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1.
Maxillofacial Plastic and Reconstructive Surgery ; : 2-2019.
Artigo em Inglês | WPRIM | ID: wpr-741591

RESUMO

OBJECTIVES: This study was aimed to analyze the reducing pattern of decompression on mandibular odontogenic keratocyst and to determine the proper time for secondary enucleation. MATERIALS AND METHODS: Seventeen patients with OKC of the mandible were treated by decompression. Forty-five series of CT data were taken during decompression and measured by using InVivo software (Anatomage, San Jose, Calif) and were analyzed. RESULTS: The expected relative volume during decompression is calculated using the following formula: V(t) = V initial × exp.(at + 1/2bt 2) (t = duration after decompression (day)). There was no significant directional indicator in the rate of reduction between buccolingual and mesiodistal widths. CONCLUSION: The volume reduction rate gradually decreased, and 270 days were required for 50% volume reduction following decompression of OKC. The surgeon should be aware of this pattern to determine the timing for definitive enucleation. CLINICAL RELEVANCE: The volume reduction rate and pattern of decompression of the OKC can be predicted and clinicians should be considered when treating OKC via decompression.


Assuntos
Humanos , Descompressão , Mandíbula , Cistos Odontogênicos
2.
Journal of Dental Anesthesia and Pain Medicine ; : 21-27, 2019.
Artigo em Inglês | WPRIM | ID: wpr-739998

RESUMO

BACKGROUND: Emergencies in dentistry can be classified as medical and dental. Medical emergencies occur mainly during dental treatment in patients with a systemic disease. Dental emergency departments are largely divided into dental emergency rooms located in dental college hospitals and medical emergency rooms located in medical institutions. This study aimed to analyze the characteristics of and provide help to dental emergency patients in a dental hospital. METHODS: Overall, 1806 patients admitted to a dental emergency room at Yonsei University Dental Hospital for 1 year were included. The data collection period was from October 1, 2014 to September 30, 2015. An investigator reviewed medical records from the electronic medical record (EMR) system and radiographs. RESULTS: The patients were 1,070 men and 736 women. The sex ratio was 1.45:1. The commonest age group was of 0–9 years, including 451 (25.0%) patients, followed by 20–29 years, including 353 (19.5%) patients, and 30–39 years, including 277 (15.3%) patients. Of the 108 patients transferred to the Severance emergency department, 81 had trauma, 19 were in pain, 4 were bleeding, and 4 had other complaints. Among chief complaints, 1,079 patients (60.3%) had trauma, 564 (31.5%) had pain, and 75 (4.2%) had bleeding. Twenty-three cases (1.3%) were caused by temporomandibular disorder (TMD). CONCLUSION: Dentists should be able to adequately assess patients in a dental emergency room and treat trauma, pain, and bleeding.


Assuntos
Feminino , Humanos , Masculino , Coleta de Dados , Odontologia , Odontólogos , Registros Eletrônicos de Saúde , Emergências , Serviço Hospitalar de Emergência , Hemorragia , Prontuários Médicos , Pesquisadores , Estudos Retrospectivos , Razão de Masculinidade , Transtornos da Articulação Temporomandibular
3.
Imaging Science in Dentistry ; : 213-221, 2018.
Artigo em Inglês | WPRIM | ID: wpr-740379

RESUMO

PURPOSE: The purpose of this study was to evaluate the relationship between masseter muscle thickness, facial morphology, and mandibular morphology in Korean adults using ultrasonography. MATERIALS AND METHODS: Ultrasonography was used to measure the masseter muscle thickness bilaterally of 40 adults (20 males, 20 females) and was performed in the relaxed and contracted states. Facial photos and panoramic radiography were used for morphological analyses and evaluated for correlations with masseter muscle thickness. We also evaluated the correlations of age, body weight, stature, and body constitution with masseter muscle thickness. RESULTS: In the relaxing, the masseter was 9.8±1.3 mm in females and 11.3±1.2 mm in males. In the contracted state, it was 12.4±1.4 mm in females and 14.7±1.4 mm in males. Facial photography showed that bizygomatic facial width over facial height was correlated with masseter muscle thickness in both sexes in the relaxed state, and was statistically significantly correlated with masseter muscle thickness in males in the contracted state. In panoramic radiography, correlations were found between anterior angle length and posterior angle length and masseter muscle thickness in females, and between body length and posterior angle length, between anterior angle length and body length, between ramal length and body length, and between body length and condyle length in males. CONCLUSION: Masseter muscle thickness was associated with facial and mandibular morphology in both sexes, and with age in males. Ultrasonography can be used effectively to measure masseter muscle thickness.


Assuntos
Adulto , Feminino , Humanos , Masculino , Adulto Jovem , Constituição Corporal , Peso Corporal , Músculo Masseter , Fotografação , Radiografia Panorâmica , Ultrassonografia
4.
Journal of Dental Anesthesia and Pain Medicine ; : 143-147, 2017.
Artigo em Inglês | WPRIM | ID: wpr-106747

RESUMO

The use of novel oral anticoagulants (NOACs) has increased in recent times in an effort to overcome the shortcomings of warfarin. They are being used primarily for the prevention of thrombosis caused by atrial fibrillation and offer the advantages of having fewer drug interactions than warfarin, no dietary restrictions, and no requirement for regular blood tests. Although there is reportedly less postoperative bleeding even if the drug is not discontinued during procedures that can cause local bleeding, such as dental procedures, no well-designed clinical studies have assessed postoperative bleeding associated with the use of these drugs. This article reports a case of a 74-year-old male patient who was taking rivaroxaban. The patient underwent a dental implant procedure after discontinuing rivaroxaban for one day and subsequently suffered delayed bleeding on postoperative day 6. Accordingly, this article also reports that the use of NOACs may also lead to delayed bleeding.


Assuntos
Idoso , Humanos , Masculino , Anticoagulantes , Fibrilação Atrial , Implantes Dentários , Interações Medicamentosas , Emergências , Testes Hematológicos , Hemorragia , Rivaroxabana , Trombose , Varfarina
5.
Journal of Dental Anesthesia and Pain Medicine ; : 81-88, 2016.
Artigo em Inglês | WPRIM | ID: wpr-144532

RESUMO

Local anesthesia is administered to reduce pain during dental treatments, but may itself cause pain and contribute to increased dental fear. Computer-controlled local anesthetic delivery (CCLAD) is one the method to reduce patient pain during local anesthesia; it is a device that slowly administers anesthetics by using a computerized device to control the injection speed. This literature review aims to provide an objective assessment of the usefulness of CCLAD for controlling pain by reviewing papers published to date that have used CCLAD.


Assuntos
Humanos , Anestesia , Anestesia Local , Anestésicos , Ansiedade ao Tratamento Odontológico , Métodos
6.
Journal of Dental Anesthesia and Pain Medicine ; : 81-88, 2016.
Artigo em Inglês | WPRIM | ID: wpr-144525

RESUMO

Local anesthesia is administered to reduce pain during dental treatments, but may itself cause pain and contribute to increased dental fear. Computer-controlled local anesthetic delivery (CCLAD) is one the method to reduce patient pain during local anesthesia; it is a device that slowly administers anesthetics by using a computerized device to control the injection speed. This literature review aims to provide an objective assessment of the usefulness of CCLAD for controlling pain by reviewing papers published to date that have used CCLAD.


Assuntos
Humanos , Anestesia , Anestesia Local , Anestésicos , Ansiedade ao Tratamento Odontológico , Métodos
7.
Journal of Dental Anesthesia and Pain Medicine ; : 147-150, 2016.
Artigo em Inglês | WPRIM | ID: wpr-144512

RESUMO

The prevalence of thyroid disease, particularly hyperthyroidism, has rapidly increased in Korea in the past 10 years. Therefore, it is important to consider the complete medical history including thyroid disease in patients under dental treatment. Both the drugs used for dental treatment and psychological symptoms associated with treatment can induce emergencies in hyperthyroid patients. This case report considers emergency situations during dental treatment for hyperthyroid patients, and discusses risk factors and related concerns.


Assuntos
Humanos , Emergências , Doença de Graves , Hipertireoidismo , Coreia (Geográfico) , Prevalência , Fatores de Risco , Doenças da Glândula Tireoide
8.
Journal of Dental Anesthesia and Pain Medicine ; : 147-150, 2016.
Artigo em Inglês | WPRIM | ID: wpr-144505

RESUMO

The prevalence of thyroid disease, particularly hyperthyroidism, has rapidly increased in Korea in the past 10 years. Therefore, it is important to consider the complete medical history including thyroid disease in patients under dental treatment. Both the drugs used for dental treatment and psychological symptoms associated with treatment can induce emergencies in hyperthyroid patients. This case report considers emergency situations during dental treatment for hyperthyroid patients, and discusses risk factors and related concerns.


Assuntos
Humanos , Emergências , Doença de Graves , Hipertireoidismo , Coreia (Geográfico) , Prevalência , Fatores de Risco , Doenças da Glândula Tireoide
9.
Journal of the Korean Association of Oral and Maxillofacial Surgeons ; : 195-198, 2014.
Artigo em Inglês | WPRIM | ID: wpr-210246

RESUMO

Cavernous sinus thrombosis not only presents with constitutional symptoms including fever, pain and swelling but also with specific findings such as proptosis, chemosis, periorbital swelling, and cranial nerve palsies. It is known to occur secondary to the spread of paranasal sinus infections in the nose, ethmoidal and sphenoidal sinuses. However, paranasal sinus infection of dental origin is rare. The following is a case of cavernous sinus thrombosis due to the spread of an abscess in the buccal and pterygomandibular spaces via buccal mucosal laceration.


Assuntos
Abscesso , Seio Cavernoso , Trombose do Corpo Cavernoso , Doenças dos Nervos Cranianos , Exoftalmia , Febre , Infecção Focal Dentária , Lacerações , Nariz , Sepse
10.
Journal of the Korean Association of Oral and Maxillofacial Surgeons ; : 313-315, 2014.
Artigo em Inglês | WPRIM | ID: wpr-222014

RESUMO

An oral foregut cyst is a rare congenital choristoma lined by the respiratory and/or gastrointestinal epithelium. The exact etiology has not been fully identified, but it is thought to arise from misplaced primitive foregut. This lesion develops asymptomatically but sometimes causes difficulty in swallowing and pronunciation depending on its size. Thus, the first choice of treatment is surgical excision. Surgeons associated with head and neck pathology should include the oral foregut cyst in the differential diagnosis for ranula, dermoid cyst, thyroglossal duct cyst and lymphangioma in cases of pediatric head and neck lesions.


Assuntos
Coristoma , Deglutição , Cisto Dermoide , Diagnóstico Diferencial , Epitélio , Cabeça , Linfangioma , Pescoço , Patologia , Rânula , Cisto Tireoglosso , Língua
11.
Journal of the Korean Association of Oral and Maxillofacial Surgeons ; : 258-258, 2014.
Artigo em Inglês | WPRIM | ID: wpr-201575

RESUMO

This correction is being published to correct the author's name.

12.
Korean Journal of Obstetrics and Gynecology ; : 671-674, 1997.
Artigo em Coreano | WPRIM | ID: wpr-71671

RESUMO

Primary trbal choriocarcinoma is extremely rare. We have experienced a case of primary tubal choriocarcinoma and report with a brief review of its related literatures.


Assuntos
Feminino , Gravidez , Coriocarcinoma
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