bluuebunny/crossref_metadata_2025 huggingface dataset:
Clinical considerations for tooth wear measurement
Authors: Lee Seung-Pyo
Published: August 2024

Nowadays, there has been an increasing interest in the preservation of natural dentition and the proper occlusion related to tooth wear for quality of life. Tooth wear means the loss of tooth enamel structure. This is happened by many causes which is the combined effects of many mechanisms. For keeping proper occlusion, dentists should check tooth wear status with acceptable methods and tools for the proper diagnosis. Until now, there have been many traditional qualitative ways to measure tooth wear which are intuitive, rapid, and simple. On the contrast, they are not objective nor reproducible. With the development of related technique, new quantitative methods using CAD and 3d scanners. This article aimed to introduce qualitative and quantitative methods for tooth wear measurements.
Common and signifiacant cysts at the dental clinic
Authors: Jang Hyun-Seon
Published: August 2024

Oral and maxillofacial cyst is defined as an pathogenic cavity with an lining epithelium and connective tissue wall. Cysts of the jaws and periapical regions vary in histogenesis, treatment and prognosis. Cysts with similar clinical and radiographic can be shown different histopathologic features. Cysts are classified into odontogenic cysts and nonodontogenic cysts. Cysts are also divied into true cysts and pseudocyst. True cysts are lined with an epithelium, however pseudocysts are not lined with epithelium. A periapical cyst, dentigerous cyst and odontogenic keratocyst is clinically common and important lesions at dental clinic.
Patient dose in adult and pediatric dental panoramic radiography in Korea
Authors: Kim Eun-Kyung , Han Won-Jeong , Kim Kyoung-A , Lee Wan , Yoon Suk-Ja , Hwang Eui-Hwan , Kim Gyu-Tae , Heo Min-Suk , An Chang-Hyeon , An Seo-Young , Han Jin-Woo , Jung Yun-Hoa
Published: August 2024

Objective: To suggest diagnostic reference levels (DRLs) for dental panoramic radiography in adults and children through the nationwide survey in Korea. Materials and Methods: Two hundred twelve dental institutions on a national basis were visited. The radiographic examination protocols were surveyed and their patient doses at the clinical exposure setting for adult and children (5- and 10-year old) were measured at 244 panoramic radiographic equipment. The measured DAP were analyzed and compared according to age group, the size of hospital, the type of radiographic system, the installation duration of equipment. Results: The mean exposure parameters were 70.1 kV, 9.2 mA, 14.4 second for adult and 66.6 kV, 7.9 mA, 13.8 second for 10-year old child and 65.5 kV, 7.3 mA, 13.7 second for 5-year old child. The mean and third quartile patient DAPs were 138.3mGy;cm2 and 151.0mGy;cm2 for adult, 99.5mGy;cm2 and 104.8mGy;cm2 for 10-year old child and 89.5mGy;cm2 and 95.5mGy;cm2 for 5-year old child. The mean patient dose at the university dental hospital was lower than that at the dental clinic (p<0.05). The mean patient dose of direct digital radiography type was higher than that of film-based type. However, the difference did not show statistically significance. Conclusion: DRLs for dental panoramic radiography in adult, 10- and 5-year old child were suggested to be 151mGy;cm2, 105mGy;cm2, and 96mGy;cm2 in Korea based on this nationwide survey.
Facial nerve palsy after bilateral sagittal split ramus osteotomy: case report
Authors: Kim Hong-Seok , Kim Su-Gwan , Oh Ji-Su , You Jae-Seek , Shin Bo-Su , Jeong Kyung-In
Published: August 2024

BSSRO (bilateral sagittal split ramus osteotomy) is frequently performed to correct dentofacial deformity and malocclusion. Among its complications the incidence of post-operative facial nerve palsy is very rare, but it is one of the most serious complications. The case of a 21-year-old male patient who underwent facial nerve palsy after BSSRO is described. After surgical intervention and conservative therapy, the patient recovered his facial nerve function successfully.
The effects of ascorbic acid on the morphology and cell proliferation of three-dimensional stem cell spheroids
Authors: Lee Hyunjin , Yeo Seong-Il , Park Jun-Beom
Published: August 2024

Purpose: The effects of various concentrations of ascorbic acid on stem cell spheroids derived from intraoral areas are not known yet. Thus, the purpose of this study is to evaluate the effects of different concentrations of ascorbic acid on the morphology and cellular viability of stem cell spheroids derived from the gingival tissues. Materials and Methods: Stem cells were plated onto silicon elastomer-based concave microwells and grown in the presence of ascorbic acid at concentrations ranging from 0.003% to 0.3%. The morphology of the cells was viewed under an inverted microscope at day 1, 2, 3 and 5. Qualitative live/dead assay and quantitative cellular viability using Cell Counting Kit-8 were performed on day 2 and day 5. Results: Gingiva-derived stem cells formed spheroids irrespective of ascorbic acid concentration in silicon elastomer-based concave microwells. Increase in the diameter of spheroid were seen with higher concentrations of ascorbic acid. Higher cellular viability was seen in higher concentrations of ascorbic acid. Conclusion: Within the experimental setting, the application of ascorbic acid on stem-cell spheroids produced an increase in the size and higher viability with higher dosage. It can be suggested ascorbic acid be applied with stem cell spheroids for tissue engineering purposes.
Oral ulcerative and vesicular diseases
Authors: Byun Jin-Seok
Published: August 2024

Oral ulcerative and/or vesicular diseases have similar characteristics of clinical phenotypes. Detailed and careful history taking is the cornerstone of the diagnosis of oral mucosal disease. Moreover, complete screening of review of system for patient is important. Through this article, the simple ulcerative, recurrent ulcerative, acute multiple ulcer, chronic multiple ulcerative diseases will be discussed. Clinicians have to keep in mind its differential diagnosis and management.
A case report and literature review of osseous choristoma on the tongue.
Authors: Park Yun-Ha , Baek Jin-A
Published: August 2024

Choristoma is a growth of normal tissue that occurs at an abnormal region. In the oral cavity, osseous choristoma that has a normal bone feature mainly has been appeared. It is mainly occurred on the tongue. So, It can be found in dental practice or in discomfort in the mouth. Osseous choristoma in the oral cavity is extremely rare. But It can be treated excisional biopsy under local anesthesia. The prognosis is very good. This case is a report of osseous choristoma on the dorsal surface of the tongue. A 17-year-old female patient presented with a foreign body sensation of the tongue. A diameter of the mass is 0.7cm, and there is no pain. Panoramic radiographs showed a radiopaque image in the form of a double image. An excisional biopsy was performed and diagnosed as an osseous choristoma. 12 months after the resection, there were no signs of recurrence. Intraoral osseous choristoma is very rare, but it is clinically very simple and can be found in dental radiographs. We present this case because of Dentists who examine the oral cavity of the patient can easily diagnose the lesion and treat it by simple resection.
Current clinical practice of endodontic irrigation
Authors: Seo Minseock
Published: August 2024

Whether you use a hand file or an engine-driven file, you cannot remove bacteria completely from the root canal by mechanical work alone. If the root canal is well cleaned, endodontic irrigants will well penetrate into these areas that will not be mechanically accessible. It will decompose and remove the biofilm and also remove the smear layer to reach the dentinal tubule. Clinicians who are not yet using NaOCl as their primary irrigant, should be aware that there are no other irrigants that offer all the benefits of NaOCl and are inexpensive. Clinicians may be reluctant to use it because of concern about NaOCl accident, but this possibility is extremely low if used with caution.
A retrospective randomized study of success rates according to abutment selection in DENTIS submerged implant with an internal hex connection
Authors: Kim Eun-Hee , Lee Joeng-Eun , Hwang Hee-Seong , Kim Chul-Hoon , Kim Jung-Han , Kim Bok-Joo
Published: August 2024

PURPOSE. The purpose of this study is to determine the efficacy of the DENTIS submerged-type implant with an internal hex connection and to build corresponding abutment-selection criteria. MATERIAL AND METHODS. A total of 204 patients received submerged implant fixtures with an internal hex connection at the Dong-A University Hospital Dental clinic in Busan from January 2013 and May 2016. Three specific abutments, UCLA abutments, customized abutments, ready-made abutments, were randomly selected. Implant success was defined as the basis of the International Congress of Oral Implantologists(ICOI, 2007) criteria. The relationship between the implant success rate and the abutment factor was analyzed using the Kruskal-Wallis test(P<.05). RESULTS. A total of 508 implants were placed in 204 patients. After a mean observation period of 38.6 months, 493 out of 508 implants were in normal function, yielding an overall success rate of 97.05%. A total of 15 implants failed: 10 in the maxillary molar area, 4 in the mandibular molar area, and 1 in the mandibular incisal area. All of the implant failures occurred in a single-implant prosthesis, especially high in the maxillary molar area. The Kruskal-Wallis analysis showed that abutment selection has no significant correlation with implant failure(P>.05). CONCLUSION. DENTIS submerged implants with an internal hex connection showed predictable results with a success rate of 97.05%. It is no influence on the success rate in the selection of submerged implant abutment with an internal hex connection.
Need-to-knows about Digital Implant Surgery
Authors: Paek Janghyun , Kwon Kung-Rock , Kim Hyeong-Seob , Pae Ahran , Noh Kwantae , Hong Sung-Jin , Lee Hyeon-jong
Published: August 2024

Nowadays computer-guided "flapless" surgery for implant placement using templates is gaining popularity among clinicians and patients. The advantages of this surgical protocol are its minimally invasive nature, accuracy of implant placement, predictability, less post-surgical discomfort and reduced time required for definitive rehabilitation. Aim of this study is to describe the digital implant protocol, thanks to which is now possible to do a mini-invasive static guided implant surgery. This is possible thanks to a procedure named surface mapping based on the matching between numerous points on the surface of patient's dental casts and the corresponding anatomical surface points in the CBCT data. With some critical points and needing an adequate learning curve, this protocol allows to select the ideal implant position in depth, inclination and mesio-distal distance between natural teeth and or other implants enabling a very safe and predictable rehabilitation compared with conventional surgery. It represents a good tool for the best compromise between anatomy, function and aesthetic, able to guarantee better results in all clinical situations.
Trifid mandibular canal in Cone-Beam CT : A case report
Authors: Han Won-Jeong
Published: August 2024

Trifid mandibular canal (TMC) is one of the anatomical variation of mandibular canal with clinical importance. An extra mandibular canal may explain inadequate anesthesis and be damaged causing paresthesia or bleeding during mandibular surgery. CBCT with high-level spatial resolution is an useful tool for the detection of mandibular canal and its variation. The aim of this report is to present a case of trifid mandibular canal with CBCT images and to give information on this anatomical variation of mandibular canal.
Dental application of Polyaryletherketone for fixed dental prostheses
Authors: Lee Du-Hyeong
Published: August 2024

Polyaryletherketone (PAEK) is recently introduced in dentistry. The polymer has superior mechanical and chemical properties compared to previous dental materials. PAEK has been explored for lots of applications for clinical dentistry. The prostheses can be made by the injection molding or milling techniques. Recent studies focus on improving the bioactivity of PAEK and expanding the application. The purpose of this article is to introduce the basic features, chemical structure and various clinical applications in fixed dental prostheses. Further research and clinical trials will be needed to confirm the usability of PAEK in the routine practice.
Association between dementia and oral health
Authors: Kang Kyung Lhi
Published: August 2024

According to the burst of aged people, researchers have focused on aging-related diseases. Cognitive impairment including Alzheimer's disease (AD), one of the representative diseases related to aging, has no treatment option until now. Recently, it has been revealed that systemic inflammation plays a fundamental role in the pathogenesis of AD. Previous studies have suggested the association between poor oral health and cognitive impairment. Poor oral health can cause dental caries, chronic periodontitis, multiple tooth loss, and poor chewing ability, etc. Especially, periodontitis is a well-known chronic inflammatory disease and affects cognitive impairment directly and indirectly by inflammatory products mediators. Therefore, reduction of pathogenic microbial burden and inflammatory products by treating periodontitis can be a therapeutic modality to prevent cognitive impairment or to slow down the progression of it. Future studies are necessary to elucidate the causal relations and plausible mechanisms between poor oral health and cognitive impairment.
Case report of a newly designed narrow-diameter implant with trapezoid-shape for deficient alveolar bone
Authors: Lee Sa Ya , Goh Mi-Seon , Ko Seok-Yeong , Yun Jeong-Ho
Published: August 2024

Long-term survival and prognosis of narrow-diameter implants have been reported to be adequate to consider them a safe method for treating a deficient alveolar ridge. The objective of this study was to perform case report of narrow-diameter implants with a trapezoid-shape in anterior teeth alveolar bone. A 50-year-old male patient presented with discomfort due to mobility of all of the maxillary teeth and mandibular incisors. Due to destruction of alveolar bone, four anterior mandibular teeth were extracted. Soft tissue healing was allowed for approximately 3 months after the extraction, and a new design of implant placement was planned for the mandibular incisor area, followed by clinical and radiological evaluation. Implant placement was determined using an R2GATE surgical stent. The stability of the implants was assessed by ISQ measurements at the first and second implant surgery and after prosthetic placement. At 1 and 3 months and 1 year after implantation of the prosthesis, clinical and radiological examinations were performed. Another 50-year-old male patient presented with discomfort due to mobility of the mandibular central incisors. For the same reason as in the first patient, implant placement was carried out in the same way after extraction. ISQ measurements and clinical and radiological examinations were performed as in the previous case. In these two clinical cases, 12 months of follow-up revealed that the implant remained stable without inflammation or additional bone loss, and there was no discomfort to the patient. In conclusion, computer-guided implant surgery was used to place an implant in an optimal position considering the upper prosthesis. A new design of a narrow-diameter implant with a trapezoid-shape into anterior mandibular alveolar bone is a less invasive treatment method and is based on the contour of the deficient alveolar ridge. Through all of these procedures, we were able to reduce the number of traumas during surgery, reduce the operation time and total treatment period, and provide patients with more comfortable treatment.
Anatomy and physiology of swallowing process
Authors: Lee Jina
Published: August 2024

Food intake and swallowing are complicated and intriguing series of movements involving voluntary and involuntary activities of cranial and spinal nerves and muscles. They have two most important functions, that is, food passage from the oral cavity to stomach and airway protection. Tongue, buccinators, and hyoid bone and its muscular attachments are anatomic structures for swallowing of special interests. The swallowing process of liquid is commonly divided into oral preparatory, oral propulsive, pharyngeal, and esophageal stages according to the location of the bolus. The movement of the food in the oral cavity and to the oropharynx differs between eating solid food and drinking liquid.
Role and Function of Mouthguard
Authors: Kwon Kung-Rock
Published: August 2024

A mouthguard is a protective device normally worn on the upper jaw, to reduce injures to the teeth, jaws and surrounding soft tissues. It has a definite role in preventing injuries to the teeth and face and for this reason it is strongly recommended for all sporting activities where there is a risk of trauma to the teeth and associated structures. Mouthguards can be effective in reducing impact force to the teeth, and attributed to enhancement of postural control and muscle performance during teeth clenching. Although there is evidence that mouthguards reducing impact force to the teeth, and prevent orofacial trauma occurrence during sport practice, the influence of this device on athletic performance has not been systematically quantified. Nevertheless, wearing a dentally fitted laminated mouthguard of at least 3 mm thickness can be strongly recommended during sport practice.
Various clinical use of laser in esthetic treatment
Authors: Eun Hee-Jong
Published: August 2024

The most valuable site of laser treatment is analgesic effect and fast healing process. If we understand an use this advantage correctly, it will helpful in relationship with patients and hospital management. So this study reported clinical cases about laser used in esthetic treatment with literature review. Periodontal treatment using laser was taken for patient who complain about gingival swelling during orthodontic treatment. And, esthetic plastic treatment using laser for alveoar reduction was taken for patient who complained about esthetic problem of maxillary gingiva. The treatment using laser can shorten the inconvenience and complicated treatment process and minimize patient's fear and discomfort during treatment procedure. So patients and clinicians can expect competent result in clinical cases. The laser for esthetic treatment was valuable.
Clinical applcation of water laser (Er,Cr:YSGG)
Authors: Park Jung-Hyun
Published: August 2024

Laser means "Light amplification by stimulated emission of radiation". Laser have unique characteristics according to wavelength. Wavelenth of Waterlase is 2780nm and it can be absorbed to water and hydroxyapatite. When laser is applied to some material, its temperature goes up due to laser's energy. But in dental treatment high temperature is not good for teeth. High temperature can make dental pulp and bone necrosis. Waterlase can be absorbed to water droplet, so when it burst, it can cut soft and hard tissue without raising temperature. so it is so proper to dental treatment.
Licensing strategies and tasks for medical devices utilizing 3D printing technology in dentistry
Authors: Shin Eun Mi , Yang Seung-Min
Published: August 2024

3D printing technology supporting the specific patient medical services is actively being implemented in dentistry. The purpose of this study is to introduce the legal and institutional considerations to the medical practitioners in dentistry who must observe when they manufacture medical devices using 3D printers, and to provide a ways to activate and enhance their utilization in the domestic approval point of view for medical devices. Through the public data of government agencies and related organizations, the statutory system and compliance matters related to the manufacture of 3D printing medical devices have been examined and reviewed for the government's improvement efforts. Through the study, the government has been actively improving the system and making policy, but the active interest and participation of medical professionals and related workers are continually required to solve the problems which are scattered. 3D printing technology is expected to be more frequently utilized in the field of dentistry in near future. Therefore, it is essential to establish measures to improve the regulation through continuous cooperation with the related ministries with the long-term point of view enhancing smooth entry to the market for the medical devices by taking data from the continued research.
Triplication of upper right primary anterior teeth : a case report
Authors: Bae Sangyong , Lee Jewoo , Ra Jiyoung
Published: August 2024

The fusion is an anomalous union of two or more tooth germ at some stage in the development process resulting in a decreased number of teeth in the dental arch. Fusion is common odontogenic anomaly but triplication of primary teeth is a rare phenomenon. We report a case of a 3 - year - old girl who visited our clinic for the pain on maxillary anterior tooth. The patient was diagnosed by the fusion of a the maxillary primary right central and lateral incisor with a supernumerary tooth and caries of dentine. And then, Endodontic treatment and composite resin restoration were performed on the triple teeth. After follow-up of 6 months period, there was no marked complications.
Dental Treatment for Patients with Non-Vitamin K Antagonist Oral Anticoagulant
Authors: Sung Iel-Yong
Published: August 2024

The vitamin K antagonist (VKA), cumadin, or warfarin, is the only antithrombotic drug that can be orally administered and has excellent effective for decades. However, it is cumbersome to periodically inspect the prothrombin time (PT) order to maintain adequate concentrations that do not cause bleeding, takes a few days to indicate therapeutic effects, gets affected by several factors such as food and drugs etc, and narrow in the therapeutic range. Although recently in development, the non-vitamin K antagonist anticoagulants(NOACs) exhibit a rapid onset of action and have relatively short half- lives compared to Coumadin. Because of these pharmacokinetic properties, it is possible to modify an individual's anticoagulation status quite rapidly, minimizing the period where the anticoagulation activity is therapeutically suboptimal. And the short half -lives of these drug allow for the relatively rapid reduction of their anticoagulation effects. There are currently no published clinical trials specifically assessing the bleeding risks associated with dental procedures for patients taking the NOACs. It is not necessary to interrupt NOAC medication for dental procedures that are likely to cause bleeding, but which have a low risk of bleeding complications. Because the bleeding risk for these procedures is considered to be low, the balance of effects is in favour of continuing the NOAC treatment without modification, to avoid increasing the risk of a thromboembolic event. The patients should be advised to miss(apixaban or dabigatran) or delay(rivaroxaban) a dose of their NOAC prior to dental procedures that are likely to cause bleeding and which have a higher risk of bleeding complications. Because the risk of bleeding complications for these procedures is considered to be higher, the balance effects is in favour of missing or delaying the pretreatment NOAC dose. The interruption is only for a short time to minimize the effect on thromboembolic risk.
Comparison of mechanical properties of nickel-titanium rotary files: Aurum Blue vs. Aurum Pro
Authors: Kwak Sang Won , Ha Jung-Hong , Ahn Sang Mi , Kim Hyeon-Cheol
Published: August 2024

AIM: The purpose of this study was to evaluate and compare the torsional fracture resistances, cyclic fatigue resistance, and bending stiffness of two nickel-titanium (NiTi) rotary instruments made of different heat-treated alloy: Aurum Blue (heat-treated) and Aurum Pro (conventional). Methods: Forty-five Aurum Blue and Aurum Pro NiTi files were selected for the three mechanical tests (n=15). For the torsional resistance test, 3 mm file tip was fixed and the shaft was driven clockwise at 2 rpm until fracture occurred by using a customized device. Cyclic fatigue resistance was evaluated by rotating instruments in artificial canal with dynamic mode. Bending stiffness was tested by observation of the bending moment on attaining a 45° bend. The results were analyzed by student-t tests at a significance level of 95%. The fractured surface of each groups were examined under a scanning electron microscope (SEM). Results: Aurum Blue showed significantly higher toughness, ultimate strength, distortion angle, and number of cycles to failure than those of Aurum Pro (p < 0.05). However, Aurum Blue and Aurum Pro did not differ significantly in terms of bending stiffness. SEM showed typical topographic appearances of the cyclic fatigue and torsional fracture. Conclusions: Under the limitations of this study, heat-treated instruments showed higher flexibility and fracture resistances than conventional NiTi instruments.
Clinical Usefulness of Ultrasonography in Oral and Maxillofacial Regions
Authors: Oh Song Hee , Choi Yong-Suk
Published: August 2024

Ultrasound sonography(US) is used to evaluate various diseases of 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. Nevertheless, the clinical application of US imaging is limited in the dental field. This is due to the lack of knowledge about the US image and the image characteristics of the anatomical structures. 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.
A new classification of periodontal and peri-implant disease
Authors: Shin Hyun-Seung
Published: August 2024

The classification of periodontal disease in 1999 has been widely used for determining a diagnosis, establishing a treatment plan, and evaluating the prognosis of the patient with periodontal disease. However, scientific evidence from many studies indicates the need for a new classification system for periodontal and peri-implant disease. Summary at 2017 world workshop as follows: 1) Periodontal health and peri-implant health was defined; 2) Chronic periodontitis and aggressive periodontitis were unified as periodontitis; 3) Periodontitis was further classified by staging and grading to reflect disease severity and management complexity, rate of disease progression, respectively; 4) Periodontal disease as manifestation of systemic disease is based on the International Statistical Classification of Diseases and Related Health Problems-10 (ICD-10) code; 5) Periodontal biotype and biologic width was replaced to periodontal phenotype and supracrestal tissue attachment, respectively; 6) The excessive occlusal force was replaced by a traumatic occlusal force; 7) ≥3 mm of radiographic bone loss, ≥6 mm of pocket probing depth and bleeding on probing indicates peri-implantitis in the absence of radiograph at final prosthesis delivery.
An analysis of eye tracking experiment on the patients' viewing characteristics in dental clinic
Authors: Lee Jong-Ho , Jung Yoona , Song Eunsung , Ju Kyungwon , Kim Wonhyeon , Kim Bongju
Published: August 2024

Technological advances in contemporary medicine has discovered the causes of countless diseases and recorded a noticeable medical performance. As technology develops, the role of hospitals is expanding to include disease prevention of inpatients, on top of their fundamental role of treating diseases. Recently, hospitals are becoming more influential as they create environments to provide comfort and stability to patients. In this regard, contemporary hospitals are increasingly shifting their focus to create a patient-centric environment as well as develop into humanistic establishments. The same goes to dentists, as well. Since inpatients often have fear and frustration over treatment, hospitals should figure out the environmental factors that are more effective and relaxing for patients and design medical services to provide them. The patients' movement and spaces during their treatment were categorized by stages and collected for gazing information using eye tracking. It analyzed users' gaze information according to Heatmap analysis of distribution and frequency and was determined the presence or absence of stimuli on the components of space. This research is an advanced research to study and enhance treatment environment based on the analysis of patients' gazes. It attempted to create an opportunity to get closer to patient-centric environment by understanding the stimulants and obstacles and controlling the background settings.
Treatment of hearing loss due to temporomandibular joint disorders: Case Report
Authors: Kang Dong-Woo , Kim Young-Kyun
Published: August 2024

Introduction : Patients with temporomandibular disorder may have various ear-related symptoms. If an excessive load is applied to the ear area due to the skeletal shape of the mandibular condyle or malposition of the disc, an auditory problems may occur. Case report : The patient was referred to our clinic due to the suspicion of temporomandibular disorder from the local otorhinolaryngology clinic. A few days ago, his right ear could not be heard. MRI showed that the left TMJ disc was anterior displacement with reduction, the right TMJ disc was anteromedial displacement without reduction. Also Right mandibular condyle showed sclerotic bone change, subchondral cyst and was compressing the frontal wall of the ear on MRI view. Right TMJ arthroplasty was done under the diagnosis of right TMJ osteoarthritis and osteochondroma. Postoperative intermaxillary fixation was done with SAS screw and elastics for 2 weeks. One month after the operation, hearing and TMJ discomfort were recovered without any complications. Conclusions As seen in this case, hearing loss due to benign tumor-like lesions of the temporomandibular joint should be treated surgically to restore the TMJ function and hearing.
Injection therapy for management of temporomandibullar joint disorders
Authors: Jo Sanghoon
Published: August 2024

Injection therapy can be used to treat the refractory and chronic pain situations that are not well responded to conventional therapy in TMD-patients. The target of injection is the intra-articular- and peri-articular tissue of joint and adjacent tissue like muscle. For the success of injectional therapy, selection of injection solution and technique is essential, so discussion will be done about that and one of the promising techniques of intra-articular injection, US-guided TMJ Intrar-articular injection, is also discussed.
Comparison of water sorption / solubility of Biodentine, composite resin and glass ionomer cement
Authors: Lee Ui-Jung , Hong Jung-Min , Min Jeong-Bum
Published: August 2024

Objectives: This study aimed to measure the water sorption / solubility of Biodentine, composite resin and glass ionomer cement. Materials and Methods: The materials used in this study were Biodentine(BD), Filtek Z250(FZ) and Ketac Molar(KM). Twenty disc-shaped specimens of each material were prepared of 6mm diameter and 1mm thickness. All specimens were desiccated for 24 hours and weighed(m1). After then, They were immersed in distilled water and stored at 37°C. 1 week later, They were washed with running water, wiped with absorbent paper and weighed(m2). Finally, They were dried for 24 hours and weighed(m3). Water sorption and solubility, net water uptake were calculated. Results: KM and BD showed high water sorption than FZ(P<0.05). KM and BD exhibited similar water sorption(P<0.05). BD exhibited high solubility than KM(P=0.012). BD exhibited high net water uptake than FZ(P=0.008). Conclusion: Biodentine showed higher water sorption, solubility and net water uptake than Filtek Z250 and Ketac Molar. Within limitation of this study, it is not recommended to use Biodentine for permanent restoration.
Fidelity analysis of Patient's Referral Letters delivered to the Department of Conservative Dentistry in a Dental University Hospital
Authors: Jeon Su-Jin , Hwang Soo-Jeong , Seo Min-Seock
Published: August 2024

In cases of a patient referral, the general dentist should communicate the patient's dental information as clearly as possible to the specialist to whom he/she is referring his/her patient. For this reason, it is necessary to write a referral letter in an accurate and complete manner. The purpose of this study is to analyze the referral letters of patients who are referred to the department of conservative dentistry in a dental university hospital. From January, 2017 to December, 2018, we gathered the information of the patients who were referred to the department of conservative dentistry in a dental university hospital with referral letter. We evaluated the fidelity of a total of 750 referral letters and recorded the information of the referral dentist and the dental clinic. The relationship between each item and fidelity was analyzed using SPSS 18.0 program. The analysis of the contents of the referral letters yielded the following results: The fidelity of the referral letter was higher when the patient was referred during the root canal treatment, or when there was a root canal filling or when there was pain during chewing. The fidelity of referral letter was low in cases where the referring clinic is close to and has cooperative relationship with dental university hospital. Among the factors affecting the fidelity, the year of graduation of the referral dentist was the most influential. This study confirmed the fact that the clinical practice of writing patient referral letters still leaves much to be desired. In order to solve this problem, it is necessary to create more clear and standardized guidelines for writing referral letters.
The necessity of ban on opening and operating the multiple medical institutions in medical law in Dental case
Authors: Ju Jin-han , Lee Ga-yeong , Jung Ku-chan , Lee Jae-yong , Min Gyeong-ho
Published: August 2024

In accordance with Article 33(8) of the Korean Medical Law, it is stated that a medical person cannot open or operate a medical institution by borrowing the name of another medical person. However, the publicity of medical care is threatened by the recent illegal network dental clinics. The purpose of this study is to investigate the actual condition of illegal network dentistry and to analyze the cases and to find out the reason why the prohibition of double opening & operating of medical institution. As a result, the illegal network dental clinics treated less health care insurance treatment such as dental caries and periodontal treatment than general dental hospitals. In contrast, the rate of implementation of illegal network dentistry was high in endodontics treatment and extraction, which could lead to uninsured treatments such as crowns and implants. As a result of Supreme Court precedent analysis, it is concluded that illegal act is not only the opening of a medical institution by borrowing the name of other medical personnel, but also the duplicated operation which has the authority to make decision about management matters of medical institutions. The results of the patient's case survey also showed that excessive dental treatment due to such as dental staff incentive system. In conclusion, the illegal network dental clinics not only threatens the oral health of the public, but also causes leakage of health insurance premiums. In other words, the ban on opening and operating the multiple medical institution should be strictly applied as a strong protection device for protecting the patient in dental case.
Soft tissue volume changes following gingival grafting for labial gingival recession in the mandibular anterior area: a case report
Authors: Song Young Woo , Jung Ui-Won , Cha Jae-Kook
Published: August 2024

This case report presents results for gingival recession coverage following gingival grafting and for gingival biotype enhancements by visualizing soft tissue volume changes using intraoral three-dimensional scanning. A 28 year old female patient with multiple gingival recessions and a 19 year old female patient with a single gingival recession on mandibular anterior area were treated. Root coverage was performed in both cases using autogenous subepithelial connective tissue harvested from palate. Intraoral 3D scan data were obatained presurgery and at 3 months, 1 year, and 2 years postsurgery. The recession areas were recovered successfully by subepithelial connective tissue graft combined with pedicle flap repositioning, and the patients showed neither further recurrence nor post-operative complication. Soft tissue biotype changes were identified by superimposing and analyzing scan data, revealing that gingival biotype was enhanced in both cases. These cases suggest that SCTG could be advantageous in terms of the gingival biotype enhancement, as well as gingival recession coverage, and intraoral 3D scanning might be suitable for assessing post-surgical gingival biotype change.
Apical periodontitis of endodontically treated maxillary first molar: Cone-Beam Computed Tomography study
Authors: Hwang Soo-Jeong , Jeon Su-Jin , Seo Min-Seock
Published: August 2024

Objective: The purpose of this study was to analyze the Cone-beam computed tomograghy(CBCT) scan of endodontically treated maxillary first molars and investigate how second mesiobuccal (MB2) canal is treated, how the prognosis of mesiobuccal (MB) root is different compared to other roots and the prognosis factor on apical periodontitis. Methods: Subjects were endodontically treated maxillary first molars whose were collected from CBCT scans taken from January 2018 until December 2019. A total of 525 maxillary first molars were analyzed by an endodontist to determine the presence of the MB2 canal, the quality of the root canal filling, and the presence of apical periodontitis. The chi square test and Fisher's exact test was used to examine the relationship between each variable. Results: MB2 canals were found in 46.3%, of which 76.5% were not treated. The more main canal of mesiobuccal root (MB1 canal) was well filled, the more significantly MB2 canal was well filled (p<0.001). The apical periodontitis of MB root was not related to the filling quality of MB1 canal (p=0.370) and was related to the filling quality of MB2 canal (p=0.004). The apical periodontitis of MB root was related to the quality of canal filling of MB2 canal and the apical periodontitis of DB and P root. Conclusions: It was found that the majority of MB2 canals were not treated. The apical periodontitis of MB root was analyzed to be related to the quality of canal filling of MB2 canal. The apical lesion of the MB root was not correlated with the treatment of the MB1 canal, but it was significantly related to the quality of filling of MB2 canal.
What is Dental Advanced Life Support?
Authors: Kim Jongbin
Published: August 2024

The aim of this article is to provide major announcements within the last decade or so about possible medical emergencies in dentistry. This would be helpful to improve the knowledge on first aid suitable for dental environment. Syncope was the most common medical emergencies in dentistry. Medical emergency situations can be divided into urgency and true emergency. Urgency situations can be solved well if proper treatment is taken. However, even in an urgency, if the correct treatment is not performed, it may soon turn into an emergency. With the joint efforts of the Korean Dental Anesthesiology Society and the Korean Cardiopulmonary Resuscitation Association, dental advanced life support (DALS) has been prepared since 2015. Through 17 training experiences until January 2020, scenarios and textbooks were developed. Dentists and dental care teams need to be prepared to strengthen their competence as professionals and to increase their team-level response capabilities..
Oral mucosal disease in eldery people
Authors: Lim Hyun-Dae
Published: August 2024

Oral mucosal lesions are more common among the elderly people. Oral health, including oral mucosal disease, is a important factor of quality of life in elderly people. Oral mucosal disease can lead to poor nutritional intake of the elderly due to pain and discomfort. Identification and institution of proper treatment of these lesions are an important part of total oral health care. In this article will review common oral mucosal disease in eldery.
Safe and Effective Reduction Malarplasty
Authors: Kang Young Ho
Published: August 2024

Background: Reduction malarplasty is one of the most popular facial contouring surgeries in east Asia for making patients' faces smaller. Currently in Korea, reduction malarplasty surgeries are performed mostly at plastic surgery clinics, but few cases are done at oral and maxillofacial surgery clinics. The reason might be because of post-operative complications after reduction malarplasty, such as undercorrection, overcorrection, asymmetry, cheek drooping, malunion, pain and noise. Those complications should be uneasy to be handled by oral and maxillofacial surgeons, however, they can be prevented by knowing the effective and safe reduction malarplasty techniques. Therefore, in this article the author as an oral and maxillofacial surgeon, would like to suggest safe and effective surgical methods for reduction malarplasty customized for Korean patients. Method: L- shape osteotomy of zygomatic body was performed with intraoral approach via vestibular incision, and the zygomatic arch was osteotomized with extraoral approach via sideburn incision. Then zygomatic complex was separated and rotated mesio-superiorly without removal of a bony strip and fixed with miniplates and microplates without making a bony gap. Conclusion: Surgical results were favorable and satisfied by the patients without cheek drooping, malunion, undercorrection and asymmetry.
Reliability of Q-Ray View for Assessing Retention Status of Pit and Fissure Sealant
Authors: Nam Sang-Mi , Ku Hye-Min , Lee Eun-Song , Kim Baek-Il
Published: August 2024

Purpose: To evaluate reliability of Q-ray view (Aiobio Inc,. Seoul, Korea) for assessing retention status of pit and fissure sealants. Methods: Pit and fissure sealants of 58 permanent molars from 15 third-grade students were examined. Posterior teeth with ≥1 pit and fissure sealants applied to the occlusal surface for >6 months were examined. The teeth were examined using traditional visual-tactile assessments and combined Q-ray view. Pit and fissure sealants were evaluated by assessing marginal plaque, marginal discoloration, marginal integrity, retention, and presence of caries. Fleiss kappa and Cohen's kappa values were calculated to compare inter- and intrarater agreements between visual-tactile and combined Q-ray view assessments. Results: Regarding interrater agreement in visual-tactile assessments, K values of Cohen's kappa for marginal plaque, marginal discoloration, and presence of caries were 0.22-0.57, 0.36-0.57, and 0.43-0.61, respectively, and agreements ranged from slight to moderate. When combined with Q-ray view, the values were 0.81-0.89, 0.69-0.88, and 0.80-0.90, respectively, and agreements ranged from substantial to nearly perfect level, indicating statistical significance. Marginal plaque (0.81-0.83), marginal discoloration (0.57-0.89), and presence of caries (0.69-0.91) showed higher agreements in combined Q-ray view than in visual-tactile assessments, and kappa values of marginal plaques were significantly higher in combined Q-ray view than in visual-tactile assessments. Conclusion: Evaluating retention status of pit and fissure sealants using Q-ray view showed higher reliability than using visual/tactile assessments for marginal plaque, marginal discoloration, and presence of caries. Therefore, Q-ray view may be used to assess the retention status of pit and fissure sealants.
A World Tour of the Museum of Dentistry
Authors: Kweon Hoon
Published: August 2024

Although museums of dentistry and dental museums are both museums related to dentistry, they may differ significantly in the scope and the content regarding the audiences. Museums of dentistry, which display a variety of dental instruments, materials, and photographs, help you learn about the development of dentistry and primarily attract a lot of attention from those who work in dental fields. These museums, however, don't get much attention from the general public. The dental museum, which displays everything related to teeth and dental care, can attract a lot of curiosity and attention not only by those in dental fields, but also by the general public. Dental museums should purpose public health education; they should not just be a place for looking around. This is because the experience of the dental museum has the power to engage people. Therefore, if you add educational functions to the dental museum and make it a place to learn about dental history and oral health care, it can be the institution where culture and health are combined. We need to study history to better understand which improvements we have made and also to see what we need to aim for in the future. The purpose of this study is to examine the actual way each of 28 dental museums in 7 different countries is operated by describing what I saw when I visited them. In addition, the current state of museums of dentistry in Korea is examined and the future development directions is also considered.
Histopathologic examination in the primary dental clinic
Authors: Han Dawool , Cho Eunae
Published: August 2024

Biopsy is a critical method for disease diagnosis and treatment planning. It can be applied from simple inflammatory lesions to malignant tumors. But many general dental practitioners are unfamiliar with the basic knowledge and skills required for biopsy. Moreover, biopsy indications and contraindications for certain diseases may differ depending on the type of dental practice environment and the specialty of the dentist. Biopsy education can increase the choices a dentist has during disease diagnosis. Here we will discuss details on biopsy needed to the general dentist.
A study of peri-implantitis
Authors: Jang Hyun-Seon
Published: August 2024

Peri-implantitis refers to the development of inflammation around the implant. Peri-implantitis refers to inflammation accompanied by uptake of bone in the submucosa. Perhaps the most serious of the symptoms of peri-implantitis is the mobility of the implant. Peri-implantitis may occur more frequently in patients with periodontitis than in patients without periodontitis. Therefore, regular checkups and plaque control are more important and important when implants are placed in patients involved with gingivitis or periodontitis. There are many factors such as plaque, calculus and smoking, which can cause peri-implantitis. However, regular plaque management can prevent and reduce the incidence of peri-implantitis. In conclusion, it is important to successfully surgery implants in patients, but preventing peri-implantitis is the success of implant treatment.