnormal oro-facial growth, such as bimaxillary or mandibular protrusion and anterior open bite, etc. We have designed the classification of ankyloglossia by measuring the median lingual frenum length with lingual frenum ruler. It is well known that every people has a lingual frenum to some degree. So we analyse that the group showing less than 10mm of median frenum length is belong to mild ankyloglossia, the group showing from 10mm to 15mm of median frenum length is belong to moderate ankyloglossia, the group showing more than 15mm of median frenum length is belong to type 1 severe ankyloglossia, and the group showing clinically severe ankyloglossia but having less than 15mm of median frenum length is belong to type 2 severe ankyloglossia. We have experienced that the mild ankyloglossia usually causes no clinical complication to receive dental treatments. In the present study we investigated different clinical complications under this classification. We also recognized that the most retracted tongue position is a comparable criterion of tongue movement. The severer ankyloglossia showing thick lingual frenum is the more frequently associated with macroglossia and occlusal disharmony, and its most retracted tongue position is prone to locate high-anterior direction. Among 130 cases receiving lingual myoplasty 106 cases (81.5%) showed various malocclusions, 37 cases (28.5%) showed conspicuous speech problem, and 14 cases (19.8%) showed severe oro-facial deformity. The lingual myoplasty consists of two steps, the first is the same with frenectomy, and the second is the procedure of re-equilibrium of extrinsic tongue muscles mainly between genioglossus muscle and hyoglossus muscle. 130 cases which were belong to the group of moderate and severe ankyloglossia were selected for the lingual myoplasty, and the patients were ordered to keep on self training by the method of Dr. Lim's tongue movement. In three months after lingual myoplasty there was no relapse of ankyloglossia and the most retracted tongue position changed to inferior and posterior direction effectively (Tab. 6, 7, 8), and on gross finding the size of tongue seems to be decreased.(ABSTRACT TRUNCATED AT 400 WORDS)

This study was intended to investigate whether lip exercise affect the activities of the lips, tongue, digastric and masseter muscles and to understand the functional interrelationship between them. As the forces of maximum lip grimace was reduced to slight lip seal gradually, the electromyograph was taken from 9 conscious human adults with normal occlusion in the upper and lower lips, tongue, digastric and masseter muscle using surface electrodes, especially, newly designed subminiature surface electrodes which was attached directly to the tongue. The results were as follows. 1. During induced maximum lip grimace in the mandibular rest position, there're prominent increase of EMG activity in the upper and lower lips, tongue and digastric muscle 1714 mu v, 2787 mu v, 2142 mu v and 623 mu v, respectively, but there was little activity in the masseter muscle, 129 mu v. The force level induced by maximum grimace of the lips was about 110g when the force transducer was positioned between upper and lower lips in the incisor area. 2. As the lip forces were reduced gradually, EMG activities of the lips, tongue and digastric muscles were decreased definitely with certain tendency, but there was no change in the masseteric EMG activity. Above mentioned results suggest that (1) lip exercise can promote the activities of the lips, tongue and digastric muscles but cannot change the activity of the masseter muscle and (2) masseteric muscle activity seems to be independent of the lips and the tongue but digastric muscle activity is related more closely to them through lip exercise in the subjects with normal occlusion.

The author has undertaken clinical studies on oral infections in the oral cavity and maxillofacial regions by analyzing 987 patients with infections among 3,921 in-patients hospitalized in the Department of Oral and Maxillofacial Surgery, Seoul National University Hospital past 7 years from 1980 to 1987. The results obtained were as follows: 1. Oral infection as inflammatory disease in dentistry is still very important disease occupying 25.4% of diseases in oral and maxillofacial regions. 2. The high 3 top inflammatory diseases in the department of oral and maxillofacial surgery admitted were odontogenic maxillary sinusitis (37.6%), osteomyelitis (29.1%), and abscess (22.2%) among 14 kinds of oral infections. 3. Anaerobic bacterial infections tend to be increasing since new developed bacterial culture chamber has been used.

The purpose of this study was to evaluate the stress distributions of fixed partial dentures with secondary abutments. In the case where the lower first premolar and the second premolar were missing, four 2-dimensional photoelastic models with the canine and the first molar as primary abutments with secondary abutments were prepared as follows; Model I: primary abutments only. Model II: primary abutments with the lateral incisor as the secondary abutment. Model III: primary abutments with the second molar as the secondary abutment. Model IV: primary abutments with the lateral incisor and the second molar as secondary abutments. Two-dimensional photoelastic stress analysis was used with the stress areas recorded photographically. A vertical load was applied to the pontic in each case. After the stress patterns in surrounding tissues of the abutments were observed and recorded, the conclusions were as follows: 1. In model I, applied force was distributed to the long axis of the abutments. 2. In model II, III, IV, all the secondary abutments showed compressive stresses. No tensile stresses were developed. 3. The mesial aspect of the lateral incisor and the distal aspect of the second molar as the secondary abutment showed no compressive stresses.

The objective of this investigation was to determine whether the composition of composite resin affects the amount of residual monomers and the strength of resin. Six types of resin composition were designed and 30 composite resin specimens were made in glass mold of 6mm diameter and 3mm height. The residual monomer of each specimen was extracted by 10cc ethanol solution for 1, 2, and 3 days of experiment. UV/Vis spectrophotometer was used to estimate the amount of residual monomer of the specimen, and universal testing machine was used to test the diametral tensile strength of the composite resin. The results were as follow; 1. Composite resins of 1% benzoyl peroxide concentration released the higher level of residual monomers than the resin of 0.8% benzoyl peroxide concentration. 2. t-Butylaminoethylmethacrylate.HF of 17% concentration exhibited the greater level of residual monomer than the other resin monomers. 3. As the concentration of the trimethylolpropane trimethacrylate increased, the amount of Bis-GMA residual monomer increased. 4. Composite resin of 1% benzoyl peroxide concentration showed higher tensile strength than the resin of 0.8% benzoyl peroxide concentration. 5. As the concentration of trimethylolpropane trimethacrylate increased above 50%, the strength of the composite resin decreased.

Pericoronitis is the most commonly encountered pathologic condition involving the mandibular third molar. Because of the dangers associated with mandibular third molar pericoronitis, prophylactic extraction of third molar at high risk has been recommended. We studied 411 patients with mandibular third molar pericoronitis by clinical symptoms and radiographic measurement of mandibular third molar height, wideth and angulation. The results were as follows: 1. Mandibular third molar pericoronitis is frequently seen in third decade and there are no sexual difference significantely. 2. In inflammatory type of mandibular third molar pericoronitis, chronic pericoronitis occured more frequently than acute type. 3. In relation to angulation and height, mandibular third molar most likely to be afflicted with pericoronitis is vertical eruption at occlusal plane of the second molar. 4. In relation to angulation and width, it appears that the position of the mandibular third molar most likely to be afflicted with pericoronitis is in a vertically erupted tooth of which the space between the ramus and the distal side of the second molar is less than the mesiodistal diameter of crown. (Class II). 5. In relation to height and width, it appears that the position of the mandibular third molar most likely to be afflicted with pericoronitis is class II width (described above)at occlusal plane of the second molar.

This study was performed to investigate the reliability of EM2 (Myotronics research Inc.). Two dentists as examiners took part in the study and examined 21 dental students, Seoul National University, respectively and repeatedly. Strong correlations could be found between the results of examinations. Conclusively, it is believed that the use of EM2 could be an electrodiagnostic modality for diagnosis and evaluation for the activity of masticatory muscles.

The present study was performed to evaluate the effect of tricalcium phosphate implant in human osseous defects. 4 intraosseous defects in 2 patients were treated with mucoperiosteal flap and tricalcium phosphate (TCP) implant and another 5 defects in the same patients were debrided only via mucoperiosteal flap. The healing response was evaluated clinically 10-12 weeks after treatment. More reduction in probing depth and more gains in probing attachment levels were observed in implanted sites than in control sites.