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척추손상후 속발한 화골성근염 : 증예보고 Report of 3 Cases
정태성 최신의학사 1972 最新醫學 Vol.15 No.12
Myositis ossificans in the cord injured patient has special interest from the view point of nature. Several authors had reported on the observation of the etiology, nature, and treatment. Myositisossificans consist of Haversian canal, osteoblast, blood vessel and edematous bone matrix and is due to mesencymal tissue. Radiographically, ossification occured on condyle of the femur, but sometimes extending down to the joint capsule and up to the shaft of the femur. Spiral and network formation of many arteriole around ossification observed in angiogram. Recently, 3 cases of myositis ossifcans of 32 paraplegics have been reported.
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정태성,김민정 부산대학교 병원 암연구소 2008 부산대병원학술지 Vol.- No.24
전신질환에서 구강의 중요성은 의심의 여지가 없다. 악성종양으로 진단된 어린이와 청소년은 구강에 주요증상이 발현되는 경우가 많으므로 치과의사가 최초로 발견할 가능성이 높다. 항암치료의 부작용으로 인한 급성 및 장기적인 구강내 합병은 성장 중인 개체를 파괴하고 환자의 삶의 질에 매우 해로운 영향을 줄 수 있다. 기술 및 의학의 진보는 악성종양의 치료율을 높여 왔으나 구강 및 치아에 생기는 합병으로 인한 삶의 질 저하는 현재까지는 피할 수 없다. 따라서 모든 치과의사는 치아와 구강을 안전하게 치료하고 관리하기 위한 전문적 지식을 갖추어야 한다. The incidence of childhood malignancy in the greatest in the first year of life, with a second peak at 2 to 3 years of age. Acute leukemias, lymphomas, brain tumors, soft tissue tumors, and renal tumors are more common malignacies in children. Early diagnosis and advances in medicine have significantly improved outcomes of treatment resulting in higher survival rate; however, this progress comes at the expense of a higher incidence of adverse side effects because of more aggressive antineoplastic treatment strategies. The oral cavity, a trauma-prone environment, is extremely sensitive to toxicities from antineoplastic agents. The incidence of oral sequalae in children various considerably and ranges 30% and 100%. Oral health care specialists, including pediatric and hospital dentists can support the oncology team by providing basic oral care, implementing oral care protocols, delivering emergency dental treatment, and assisting and/or managing oral complications from cancer therapy. This article covers the considerations in the dental management of pediatric patients undergoing cancer treatment, specifically chemotherapy, radiotherapy, and hematopoietic stem cell transplantation.
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광중합 Glass lonomer Cement와 Amalgam의 결합강도에 관한 연구
정태성 大韓小兒齒科學會 1996 大韓小兒齒科學會誌 Vol.23 No.2
소아치과 임상에서 자주 사용되는 3 종의 광중합형 GIC의 아밀감에 대한 접착능을 평가할 목적으로 60개의 아밀감 부착시편을 이용하여 중간결합제인 Scotchbond의 사용여부에 따른 경화된 아밀감에 대한 광중합 GIC의 전단결합강도를 측정하고 경계부의 파절양상을 관찰한 결과,다음과 같은 결론을 얻었다. 1.아밀감에 대한 광중합형 GIC의 전단강도는 Fuji Ⅱ LC,Vitremer,Vitrebond의 순으로 높게 나타났다.(P<0.05). 2.중간결합체인 Scotchbond를 사용하지 않은 경우에서 Scotchbond를 사용한 경우에 비해 전단결합강도가 높게 나타났다.(P<0.05). 3.결합파절면은 Scotchbond를 사용한 경우의 대부분에서 Scotchbond와 아밀감의 경계부에서 시편의 탈락이 나타났다.아밀감과 광중합 GIC의 결합을 시도할 경우에는 Scotchbond는 사용하지 않는 것이 바람직할 것으로 사료되었다. The purpose of this study was to asses the shear bond strengths of 3 types of light curing Glass Inomer cement to dental amalgam with or without an intermediary agent. 60 amalgam adherent specimens were prepared and aged in water at 37℃ for 3 days.Before bonding,the amalgam surfaces were finished flat on 600-grit silicon carbide paper.30 specimens among 60 were used for bonding in this condition,and the other 30 were covered with a thin layer of light-curing intermediary agent. Shear bond strengths were measured with universal machine (Instron,Model 43011) and statistically processed by ANOVA and t-test.On complition of bond test,the fracture surfaces were examined under light microscope so that the model of bond failure could be assessd. The results were as follows: 1.Bond strength of Fuji Ⅱ LC group showed the hightest value and was followed by Vitremer,Vitrebond groups(P<0.05). 2.The bond strengths achived without an intermediary agent were higher than those obtained with intermediary agent(P<0.05). 3.For the specimens bonded with intermediary agent,bond failures occured mostly as the agent-amalgam interface.So,the use of intermediary bonding agent was thought not recommendable at glass inomer-amalgam interface.
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유치열기 다발성치아우식증 아동의 구강내 Streptococcus mutans 및 Lactobacillus의 분포에 관한 연구
정태성 大韓小兒齒科學會 1990 大韓小兒齒科學會誌 Vol.17 No.1
With a purpose of elucidating the causative relationship between specific oral baterial species and rampant dental caries, the distributions of S. mutans and Lsctobacillus in dental plaque from 21 children with pampant dental caries in the primary dentition were examined. The following results were obtained: 1. S. mutans was detrected in the plaque of all children and the distribution to total cultivable oral microorganism was 3.75%, and it was significantly higher (P<0.05) in plaque taken from carious surface than from sound surface. 2. Lactobacillus was detected in the plaque of all children and the distribution to total cultibale oral microorgaism was 1.75%, and it was significantly higher (P<0.05) in plaque taken from carious surface than from sound surface.
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소아치과 외래 환자에 대한 전신마취법에 의한 행동 조절 실태
정태성 부산대학교 병원 암연구소 2006 부산대병원학술지 Vol.- No.20
2003년 1월 부터 2005년 12월 까지 3년간 본 원 소아치과에서 전신마취하 치과진료를 받은 소아환자에 대한 실태를 조사한바 다음과 같은 결론을 얻었다. 1) 평균 연령은 7세 0개월 남자가 22명, 여자가 20명, 계 42명이었다. 2) 전신마취법의 적용 이유는 정신지체 및 발달장애가 17명으로 가장 많았으며, 자폐증 2명, 뇌성마비 3명, 심장질환 4명, 단순 치과치료 비협조가 6명, 타 증상과 복합이 5명 그리고 기타 5명 (간질, B형 간염 및 각종 증후군)의 순으로 나타났다. 3) 전신마취하 치과처치의 평균 처치 시간은 2시간 39분, 평균 마취 시간은 3시간 07분으로 나타났다. 4) 전신마취하 치과처치의 증례 수에 대한 연도별 추이는 2003년 부터 해마다 증가하였으며 환자 1인당 처치 치아 수는 평균 12.6개로, 우식으로 파괴된 정도가 매우 높은 것으로 나타났다. Purpose: The use of general anesthesia as a special method of behavior management is necessary if certain handicapped or disabled child patient to receive dental treatment. This study was designed to report the results of 42 cases of complete oral rehabilitation under general anesthesia. Materials and Methods: The data were obtained from 42 patients who were provided with dental treatment under behavior control under general anesthesia for 3years managed at the Dept. of pediatric dentistry in PNU Hospital. The distribution of age, gender, primary reason for general anesthesia, duration of dental procedure , number of treated tooth and postoperative complications were surveyed. Results: In distribution of age, most(73.8 %) were younger than 10 years and mean was 7.0 years. The reasons for providing general anesthesia were lack of cooperation due to various mental and physical handicapped situation in 25patient (59.5%), congenital heart disease in 4 patients(9.5%), combined with medically compromised and behavior problem in 5 patients(12%) and others in 4 patients(9.5%). The average duration of the treatments was 2 hours and 39 minutes and average duration of the anesthesia was 3 hours and 7 minutes. The mean number of treated with restoration were 12.6 teeth. Conclusion: From the results, total dental rehabilitation under general anesthesia is a favorable modality to improve for disabled children’s oral condition.
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