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- 저자 : 송지혜(Jihyeo Song) (검색결과 4 건)
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얼굴의 수직성장을 이용하여 III급 부정교합을 치료하는 구강내 가철식 장치의 치료기간분석
송지혜,김성오,송제선,이제호,최형준,Song, Jihyeo,Kim, Seong-Oh,Song, Je Seon,Lee, Jaeho,Choi, Hyung-jun 대한소아치과학회 2019 大韓小兒齒科學會誌 Vol.46 No.2
Vertical facial growth triggers the rotation of mandible to move the chin point to the downward and backward direction, which showed remarkably effective result making the less prominent chin. Recently, the intraoral removable appliance utilizing class III elastic demonstrated the vertical growth trigger mechanism. The treatment change was very fast and wearing was quite easy, compared to extraoral appliances. The purpose of this study was to verify the duration of the treatment on class III malocclusion using intraoral removable appliances, which designed to accelerate vertical facial growth. 56 patients were selected with the complaint of the protruded mandible and class III malocclusion (overjet : -3 - 0 mm, overbite : 0 - 4 mm). Information like; age at start, duration of the treatment events, type of the treatment, overjet, overbite etc. was collected and calculated. The average age of the patients delivering the initial brace was $8.75{\pm}1.10year$. Most of the anterior crossbite was resolved within 6 months. The total treatment period was $21.79{\pm}10.73months$ with the additional procedures like the alignment of anterior teeth and torque control using additional removable and fixed orthodontic appliances. The correlation study showed that patient's cooperation (p = 0.000) and the use of fixed appliance (p = 0.032) were significantly influenced on treatment duration. 본 연구의 목적은 혼합치열기 초기에 III급 부정교합을 보이는 어린이에서 수직성장을 유도하는 III급 고무줄을 걸 수있도록 고안된 구강내 가철식장치를 사용하여 반대교합을 치료시, 그 구체적인 치료기간을 알아보고, 이에 영향을 주는 변수를 확인하는 것이다. 본 소아치과에 III급 부정교합을 주소로 내원하여 구강내 가철식 장치로 치료를 완료한 56명의 환자를 대상으로 치료개시 연령, 치료기간 및 치료유형, 수평피개량, 수직피개량 등의 자료를 수집하였다. 환자군의 교정개시 연령은 8.75세이었고, 교합이 넘어갈때까지 3.31개월, 이후 정상 피개까지 1.90개월이 소요되어, 대부분이 개시 6개월 이내에 개선되었다. 전체 치료기간은 21.79개월이었고 환자의 협조도(p = 0.000)와 고정식 교정장치의 여부(p = 0.032)가 치료기간에 유의하게 영향을 주었다. 결론적으로 본 연구의 가철식장치는 수년간 장시간 장착하며 악정형력을 주는 구강외 장치에 비해서 그 치료기간이 6개월 이내로 짧으며, 혼합치열기 III급 부정교합 어린이에서 효과적으로 이용할 수 있다.
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VALPROATE-INDUCED GINGIVAL OVERGROWTH : A CASE REPORT
송지혜,이고은,신민경,김성오,최병재,최형준,Song, Jihyeo,Lee, Koeun,Shin, Minkyung,Kim, Seong-Oh,Choi, Byungjai,Choi, Hyung-Jun Korean Association for Disability and Health 2018 대한장애인치과학회지 Vol.14 No.2
Drug-induced gingival overgrowth is an abnormal increase of gingival tissues caused as a side effect of systemic medication. This report presents a severe case of valproate-induced gingival overgrowth combined with ulcerative and hemorrhagic lesions in a patient with Lennox-Gastaut syndrome. Considering the patient's limited cooperative ability, gingivectomy and excisional biopsy under general anesthesia were performed. The lesions were successfully treated without recurrence. When gingival enlargement does not subside with nonsurgical treatments, surgical procedure and excisional biopsy are to be performed. Postoperative management of oral hygiene is critical to prevent recurrence.
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Valproate-induced Gingival Overgrowth : A Case Report
Jihyeo Song(송지혜),Koeun Lee(이고은),Minkyung Shin(신민경),Seong-Oh Kim(김성오),Byungjai Choi(최병재),Hyung-Jun Choi(최형준) Asia association of Disability and Oral health 2018 대한장애인치과학회지 Vol.14 No.2
Drug-induced gingival overgrowth is an abnormal increase of gingival tissues caused as a side effect of systemic medication. This report presents a severe case of valproate-induced gingival overgrowth combined with ulcerative and hemorrhagic lesions in a patient with Lennox-Gastaut syndrome. Considering the patient’s limited cooperative ability, gingivectomy and excisional biopsy under general anesthesia were performed. The lesions were successfully treated without recurrence. When gingival enlargement does not subside with nonsurgical treatments, surgical procedure and excisional biopsy are to be performed. Postoperative management of oral hygiene is critical to prevent recurrence.
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송지혜(Jihyeo Song),이고은(Koeun Lee),송제선(Je Seon Song),이제호(Jaeho Lee),최형준(Hyung-Jun Choi) Asia association of Disability and Oral health 2018 대한장애인치과학회지 Vol.14 No.2
본 증례는 유전적 피부질환의 하나로 피부의 착색과 망막의 이상 그리고 다수의 유치 및 영구치 결손과 치아의 형태 이상을 나타내는 색소실조증 환자에 대한 보고이다. 현재 환자는 큰 불편감 없이 유치를 유지하고 있으며 향후 영구치열기까지 정기적인 관찰과 관리가 필요하며, 영구치열 완성 후 영구적인 보철적 수복이 필요할 것으로 사료된다. Incontinentia pigmenti(IP), or Block-Sulzberger syndrome is a rare X-linked dominant genodermatosis that affects almost in female infant and is usually lethal for males in utero. IP is characterized by four cutaneous stages and is frequently associated with dental, ocular, central nervous system and structural anomalies. Dental problems are congenital missing of teeth, delayed eruption, abnormal crown shape. We reported a case of 5 year-old female with IP. She had congenital missing of multiple primary and permanent teeth, accessory cusp and cone-shaped crowns. Systemically, she had a problem of retina and hyperpigmented macules on her trunk and extremities as typical character of IP. As the syndrome involves many different medical problems and needs comprehensive consideration. Dental care should be performed in a multidisciplinary consultation system.
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