bluuebunny/crossref_metadata_2025 huggingface dataset:
Effect of Epigallocatechin-3-Gallate on the alveolar bone remodeling and arthritis in collagen-induced arthritis model in mice
Authors: Cho In-Woo , Yim Seong-Jun , Shin Hyun-Seung , Park Jung-Chul
Published: August 2024

The aim of this study was to evaluate the effect of Epigallocatechin-3-Gallate (EGCG) on the alveolar bone metabolism in a collagen-induced arthritis (CIA) model in mice to enhance the understanding of rheumatoid arthritis (RA)-associated alveolar bone loss. Following the induction of CIA in animals (mice, n=16), mandibles were retrieved for micro-computed tomography (micro-CT) and isolation of alveolar bone cells (ABCs). In vitro osteogenic potentials of ABCs were evaluated and the mRNA expression of downstream effector genes was assessed. CIA was successfully induced in all animals, and micro-CT data showed that alveolar bone loss was significantly increased in the CIA group while the treatment of EGCG prevented the alveolar bone resorption. Osteogenesis by ABCs was significantly increased in the CIA+EGCG group in vitro. The analysis of mRNA expressions showed that osteoclastogenesis-associated genes were increased in CIA group while bone protecting genes were upregulated in EGCG treated group. The results demonstrate that EGCG downregulated the alveolar bone resorption in a CIA model in mice, and upregulation of bone protecting genes appear to be involved. Further studies are warranted.
Ceramic veneers without tooth reduction: A clinical report
Authors: Lee Wonsup , Kwon Ho-Beom
Published: August 2024

This clinical report presents conservative and esthetic ceramic veneer treatments without tooth reduction. Patients' benefit from avoiding invasive procedure is discussed in terms of biologic price. The margin is placed not only at the cervical area, but also at any place on the tooth where additive volume increase is required. Techniques to camouflage the margin is described where contact lens effect is difficult to achieve. Proper case selection would be imperative to avoid periodontally hazardous restoration.
Pathogens and Their Antimicrobial Susceptibilities of Endodontic Infection in Type II Diabetes Mellitus Patients
Authors: Cho Ju-Yeon , Kim Sung-Kyo
Published: August 2024

Aim: The purpose of this study was to identify dominant pathogens and their antimicrobial susceptibilities of endodontic infection in type II diabetes mellitus (DM) patients to determine effective empirical antibiotics. Methodology: Pathogens from endodontic infection in six patients with DM and in six patients without DM were cultured, identified and their antimicrobial susceptibility was tested using Vitek2 systems (bioMacuteerieux, Marcy l' Etoile, France). The results were analyzed using Chi-square test and Fisher's exact test at P< 0.05 level. Results: Pathogens of opportunistic infection were dominant in DM patients (P=0.015). However, there was no significant difference of antimicrobial susceptibility between DM and non-DM patients. Relatively high percent (27%) of pathogens showed resistance to penicillin. Conclusions: More cautions should be paid to DM patients because they are prone to opportunistic infection. Penicillin is not effective in the control of endodontic infection.
Determinants of pay satisfaction of dental employees
Authors: Bak Yeong-Chan , Jeong Seong-Hyeon , Bak Seong-Nam , Kim Eui-Jeong , Shin Hosung
Published: August 2024

The purpose of this study is to analyze the determinants of pay satisfaction of dental employees. The questionnaire used in this study consists of personal characteristics, characteristics of workplace, administration of pay, Pay satisfaction questionnaire (PSQ). PSQ was translated, and backward translation into korean was implemented. A pilot test was conducted with 25 dental employees to complete the questionnaire. Survey was conducted from February to July in 2015, receiving 323 valid responses. Anova or t-test was conducted with categorized characteristics, by calculating pay satisfaction scores. Principal factor analysis which is an exploratory factor analysis was conducted to investigate the consistency of pay satisfaction. Multiple regression analysis was conducted to investigate how much effect the variables have on pay satisfaction. The result of principal factor analysis showed that pay satisfaction consists of 3 factors which are 'paying system', 'pay level', 'benefits'. 'Pay raise' which was one of 4 factors of original PSQ was not the factor of pay satisfaction of dental employees. The result of analysis of characteristics showed that the scores of paying system between dental clinic and dental hospital had significant difference. The result of multiple regression analysis showed tendencies pay satisfaction increases when age and monthly income increases and whole career and the number of unit chairs decreases. Increasing the autonomy of employees and simplification of paying system would improve pay satisfaction efficiently. When age increases, the pay level increases because of the seniority-based pay structure, and this leads to the higher satisfaction. The higher amount of pay leads to higher satisfaction. The expectation over pay increases relatively higher than the increase of pay level and this leads to the less satisfaction. When the number of unit chairs is fewer, the workplace is smaller, so the employees have more autonomy, and this leads to higher satisfaction.
Full mouth rehabilitation with vertical dimension increase in patient with severely worn out dentition
Authors: Jung Ji-Hye
Published: August 2024

Severe tooth wear may cause the pathologic change of the TMJ and masticatory muscles, unesthetic facial appearance, pathogenic pulp and occlusal disharmony. Treating patients with severely worn dentition often requires full mouth rehabilitation with increasing vertical dimension. Proper diagnosis and treatment planning are important for esthetic and functional definitive restorations and the long term stability of the neuromuscular system and the TMJ. In this case, 66 year-old female presented with generalized worn dentition. Based on assessment, pathologic destruction of teeth structure on entire dentition was caused by masticatory force and diet habit without loss of vertical dimension. Subsequently, 3 mm increase of vertical dimension that based on incisor for tooth restoration and esthetic improvement was determined. After 8 weeks stabilization period with temporary fixed prostheses, definitive prostheses were fabricated. After 6 months follow up period, satisfactory outcomes were attained both functional and esthetic aspects through this procedure.
Working knowledge of National Health Insurance in dental clinic: dental records and the receipt book
Authors: Jin Sang Bae
Published: August 2024

Dental care is becoming more available on the NHI(National Health Insurance) in Korea. Especially, complete denture, partial denture, dental scaling, and dental implant has been applied by NHI from 2012 to 2014. Although, the entire nation is not eligible for the benefit now, the more dental coverage of NHI is extended, the more regulaition is tightened. Essential documents for proof of correctness of dental treatment covered by NHI are dental records and the receipt book. Summary of regal regulation about them is as follows 1. Chief complaints of patients, diagnosis, progress, and act of treatment, drugs and materials of treatment, doctor's sign, date and hour should be placed accurately on dental record 2. Dental clinic should collect patients sharing of the dental cost covered by NHI. 3. Dental clinic should keep the receipt as proof of purchase of dental drugs or materials.
The study about operation condition of dental hospital and clinics used public data : focus on population of local autonomous entity
Authors: Yu Su-Been , Song Bong-Gyu , Yang Byoung-Eun
Published: August 2024

This study assayed regional distribution of dental hospital & dental clinics, the number of population & households per one dental hospital & clinic, operation condition & duration. This study used public data that display from 1946 years(the first dental clinic open in republic of korea) to 2016 years. We collected present condition of 21,686 dental hospital and clinics available in public data portal site on 28. Feb.2016. Data were classified by scale, location, permission year, operation duration of dental hospital & clinics and were analyzed using SPSS 20.0 program. Surveyed on Feb. 2016. Best top 10 regions of permission dental clinics are (1) Gangnam-gu, Seoul(1,337), (2) Seongnamsi, Gyeonggi-do(555), (3) Songpa-gu, Seoul(491), (4) Yeongdeungpo-gu, Seoul(472), (5) Suwon-si, Gyeonggi-do(443), (6) Seocho-gu, Seoul(428), (7) Nowon-gu, Seoul(417), (8) Goyang-si, Gyeonggi-do(413), (9) Jung-gu, Seoul(380), (10) Yongin-si, Gyeonggi-do(353). Whereas best top 10 regions of operating dental clinics are (1) Gangnam-gu, Seoul(581), (2) Seongnamsi, Gyeonggi-do(415), (3) Suwon-si, Gyeonggi-do(382), (4) Seocho-gu, Seoul(320), (5) Changwon-si, Gyeongsangnam-do(303), (6) Songpa-gu, Seoul(295) (7) Goyang-si, Gyeonggi-do(290), (8) Bucheon-si and Yongin-si, Gyeonggi-do(262), (9) Jeonju-si, Jeollabuk-do(224). Average population per one dental hospital & clinic by regional local government are 3,120 people. Best five region of population per one dental hospital & clinic are (1) Sejong-si(5,272), (2) Gangwon-do(4,653), (3) Chungcheongbuk-do(4,513), (4) Gyeongsangbuk-do(4,490), (5) Chungcheongnam-do(4,402). Average households per one dental hospital & clinic by regional local government are 1,316 households. Best three region of households per one dental hospital & clinic are (1) Sejong-si(2,126), (2) Gangwon-do(2,057), (3) Gyeongsangbuk-do(1,946). From 1946 to 1986, permission and operating dental hospital and clinics was steadily increasing. On 1986-1990, 1991-1995, permission, operation and closure of dental hospital and clinics increase rapidly. From the 2011-2015 to 2016(present), permission, operation and closure of dental hospital and clinics is decreasing. Average operating duration of closured dental hospital and clinics are 14.054 years. We need to map of dental hospital and clinics for open and operation of one, base on analyzed results. In an era of 30,000 dentist, we should to be concerned about operation of dental clinics in the light of past operating condition.
Sample size estimation using nomogram in dental research
Authors: Kim Ki-Yeol
Published: August 2024

The appropriate sample size calculation in dental research is important to achieve the study purpose at the first step in study design. However, it cannot be easy to calculate sample size using standard formulas, because the several factors must be considered for calculation. This study introduced the graphic method for sample size calculation, which is called nomogram. The purpose of this study is to show the effectiveness of the nomogram using examples, expecting the researchers can easily use nomogram for sample size determination.
Preparation guidelines for CAD/CAM inlay/onlay restorations
Authors: Son Song Ae
Published: August 2024

Currently with the continuous development of ceramic and cementation materials, CAD-CAM(Computer-aided design/Computer-aided manufacture) restorations are becoming increasingly popular in esthetic dentistry. Preparation design is influenced by the selected restorative material, the fabrication method, and the ability to bond the restoration. For long-lasting CAD/CAM inlay/onlay restoration, clinicians should understand the basic knowledge of CAD/CAM restoration's cavity design to obtain the fracture resistance and proper fitting margin. This article gives an overview of preparation guidelines for CAD/CAM inlay/onlay restorations.
Diagnosis and Treatment of odontogenic cutaneous sinus tract : a retrospective study
Authors: Kim Sung-Joon , Kahm Se Hoon
Published: August 2024

The odontogenic cutaneous fistula in facial area is uncommon but, well defined disease. It is difficult to diagnose from the dental origin of cutaneous sinus tract. Most patients may visit to the dermatologists or general hospital without cause of disease. They usually be treated by repeated surgical excisions, biopsies, and antibiotic medications, but suffered from recurrences. We studied odontogenic cutaneous fistula through retrospective study in Jeju Special Self-Governing Province between 1 January 2009 and 12 December 2015. There were 3 males, 5 females from 14 to 78 years old with an average age of 50.4 years old. Only 2 patients felt the toothache, others didn't detect it. They suffered from recurrences and repeated treatments for 3 to 11 months with an average period of 7.9 months. They visited average 2.8 hospitals before a precise diagnosis in a dental clinic. All cases were fully healed endodontic treatment or extraction of origin teeth without recurrences. In conclusion, the cause of cutaneous fistula in facial area can be odontogenic. If dentists or doctors diagnose a patient with cutaneous fistula on face, they should check dental problems or take x-ray views for precise diagnosis. It could be helpful for differential diagnosis.
Clinical evaluation of the effects of free gingival and extracellular matrix grafts to increase the width of the keratinized tissue around dental implants
Authors: Jeong Hwi-Seong , Kang Jun-Ho , Chang Yun-Young , Yun Jeong-Ho
Published: August 2024

Inadequate keratinized mucosa around dental implants can lead to more plaque accumulation, tissue inflammation, marginal recession and attachment loss. We evaluated the effects of free gingival and extracellular matrix membrane grafts performed to increase the insufficient width of keratinized tissue around dental implants in the posterior mandible. A 47-year-old female patient presented with discomfort due to swelling of the lower right second premolar area. Due to severe destruction of alveolar bone, the tooth was extracted. After 3 months, a guided bone regeneration (GBR) procedure was performed and then a dental implant was placed 6 months later. During the second-stage implant surgery, free gingival grafting was performed to increase the width of the keratinized tissue. After 12 months, a clinical evaluation was performed. A 64-year-old female patient had a missing tooth area of bilateral lower molar region with narrow zone of keratinized gingiva and horizontal alveolar bone loss. Simultaneous implant placement and GBR were performed. Five months after the first-stage implant surgery, a gingival augmentation procedure was performed with an extracellular matrix membrane graft to improve the width of the keratinized tissue in the second-stage implant surgery. After 12 months, a clinical evaluation was performed. In these two clinical cases, 12 months of follow-up, revealed that the increased width of the keratinized tissue and the deepened oral vestibule was well maintained. A patient showed a good oral hygiene status. In conclusion, increased width of keratinized tissue around dental implants could improve oral hygiene and could have positive effects on the long-term stability and survival rate of dental implants. When planning a keratinized tissue augmentation procedure, clinicians should consider patient-reported outcomes.
A Study on the Regulation of Dental Medical Advertisements -Focusing on the Decisions of the Supreme Court and the Constitutional Court-
Authors: Chang Yeonhwa , Baek Kyonghee
Published: August 2024

As the citizens' life and body are the object of medical practice, it should ultimately protect the citizens' right of health. For this reason, medical practice possesses characteristics of non-profit and public and such special characteristics caused heavy regulations in the medical industry as exemplified by medical advertisements. For advancement of market economy, the government has been moving toward relaxing regulations in the medical industry and this trend can be shown in medical advertisements. Moreover, as a type of commercial advertisements, medical practitioners should be able to express their freedom of expression and freedom to occupation. From the perspective of patients who are medical consumers, they need access to information to locate appropriate medical practitioners and institutions for their symptoms. Therefore, medical advertisements can help realize the patients' right to know. This study will first analyze the general theories behind the necessity of medical advertisements and details of regulations, then analyze the issues from the cases of the supreme court and the constitutional court that are related to dental medical advertisements.
Application and usefulness of Ultrasound sonography in dentistry
Authors: Choi Yong Suk , Seo Yoo Kyung , Kang Ju Hee , Oh Song Hee , Kim Gyu Tae , Hwang Eui Hwan
Published: August 2024

Ultrasound sonography(US) is used to evaluate various diseases of oral and maxillofacial region including salivary glands, soft tissue and jaw lesions because of easy accessibility and no hazard of ionizing radiation. Also, US can offer dynamic study showing real-time images during diagnostic or surgical procedure. US images provide accurate information about the internal features of lesions on the jaw prior to surgical treatment. Doppler images are used to visualize the vascular distribution of the lesions and to provide additional information to enhance diagnostic value. It is necessary to evaluate the diagnostic value of US and evaluate its usefulness by looking at clinical cases using US images. Therefore, US imaging may be recommended as an assistant image in evaluating jaw lesions. US images provided accurate information about the internal structure of lesions on the jaw prior to surgical treatment, and diagnostic value was enhanced by visualizing the vascular distribution of the lesion using doppler imaging. We report the protocol and suggest the effectiveness of US for various lesions and US-guided sialography.
Regenerative medicine using dental tissue derived induced pluripotent stem cell-biomaterials complex
Authors: Jun Soo-Kyung , Lee Hae-Hyoung , Kim Hae-Won , Lee Jung-Hwan
Published: August 2024

In recent years, many researchers and clinicians found interest in regenerative medicine using induced pluripotent stem cells (iPSCs) with biomaterials due to their pluripotency, which is able to differentiate into any type of cells without human embryo, which of use is ethically controversial. However, there are limitations to make iPSCs from adult somatic cells due to their low stemness and donor site morbidity. Recently, to overcome above drawbacks, dental tissue-derived iPSCs have been highlighted as a type of alternative sources for their high stemness, easy gathering, and their complex (ectomesenchymal) origin, which easily differentiate them to various cell types for nerve, vessel, and other dental tissue regeneration. In other part, utilizing biomaterials for regenerative medicine using cell is recently highlighted because they can modulate cell adhesion, proliferation and (de)differentiation. Therefore, this paper will convey the overview of advantages and drawbacks of dental tissue-derived iPSCs and their future application with biomaterials.
Analysis of Job Satisfaction among Female Dentists in Gwangju
Authors: Choo Hyun Hee , Cho Jin-Hyoung , Kim Min-Seok
Published: August 2024

The study of job satisfaction among female dentists is essential to improve the quality of their life. In this study, a job satisfaction survey of female dentists in Gwangju was performed and the factors affecting job satisfaction were examined. A survey of female dentists in Gwangju was conducted using a custom-designed and validated questionnaire which incorporated the Korean Dentist satisfaction Survey (KDSS) as well as questions regarding socio-demographics and professional characteristics. Satisfaction for each question was measured by a 5-point Likert scale. The final analysis was performed with 89 questionnaires, after excluding 3 non-response questionnaires. Analysis of the data for each group was carried out using a Mann-Whitney U test and Kruskal-Wallis H test. The reliability of the questionnaire was identified by the internal consistency of the survey using Cronbach coefficient. The data were statistically analyzed using SPSS (IBM SPSS Statistics 19, SPSS Inc, Chicago, Ill, USA). The level of statistical significance was set at p = 0.05. On analyzing with use of the above mentioned method, the following findings were observed: Income, leisure time, time for self-development, and overall job satisfaction were lower than the average, especially the percentage of dissatisfaction was much higher than that of satisfaction. Satisfaction was associated with age, duration of employment, and the number of assistants. The limitations of this study are the lack of an adequate sample size, convenience sampling during extraction, the lack of questionnaire items, the limitations of quantitative research, and failure to perform measurement in the non-response group. However, female dentists can be expected to achieve a more satisfactory and enhanced working environment if the research based on the current study is followed up in an expanded target group.
Subepithelial connective tissue graft in combination with enamel matrix derivative for root coverage within different case of gingival recession: Case report
Authors: Lee Jae-Hong
Published: August 2024

Root coverage can be an efficacious treatment not only in aspect of dental symptoms like root caries and hypersensitivity, but also in aspect of esthetic problem. There are several predictable methods for gaining a connective tissue attachment to an exposed root surface. Among them, this case report will deal with three cases using enamel matrix derivative and connective tissue graft to recover esthetic and physiological periodontal environment and its form. This case report deals with three patients with gingival recession which has occurred by different causes. They were treated with de-epithelialized graft accompanied by application of enamel matrix derivative. 6-12 months later, all three patients showed considerable root coverage and clinically stable condition of healing. In conclusion, within the limitation of this study, de-epithelialized connective tissue graft accompanied by application of enamel matrix derivative shows stable and clinical acceptable results in aspect of root coverage.
Squamous cell carcinoma of the maxillary sinus mimicking periodontitis
Authors: Na Ji Yeon , Kang Joo Hyun , Choi Seong-Ho , Jeong Ho-Gul , Han Sang-Sun
Published: August 2024

Maxillary sinus squamous cell carcinoma is a relatively rare disease, comprising only 3% of malignant diseases of head and neck. As the growth rate is high and its prognosis is poor compared to others, the 5-year survival rate of maxillary sinus squamous cell carcinoma(MSSCC) is 23.4-49%. We introduce two rare clinical cases of squamous cell carcinoma originated from maxillary sinus of which symptoms include toothache and gingival swelling. On clinical examinations of both patients, deep periodontal pockets on upper right posterior teeth were detected. On panoramic images, the bony destruction of the maxillary sinus and its surrounding structures were not obvious and only alveolar bone loss was noted. It is difficult to diagnose MSSCC at an early stage due to symptoms of tooth pain and gingival swelling that are similar to that of periodontal diseases. However, if the symptoms do not improve after routine treatment of upper teeth, dentists should bear in mind of underlying malignant mass as differential diagnosis, thus early detection of the lethal disease. The aim of this study is to caution dental practitioners that malignancies have a potential to mimic periodontal diseases by introducing two cases of maxillary sinus squamous cell carcinoma presented as periodontitis.
Strategies and Tasks of Exporting Dental Education
Authors: Kim Hee-Kyung , Han Jung-Suk
Published: August 2024

Recently, education is regarded as a service item and university education services are being exported abroad. In the form of educational export operations, export of educational contents and curriculum, specific consultancy projects for foreign institutes, installation of local educational facilities, or attracting foreign students are being carried out. Korea has the potential and competitiveness to export dental education. The advantages of Korea's dental education services, such as dental equipment and materials, excellent education programs, and high-quality human resources, will enable the export of education services in various ways. Establishment of educational infrastructure and educational programs for overseas dental students, export of educational consulting items, clinical training programs for foreign dentists abroad, invitation for international clinical workshops, dispatch of faculty members, exchange student programs can be considered as exporting dental education service items. Therefore, in a long-term perspective, it is necessary to establish differential and appropriate educational export plans.
Cosmetic application of botulinum toxin on maxillofacial area
Authors: Lee Sang Hoon
Published: August 2024

Cosmetic use of botulinum toxin in the maxillofacial area has increased. Lower facial contouring is mostly performed procedure. Treatment of dynamic lines of the forehead, glabella, lateral orbit is also popular. Specific injection sites and clinical guidelines are presented.
Correction of Transverse Discrepancy with Slowly Maxillary Expansion by Hyrax type expander in Adult Patient
Authors: Kwak Kyoung Ho , Kim Seong Sik , Kim Yong-Il , Park Soo-Byung , Son Woo-Sung
Published: August 2024

Approximately 30% of adult patients who want orthodontic treatment have transverse discrepancy with insufficient width of the maxilla. Particularly, in Class III patients requiring orthognathic surgery, the frequency of insufficient width of the maxillary arch related to respiratory problems is high. We report a case of non-surgical maxillary expansion using a Hyrax type expander with an orthognathic surgery, based on the reports that the ratio of non-fused midpalatal suture is not high in adults. A 30 years and 2 months old woman with a long face showed an Angle Class III with a vertical growth pattern. Class III molar and canine relation, anterior edge bite, and mandibular incisor compensatory lingual inclination were observed. The posterior buccal overjet seemed to be appropriate, but I diagnosed that there was a transverse discrepancy, for the following reasons. The inter-canine and inter-molar widths were sufficient but excessive lingual inclination of the mandibular molars was observed when assessing the bucco-lingual inclination based on the center of resistance of the maxillary and mandibular first molar. For this reason, it was expected that intercuspal interference would occur during orthodontic decompensation. Therefore, slow maxillary expansion using Hyrax type expander was performed and 2-jaw rotation surgery was performed to improve aesthetic and occlusion. Adults can also improve width discrepancy by non-surgical methods, which can avoid SARPE requiring additional surgery or segmental surgery lacking stability and predictability.
A simple colorimetric method for the clinical evaluation of caries activity in adults
Authors: Kim Hyo-Jung , Ku Hye-Min , Lee Eun-Song , Kwon Ho-Keun , Kim Baek-Il
Published: August 2024

Purpose: The aim of this study was to confirm the validity of the CariviewTM, test in adults by assessing correlations between CariviewTM, scores and caries experience using a quantitative light-induced fluorescence (QLF) technique. Methods: This retrospective cross-sectional study included 111 patients aged 19-64 years who visited a dental clinic in Seoul from 2015 to 2016, and underwent the CariviewTM, test and had their teeth photographed with the Qraycam. Plaque was scraped with sterilized cotton swabs, and then placed in a culture medium and incubated at 37°C for 48 h. Finally, the degree of color change was evaluated, and scored on a 0-100 point scale. Caries experience index included not only cavitated lesions but also early caries that were detected on white and fluorescence images. Participants were divided into low, moderate and high caries risk groups according to the CariviewTM, score, and caries experience was compared between risk groups using ANCOVA. Spearman correlation coefficients were calculated to analyze the associations between CariviewTM, scores and caries indices. Result: The mean age of the participants was 40 years, and the mean CariviewTM, score was 53.6pm20.7. The WDMFT and the DMFT indices significantly increased with caries risk, and this increase was significantly different between the low- and high-risk groups. The CariviewTM, test scores were significantly correlated with the WDMFT (r = 0.28, P = 0.003) and DMFT (r = 0.29, P = 0.002) indices. Conclusion: The CariviewTM, test could be a clinically useful and simple method for assessing caries risk in adults.
Oral Mucosal Lesions
Authors: Ryu Mi Heon
Published: August 2024

A wide variety of benign and malignant lesions and other diseases can develop on oral mucosa. Oral mucosal lesions can also be associated with an underlying systemic disease, so their correct diagnosis, which may even share similar clinical and demographic features, is always a challenge for a dentist. Common oral mucosal lesions include candidiasis, herpes viral infection, leukoplakia, recurrent aphthous stomatitis, pemphigus, lichen planus and benign migratory glossitis. The differential diagnosis of these lesions are based on a thorough review of the patient's past medical and dental history and a complete oral examination. The knowledge of clinical features such as size, location, morphology, color, and pain is helpful in establishing a diagnosis. In addition, diagnostic tests, including microbiologic and laboratory tests and biopsies are usually required for establishing a proper diagnosis.
Implant assisted removable partial denture using a few remaining maxillary teeth and locator bar system: A case report
Authors: Kim Seong-Jung , Bae Eun-Bin , Jeon Young-Chan , Jeong Chang-Mo , Yun Mi-Jung , Lee So-Hyoun , Huh Jung-Bo
Published: August 2024

Treatment with removable partial denture is effective for partially edentulous patients who are unable to obtain sufficient retention and stability for functional and esthetic restoration. There are several cases reporting the improvement of retention and stability of the partial denture using a small number of implants. However, there are limited studies on the implant-assisted removable partial denture using a small number of remaining teeth and the bar locator system. The bar locator system has an advantage in that it could compensate the angle of insertion of removable prosthesis on implant with inconsistent placement angle due to anatomical constraints compared to when using the locator only. This case report describes the patient with Parkinson°Øs disease who was treated with the Locator bar system using two previously placed implants and two remaining teeth on maxilla. No additional implants could be placed because of the medical and economic condition of the patients, and the angle of one of two implants could not be matched with the direction of the removable partial denture insertion. Considering the angle of the implants, the patient was treated with implant-assisted RPD using the Locator bar system and had satisfactory results in the aspect of esthetics, masticatory function, and oral hygiene maintenance.
Application of dental microscope in endodontic treatment procedure.
Authors: Choi Sung Baik
Published: August 2024

1. Diagnosis Diagnosis of Crack, Direct pulp capping 2. Access opening Find the calcified canal orifice Removal of dentin shelf Obtaining the MB2 canal (MB2, MB3, DB2) 3. Perforation repair during endodontic treatment 4. Removal of the separated files 5. Open apex treatment 6. Void removal on CWT procedure 7. Re-endodontic treatment Removal of restorative material filled in pulp chamber Post removal Identification and removal of residual gutta-perch 8. Surgical endodontic treatment In each case will overview how to use a dental microscope.
Management of Endodontic Perforation
Authors: Jang Ji-Hyun
Published: August 2024

Root canal perforations are defined as the communication between the pulp cavity, the periodontal tissue and alveolar bone. The occurrence of perforations during endodontic treatment is reported to range from 2.3%~12%, which is not a complication rarely happens. Perforations have iatrogenic or pathological etiologies that involve caries or resorption. It leads to inflammation and the destruction of periodontal fibers and alveolar bone, followed by periodontal defects. Mineral trioxide aggregate (MTA) is currently the most indicated material for repair of root perforation, because of its favorable biocompatibility and sealing ability. Using magnification with dental operating microscope enhance the accessibility and visibility to manage the root perforation. It is important to diagnose and repair perforations immediately if possible.
Electromyographic activity of masseter and temporal muscle at daytime clenching in adult and adolescent sleep bruxers
Authors: Jang Insan , Lee Kyoung-Hoon , Choi Dong-Soon , Cha Bong-Kuen
Published: August 2024

Objective: To compare the electromyographic activity of masseter and temporal muscles between bruxers and nonbruxers in adult and adolescent patients. Material and Methods: The samples composed of the surface electromyography (EMG) recordings obtained from the orthodontic patients. Sixty-eight patients who had bruxsim habit (43 female and 25 male) were divided into four groups according to their age and gender. Control groups consisted of 79 patients who had not bruxism habit. EMG of the masseter muscle and anterior temporal muscle were recorded before treatment in clenching at maximum intercuspation. The ratio of temporal and masseter muscle activity (T/M ratio) was compared between bruxers and nonbruxers in adult and adolescent patients. Results: EMG of masseter muscle and temporal muscle were significantly higher in adult male bruxism group than control. T/M ratio in adult male bruxism group was significantly lower than in adult male nonbruxism group. However, there was no significant difference in T/M ratio between adolescent bruxism group and adolescent nonbruxism group. Conclusions: The balance in the activity of the masseter and temporal muscles may not differ between bruxers and nonbruxers during adolescent periods. However, in adult period, the masseter muscle activity against temporal muscle is greater in males with bruxism habit compared to non-bruxer.
Burning Mouth Syndrome
Authors: Jeong Sung-Hee
Published: August 2024

Burning mouth syndrome(BMS) is a burning sensation in the oral mucosa and doesn°Øt have any identifiable oral lesion and organic etiology. Diagnosis of BMS is mainly based on clinical features and serial exclusion of other possible causes. There is no specific examination for BMS and that could embarrasse the dentist. In this study, the characteristics, differential diagnosis and several treatments of BMS are presented so that dentists can better diagnose BMS to maintain a good relationship with the patients.
Xerostomia and halitosis : A review and current concepts
Authors: Lee Yeon-Hee
Published: August 2024

Xerostomia is usually caused by a reduced salivary flow or by changes in the biochemical composition of saliva. Halitosis or oral malodor is an offensive odor usually originating from the oral cavity. Halitosis can lead to anxiety and psychosocial embarrassment. The occurrence of halitosis closely related with intraoral conditions including the presence of xerostomia. Especially, the relationship between xerostomia and halitosis is prominent in elderly patients receiving polypharmacy with at least two systemic diseases. This study is a review of the update literature of xerostomia and halitosis. A large number of papers have been searched and identified using the words , , , , , ,  and . Papers not relevant to the issue were removed reducing the entries to 79 only. Most of identified papers were systematic reviews, non-systematic reviews, and observational studies. With a proper diagnosis, identification of the etiology and timely referrals certain steps are taken to create a successful individualized therapeutic approach. It is significant to highlight the necessity of an interdisciplinary method for the treatment of xerostomia and halitosis to prevent misdiagnosis or unnecessary treatment. This article concisely focuses on the development of a systemic flow of events to come to the proper treatment of the xerostomia and halitosis.
Dental Local Anesthetic Techniques for Minor Operations at Outpatient Clinic
Authors: Kim Uk-Kyu
Published: August 2024

The most widely used method of pain control in dental practice is to block the pathway of painful impulses by local anesthesia. For a maximum effect of pain control at outpatient minor operation, regional anesthesia including nerve block must be performed. This issue includes various dental local anesthetic techniques on mandible, maxilla and considerations for selection of dental local anesthetics according to patient's age, duration of operation. Additionally, current conscious sedation technique combined with local anesthesia will be introduced for control of patient's anxiousness. Based on patient's general condition, severity of operation, local anesthesia sometimes must be changed into general anesthesia to avoid failure of dental practice. The exact choice of anesthetic techniques for minor operations at dental outpatient clinic must not be underestimated for complete success of pain control.
Cone-beam CT superimposition and visualization using open-source softwares
Authors: Jeon Woo-Ram , Lim Sung-Hoon
Published: August 2024

ITK-SNAP (http://www.itksnap.org) and 3D Slicer (CMFreg extension module; www.slicer.org) are open-source softwares which can be used for superimposition of cone-beam CT images. For superimposition, segmentation of bone is done with ITK-SNAP, and then voxel based superimposition of CBCT images can be performed using 3D Slicer. 3D Slicer has various visualization modules which are not provided in common commercial programs. 'Models' module is used to visualize two overlapping three-dimensional images, and this allows various visualizations by changing view mode and color of the model. In addition, differences between two CBCT images can be represented in a color map using 'ShapePopulationViewer' module. This report introduces how to superimpose and visualize CBCT images using ITK-SNAP and 3D Slicer, and the usefulness and limitations of both softwares will be discussed in comparison with commercial softwares.
First step of root canal therapy-access cavity preparation
Authors: Song Minju
Published: August 2024

Adequate access cavity is the key to achieving endodontic success. The aims of the access cavity can be considered as follows: 1) Creation of a smooth unimpeded pathway for instruments to canal orifices 2) Removal of the entire roof of the pulp chamber in order to inspect the pulp floor, 3) Preservation of natural tooth substance consistent with the above. Recently, contracted endodontic cavities based on minimally invasive endodontics has introduced. This has the benefit of preserving the pericervical dentin more than traditional access cavity with achieving long-term success. However, some studies reported controversial results regarding root canal detection, instrumentation efficacy (noninstrumented canal area, hard tissue debris accumulation, canal transportation, and centering ratio) as well as fracture resistance. Therefore, further studies are required for accepting contracted access cavity, and modified form of traditional and contracted access cavity could be considered.
The change of dental clinic name
Authors: Yu Su-Been , Song Bong-Gyu , Yang Byoung-Eun
Published: August 2024

This study analyzes 21,686 dental clinic business names from 1946 to February 2016, where official records exist. The results of this study will be used as a historical data of Korean dental clinic and contribute to the decision of dental clinic name. According to the results of analysis, the first official dental clinic used in Korea was 'Chu' in 1946, 'Minsaeng' and 'Chusaeng' in 1958, and "Won" in 1959. In the 1960s, dentists' family names were often used as dental clinics. In the 1970s, dental clinic names were often used as dentists' family name, 'Jung-ang' and 'Seongsin'. In the 1980s, dental clinic name was used more than other names such as 'Seoul', 'Yonsei', 'Hyundai' and 'Sang-a' along with the dentist's family name. In the 1990s, a dental clinic name was used to refer to the words 'Yeonsei', 'Seoul', 'Hyundai', 'Sang-a', 'Isalang', 'Uli', 'Jeil', 'Bubu' used a lot. In the 2000s, Dental Clinic's name began to use english words such as °AEGood Morning','White','Prime 'and adjectives such as 'Haengboghan', 'Ipyeonhan'. The characteristic of the dental clinic name in 2010 is the increase of the business name 'UD'. From 1946 to February 2016, the most commonly used dental clinic name was 'Seoul', 'Uri', 'Isarang', 'Yonsei', 'Hyundai', 'Good Morning' 'Jung-ang', 'UD', 'I', 'Miso'.
Successful treatment of growing skeletal class II children with Twin-Block appliance.
Authors: Kim Seong Sik , Kim Sung Hun , Kim Yongil , Park Soobyung , Son Woosung
Published: August 2024

The treatment of skeletal Class II growing patient is to move the mandible into the Class I molar positon via facilitating mandibular growth. The functional appliances are to be designed to exert three major functions such as palatal expansion, forward growth of mandible and increase of the posterior vertical dimension. One of the devices that can achieve both the palatal expansion and the eruption of the mandibular molar is the Twin-Block introduced by Clark in 1982. In this part, we present the treatment method with Twin-Block functional appliance for the correction of skeletal Class II growing patient.
Oral Care and Considerations for Dental Treatment in Dementia Patients
Authors: Park Moon-Soo
Published: August 2024

The number of patients with dementia in Korea is estimated to be 576,000 in 2013 and 648,000 in 2015, and 840,000 in 2020 and 2,710,000 in 2050. Therefore, it can be expected that the number of patients with dementia will increase among the elderly patients who are looking for dentistry. Dementia and oral hygiene are closely related, so the future role of the dentist is very important. In order to treat effectively the patients with cognitive disorders, we should consider effective communication methods with them. Xerostomia is another important factor affecting oral health of dementia patients. In establishing the dental treatment plan, the most appropriate treatment method should be selected considering the characteristics of individual dementia patients and all possible efforts should be made for successful treatment results.
Evaluation of marginal fit of monolithic zirconia restoration by digital impression
Authors: Yun Mi-Jung , Kim So-Yeun , Kang Eun-Sook
Published: August 2024

Purpose : The purpose of this study was to compare the marginal fit of monolithic zirconia restorations fabricated form the conventional and the digital impression technique. Materials and methods : Ten patients were restored with monolithic zirconia restorations fabricated from the digital and the conventional impression technique. Before definitive insertion, silicone replicas were produced from all twenty crowns. The silicone replicas were cut in three sections; each section was evaluated at two points. The measurement was carried out by using a measuring microscope (Olympus BX 51) and I-Solution. Data from the silicone replica scores were analyzed by Shapiro-Wilk test for normal distribution and the t-test for equality of two population's mean. All tests were performed with alpha-level of 0.05. Results : The average marginal gaps of monolithic zirconia restorations were 133.81pm36.46µm for the conventional impression technique, 90.07pm9.47µm for the digital impression technique. No statistical differences were found between the two impression techniques Conclusion : Both prostheses presented clinically acceptable results with comparing the marginal fit.
Anterior teeth alignment for aesthetic dentistry
Authors: Park Chul-Wan
Published: August 2024

As the demand for natural and beautiful smiles increases, the demand for anterior aesthetic treatment is increasing. Orthodontic treatment is often necessary for esthetic, healthy and natural treatment outcome. Particularly, in the case of middle-aged patients, minor tooth movement limited to anterior teeth is more effective than comprehensive orthodontic treatment which requires a long-term treatment period. Clinician who is in charge of aesthetic dentistry should have the ability to select a case that can be treated with partial orthodontic treatment and to determine the most effective treatment method. This article provides decision flowchart for case selection and choosing the best treatment modality for anterior teeth alignment.
Antibacterial effect of Zingiberaceae extracts mediated photodynamic therapy on Streptococcus mutans
Authors: Hwang Hye-Rim , Kang Si-Mook , Lee Eun-song , Kim Baek-Il
Published: August 2024

Purpose: This study evaluated the antibacterial effects of curcuma, ginger, and finger root extracts in water-soluble powder on planktonic Streptococcus mutans(S.mutans), which is known to cause dental caries, in order to confirm whether these extracts could perform as photosensitizers for the effects of photodynamic therapy (PDT). Methods: This study used the strain of streptococcus mutans ATCC 25175 distributed by the Korean Collection for Type Cultures of the Korea Research Institute of Bioscience & Biotechnology. Commercial edible curcuma, ginger and finger root were used as the natural extracts for the use of photosensitizer. To extract organic solvent, 3 g of each powder was mixed in 30mell of dimethyl sulfoxide (DMSO, VWR, Germany) before extraction. 1.8mell of the photosensitizer solution, manufactured in the concentrations of 5, 0.5, and 0.05mg/mell, was mixed with 0.2mell of the S. mutans culture medium that had been cultured for 2 days. To induce the photodynamic reaction, Qraycam (AIOBIO, Seoul, Korea) equipped with 405 nm LED was used to expose light for 5 minutes to irradiate 59 nW energy for 300 seconds. Results: Compared with the case with no light, a higher photodynamic therapeutic effect was confirmed with 0.05mg/mell curcuma powder extract, the concentration of 0.5mg/mell and LED light of 405 nm wavelength (p=0.000, p=0.003). 0.05mg/mell of curcuma powder extract and the concentration of 0.5mg/mell showed 100% antibacterial effect when exposed to light, whereas the concentration of 5mg/mell showed 11.95% antibacterial effect. When exposed to light, 0.05mg/mell of ginger powder extract showed an antibacterial effect which didn't statistically decrease. The concentrations of 0.5mg/mell and 5mg/mell did not show any antibacterial effects. As a result of examining any photodynamic therapeutic effects of finger root powder extract on S. mutans, no statistically significant effect was found. Conclusion: The curcuma powder extract is expected to perform as a photosensitizer. Even though belonging to the same ginger family, ginger powder and finger root powder seem difficult to perform as photosensitizer.
Survival rate of stainless steel crown restorations according to depth of caries in primary molars
Authors: Yoo Hyunkyoung , Ra Jiyoung , Lee Jewoo
Published: August 2024

The purpose of this retrospective study was to compare outcome of preformed stainless steel crown restorations according to depth of caries in primary molars. The study subjects consisted primary molars having dentin caries extending at least one-fourth of dentin without signs and symptoms of irreversible pulpitis. A total 295 primary molars received preformed stainless steel crown restorations without any base materials were included in this study. Survival rates were compared using a Kaplan-Meier analysis test. There was no significant difference between depth of caries and survival period in primary molars. And also there was no significant difference with or without pulp therapy. The results of this study suggest that neither the amount of caries nor pulp therapy affect the survival period of primary molars significantly. Proper restoration is more important to achieve sealing for stopping caries progression.