Prevalence of referral reasons and clinical symptoms for endodontic referrals

Kim, Seonah The Korean Academy of Conservative Dentistry 2014 Restorative Dentistry & Endodontics Vol.39 No.3

Objectives: To investigate the prevalence of different primary reasons for endodontic referrals and the clinical symptoms of the referred cases. Materials and Methods: Clinical data of total endodontic treatment cases (1,014 teeth) including endodontic referral cases (224 teeth) between January 1, 2010 and December 31, 2012, at Kangdong Sacred Heart Hospital, were investigated retrospectively. The one major reason for referral, the clinical symptoms, and the resulting treatment procedures of referral cases were recorded. The percentages of clinical symptoms of the endodontic referral cases and the total endodontic treatment cases were compared by ${\chi}^2$ test for each symptom. Results: Persistent pain was the most frequent reason for endodontic referral (29.5%), followed by presence of gingival swelling and sinus tract (24.1%), and apical radiolucency (12.9%). Referrals in cases involving endodontic difficulties such as canal calcification, broken instruments, post, perforation, and resorption were less than 5.0%, respectively. The percentages of four major clinical symptoms of pain, apical radiolucency, previous endodontic treatment, and gingival swelling and sinus tract were significantly higher in the endodontic referral cases than those in the total endodontic cases (p = 0.001). Among the included referral cases, 72.8% were treated with nonsurgical endodontic treatment only. Teeth other than the referred teeth were diagnosed as the origin of the problem in 5.8% of the referrals. Conclusions: The high prevalence of pain, apical radiolucency, previous treatment, and gingival swelling and sinus tract in endodontic referral cases suggest that these symptoms may be what general practitioners consider to be difficult and refer to endodontists.

Prevalence of referral reasons and clinical symptoms for endodontic referrals

김선아 대한치과보존학회 2014 Restorative Dentistry & Endodontics Vol.39 No.3

Objectives: To investigate the prevalence of different primary reasons for endodontic referrals and the clinical symptoms of the referred cases. Materials and Methods: Clinical data of total endodontic treatment cases (1,014 teeth) including endodontic referral cases (224 teeth) between January 1, 2010 and December 31, 2012, at Kangdong Sacred Heart Hospital, were investigated retrospectively. The one major reason for referral, the clinical symptoms, and the resulting treatment procedures of referral cases were recorded. The percentages of clinical symptoms of the endodontic referral cases and the total endodontic treatment cases were compared by χ2 test for each symptom. Results: Persistent pain was the most frequent reason for endodontic referral (29.5%), followed by presence of gingival swelling and sinus tract (24.1%), and apical radiolucency (12.9%). Referrals in cases involving endodontic difficulties such as canal calcification, broken instruments, post, perforation, and resorption were less than 5.0%, respectively. The percentages of four major clinical symptoms of pain, apical radiolucency, previous endodontic treatment, and gingival swelling and sinus tract were significantly higher in the endodontic referral cases than those in the total endodontic cases (p = 0.001). Among the included referral cases, 72.8% were treated with nonsurgical endodontic treatment only. Teeth other than the referred teeth were diagnosed as the origin of the problem in 5.8% of the referrals. Conclusions: The high prevalence of pain, apical radiolucency, previous treatment, and gingival swelling and sinus tract in endodontic referral cases suggest that these symptoms may be what general practitioners consider to be difficult and refer to endodontists.

골 시멘트를 사용하지 않는 나사모양의 비구컵에 대한 고찰

김근우,박윤수,남일현 대한고관절학회 1990 Hip and Pelvis Vol.2 No.1

아크릴로나이트릴·뷰타다이엔·스타이렌 수지와 용융적층조형 방식의 3차원 프린팅 기술로 제작된 전산화단층영상장치 팬톰에서 영상 균일성 및 X선 투과성 평가

성열훈(Youl Hun Seoung) 대한방사선과학회 2016 방사선기술과학 Vol.39 No.4

본 연구에서는 3차원(3-dimensional, 3D) 프린팅 기술로 출력된 팬톰에 대한 X선 투과성을 평가하고자 하였다. 3D 프린팅 방식은 용융적층조형(fused deposition modeling, FDM) 방식을 이용했으며 소재는 아크릴로나이트릴·뷰타다이엔·스타이렌(acrylonitrile butadiene styrene, ABS)을 사용하였다. 팬톰은 원통 모양으로 설계하였으며 전산화단층영상장비(computed tomography, CT)에서 획득한 단면영상으로 균일도를 측정하였다. X선 투과성 평가는 3D 출력된 팬톰 내부에 이온챔버를 삽입하여 실시하였다. 그 결과, 평균 균일도가 2.70 HU이었으며 기존 폴리메틸메타크릴레이트(poly methyl methacrylate, PMMA) CT 팬톰과 3D 프린터로 출력된 팬톰에서 측정된 X선 투과성의 상관관계는 0.976로 높은 상관관계가 있는 것으로 나타났다. 향후 3D 프린팅 기술을 이용한 방사선정도관리 팬톰제작에 기초자료로 활용할 수 있으리라 기대한다. The purpose of this study was to evaluate the radiolucency for the phantom output to the 3D printing technology. The 3D printing technology was applied for FDM (fused deposition modeling) method and was used the material of ABS (acrylonitrile butadiene styrene) resin. The phantom was designed in cylindrical uniformity. An image uniformity was measured by a cross-sectional images of the 3D printed phantom obtained from the CT equipment. The evaluation of radiolucency was measured exposure dose by the inserted ion-chamber from the 3D printed phantom. As a results, the average of uniformity in the cross-sectional CT image was 2.70 HU and the correlation of radiolucency between PMMA CT phantom and 3D printed ABS phantom is found to have a high correlation to 0.976. In the future, this results will be expected to be used as the basis for the phantom production of the radiation quality control by used 3D printing technology.

3D 프린팅을 이용한 손 엑스선 검사 보조도구의 유용성

김지원(Ji-Won Kim),구본열(Bon-Yeoul Koo) 대한방사선과학회(구 대한방사선기술학회) 2023 방사선기술과학 Vol.46 No.6

As an auxiliary tool for fixing the patient's posture when taking an X-ray, sponges with high radiolucencies are laminated in various thicknesses. This study aimed to evaluate the usefulness of an auxiliary tool for hand oblique projection X-ray by manufacturing it with a uniform thickness by 3D printing and comparing it with existing sponge tools. In the auxiliary tool, radiolucency was measured at the stairs where each finger was located, and pixel information values were compared in the digital imaging and communications in medicine(DICOM) image. Contrast to noise ratio(CNR) and signal to noise ratio(SNR) were compared by shooting the hand phantom and the auxiliary tool together. As the thickness of the sponge tool increased, radiolucency decreased by 15.52% and pixel information value increased by 20.61%. The transmittance of the 3D printing tool increased by 0.82%, and the pixel information value differed by 5.66%. CNR and SNR increased by 20.03% and 22.42% in 3D printing compared to existing sponge tools. while taking hand oblique projection, maintaining the thickness of the auxiliary tool uniformly through 3D printing maintains high radiolucency and minimal impact on medical images, and increases CNR and SNR, making it useful as an auxiliary tool for taking hand oblique projection.

치근단 낭으로 오진한 단낭성 법랑모세포종

윤정훈,정원균 대한치과보존학회 2001 Restorative Dentistry & Endodontics Vol.26 No.2

A case of an unicystic ameloblastoma of the mandible presenting as an apical periodontal cyst was reported. The lesion showed an unilocular radiolucency with well delineated border Histologic examination revealed that a fibrous cyst wall with a lining that consists of partially of ameloblastic epithelium. The overlying epithelial cells are loosely cohesive and resemble stellate reticulum. The fibrous cyst wall of the cyst is infiltrated by typical follicular ameloblastoma, but devoid of inflammatory reaction in the cystic wall. Some considerations regarding differential diagnosis, pathogenesis and biologic behaviour of the lesion were discussed.

하악골 골절 치료후 단순 방사선촬영을 이용한 추적조사의 의의

정지원,정창훈,권순태 大韓成形外科學會 1998 Archives of Plastic Surgery Vol.25 No.5

For many years, healing membranous bone fractures have been known to show a persistent lucency at the fracture interface. Radiographic follow-up has proven to be of little value as a guideline for healing of mandibular fractures. Recently, a fracture has been treated by rigid internal fixation by metallic plate and screws rather than closed reduction and wire fixation, we expected that some difference in the radiographic features of fracture healing. To investigate these questions we undertook a retrospective radiographic and clinical analysis of 33 followed patients with fractures of the body and angle of the mandible from 1993 to 1997. There were 26 male and 7 female patients ranging in age between 5 and 74 years, with an average of 29.7 years. All patients were managed by open reduction with metallic plates and screws. The length of follow-up ranged from 9 to 187 weeks. Total 81 radiographic follow-up films were obtained and divided into 3 grades according to the degree of radiolucency of fracture lines; grade 0 radiolucent fracture line and no evidence of fracture interface calcification, grade 1 decreased radiolucent area and evidence of fracture interface calcification, and grade 2 disappearance of fracture line. Until follow-up of 8 weeks, all of the radiographs showed grade 0. From 8 weeks to 16 weeks, 62.5 percent showed grade 0 and 37.5 percent showed grade 1. From 16 weeks to 48 weeks, 38.5 percent showed grade 1 and 61.5 percent showed grade 2. After follow-up of 48 weeks, all showed grade 2. In this study we have shown that the radiographic disappearance of mandibular fracture lines was usually accomplished by 48 weeks. We feel that radiographic union of the mandible is lagging well behind clinical union, but disapperance of the fracture line in rigidly fixated mandibular fracture was occurred earlier than healed by fibrous union. We propose that radiographic union of the mandible by approximately 1 year can be a guideline for the normal mandibular bone healing.

Multilocular Squamous Odontogenic Tumor of Right Maxilla: A Case Report and Literature Review

이원범,김욱규,박혜련,유미현,정연화,황재준,황대석 대한구강악안면병리학회 2019 대한구강악안면병리학회지 Vol.43 No.4

Squamous odontogenic tumor (SOT) is a relatively rare, benign, small (rarely > 1.5 cm in diameter), but locally infiltrative and occasionally aggressive odontogenic epithelial lesion that appears to have harmatomous and neoplastic characteristics [1]. SOT is often asymptomatic, although it can present with mildly painful gingival swelling or tooth mobility. Radiographically, SOT is usually visualized as an irregularly or triangularly shaped unilocular radiolucency associated with the lateral roots of teeth. We report a case of the squamous odontogenic tumor occurring in a 60-year-old female in the right posterior maxilla with unusual radiographic and clinical appearances.

아크릴로나이트릴・뷰타다이엔・스타이렌 수지와 용융적층조형 방식의 3차원 프린팅 기술로 제작된 전산화단층영상장치 팬톰에서 영상 균일성 및 X선 투과성 평가

성열훈 대한방사선과학회 2016 방사선기술과학 Vol.39 No.3

본 연구에서는 3차원(3-dimensional, 3D) 프린팅 기술로 출력된 팬톰에 대한 X선 투과성을 평가하고자 하였다. 3D 프린팅 방식은 용융적층조형(fused deposition modeling, FDM) 방식을 이용했으며 소재는 아크릴로나이트릴· 뷰타다이엔·스타이렌(acrylonitrile butadiene styrene, ABS)을 사용하였다. 팬톰은 원통 모양으로 설계하였으며 전산화단층영상장비(computed tomography, CT)에서 획득한 단면영상으로 균일도를 측정하였다. X선 투과성 평가는 3D 출력된 팬톰 내부에 이온챔버를 삽입하여 실시하였다. 그 결과, 평균 균일도가 2.70 HU이었으며 기존 폴리메틸 메타크릴레이트(poly methyl methacrylate, PMMA) CT 팬톰과 3D 프린터로 출력된 팬톰에서 측정된 X선 투과성의 상관관계는 0.976로 높은 상관관계가 있는 것으로 나타났다. 향후 3D 프린팅 기술을 이용한 방사선정도관리 팬톰 제작에 기초자료로 활용할 수 있으리라 기대한다.

엑스선 촬영 시 보조도구 재료로써 탄소 섬유 강화 플라스틱의 유용성

문준호(Joon-Ho Moon),구본열(Bon-Yeoul Koo) 대한방사선과학회(구 대한방사선기술학회) 2023 방사선기술과학 Vol.46 No.3